Man with Down Syndrome exercising in a gym

horizontal home fitness exercise healthy caucasian workout man strength strong sphere gym ball usa disabled lying independent photography exercising lifestyles disability massachusetts lying down side view looking away north america exercise equipment one person leaning indoors 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 genetic disorder ds fitness ball north andover dns healthy club