Morbid obesity.
He looks fit in the few pics provided?
You think he ate the pole?
Was he on an age appropriate keto/fasting diet regime worrying about his T-levels and doing chair yoga? Poor guy. All this free advice out there and he didn’t take it.
Yes morbid obesity is a result of the sport (sort of like Sumo wrestling), it just comes with the territory. But going in a different direction, it could have been Climate Change. That’s deadly as well.