For sorrow results in death, and sorrow of heart saps one’s strength: Since death is more serious than loss of strength, Good News Translation reverses the two lines. It also combines sorrow and sorrow of heart into “Grief.” Contemporary English Version is similar with:

• If you don’t stop grieving,
you will grow weak
and die.

Quoted with permission from Bullard, Roger A. and Hatton, Howard A. A Handbook on Sirach. (UBS Helps for Translators). New York: UBS, 2008. For this and other handbooks for translators see here.