“Beyond the Finish Line” the Epidemiology of Injury and Illness in Professional Cycling: Insights from a Year-Long Prospective Study

<b>Introduction:</b> Injury and illness rates within cycling are a growing concern for riders, medical personnel, and event organisers. This study is the first to document injury and illness rates in professional cyclists throughout one competitive season including training and racing. &...

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Main Authors: Thomas Fallon, Rory Nolan, John Peters, Neil Heron
Format: Article
Language:English
Published: MDPI AG 2025-01-01
Series:Sports
Subjects:
Online Access:https://www.mdpi.com/2075-4663/13/1/20
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author Thomas Fallon
Rory Nolan
John Peters
Neil Heron
author_facet Thomas Fallon
Rory Nolan
John Peters
Neil Heron
author_sort Thomas Fallon
collection DOAJ
description <b>Introduction:</b> Injury and illness rates within cycling are a growing concern for riders, medical personnel, and event organisers. This study is the first to document injury and illness rates in professional cyclists throughout one competitive season including training and racing. <b>Methods:</b> A prospective, longitudinal study was conducted with 47 professional cyclists (30 males and 17 females) over the 2024 season (1 November 2023–31 October 2024). Injuries and illnesses were defined and recorded following the International Olympic Committee (IOC) consensus guidelines for injury reporting in sports and its cycling-specific extension. Data collection utilised a centralised online hub, integrating exposure metrics (e.g., training hours and kilometres) and medical records. All data were processed on a Macintosh computer using the Microsoft Office and R statistics packages epi tools, binom.test function, and ggplot. (V.4.3.2, R Foundation for Statistical Computing, Vienna, Austria). Ethical approval was obtained from Queens University Belfast, number MHLS 23_175. <b>Results:</b> Fifty-five injury events were logged, with 1.15 (±0.359) locations injured per incidence and 1.57 (±1.06) injury types per incident. The overall combined injury rate for racing was 4.14 (95% CI: 2.65–5.79) per 1000 h of exposure, with the overall combined rate for training being 1.23 (95% CI: 0.8–1.7) per 1000 h. The injury risk ratio (RR) for injury during racing and training for females was 11.10 (95% CI: 2.69–37.60), and the RR for males was 10.24 (95% CI: 3.84–43.06), both indicating there is a significantly higher risk of injury during racing compared to training. Abrasions were the most common injury type, with fractures being the most burdensome injury. The most common illness was upper respiratory, 0.63 (95% CI: 0.27–0.99) per year for males and 1.11 (95% CI: 0.64–1.59) per year for females. Saddle sores were the second most common at 0.20 (95% CI: 0.04, 0.36) per year for males and 0.08 (95% CI: 0–0.18) per year for females. <b>Conclusions:</b> This study provides the first comprehensive, season-long surveillance data for injuries and illnesses in male and female professional road cycling, highlighting the significant differences in injury profiles between racing and training. These results underscore the need for targeted injury prevention strategies and the establishment of a standardised injury and illness framework for professional cycling.
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spelling doaj-art-e3ad722d4d334049969a6c8153f54aa02025-01-24T13:49:53ZengMDPI AGSports2075-46632025-01-011312010.3390/sports13010020“Beyond the Finish Line” the Epidemiology of Injury and Illness in Professional Cycling: Insights from a Year-Long Prospective StudyThomas Fallon0Rory Nolan1John Peters2Neil Heron3Centre for Public Health, Queen’s University Belfast, Belfast T12 6BA, UKUno-X Mobility Cycling, NO-0661 Oslo, NorwayBlue Cat Technical Ltd., Greens Court, West Street, Midhurst GU29 9NQ, UKCentre for Public Health, Queen’s University Belfast, Belfast T12 6BA, UK<b>Introduction:</b> Injury and illness rates within cycling are a growing concern for riders, medical personnel, and event organisers. This study is the first to document injury and illness rates in professional cyclists throughout one competitive season including training and racing. <b>Methods:</b> A prospective, longitudinal study was conducted with 47 professional cyclists (30 males and 17 females) over the 2024 season (1 November 2023–31 October 2024). Injuries and illnesses were defined and recorded following the International Olympic Committee (IOC) consensus guidelines for injury reporting in sports and its cycling-specific extension. Data collection utilised a centralised online hub, integrating exposure metrics (e.g., training hours and kilometres) and medical records. All data were processed on a Macintosh computer using the Microsoft Office and R statistics packages epi tools, binom.test function, and ggplot. (V.4.3.2, R Foundation for Statistical Computing, Vienna, Austria). Ethical approval was obtained from Queens University Belfast, number MHLS 23_175. <b>Results:</b> Fifty-five injury events were logged, with 1.15 (±0.359) locations injured per incidence and 1.57 (±1.06) injury types per incident. The overall combined injury rate for racing was 4.14 (95% CI: 2.65–5.79) per 1000 h of exposure, with the overall combined rate for training being 1.23 (95% CI: 0.8–1.7) per 1000 h. The injury risk ratio (RR) for injury during racing and training for females was 11.10 (95% CI: 2.69–37.60), and the RR for males was 10.24 (95% CI: 3.84–43.06), both indicating there is a significantly higher risk of injury during racing compared to training. Abrasions were the most common injury type, with fractures being the most burdensome injury. The most common illness was upper respiratory, 0.63 (95% CI: 0.27–0.99) per year for males and 1.11 (95% CI: 0.64–1.59) per year for females. Saddle sores were the second most common at 0.20 (95% CI: 0.04, 0.36) per year for males and 0.08 (95% CI: 0–0.18) per year for females. <b>Conclusions:</b> This study provides the first comprehensive, season-long surveillance data for injuries and illnesses in male and female professional road cycling, highlighting the significant differences in injury profiles between racing and training. These results underscore the need for targeted injury prevention strategies and the establishment of a standardised injury and illness framework for professional cycling.https://www.mdpi.com/2075-4663/13/1/20injury and illness surveillancecyclingroad cyclinghealth
spellingShingle Thomas Fallon
Rory Nolan
John Peters
Neil Heron
“Beyond the Finish Line” the Epidemiology of Injury and Illness in Professional Cycling: Insights from a Year-Long Prospective Study
Sports
injury and illness surveillance
cycling
road cycling
health
title “Beyond the Finish Line” the Epidemiology of Injury and Illness in Professional Cycling: Insights from a Year-Long Prospective Study
title_full “Beyond the Finish Line” the Epidemiology of Injury and Illness in Professional Cycling: Insights from a Year-Long Prospective Study
title_fullStr “Beyond the Finish Line” the Epidemiology of Injury and Illness in Professional Cycling: Insights from a Year-Long Prospective Study
title_full_unstemmed “Beyond the Finish Line” the Epidemiology of Injury and Illness in Professional Cycling: Insights from a Year-Long Prospective Study
title_short “Beyond the Finish Line” the Epidemiology of Injury and Illness in Professional Cycling: Insights from a Year-Long Prospective Study
title_sort beyond the finish line the epidemiology of injury and illness in professional cycling insights from a year long prospective study
topic injury and illness surveillance
cycling
road cycling
health
url https://www.mdpi.com/2075-4663/13/1/20
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