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7 ± 2.2; 5.3 ± 1.8 kg). Despite this, there were no significant differences for any variable in the change from pre-to-post based on the **** of the trainer. Both men and woman-led training was effective for increasing markers of self-efficacy and fitness in woman clients. Both men and woman-led training was effective for increasing markers of self-efficacy and fitness in woman clients.Several factors as cultural factors and social class other than biological and genetic factor can affect symptom perception in patients with malignant airw