Cycling CME

A unique CME learning experience for Physicians, PA-C's, and other Medical Providers who love to bike

Active CME:  Combining Continuing Medical Education (CME) and Bicycle Touring for the Healthcare Provider

The Importance of Sleep, Athletic Performance and Injury Rates

The Importance of Sleep and Athletic Performance and Injury Rate

The literature on the effect of sleep on sports performance is very interesting.  As we have noted here before, Dr. Cheri Mah has evaluated the effects of acute sleep restriction in cycling, demonstrating decreases in power, submaximal heart rate and peak heart rate during physiological assessments of cyclists.  Dr. Mah then evaluated the response to extra sleep in collegiate swimmers.  This study showed extra sleep over an extended period resulted in improved athletic performance, mood and lower ratings of fatigue. As athletes are always trying to find extra advantage, professional athletes and teams are in the news discussing how they have made sleep a priority as they try to optimize their performance.  This includes multiple professional teams with sleep rooms even fitted with special pillows to optimize sleep.

More recently, studies have looked at sleep and injury rates.  Milewski et al. (2014) showed a significant decrease in injury rate in adolescent athletes who slept more than 8 hours a day.  Other researchers are looking at sleep deprivation effects on proprioception (our sense of balance) and reaction time, both factors affecting injuries and performance.

As medical providers working with athletes at all different levels, clearly we should emphasize the importance of a healthy sleep cycle for both performance and possible even preventing injury.  Encourage everyone to get a great night’s sleep.


Milewski MD, et al. Chronic lack of sleep is associated with increased sports injuries in adolescent athletes, Journal of Pediatric Orthopedics, 2014

Mah CD, et al. The effects of sleep extension on the athletic performance of collegiate basketball players,Sleep, 2011

Cycling CME

America - We Need to Get Moving!

America – We Need to Get Moving

A recent report from the National Center for Health Statistics (CDC) showed that only 23% of Americans meet the federal guidelines for both aerobic and muscle-strengthening activities during leisure-time physical activity from 2010-2015.  While this study does not include commuting to work and occupational physical activity, previous research has shown that leisure time, not occupational exercise, is most important to decrease morbidity and mortality. In addition, the study illustrated the southeastern states, with the highest percentage of overweight and obesity were generally “below average” in many categories.

As medical providers, it is essential to continue to address lifestyle choices with our patients often, including regular physical activity. Let’s encourage an active day.


Blackwell DL, Clarke TC. State variation in meeting the 2008 Federal Guidelines for both aerobic and muscle-strengthening activities through leisure-time physical activity among adults aged 18-64: United States, 2010-2015. National Health Statistics Report, 2018.

Cycling CME