The intervention will be given for 16 weeks. Before starting the pre assessment of participants will be done and post assessment will be done at the end of 16th week.

Group A: Experimental group

The exercise protocol: 

1.Warm Up exercise :– 5-10 mins. (Active mobility exercises, Light jogging and Flexibility movements, Stretching exercises.) 

2. Aerobic Training :- 30mins Type of exercise: 

Static Cycling – 20 mins(40-45% of HRmax), 

Brisk walking – 3 mins, 

Step up and Step down exercises – 3 mins. 

There will be 2 mins break between the exercises. 

Intensity: Low to Moderate.

 Frequency : 3 sessions/week. 

3. Strength training : The participants will have to use therabands of 50% of 1 RM to strengthen the major group of muscles (work load increased by 5% each two weeks).

 The strength training will be carried out for 20- 30 mins with 3 sets ,10 reps for each major group of muscle with rest period of 1-2 mins in between. 

4. Cool Down Exercises:- (5-10 mins) : Stretching and breathing exercises 

5. 4 Square Breathing Exercise:- (4 mins) : 4 square breathing involve four basic steps, each lasting 4 seconds: 

1. Breathing in 

2. Holding the breath

3. Breathing out 

4. Holding the breath

Group B Control group:

4 Square Breathing Exercise:- (4 mins) :

 4 square breathing involve four basic steps, each lasting 4 seconds:

 1. Breathing in 

2. Holding the breath 

3. Breathing out 

4. Holding the breath

Outcome Measures:

• Cardiopulmonary parameters: Respiratory Rate(HR), Blood pressure(BP), oxygen saturation( SpO2)

 • CD4 cell count :- measured pre-intervention & post intervention (via blood test).{Sensitivity=67%, specificity=96%}

• QOL assessed using SF-36 questionnaire(r=0.86)