Evidence map›Paper›PMID 42230125›Full record

ArticleBritish journal of sports medicine2026

Long-term resistance training with all-cause and cause-specific mortality: assessing dose-response and joint associations with aerobic physical activity.

Yiwen Zhang, Dong Hoon Lee, Leandro F M Rezende, Yuan Ma, Edward Giovannucci

Abstract read
In one paragraph

Article in British journal of sports medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Observational
  2. A peripheral perspective on brain health: vascular and skeletal muscle contributions.American journal of physiology. Heart and circulatory physiology · 2026
    Review
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Yiwen ZhangDepartment of Nutrition, Harvard T.H. Chan School of Public Health, Boston, MA, USA.ORCID http://orcid.org/0000-0002-1193-2263
Dong Hoon LeeDepartment of Nutrition, Harvard T.H. Chan School of Public Health, Boston, MA, USA.ORCID http://orcid.org/0000-0003-1329-4637
Leandro F M RezendeChronic Disease Epidemiology Research Center, Department of Preventive Medicine, Universidade Federal de São Paulo, Sao Paulo, Brazil.ORCID http://orcid.org/0000-0002-7469-1399
Yuan MaDepartment of Epidemiology, Harvard T.H. Chan School of Public Health, Boston, MA, USA.
Edward GiovannucciDepartment of Nutrition, Harvard T.H. Chan School of Public Health, Boston, MA, USA egiovann@hsph.harvard.edu.

Funding

Life Course Cancer Epidemiology Cohort in WomenU01CA176726 · NCI · HARVARD UNIVERSITY D/B/A HARVARD SCHOOL OF PUBLIC HEALTH · PI ELIASSEN, A. HEATHER, WILLETT, WALTER C. · 2018 to 2025
$22.4M
Long Term Multidisciplinary Study of Cancer in Women: The Nurses Health StudyUM1CA186107 · NCI · BRIGHAM AND WOMEN'S HOSPITAL · PI ELIASSEN, A. HEATHER, STAMPFER, MEIR · 2014 to 2023
$22.3M
Cancer Epidemiology Cohort in Male Health ProfessionalsU01CA167552 · NCI · HARVARD UNIVERSITY D/B/A HARVARD SCHOOL OF PUBLIC HEALTH · PI Lorelei Mucci, Walter C. Willett · 2017 to 2026
$17.0M
Premonopausal Hormone Levels and Risk of Breast CancerR01CA067262 · NCI · HARVARD UNIVERSITY (SCH OF PUBLIC HLTH) · PI HANKINSON, SUSAN E · 2002 to 2011
$11.9M
BIOCHEMICAL MARKERS IN THE NURSES'HEALTH STUDY COHORTR01CA049449 · NCI · BRIGHAM AND WOMEN'S HOSPITAL · PI HANKINSON, SUSAN E · 1989 to 2008
$11.3M
NCI NIH HHS R01 CA049449NCI NIH HHS R01 CA067262NCI NIH HHS U01 CA167552NCI NIH HHS U01 CA176726NCI NIH HHS UM1 CA186107
6 · The paper itself

Abstract

objectiveTo examine whether resistance training is associated with lower all-cause and cause-specific mortality, the dose-response relationship, and joint effects with aerobic activity.

methodsWe included participants from three large prospective cohorts (Health Professionals Follow-up Study, 1992-2022; Nurses' Health Study, 2002-2021; Nurses' Health Study II, 2003-2021). Weekly resistance training duration and aerobic exercise duration were assessed using validated questionnaires at baseline and biennially thereafter. Cox proportional hazard models were used to estimate hazard ratios (HR) and 95% confidence intervals (95% CI).

resultsAmong 147 374 participants (31 540 men and 115 834 women) followed for up to 30 years, we documented 35 798 deaths. Compared with no resistance training, 90-119 min/week of resistance training was associated with a 13% lower risk of all-cause mortality (HR 0.87, 95% CI 0.81 to 0.95), 19% lower risk of cardiovascular mortality (HR 0.81, 95% CI 0.67 to 0.97) and 27% lower risk of neurological disease mortality (HR 0.73, 95% CI 0.58 to 0.92), adjusting for aerobic activity. No additional benefit was observed above 120 min/week. Reduced cancer mortality risk was seen only at lower levels of resistance training: HR 0.91 (95% CI 0.86 to 0.97) for 1-29 min/week and HR 0.88 (95% CI 0.81 to 0.97) for 30-59 min/week. In joint analyses, compared with those with inadequate aerobic activity (<7.5 metabolic equivalent of task (MET)-hours/week) and no resistance training, mortality risk was lowest among participants with both high aerobic and resistance training (eg, HR 0.55 (95% CI 0.50 to 0.60) for 30 to <45 MET-hours/week of aerobic and 60-119 min/week of resistance training), as well as among those attaining ≥45 MET-hours/week of aerobic activity regardless of resistance training level (HRs from 0.53 to 0.58).

conclusionUsing repeated measures of resistance training over up to 30 years of follow-up, moderate long-term resistance training was associated with lower all-cause mortality, with lowest risks plateauing at around ≥120 min/week of resistance training. Resistance training was associated with further reduced mortality risk at all levels of aerobic activity up to around ≥45 MET-hours/week of aerobic activity.

Indexed as

ExerciseMortalityResistance TrainingAdultCardiovascular DiseasesCause of DeathFemaleHumansMaleMiddle AgedNeoplasmsProportional Hazards ModelsProspective StudiesEpidemiologyObservational studyPhysical activityWeight lifting

Identifiers

PMID42230125
PMCPMC13397323

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.