Regular physical activity induces significant health benefits and most middle-aged/senior individuals should therefore be encouraged to increase their level of physical activity. Sporting activity may be especially beneficial because it is intense enough to increase cardiovascular, muscular, and metabolic fitness, compared with everyday physical activity. The rationale for evaluation of middle-aged/senior individuals is to ensure their safe participation in leisure-time sports, with the aim of maximizing the benefits while minimizing the risks of exercise. This article reviews the existing recommendations on evaluation of master athletes and middle-aged/senior individuals before they take part in physical activity and sports.