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flag Female pro bodybuilders face over 20x higher sudden cardiac death risk than amateurs, with heart issues causing 31% of 32 deaths between 2005 and 2020.

flag A new study in the European Heart Journal finds female professional bodybuilders face over 20 times higher risk of sudden cardiac death than amateurs, with 31% of 32 deaths among 9,447 competitors between 2005 and 2020 attributed to heart issues. flag The average age at death was 42. flag Suicide or homicide accounted for 13% of deaths—four times higher than in male bodybuilders—pointing to unique mental health pressures. flag Researchers link risks to extreme training, fasting, dehydration, and possible performance-enhancing substance use, calling for better screening, medical oversight, and cultural change in the sport.

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