Conclusion This large cohort study of over a million male Swedish adolescents found associations between greater muscular strength in adolescence (16-19 years) and reduced risk of premature mortality from any cause (death before 55 years of age) as well as specifically from cardiovascular disease and suicide. There was no association found for deaths from cancer. The study has many strengths, including a very large study size and relatively low drop-out rates over the follow up period. However, it also has limitations to bear in mind. The main limitation is that the analysis did not adjust for general physical fitness including physical activity levels, diet, lifestyle factors (such as smoking or alcohol), or other medical illnesses (including mental illness). All these are known to heavi...
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