“…It seems that a greater perceived benefit from exercise could lead to greater participation in physical activities, while greater perceived barriers from exercise may lead them to avoid exercise participation [ 24 , 29 ]. According to the literature review, some of the perceived benefits of exercise include better control of diabetes and blood pressure, improved heart rate changes, nutrition and mental health [ 25 ], improved physical function, physical capacity and physical fitness [ 20 ], prevention of falls [ 22 ], and improved sleep quality [ 21 ]. In contrast, the factors such as the presence of ESKD symptoms, exercise-related adverse outcomes [ 13 ], underlying diseases, psychological factors [ 27 ], socio-economic and cultural factors such as low literacy, low income, lack of access to exercise facilities, lack of motivation and interest [ 30 ], old age, exacerbation of dialysis-related symptoms [ 26 ], absence of support for exercise from family, friends, and health care providers [ 22 ], and insufficient patients’ knowledge of exercise benefits [ 31 ].…”