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== Increased mortality rate == Beginning in the 2010s, studies on bodybuilding athletes found higher mortality rates, particularly when compared with other sport specific mortality rates. Risks cited were [[sudden cardiac death]], as well as use of [[performance enhancing drugs]] and unique competitive training, such as extreme weight changes and intentional [[dehydration]]. Unlike other professional sports, the IFBB Pro League, the largest professional bodybuilding federation in the US, does not routinely test athletes for steroids or other performance-enhancing drugs and there is no athletes' union. Bodybuilders say steroids are easily obtained and widely used by competitors.<ref>{{cite web | last=Abelson | first=Jenn | last2=Jones | first2=Nate | last3=Bauerova | first3=Ladka | title=Bodybuilders dying as coaches and judges encourage extreme measures | website=Washington Post | date=2022-12-07 | url=https://www.washingtonpost.com/investigations/interactive/2022/bodybuilding-extreme-training/ }}</ref><ref>{{cite web | url=https://academic.oup.com/eurjpc/article/31/Supplement_1/zwae175.277/7692650 | doi=10.1093/eurjpc/zwae175.277 | title=Mortality risk in bodybuilding: A call for action to promote safe sport participation | date=2024 | last1=Vecchiato | first1=M. | last2=Da Col | first2=M. | last3=Berton | first3=G. | last4=Palermi | first4=S. | last5=Aghi | first5=A. | last6=Ermolao | first6=A. | last7=Niebauer | first7=J. | last8=Drezner | first8=J. | last9=Neunhaeuserer | first9=D. | journal=European Journal of Preventive Cardiology | volume=31 }}</ref><ref>{{cite web | url=https://www.renalandurologynews.com/conference-highlights/american-urological-association-annual-meeting/aua-2016-misc-urinary-problems/mortality-rate-higher-among-bodybuilders/ | title=Mortality Rate Higher Among Bodybuilders | date=May 9, 2016 }}</ref>
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