What are the risks in cycling?

Gardening is riskier than cycling!Researchers from the Central Queensland University in Rockhampton, Australia surv

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What are the risks in cycling?

The promotion of cycle helmets portrays cycling as an especially risky activity, but examination of comparative risk data reveals otherwise. It transpires that cycling is in fact one of the safest ways to spend one's time. As well as being safer than the obvious high-risk sports such as climbing, it is also much safer than more 'ordinary' sports such as football, swimming or fishing and, indeed, safer than general 'living' (the net outcome of all causes of death).

The data below compare cycling with other activities based on different indicators.

Risk relative to cycling based on fatality rates per participant (UK)

   

Relative risk per participant

Less safe Airsports

450

  Climbing

137

  Motor sports

81

  Fishing

41

  Horse riding

29

  Swimming

7.0

  Athletics

5.7

  Football

4.9

  Tennis

4.2

  Cycling

1.0

Safer Golf

0.83

  Rambling

0.06

Figures relate to 1986 and are derived from OPAS Monitors from the Office of Population Censuses and Surveys, UK.
The number of fatalities are taken from Coroner's Court records and information on participation rates from the General Household Survey.

Risk by time (US)

   

Fatalities per million hours

Less safe Sky diving

128.71

  General aviation

15.58

  On-road motorcycling

8.80

  Scuba diving

1.98

  Living (all causes of death)

1.53

  Swimming

1.07

  Snowmobiling

0.88

  Passenger cars

0.47

  Water skiing

0.28

  Bicycling

0.26

Safer Flying (scheduled domestic airlines)

0.15

  Hunting

0.08

  Cosmic radiation from transcontinental flights

0.035

  Home living (active)

0.027

  Traveling in a school bus

0.022

  Passenger car post-collision fire

0.017

  Home living (including sleeping)

0.014

  Residential fire

0.003

Data from Failure Analysis Associates, Inc (now Exponent Inc), Design News, 10 April 1993.

Deaths per year (GB)

Deaths per year

Cycling, road traffic accidents

138

Cycling, other

29

All transport

3,032

At home

3,974

Other accidents

5,026

Obesity (England only)

30,000

Heart disease due to inactivity

58,090

All heart disease

157,000


These figures take no account of population at risk, but if exposure is taken into account, the risk of being killed through cycling is very small compared with most of the other activities cited.

Risk per lifetime (US)

 

Risk of death during lifetime

Heart disease

1 in 5

Motor vehicle accident

1 in 84

Pedestrian accident

1 in 626

Motorcycle accident

1 in 1,020

Bicycle accident

1 in 4,919

Source: National Geographic, August 2006. These statistics show the relative risk to society; no account is taken of exposure.

Risk by distance and age (NL)

Risk of injury per million km

Age group Motorists (driver) Cyclists

12 - 14


16.8

15 - 17


18.2

18 - 24

33.5

7.7

25 - 29

17.0

8.2

30 - 39

9.7

7.0

40 - 49

9.7

9.2

50 - 59

5.9

17.2

60 - 64

10.4

32.1

> 64

39.9

79.1

Total

20.8

21.0

The statistics for motorists exclude driving on motorways, where risk is very much less than on ordinary roads, for there is no comparable factor for cycling.

The average total risk is biased against cyclists because of the inclusion of two age groups (under 18 years) that do not exist in motorists; two groups, moreover, who have neither the caution nor experience of their elders.

Source: Dekoster & Schollaert, 1999

Risk in past 30 days

Researchers polled 5,238 subjects by telephone, simply asking if they'd  done any of a predetermined set of activities in the past 30 days.  Those who answered  "yes" for a given activity were asked further questions about it,  including whether they were injured "severely enough that you went for  medical care or missed one-half day or more of work, housework, or school." Percentage injured results were: (Powell, 1998)

Aerobics 1.4%
Gardening 1.6%
Walking for exercise 1.4%
Weightlifting 2.4%
Cycling 0.9%

The relative risk between gardening and cycling has been examined in another study. 1,337 people were surveyed for a report on sport and recreation injuries. One in six respondents had required medical treatment in this period, with 5% of gardeners having suffered injury warranting attention compared with 3.9% of cyclists. (CenQueensUniv, 2003)

Other sources

  • A review of 2,546 patients under age 19 seen by pediatric neurosurgeons at the Medical College of Georgia in Augusta between 1996 and 2002 revealed 64 sports-related injuries, 15 of which were golf-related and 17 of which were bicycle-related. (Rahimi et al, 2005)

References

CenQueensUniv, 2003

Study by Central Queensland University, Rockhampton, Australia. Reported January 2003.

Dekoster & Schollaert, 1999

Dekoster J, Schollaert U, 1999. Cycling: the way ahead for towns and cities. European Commission ISBN 92-828-5724-7.

What are the risks in cycling?

Powell, 1998

Powell KE, 1998. Injury rates from walking, gardening, weightlifting, outdoor bicycling and aerobics. Medicine & Science in Sports and Exercise 1998;30:1246-1249.

What are the risks in cycling?

Rahimi et al, 2005

Rahimi SY, Singh H, Yeh DJ, Shaver EG, Flannery AM, Lee MR, 2005. Golf-associated head injury in the pediatric population: a common sports injury. J Neurosurg 2005 Mar;102(2 Suppl):163-6.

What are the risks in cycling?

See also

The Physical Activity and Population Health BJSM Blog Series

By Sonia Cheng @soniawmcheng

The Tour de France. Lycra. Fending off swooping magpies during the Australian springtime.

Cycling is perhaps the most iconic type of physical activity of them all, and as a mode of transport, has been proposed as a potential solution to the global pandemic of physical inactivity. Yet detractors argue that cycling comes with additional costs and safety concerns, and requires an overhaul of existing infrastructure in order to be a safe and accessible means of transport for the general population. How does cycling weigh up as a strategy to increase incidental physical activity?

The headwind vs the tailwind: What are the health benefits and what are the risks?

Active commuting via bicycle is not very common in countries such as Australia or the UK, where driving remains the dominant form of transportation. In 2011, cycling represented 1% and 3% respectively of the population’s method of travelling to work1,2.

Nevertheless, large population-based studies have shown that cycling as a mode of transport is associated with a lower risk of cardiovascular disease, cancer, and all-cause mortality, and may be a more beneficial form of commuting than walking3,4. Getting on a bicycle and leaving the car at home has a positive societal impact too, helping to reduce air pollution and greenhouse gas emissions, and reduce traffic congestion.

Being a cycling commuter does pose some potential hazards, however. The risk of being involved in a traffic accident may increase, particularly in city centres and areas lacking supporting infrastructure – and crashes and collisions could result in injury or fatality. Cycling commuters may also be at risk of inhaling more air pollutants due to the increased breathing rates associated with physical activity. A small number of observational studies suggest that exposure to in-traffic air pollution may lead to airway inflammation and decrements in lung function in both healthy adults and those with existing lung conditions5.

When the benefits and risks are weighed up directly, the estimated health benefits of cycling are substantially larger than the health risks. One study showed that if 500,000 people in the Netherlands swapped their car for a bicycle for short trips on a daily basis, 3-14 months of life would be gained as a result of increased physical activity levels, compared to the smaller harmful effects of inhaled air pollution (0.8-40 days lost) and increase in traffic accidents (5-9 days lost)5.

Copenhagen: The world’s best city for cyclists

When Copenhageners own five times more bicycles than cars and Crown Princess Mary herself takes the kids to school in a cargo bike, you know the title of ‘world’s best city for cyclists’ is well-deserved.

Active commuting is part of the established culture in Copenhagen and can be attributed to the favourable cycling conditions in the city: dense urban proximities requiring short distances to travel, flat terrain, and an extensive and well-designed system of cycle tracks that are clearly separated from the roads by a curb.

A recent Danish report6on cycle related injuries and prevented morbidity/mortality revealed some impressive statistics:

  • Over the last two decades, national levels of cycling in Denmark increased by 10%, but cycle related injuries have declined by 55% since 1998.
  • Cycling may prevent over 6,000 deaths, 5,000 cases of cardiovascular disease and 3,000 cases of type 2 diabetes each year.
  • The health benefits of physical activity associated with cycling were 21 times higher than the risk of injuries.

A two-wheeled ride off into the sunset

Cities like Copenhagen illustrate just how much can be done to increase active commuting in the general population, and we can certainly learn from their strategies to improve the safety of cycling commuters: segregated cycle lanes, bicycle hire and purchase schemes, secure parking, facilities for bicycles on public transport, to name a few.

‘The bicycle is a valuable means of transport in its own right and should be treated as such’, declares the Cycling Embassy of Denmark. And if governments and policymakers can make cycling safe, convenient and accessible – then people will ride.

What are the risks in cycling?

***

Sonia Cheng @soniawmcheng graduated from The University of Sydney with a Bachelor of Applied Sciences (Physiotherapy) (Honours Class I) in 2014. Sonia is currently employed as a physiotherapist with Royal Prince Alfred Hospital and Westmead Hospital in Sydney.

We invite you to share and support the Physical Activity and Population Health BJSM Blog Series. Join the conversation on ‘how change happens’ at #PAblogBJSM and #brightspotsBJSM. We welcome guest blogger contributions. If you have any ideas please email .

References

  1. Australian Bureau of Statistics. ‘More than two in three drive to work, Census reveals’. Published 23 October 2017. http://www.abs.gov.au/ausstats/[email protected]/mediareleasesbyReleaseDate/7DD5DC715B608612CA2581BF001F8404?OpenDocument.
  2. Goodman A. Walking, cycling and driving to work in the English and Welsh 2011 census: trends, socio-economic patterning and relevance to travel behaviour in general. PLoS One. 2013;8:e71790. doi: https://doi.org/10.1371/journal.pone.0071790.
  3. Celis-Morales CA, Lyall DM, Welsh P, Anderson J, Steell L, Guo Y, et al. Association between active commuting and incident cardiovascular disease, cancer, and mortality: prospective cohort study. BMJ. 2017;357:j1456. doi: https://doi.org/10.1136/bmj.j1456.
  4. Matthews CE, Jurj AL, Shu XO, Li HL, Yang G, Li Q, Gao YT, Zheng W. Influence of exercise, walking, cycling, and overall nonexercise physical activity on mortality in Chinese women. Am J Epidemiol. 2007;165:1343–50. doi: https://doi.org/10.1093/aje/kwm088.
  5. Johan de Hartog J, Boogaard H, Nijland H, Hoek G. Do the health benefits of cycling outweigh the risks? Environ Health Perspect. 2010;118:1109-16. doi: https://doi.org/10.1289/ehp.0901747.
  6. Andersen LB, Riisera A, Rutter H, Goenkad S, Nordengen S, Solbraa AK. Trends in cycling and cycle related injuries and a calculation of prevented morbidity and mortality. J Transport Health.2018;9:217-25. doi: https://doi.org/10.1016/j.jth.2018.02.009.                                                                

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