Inclusion Criteria:  Being treated in the Hemodialysis unit of Aydın Adnan Menderes University Faculty of Medicine Research and Application Hospital, Having good cognitive functions Not having regular exercise habits Not having a physical disability Being between 18-60 years old Speaking and understanding Turkish Being willing to participate in the study  Exclusion Criteria:  Neurologically affected patients (such as cerebrovascular accident, Gullian Barre) Patients with musculoskeletal problems that prevent exercise Patients with advanced heart failure, patients with unstable angina pectoris Patients with chronic liver failure Patients with a history of cardiovascular events (recent within 12 months)