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What happens to bodybuilders when they get older? The health realities of aging

5 min read

According to a 2025 study, the mortality risk for professional bodybuilders is considerably higher than for amateur competitors. So, what happens to bodybuilders when they get older? The reality for many former competitors involves a combination of natural age-related decline, the lasting health effects of extreme practices, and the psychological challenges of losing their physique.

Quick Summary

As bodybuilders age, they face natural muscle loss (sarcopenia) and increased risk of joint damage. Factors like prior steroid use, extreme dieting, and intense training can significantly affect cardiovascular and organ health in later life. While dedicated fitness can mitigate some decline, many experience a notable reduction in size and strength, necessitating a shift toward long-term health over extreme mass.

Key Points

  • Muscle Atrophy: With age, all individuals lose muscle mass in a process called sarcopenia; bodybuilders are not immune, but their muscle memory and lifelong training help mitigate the rate of loss.

  • Cardiovascular Risks Increase: Extreme training, especially in combination with performance-enhancing drug (PED) use, can lead to long-term heart issues, including enlarged hearts and increased risk of sudden cardiac events.

  • Joint and Tendon Damage: The cumulative stress of heavy lifting over decades often results in chronic joint pain, cartilage breakdown, and a higher risk of arthritis as a bodybuilder ages.

  • Nutritional Needs Change: Anabolic resistance in older adults means a higher protein intake is necessary to maintain muscle mass effectively, along with a focus on healthy fats and hydration.

  • Psychological Adjustment is Key: Many former bodybuilders face mental health challenges, such as body dysmorphia or isolation, as their physiques naturally decline, necessitating a shift in their self-image.

  • Skin Sagging is Common: For those who achieved immense size, the loss of muscle mass combined with age-related skin inelasticity leads to significant loose skin.

  • Adaptation is Mandatory for Health: Continuing intense, high-impact training into old age is often unsustainable and dangerous; adapting to a balanced routine prioritizing longevity is crucial.

In This Article

The Inevitable Physical Declines of an Aging Bodybuilder

Even for those who dedicate their lives to fitness, aging brings about predictable and unavoidable changes. The natural loss of muscle mass, or sarcopenia, begins around age 30 and accelerates after 50. While bodybuilders have a significant muscle reserve, they are not immune. A 2020 meta-analysis found that muscle growth from strength training diminishes after age 60, though resistance training remains effective for retention. Retired bodybuilders who cease intense training can see a rapid decrease in muscle size as the body no longer requires the large muscle mass.

The Lingering Impact of Extreme Practices

For many former competitors, the health consequences of their prime can manifest later in life. Professional bodybuilders often engage in practices that place immense strain on the body, which can lead to serious health issues down the line.

Common issues include:

  • Cardiovascular strain: The use of performance-enhancing drugs (PEDs), combined with extreme training and rapid weight changes, can thicken the heart muscle (cardiomegaly) and increase the risk of heart attack, irregular heart rhythm, and sudden cardiac death.
  • Joint and tendon damage: Decades of lifting extremely heavy weights can accelerate joint breakdown and lead to severe arthritis, especially in the shoulders and knees.
  • Organ damage: High-protein diets and PED use have been linked to potential kidney and liver damage. Former competitor Tom Prince, for example, required a kidney transplant.
  • Loose skin: As muscle mass atrophies and the skin loses elasticity with age, former bodybuilders who achieved immense size often experience significant loose and sagging skin.

Psychological and Social Adjustments

Beyond the physical changes, bodybuilders must also contend with the psychological and social shifts that come with retirement. The identity of being a large, powerful athlete is a significant part of their life, and letting go can be difficult. This can sometimes lead to body dysmorphia or a sense of isolation. Some retired bodybuilders, in an attempt to retain their physique, continue to use performance-enhancing drugs, which carries its own set of risks and can compound existing health problems.

Natural vs. Enhanced: A Comparative Look at Aging Bodybuilders

Feature Natural Bodybuilder Enhanced (Steroid-Using) Bodybuilder
Muscle Loss (Sarcopenia) Occurs naturally, but can be significantly mitigated with consistent resistance training and high protein intake. Accelerates rapidly after discontinuing PEDs, leading to substantial muscle atrophy. The remaining muscle mass is often less dense.
Cardiovascular Health Generally benefits from consistent strength and cardio training, lowering heart disease risk. Faces significantly higher risk of cardiovascular issues, including enlarged hearts and blood clots, even after stopping PEDs.
Joint and Connective Tissue Can experience joint wear from heavy lifting over time, but generally healthier than enhanced athletes. Recovery is slower with age. Higher risk of tendon ruptures due to rapid muscle growth outpacing connective tissue strength. Joints suffer from extreme loads and potential improper form.
Hormonal Profile Natural decline in testosterone with age. Can be managed with diet and consistent exercise. Significant hormonal disruption due to past PED use. May require lifelong hormone replacement therapy (TRT).
Skin Elasticity Skin elasticity generally correlates with natural aging and significant weight fluctuations. Extreme and rapid size changes lead to severe stretching and often irreversible loose, sagging skin after muscle mass declines.

Adapting Training for Longevity

For older bodybuilders seeking to maintain health and function, adapting their approach is crucial. The focus shifts from maximum hypertrophy and competitive conditioning to overall well-being. This often involves changes in training intensity, nutrition, and recovery.

Modified Training Programs

  • Prioritize consistency over intensity: Instead of lifting extremely heavy weights to failure, focus on consistent, moderate-intensity training. Using lighter weights for higher repetitions can still stimulate muscle growth while reducing joint strain.
  • Incorporate more variety: Adding exercises that promote balance, flexibility, and mobility can combat age-related stiffness and reduce fall risk. Activities like Tai Chi and yoga are beneficial.
  • Emphasize proper form: Decades of lifting can lead to poor movement patterns. Refocusing on perfect form, perhaps with the help of a trainer, can prevent injuries.
  • Increase recovery time: As recovery capacity diminishes with age, older bodybuilders need more rest between sessions. Overtraining can be more harmful than beneficial.

Nutritional Considerations for the Golden Years

Adequate nutrition is critical for older adults to combat sarcopenia. The body becomes less efficient at using protein, so a higher intake is necessary.

  • Higher protein intake: Aim for 25-30 grams of high-quality protein per meal from sources like lean meats, fish, eggs, and dairy. Some experts recommend even higher amounts, up to 1.6 grams per kg of lean body weight.
  • Healthy fats: Healthy fats from avocados, nuts, and olive oil are important for hormone function and overall health.
  • Hydration: Staying well-hydrated is essential for muscle function.
  • Supplements: Omega-3 fatty acids and creatine have shown benefits for muscle mass and function in older adults.

Conclusion: A Shift in Perspective

What happens to bodybuilders when they get older is a mixed story of both success and sacrifice. While a lifelong commitment to strength training offers significant anti-aging benefits, such as fighting sarcopenia and maintaining bone density, the long-term health consequences of extreme, competitive bodybuilding are undeniable. Many former pros face significant health challenges, from heart and joint issues to psychological struggles. The transition to older age requires a fundamental shift in perspective—from the relentless pursuit of size to the sustainable maintenance of functional strength and overall health. By adapting training, focusing on longevity-centric nutrition, and prioritizing holistic well-being, aging bodybuilders can continue to live active, fulfilling lives, even if their physiques are no longer at peak perfection.

Key Takeaways

  • Sarcopenia is Inevitable: Aging bodybuilders, like everyone else, will experience age-related muscle loss, though a history of training gives them a significant advantage in retaining muscle mass.
  • Former Drug Use is a Major Factor: Competitive bodybuilders who used performance-enhancing drugs face a much higher risk of serious health issues, particularly concerning cardiovascular damage.
  • Joints Take a Beating: Decades of heavy lifting often result in chronic joint pain, arthritis, and higher injury risk as bodybuilders age.
  • Loose Skin is Common: As muscle mass diminishes and skin loses elasticity, many former bodybuilders contend with significant loose skin.
  • Adaptation is Key: Maintaining health and function into older age requires shifting from high-intensity training to a more sustainable, balanced routine focused on long-term well-being.
  • Nutrition Needs Evolve: Older bodybuilders must increase protein intake to counteract the body's reduced efficiency in processing it for muscle synthesis.
  • Mental Health is Important: The loss of a peak physique can be psychologically challenging, requiring a re-evaluation of identity and self-worth.

Frequently Asked Questions

No, bodybuilders do not lose all their muscle mass. While some muscle atrophy (sarcopenia) is inevitable with age, their long history of resistance training and muscle memory help them retain significantly more muscle than sedentary individuals.

As bodybuilders age and their muscle mass decreases, their stretched skin may not fully contract. The combination of muscle atrophy and reduced skin elasticity can result in noticeable folds and sagging skin, similar to someone who has experienced dramatic weight loss.

Yes, especially those who used performance-enhancing drugs (PEDs) during their careers. Studies have shown a link between competitive bodybuilding practices and increased risk of cardiovascular issues, including enlarged heart and sudden cardiac death.

Yes, it is generally safe and beneficial to start strength training later in life. Resistance training can help older adults build and maintain muscle mass and strength, and research shows they can make significant gains. It is wise to start slowly and focus on proper form to prevent injury.

Maintaining a physique as one ages requires adapting training intensity, focusing on proper form, and prioritizing recovery. A higher protein intake, along with incorporating balance and flexibility exercises, is also essential for sustainable muscle maintenance.

When bodybuilders stop using steroids and training, their muscle mass decreases significantly. Depending on their former size and use of performance-enhancing drugs, they may be left with loose skin and can lose muscle at a rapid pace, which can make their appearance seem unhealthy.

Older bodybuilders often have joint problems because decades of lifting extremely heavy weights can cause repetitive strain and accelerate joint cartilage breakdown. This can lead to conditions like osteoarthritis, especially in high-stress areas like the shoulders and knees.

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Medical Disclaimer

This content is for informational purposes only and should not replace professional medical advice. Always consult a qualified healthcare provider regarding personal health decisions.