The world's population is rapidly aging in the 21st century. Many countries, after entering the aged society, are seeking to achieve active aging policy objectives with less costs. Many exercise physiological and psychological studies had confirmed that those elder adults with better functional ability will enjoy more autonomy of their daily livings, and relatively improved their holistic health and quality of life. Therefore, many countries begin to execute with safe and easy Senior Fitness Test, combined with exercise prescription guidelines from the American College of Sports Medicine, effectively intervened and managed of their seniors' sports and lifestyles. This article integrated literatures in exercise prescription and management, discussed the domestic implementation of exercise prescription, over viewed the media development of leisure sports for elder adults, and summarized its effectiveness and practical suggestions. With joint participation of individuals and families, the advocacy of leisure sports culture shall lead us to quality of life with innovative multi-cultural development in aging society.