We see them on stage and on our social media feeds: men and women with physiques that look like they were carved from stone. The dedication, discipline, and sheer hard work it takes to become a bodybuilder are truly admirable. Here in the Philippines, the fitness community respects the grind. But behind the awe-inspiring muscles and spray tans, there’s a serious conversation we need to have—one about the significant health risks and the alarming rate of bodybuilding deaths that have shaken the community worldwide.
It’s a tough topic, but an essential one for anyone who loves the sport, whether you’re a competitor or a fan. We need to look past the glamour and understand the potential price of pushing the human body to its absolute limits. This isn’t to scare you, but to empower you with knowledge. After all, true strength is built on a foundation of health.

The Elephant in the Room: PEDs and Steroid Side Effects
Let’s be direct. The conversation about health risks in professional bodybuilding is impossible without discussing Performance Enhancing Drugs (PEDs), particularly anabolic-androgenic steroids. While they are responsible for the almost superhuman muscle mass we see on pro stages, the steroid side effects are extensive and dangerous. These substances create a cascade of physiological changes that can have devastating long-term consequences.
These aren’t your standard supplements. We’re talking about powerful hormonal drugs that impact everything from your liver and kidneys to your mood and, most critically, your heart. The pressure to get bigger, leaner, and more competitive drives many athletes down this path, sometimes without fully understanding the life-altering risks involved with PEDs bodybuilding.

A Matter of the Heart: Cardiac Death in Bodybuilding
One of the most frightening trends is the number of bodybuilders dying young from heart-related issues. The term cardiac death bodybuilding has become tragically common. But why is this happening? Several factors, often amplified by steroid use, contribute to this risk:
- Left Ventricular Hypertrophy (LVH): Intense weight training naturally thickens the heart muscle, but steroids can accelerate this growth to a dangerous degree. The heart’s main pumping chamber becomes so thick that it struggles to fill with and pump blood effectively.
- High Blood Pressure (Hypertension): Many PEDs cause water retention and other changes that can send blood pressure skyrocketing, putting immense strain on the heart and arteries.
- Unhealthy Cholesterol Levels: Steroids are notorious for wrecking cholesterol profiles, drastically lowering ‘good’ HDL cholesterol while increasing ‘bad’ LDL cholesterol. This combination leads to plaque buildup in the arteries (atherosclerosis), a direct path to heart attacks and strokes.
A study published in the American Heart Association’s journal, Circulation, confirmed that long-term anabolic steroid use in weightlifters was associated with reduced heart pumping function and coronary artery plaque. This isn’t speculation; it’s a documented medical reality.
What the Science Says: The Bodybuilding Mortality Rate
For years, the evidence was anecdotal—stories of champions passing away in their 30s and 40s. However, more formal research is beginning to paint a clearer picture. While there isn’t one single, universally cited “IFBB study,” research in this area points to a concerning trend. A 2014 study on elite male bodybuilders found that their mortality rate was significantly higher than that of the general age-matched male population. The data highlights a stark reality about the bodybuilding mortality rate at the professional level.
These studies underscore that the extreme measures taken in professional bodybuilding—year-round PED cycles, extreme dehydration for competitions, and immense physical stress—create a perfect storm for catastrophic health failure. It’s a sobering truth that the very pursuit of a perfect physique can lead to its complete breakdown.

The Pinoy Approach: Health is Wealth (Kalusugan ay Kayamanan)
In the Philippines, we have a deep-seated value: “Kalusugan ay kayamanan”—health is wealth. This wisdom should be the cornerstone of any fitness journey. While the pro bodybuilding world grapples with these issues, it offers a crucial lesson for all of us here at home: prioritize long-term health over short-term aesthetic goals.
The good news is that you can build an amazing, strong, and healthy physique without compromising your well-being. Natural bodybuilding, focusing on solid nutrition, intelligent training, and proper recovery, is a powerful and sustainable path. It’s about celebrating what your body can achieve through consistent, honest hard work. It’s a journey that respects your body’s limits and aims for longevity. To get a glimpse into a more grounded approach, see what it’s like by reading about a day in the life of a Pinoy amateur bodybuilder.
Remember to listen to your body. A traditional hilot can tell you when your muscles are strained, but only you and your doctor can tell what’s happening on the inside. Regular check-ups, especially blood work and heart health screenings, are non-negotiable if you are serious about this lifestyle.

Your Health, Your True Victory
The goal of this article isn’t to demonize bodybuilding. It’s a fantastic sport that teaches discipline, resilience, and self-belief. However, it’s crucial to approach it with your eyes wide open to the risks at its most extreme levels. True victory isn’t just a trophy on a shelf; it’s living a long, healthy, and strong life.
Be inspired by the dedication, but choose the path of wellness. Build your body with intelligence and patience. Your future self will thank you for it.
Ready to be inspired by the local bodybuilding scene? Check out the amazing athletes and events happening right here in the Philippines. Support our local competitors and see what true dedication looks like on the List of Bodybuilding Events in the Philippines for 2025.
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