Inclusion Criteria:

- Age ≥ 60 years

- Listed on the renal transplant waiting list (either active or inactive status)

- Able to give consent

- Able to maintain sitting or standing balance and ambulate without assistance from
another person

Exclusion Criteria:

- MMSE score less than 21

- Unstable coronary artery disease

- Less than three months since the patient had a myocardial infarction

- Congestive heart failure NY class III or IV

- Lower extremity amputation without prosthesis

- Severe and active lower extremity musculoskeletal problem which prevents
participation in the intervention

- Individuals who are more active than the intervention and thus would not be likely to
benefit

- SPPB score of 12 (the maximum score) at screening