A lot of us with mesomorphic physiques (I am not an ex-football player but my dad played for Syracuse in the The Express era) can be very physically active and muscular but still pretty fat. Lots of us have metabolic syndrome and heart trouble (my dad died in an accident, but all my uncles have received stent and stent, i'm hoping being proactive with medication et. al will head that off in my case)
Yeah I know bodybuilders manage to get jacked and many of them are doing nothing but maintain their body and are taking anabolic steroids and thyroid hormone and stimulants and who knows what.