Is it true that competitive sports are actually physically healthy? I'm probably just over valuing notable cases, but even things like ballet tear up feet pretty badly. And tennis is known for injuries, isn't it? American football is rough, though I suppose normal football is basically the same as targeted running/sprinting.
It really is a trade off. Like I play football competitively and I know that I'm wearing out my joints, but my muscle mass and bone density is way higher than that of the average female. Muscle mass and bone density have a huge effect on your health later in life. Meanwhile, physically inactive people my age (20s) are losing muscle mass, decreasing their metabolism, increasing their body fat percentage, and so on.
Yeah, I probably could just do weightlifting and cardio on their own (and will sometime have to transition to this) but to be honest football is my primary motivation for doing these things in the first place. A lot of competitive athletes make a successful transition from competitive play to less injurious activities after their careers and are none the worse for it. (Minus NFL concussion cases...)
There are also intangible benefits to playing competitive sports. Being part of a team, working hard to achieve a goal, being challenged, pushing your limits, pursuing something you're passionate about, succeeding at an elite level... Sports can give you unique experiences you'll treasure for your lifetime and also shape you as a person.
It really is an optimization between the all the trade offs. Every year I have to weigh what the sport gives me and what the sport takes away and decide whether it's my last season.
At the very top you'll probably have to search very hard to find a sport that is actually good for your health. https://www.youtube.com/watch?v=8XnQyI3Mgbc is a great documentary on what it takes to win gold in the Olympics. These athletes knowingly - and willingly - trade their health for a shot at their goals.