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In a study of 122,007 people, the least fit group had a death rate five times the fittest group, and being unfit carried a mortality risk equal to or worse than smoking, diabetes, or established heart disease (Mandsager, JAMA Network Open, 2018)

The two conditions have an interlinking web of causation, where obesity can play a significant role in the development and exacerbation of high blood pressure (hypertension)

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