Tags: Basics
Bodybuilding stands for discipline, aesthetics, and hard work. Many find structure, self-confidence, and a clear goal to strive for in this strength sport. But behind the glittering stage lights, impressive transformations, and motivational Instagram posts, a different reality often lies hidden—one that not everyone sees. Injuries, psychological pressure, and social isolation are topics that are rarely discussed openly—but that's precisely what's needed.
Note: In the article "Depression & Bodybuilding - Connection, Symptoms & Help" by Urs Kalecinski, learn how intensive strength training and mental stress interact in bodybuilding and what you can do about depression in strength sports.
1. Injuries & Overuse
Even moderate strength training can lead to tendon problems in the shoulders, elbows, or knees due to errors in technique, intensity, or recovery—sometimes even to chronic damage or tears that can have a lasting impact. Increasing weights and excessive training further increase this risk.
2. Physical consequences: Hormones, metabolism & heart
Very low body fat levels, extreme diets, and dehydration can put a strain on bones, the cardiovascular system, and the immune system. Malnutrition or hormonal imbalances are not uncommon.
Especially in competitive bodybuilding, diuretics are frequently used to make muscles appear "drier" and more defined. The catch: These drugs massively deplete the body of water and electrolytes. A potassium or sodium deficiency can lead to muscle cramps, cardiac arrhythmias, or in extreme cases, even cardiac arrest.
Studies show significantly increased mortality rates among professional bodybuilders – primarily due to sudden cardiac death. Cardiac enlargement and overloaded left ventricles are closely linked to this, as is steroid abuse.
3. Eating habits & nutrition
Constantly adapting to diet phases with high-calorie bulking and competition preparation can lead to nutritional deficiencies, eating disorders, and psychological stress. Besides a disturbed relationship with food, this can, in extreme cases, even lead to suicidal thoughts.
4. Body image – When the mirror becomes your biggest critic
Muscle dysmorphia (also known as "bigorexia") is a serious mental disorder. Despite having massive muscle mass, those affected perceive themselves as too weak, unattractive, or too thin.
Psychologically, this obsessively fixated view leads to anxiety, social withdrawal, and problems in professional or private life. This pressure is further intensified, especially in the social media scene with role models from the IFBB, NPC, or Mr. Olympia.
5. Social restrictions
Diet and training plans dictate the daily routine – spontaneous invitations are usually canceled. Social life, family, or hobbies fall by the wayside. In the world of fitness, gyms, and weight training, this is not uncommon.
6. Performance and competition pressure
The pursuit of constant improvement and comparisons via social media create enormous pressure, which is sometimes omnipresent and leaves its mark on the mental health of those affected. This pressure plays a central role, especially in bodybuilding competitions or international events like Mr. Olympia.
7. Steroids, Costs & Addiction
Steroid abuse – whether among amateur or professional athletes, or even recreational athletes – is commonplace and virtually unavoidable in sports. Besides heart and liver problems, there are mental side effects such as aggression, depression, and addiction.
Financial burden: Gym memberships, nutrition, supplements and bodybuilding coaching can easily cost several thousand euros annually – an investment that not everyone can or wants to afford in the long run.
Conclusion – Balance is key
Bodybuilding can strengthen body and mind – if approached in a balanced way. But too often, behind the outward appearance lies hard work, crises, and isolation. Anyone starting this sport should always reflect: Does it bring health, satisfaction, and genuine connection? Or just mass at the expense of body, mind, and social life?
The risks are real and shouldn't be underestimated. However, with a realistic training plan, sensible bodybuilding supplements, and sufficient recovery, a healthy balance can be achieved – whether you're preparing for a bodybuilding competition or simply following your fitness plan.
