In the past five decades, cardiorespiratory fitness (CRF) has become fairly established as an important risk factor or marker for cardiovascular disease (CVD), as well as CVD - and all-cause mortality. Substantial evidence supports a strong inverse association between baseline levels of CRF and the risk of developing CVD risk factors, including dyslipidemia. Additionally, accumulating evidence also supports that maintaining or improving a certain level of CRF over time leads to a lower rate of developing CVD risk factors, such as dyslipidemia, and also improves survival. Recent evidence also supports the role of resistance exercise and muscular strength to reduce the development of metabolic syndrome and hypercholesterolemia and potentially reduce development of diabetes as well, in addition to improving survival. Therefore, great efforts are needed to increase both CRF and muscle strength with aerobic exercise and resistance exercise in the primary and secondary prevention of CVD.

中文翻译：

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健康和健康变化对血脂和生存的影响。

在过去的五年中，心肺适能 (CRF) 已成为心血管疾病 (CVD) 以及 CVD 和全因死亡率的重要危险因素或标志物。大量证据支持 CRF 基线水平与发生 CVD 危险因素（包括血脂异常）的风险之间存在强烈的负相关。此外，越来越多的证据也支持，随着时间的推移，维持或改善一定水平的 CRF 会导致发生 CVD 危险因素（如血脂异常）的几率降低，并且还可以提高生存率。最近的证据还支持抗阻运动和肌肉力量的作用，以减少代谢综合征和高胆固醇血症的发展，并可能减少糖尿病的发展，以及提高生存率。所以，