Man with Down Syndrome exercising in a gym

home fitness exercise healthy caucasian workout man strength strong sphere gym portrait ball usa disabled lying independent photography exercising lifestyles disability massachusetts lying down north america looking at camera exercise equipment one person leaning indoors vertical young men boy 20s color image only men full length 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 front view north andover dns healthy club