Exercise can reduce the risk of various health issues in middle age adults; according to the Centers for Disease Control and Prevention (CDC, 2015), benefits of physical activity include reducing the risk of cardiovascular disease, type two diabetes, and cancers as well as help improving mental health, mood, and ability to perform activities of daily living. According to an article, "Middle-Aged Adults Behind on Prevention," by the American Society on Aging (ASA, 2013) found that 25,000 to 40,000 deaths per year among Americans younger than age 65 could be prevented if these individuals would quit smoking, lose weight, exercise routinely, eat healthily, and use of recommended clinical preventive services. This article further found that 44% of middle age adults are reported having high blood pressure and 33% were obese, which maintaining a healthy lifestyle and physical activity are critical keys to healthy aging (ASA, 2013).

Next, according to the World Health Organization (WHO, 2017), physical activity such as walking, dancing, gardening, hiking, swimming, walking, cycling, household chores, or game sports, are benefits in improving cardiorespiratory and muscular fitness and bone health in adults aged 18-64; however, an adjustment is needed for each individual based on their capacity and specific health risks or limitations. To incorporate exercise and physical health into my clients, I would use the nursing process to assess the client's understanding about his or her current health, current or chronic illness, and knowledge about health promotion, in order to create and effective individual care plan. Lastly, the approach to use to gain cooperation from my clients would be, for examples, using teach back method to determine the client's understanding and/or encourage the clients to keep journal of their physical activities and to bring it in at the next follow-up appointment.