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The breathing education had been performed acquainted with an inspiratory-expiratory system for a complete of 5 min of breathing exercises in a precise rhythm (8 breaths per min) interspersed with 1 min of remainder, 2 times per day on nondialysis days for an overall total of 30 days, with the atmosphere weight progressively increasing. Outcome measures were performed every 4 weeks for 3 consecutive months, aided by the training executed from the 5th towards the 8th