The exercise program was performed on treadmill at the local community center, short warm up was performed by stretching the upper and lower limbs for approximately 3. The actual exercise consisted of 30 min of running with a progressive incline and speed program, with a maximum intensity of 85% of maximal heart rate (calculated manually by a trainer). The Rate of Perceived Exertion (RPE) was limited to under 15 or hard exertion (6-20 Borg Scale) [34]. Our objective was to endure that participants were performing strenuous exercise. The session concluded with 3 min of slow speed walking. Each exercise session was monitored by research personnel or a village health volunteer.