(A). strongly recommending middle-aged people to
(B). strongly recommending that middle-aged people should
(C). and strongly recommended for middle-aged people to
(D). and their strong recommendation was for middle-aged people to
(E). and they strongly recommended that middle-aged people
Source: GMATPrep
Screenshot is limited to 400 pixels in width - hence linking a cropped image from test

The official answer is 'E'.