Man with Down Syndrome exercising in a gym with dumbbell

horizontal home fitness exercise healthy caucasian workout man strength close up strong gym usa disabled weights independent photography exercising lifestyles disability dumbbell headshot massachusetts weightlifting north america hand raised syndrome exercise equipment one person power indoors holding young men boy 20s color image only men young adult one man only caucasian appearance developmental fitness club down syndrome trisomy 21 one young man only 25 29 years exercise machine incidental people genetic disorder ds front view north andover dns healthy club