Young woman with Down Syndrome working out with her trainer on an exercise machine in gym

teamwork girl fitness exercise sport women workout strength activity happy together active training happiness walking togetherness gym content friendship teens routine usa friends enjoyment satisfaction hunt healthcare independence mark independent photography females exercising vitality lifestyles practicing disability treadmill trainer rehabilitation massachusetts two people young women exercise equipment healthy lifestyle adult friendly fun indoors vertical people sports woman health smiling color image young adult adults only sports training sports clothing focus on foreground toothy smile caucasian appearance 18 19 years wellbeing looking at each other developmental physical activity physical exercises body care health club down syndrome down's syndrome body conscious mental health exercise machine mental disorder northbridge mental disability exercise class genetic disorder intellectual disability