Evidence map›Paper›PMID 42897509›Full record

Observational studyBMC geriatrics2026

Outdoor cycling competence and balance control in older adults - cross-sectional analysis of the BiPerAge trial.

Jana Rogler, Sebastian Krumpoch, Ellen Freiberger, Noam Margalit, Roee Zehavi, Itshak Melzer, Sharon Barak, Amir Shapiro, Dikla Judchak Amir, Shira Levi and 2 more

Registry-linked trialAbstract readObservational Study
In one paragraph

Observational study in BMC geriatrics, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06453473 (The Transfer Effects of Stationary Bicycle Perturbation Training on Older Adults' Cycling Skills and Behavior), which is not on this map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT06453473 narecruitingnot on this map

The Transfer Effects of Stationary Bicycle Perturbation Training on Older Adults' Cycling Skills and Behavior (BiPerAge): a Single Blind Randomized Controlled Trial

TypeinterventionalSponsorUniversity of Erlangen-Nürnberg Medical SchoolRan2025 to 2027Enrolled127ConditionsOlder Adults, Exercise Training, BicyclingArmsTSBR, PerTSBR
3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Jana RoglerDepartment of Internal Medicine-Geriatrics, Institute for Biomedicine of Aging, Friedrich- Alexander-Universität Erlangen-Nürnberg, Nürnberg, Germany. jana.rogler@fau.de.ORCID 0009-0004-0236-3494
Sebastian KrumpochDepartment of Internal Medicine-Geriatrics, Institute for Biomedicine of Aging, Friedrich- Alexander-Universität Erlangen-Nürnberg, Nürnberg, Germany.
Ellen FreibergerDepartment of Internal Medicine-Geriatrics, Institute for Biomedicine of Aging, Friedrich- Alexander-Universität Erlangen-Nürnberg, Nürnberg, Germany.ORCID 0000-0002-6506-6276
Noam MargalitDepartment of Physical Therapy, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer-Sheva, Israel.
Roee ZehaviDepartment of Mechanical Engineering, Faculty of Engineering, Ben-Gurion University of the Negev, Beer-Sheva, Israel.ORCID 0009-0003-3396-4404
Itshak MelzerDepartment of Physical Therapy, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer-Sheva, Israel.ORCID 0000-0001-7769-845X
Sharon BarakNursing Department, Faculty of Health Sciences, Ariel University, Ariel, 40700, Israel.ORCID 0000-0003-0714-4798
Amir ShapiroDepartment of Mechanical Engineering, Faculty of Engineering, Ben-Gurion University of the Negev, Beer-Sheva, Israel.ORCID 0000-0001-9557-301X
Dikla Judchak AmirDepartment of Physical Therapy, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer-Sheva, Israel.ORCID 0009-0007-5008-4918
Shira LeviDepartment of Physical Therapy, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer-Sheva, Israel.
Omri LubovskyDepartment of Orthopedic Surgery, Barzilai Medical Center, Ashkelon, Israel.ORCID 0000-0002-8853-8758
Robert KobDepartment of Internal Medicine-Geriatrics, Institute for Biomedicine of Aging, Friedrich- Alexander-Universität Erlangen-Nürnberg, Nürnberg, Germany.ORCID 0000-0002-0406-092X

Funding

Deutsche Forschungsgemeinschaft 530457399
6 · The paper itself

Abstract

backgroundAlthough cycling offers numerous health benefits, age-related functional decline can increase the risk of accidents. Identifying balance components linked to outdoor cycling competence could inform targeted assessment and training. We aimed to exploratorily investigate the association between outdoor cycling competence and static, dynamic, and reactive balance control in older adults.

methodsIn this exploratory cross-sectional analysis of baseline data from a two-center randomized controlled trial, 116 community-dwelling adults aged ≥ 65 years with ≥ 3 errors on a standardized outdoor cycling course completed a balance test battery: Short Physical Performance Battery (SPPB), including gait speed, Modified Balance Error Scoring System (MBESS) and Four Square Step Test (FSST). Cycling-specific trunk balance was assessed with the Perturbation Stationary Bicycle Robotics (PerStBiRo) system, which delivers unannounced angular-tilt perturbations during stationary cycling. We derived mediolateral (ML) trunk sway during unperturbed cycling (UPC) and trunk time-to-peak angle (s) and trunk sway (°) during perturbed cycling (PC). Spearman correlations and multivariable models adjusted for age, sex and country were used to examine associations with the number of errors in the standardized outdoor cycling course.

resultsParticipants (mean age 74.0 ± 5.4 years; 53% women) made 13.1 ± 8.0 errors on the outdoor cycling course. In bivariate analyses, more outdoor cycling errors were weakly associated with more total errors on the MBESS (r

conclusionsThis study shows weak associations between outdoor cycling competence and dynamic balance control during both UPC and FSST. Low trunk sway during UPC on the PerStBiRo is weakly associated with better outdoor cycling competence. These findings could be further evaluated in future studies aiming to improve outdoor cycling competence.

trial registrationThis is a retrospective analysis of BiPerAge study data registered at clinicaltrials.gov: NCT06453473 (initial submission: 11/06/2024), link: https://clinicaltrials.gov/study/NCT06453473 .

Indexed as

BicyclingExercise TestPostural BalanceAgedAged, 80 and overCross-Sectional StudiesFemaleHumansIndependent LivingMaleMulticenter Studies as TopicRandomized Controlled Trials as TopicBalance controlOlder adultsOutdoor cyclingPerturbation

Identifiers

PMID42897509
PMCPMC13682123

What OpenQuestion holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.