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pandora necklaces AbstractObjective To examine prospectively the association between muscular strength and mortality from all causes, cardiovascular disease, and cancer in men.Main outcome measures All cause mortality up to 31 December 2003; muscular strength, quantified by combining one repetition maximal measures for leg and bench presses and further categorised as age specific thirds of the combined strength variable; and cardiorespiratory fitness assessed by a maximal exercise test on a treadmill.Results During an average follow up of 18.9 years, 503 deaths occurred (145 cardiovascular disease, 199 cancer). Age adjusted death rates per 10000 person years across incremental thirds of muscular strength were 38.9, 25.9, and 26.6 for all causes; 12.1, 7.6, and 6.6 for cardiovascular disease; and 6.1, 4.9, and 4.2 for cancer (all PConclusion Muscular strength is inversely and independently associated with death from all causes and cancer in men, even after adjusting for cardiorespiratory fitness and other potential confounders.IntroductionThe role of muscular strength in the performance of activities of daily living and exercise, as well as in the prevention of chronic disease, is increasingly being recognised.1 2 Resistance exercise training increases muscular strength and is currently prescribed by major health organisations for improving health and fitness.3 4 5 6 Likewise, cardiorespiratory fitness provides strong and independent prognostic information about the overall risk of illness and death in adults across a broad spectrum of ages.7 8 9 10 11 12 13 This applies to apparently healthy people and to those with diabetes mellitus, hypertension, metabolic syndrome, and several types of cancer.14Several prospective studies have shown that muscular strength is inversely associated with all cause mortality.15 16 17 18 19 20 21 22 23 24 25 26 27 All but two of these studies18 26 assessed strength through a handgrip test, which involves relatively small muscle groups. In addition, most previous studies were short term follow ups (4 6 years)15 16 17 27 or included only older adults (65 years).17 20 22 23 26 The shorter term studies could have a problem with reverse causation, in that muscle weakness could be due to poor health pandora necklaces.