In 1984 medical researchers at Harvard and Stanford universities concluded that sedentary life-styles lead to heart and lung diseases that shorten lives, strongly recommending middle-aged people to undertake some form of regular exercise.
(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
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The official answer is 'E'.