It depends what you are optimising for. If men "go all out" but experience burnout, stress ulcers, depression, carpal tunnel syndrome, problems from bad diet and poor posture and lack of fresh air and exercise, yadda yadda then are women wise or foolish to emulate them? What about the life expectancy gap that no-one likes to talk about?

Consider that many men who sacrifice their health to "ambition" are doing so to provide for or at least to impress a woman. Who is really exploiting who?