Since the release of "Promoting Health/Preventing Disease: Objectives for the Nation" in 1980, the emphasis on physical fitness has been vital to public health. As time progressed, it became clear that particular groups required targeted approaches and personalized fitness objectives. For Healthy People 2020, one significant focus was the proportion of individuals aged 65 and older with diminished physical or cognitive abilities who participated in physical activities. The goal for 2020 is to raise that participation rate to 35.9%. Since the release of "Promoting Health/Preventing Disease: Objectives for the Nation" in 1980, the emphasis on physical fitness has been vital to public health. As time progressed, it became clear that particular groups required targeted approaches and personalized fitness objectives.