SYNTH-81 · Guide

The teenage cyclist (about 12-18)

Varied riding, organised hours a week no more than the rider's age, supervised technique-first strength, few structured intervals (optional at 12-14, a second weekly session only for the older racer), food for growth and never a weight target, and growth-site pain, missed periods, weight loss, chest pain or fainting go to a parent and a clinician; no entry studies teenage cyclists, so the week, the interval dose and the fit steps are practice

C+thin evidenceMostly from non-to highly trained athletesWritten before October 2026, being re-checked

The question it answers

A parent, coach or teenager: "My 13-year-old wants to race — how much, intervals or not, can they lift, what about the growth spurt?" or "I'm 15 — how do I raise my FTP / lose weight?" Adult beginners: SYNTH-75.

Default (what to prescribe first)

Not from a study; the base's own practice (the order and every number):

1

Variety and skill before volume (practice): road, MTB, cyclocross, track, pump track, and at least one other sport in the year.

Basis: in 1190 athletes aged 7-18 from all sports, sports-specialised training was an independent risk for injury (OR 1.27, 1.07-1.52) and serious overuse injury (OR 1.36, 1.08-1.72) after adjusting for age and weekly hours (REF-602, B+, clinic case-control — association, not causation; transfer to cycling).

The AAP report: early specialisation may harm a young athlete physically and psychologically, and intensive training carries risk with or without it (REF-1062, A, general youth sport, no ages or hours — transfer to cycling); the IOC consensus aims at healthy, resilient young athletes (REF-1058, A, general youth sport, scope only — no recommendation is taken from it).

2

Organised hours a week no more than age in years; free riding at least half of the organised time (practice, set from that study). Organised-sport hours above age went with serious overuse injury (OR 2.07, 1.40-3.05), and an organised-to-free-play ratio above 2:1 with OR 1.87 (1.26-2.76) (REF-602). Practice: club rides, races, coached and trainer sessions count as organised — the study did not classify cycling.

3

Mostly easy, playful riding; intervals optional and at most once a week at 12-14, up to twice a week for an older junior in season, races counted as hard sessions (practice). Indirect basis: in 232 youth soccer players (mean age 16.2, nine studies), small-sided games matched running intervals for gains in VO2peak, maximal aerobic speed and lactate-threshold speed (REF-694, B+; transfer; both arms were high-intensity, so it tests neither easier work nor this age cap).

4

Strength twice a week, supervised, technique first, light loads before heavier ones (frequency is practice).

The 2014 international consensus states that supervised, age-appropriate resistance training is safe and effective for children and adolescents and that the claim it stunts growth or damages growth plates is not supported (REF-600, A; full-text statements, the abstract has none).

Across controlled trials in under-18s strength rose by a large effect (ES 1.12, 0.9-1.3), growing with age and maturity with no special boost at puberty (REF-601, A). The NSCA position agrees that youth on age-specific, supervised programmes can gain many adult benefits (REF-1060, A, school-aged youth — transfer).

5

Eat for training plus growth; no weight targets (the latter a house rule). An adolescent position statement says eat for long-term health, match eating to training, spread carbohydrate and protein over the day and watch calcium, vitamin D and iron (REF-1067, A, adolescents, sports unnamed — transfer; no numbers).

The 2023 IOC consensus lists deviation from a young athlete's growth trajectory among the primary REDs indicators, and lower IGF-1 and deviation from the expected growth curve among the consequences of low energy availability (REF-341, A, full-text tables; all ages).

6

Protect sleep around school (practice). Sleep problems can raise the risk of concussion and other injuries and impair recovery after injury (REF-205, B+, narrative, athletes, not adolescents); a sleep-medicine consensus sets age-based amounts for adolescents (REF-1068, A, general paediatric population — transfer), but its abstract gives no hours, so the base holds none.

House rules for a minor (not evidence):

No weight-loss plan, calorie target, fasting or "race weight"; answer with fuelling and refer, with a parent, to a doctor or sports dietitian. SYNTH-54 is for adults.
No supplements, caffeine included (caffeine is the house rule's addition): food first — an adolescent statement says core foods rather than supplements (REF-1067). The UCI supplement list is written for elite competitive cycling (REF-748, A, Tier 4-5) and the entry holds no youth guidance, so it does not transfer.
No FTP-chasing blocks, frequent ramp tests or maximal lifts; the entry's reading of the consensus is submaximal loads and movement competency over 1RM in children (REF-600).
Health questions bring in a parent or guardian (and the coach); the assistant never diagnoses (SYNTH-73).

Decision (who → what)

RiderDo thisSource and how sure
12-14, rides for fun or a clubPractice: 3-5 rides a week, mostly social or skills, another sport kept; no interval plan neededPractice; hours and variety REF-602 B+, early specialisation REF-1062 A; general youth sport — transfer
Growing fast, clumsier, new knee or heel painPractice: hold or trim load in the fastest-growth months for the coordination dip (not as proven injury prevention; the injury data are mixed), keep skills easy, re-fit the bike; knee or heel pain that worsens with riding, causes a limp, swells or is there at night goes to the red flags below, not to a lighter weekThe bio-banding overview says rapid growth around peak height velocity transiently disrupts coordination and advises tempering technical expectations and load (REF-603, C+; full text, not checked against the abstract). Soccer cohort (n=26): more traumatic injuries reported in the PHV year than the year before (the abstract's per-player figures repeat its overuse figures, so none are quoted), and days missed 7.27 vs 15.69 per player-year before vs during PHV (moderate effect; training load not reported) (REF-1064, B, talented soccer players — transfer uncertain). Against it: growth rate was not related to injury (4.8 cm/y in both groups) (REF-602)
15-18 junior racerPractice: mostly easy; up to two interval sessions a week in season; strength kept; organised hours ≤ ageIn 21 national-level junior cross-country skiers (age not given), two interval sessions a week for 8 weeks with 5-10-min reps totalling 40-45 min improved 12-km roller-ski time 6.8%, more than 2-4-min reps totalling 15-20 min (REF-1052, B-; rep length and total time changed together). In 11 nationally competitive junior skiers about 75% of endurance sessions were below the first threshold (REF-304, B, descriptive). Both transfer from skiing
"Can they lift?"Yes, coached and technique first; it does not stunt growthREF-600 A (full text), REF-601 A. A trial in "young elite cyclists" (n=14, age not given) raised 45-min capacity 8% (REF-075, B, Tier 4-5) — not evidence about teenagers
App or trainer plansPractice: at most two trainer workouts a week, mostly not maximal; outdoor and social riding firstNo entry tests trainer volume in teenagers
Bike fit as the rider growsPractice: re-check saddle height at each growth jump and with any knee pain; pick crank length by fit, not powerA 5% saddle-height change shifted knee kinematics about 35% and knee moments 16%; the authors recommend 25-30° knee flexion (REF-882, B+, mechanics, not injury counts). Maximal power moved only 1149-1194 W across 120-220 mm cranks in 16 trained cyclists (REF-1026, B+); ±5 mm left efficiency unchanged in 12 amateur adults (REF-1028, B+). Inference: a short-legged teenager loses little on shorter cranks; none studied growing riders
Junior gearingRule, not evidence: the base holds no governing-body rule — check the current UCI or federation rulebookEvidence gap
MTB and cyclocrossPractice: offer as skill varietyAdult road cyclists in regular training have low bone density at key sites, and mountain biking or cycling combined with other sports could reduce this (REF-896, A-; adults — transfer). Race demands: SYNTH-49
Road safety, group ridingPractice: ride with a club or adult, group skills before fast bunches, lights, quiet routesNo entry

How to progress / periodise

Over years, not weeks (practice): one change at a time — hours, then a skills or race block, then a second interval day for the older junior; ramp signals: SYNTH-29. Practice: at least one day a week without organised riding and a few unstructured weeks a year.
No closed windows. A critical review found the LTAD "windows of trainability" rest on little empirical evidence and questionable assumptions (REF-604, C+); the Youth Physical Development model treats every quality as trainable through childhood and adolescence, emphasis shifted by maturation (full text, not checked against the abstract) (REF-560, B+, conceptual). The entry's practice: never tell a parent a window has closed.
Judge by maturity, not birth date. Same-age children vary widely in maturation, and grouping by growth and maturation is proposed for fairer competition, selection and training (REF-603, C+). Years from peak height velocity can be estimated from body measurements and age, read as a category, not a date (REF-1065, B, general-population children — transfer); a coach or clinician measures it (practice). Inference: an early maturer's results are not a forecast.
Keep it theirs. Across 66 studies autonomous motivation predicted exercise, and intrinsic motivation (enjoyment) tended to predict long-term adherence more than identified regulation did (REF-629, A-, systematic review, Tier 1-2 general samples — transfer). Practice: the teenager chooses goals and disciplines.
Heat: the AAP policy says healthy, hydrated youth handle heat no worse than adults and that the main risks (poor hydration, undue exertion, short recovery between bouts, heat-retaining clothing) are modifiable (REF-1069, A, youth sport — transfer; no thresholds). Adult protocols (SYNTH-04, SYNTH-68) are not youth doses. Practice: cooler hours, shorter or easier hot sessions, drinks at hand, stop at dizziness, confusion, nausea or chills.

When NOT to use it / red flags

House rule: each goes to a parent or guardian and a clinician; no diagnosis, no "easy version" until a clinician has seen it.

Pain at a growth site (below the kneecap, back of the heel, bony points of hip or pelvis) that worsens with riding, running or jumping, causes a limp, swells or is there at night (the signs and the hip/pelvis sites are house practice).Knee: Osgood-Schlatter, a growth-associated tibial-tuberosity pain, affects up to 10% of adolescents, with no RCT of specific exercises against sham or usual care (REF-1063, B+, adolescent patients — transfer). Heel: limited, low-quality evidence for heel raises and orthoses in children of about 8-15 (REF-1072, B+, not athletes — weak transfer).Both name conditions for clinicians: the assistant names neither a diagnosis nor a treatment (house rule). No entry on apophyseal or growth-plate injury in cyclists; in climbing, 14 of 20 injured under-15s had an epiphyseal fracture (REF-613, B+, clinic series — transfer, a different load).Triage: the red-flag list of SYNTH-73 only; its train-under-a-pain-rule step comes from adult Achilles patients and does not apply to a minor's growth-site pain.
Periods that stop, turn irregular, or have not started by the age a clinician would expect (the base holds no age figure; that is the clinician's call): in the physician-led IOC tool, primary amenorrhoea due to functional hypothalamic amenorrhoea is a severe primary REDs indicator and secondary amenorrhoea of 3-11 missed cycles due to it a primary indicator (REF-341, A); the cause is a clinician's diagnosis.The AAP triad report adds that one component can appear alone and that it can matter more in adolescents, a critical time for bone mass accumulation (REF-1066, A, girls in sport — transfer).In 121 normal-weight oligo-amenorrhoeic athletes aged 14-25 from weight-bearing sports (transfer to cyclists) a transdermal estradiol patch with cyclic progesterone raised spine and femoral-neck BMD Z-scores over 12 months and the combined pill did no better than no hormones (REF-576, A, RCT): a physician decides, not "go on the pill".
Rapid weight loss, food restriction, body-image talk: an elevated EDE-Q score or diagnosed eating disorder is a primary REDs indicator (REF-341). House rule: no deficit, refer.
Persistent fatigue, falling performance, frequent illness: iron deficiency appears in about 15-35% of female and 5-11% of male athlete cohorts (REF-340, B+, narrative; no adolescent figure). Practice: a clinician's blood test, no self-prescribed iron.
Chest pain, fainting, palpitations, breathlessness out of proportion: stop, doctor before the next ride (house rule). The ECG consensus is a physician's tool (REF-1071, A-, expert opinion, all athletes); the assistant reads no ECG or watch trace. Fever: no training (REF-609, C).
Head knock in a crash: no riding that day, parent and clinician (house rule). The 2023 concussion consensus gives recognition and assessment tools, child versions included (REF-1070, A, all sport — transfer), but no clinical rules in its abstract; house rule: the assistant never assesses or times a return.
Persistent low mood, anxiety, withdrawal: mental-health symptoms are common in elite athletes and outside the coach's scope — recognise, support, refer (REF-633, A, elite adults — transfer).

What the evidence does and does not show

Shows (general youth sport): specialisation and organised hours above age go with more serious overuse injury (REF-602, association); resistance training raises strength in under-18s (REF-601) and is endorsed as safe (REF-600).
Does not show: any dose, interval count or weekly hours for teenage cyclists; that the growth spurt itself raises injury (REF-602 found no link with growth rate; a small soccer cohort reported more traumatic injuries at PHV, REF-1064); any fit rule for a growing rider; any junior gear rule.

Evidence gaps

No study of adolescent cyclists (volume, intensity, intervals, trainer use).
Growth-site pain in riders and proven treatments (REF-1063, REF-1072 are weak); PHV injury data beyond one small soccer cohort (REF-1064).
What the youth, sleep and heat statements recommend in numbers (their abstracts give scope or direction only: no hours, sleep amounts or heat limits); concussion and ECG rules the assistant could use (those consensus documents are for clinicians). Candidates: Lloyd 2016 (NSCA long-term development), DiFiori 2014 (AMSSM overuse and burnout).
Governing-body junior rules (gear limits, race distances): the current UCI and federation regulations — rule, not evidence.
How this entry was checked and changed
Why this level

(no entry studies adolescent cyclists; variety and hours rest on a B+ case-control in general youth sport REF-602, variety also on an A paediatric report's direction without hours REF-1062; strength on two A statements REF-600 REF-1060 and an A meta-analysis REF-601; food on an A adolescent statement REF-1067; maturation on B to C+ papers; menstrual, weight-loss and growth-trajectory red flags on A consensus REF-341 REF-1066 (growth-site, cardiac and head-knock flags stay house rules); weekly structure, interval dose, trainer limits, bike-fit steps and rules for minors are house practice)

Content correction 2026-09-27
2026-10-04: independent audit before posting — growth-site pain moved to red flags (no load-trim row for pain), title aligned with the Default, amenorrhoea line qualified, transfer clauses added, growth-site list labelled practice.
Revision 2026-10-04: folded thirteen new youth entries. Default 1 and the 12-14 row gain the AAP specialisation report REF-1062 (A, direction only, general youth sport) and the IOC youth-development consensus REF-1058 (A, scope only); Default 4 gains the NSCA youth resistance-training position REF-1060 (A, abstract without position points). REF-600 checked: its uses match the entry (full-text statements; submaximal loads labelled as the entry's reading).
Revision 2026-10-04: Default 5 now rests its food direction on the adolescent nutrition position statement REF-1067 (A, no numbers) and 'no weight targets' stays a house rule; the supplement house rule cites the same statement (food first), caffeine stays house rule. Default 6 cites the AASM paediatric sleep consensus REF-1068 (A) for its existence only — no hours.
Revision 2026-10-04: growth-spurt row adds van der Sluis REF-1064 (B, 26 youth soccer players; traumatic-injury and days-missed figures given as 'reported'; the abstract's duplicated overuse figures are not used) next to the contrary REF-602 finding; 'not as injury prevention' narrowed to 'not as proven injury prevention; the injury data are mixed'. Maturity offset REF-1065 (B) added to 'Judge by maturity' as a category, measured by a coach or clinician.
Revision 2026-10-04: red flags — growth-site line now cites Osgood-Schlatter REF-1063 (B+) and Sever's REF-1072 (B+, children with heel pain, not athletes); only the knee and heel sites are now entry-named, the signs and hip/pelvis sites stay practice. Periods line adds the AAP triad report REF-1066 (A).Cardiac and head-knock lines cite the ECG REF-1071 (A-) and concussion REF-1070 (A) consensus documents only as clinician tools; both flags stay house rules with clinician referral.
Revision 2026-10-04: heat line replaces 'nothing youth-specific' with the AAP heat policy REF-1069 (A, no thresholds); practice steps kept. Lead, level rationale, 'Does not show' and gaps rewritten to match; candidate names now in the base removed (Lloyd 2016, DiFiori 2014 remain candidates).Level stays C+: the new A statements give direction from abstracts without numbers, while every number in the Default (hours, interval dose, strength frequency, trainer, fit) remains practice.
Verification 2026-10-04 of FOLD-81: all thirteen new entries (REF-1058, 1060, 1062-1072) read in full; REF-694, REF-748 checked in KB.md.OK: REF-1060 (direction, transfer), REF-1067 (direction, 'no numbers', core foods over supplements), REF-1068 (existence only, no hours — not overcited), REF-1069 (risk list, no thresholds, practice steps labelled), REF-1065 (category, coach/clinician measures — labelled practice), REF-1070/REF-1071 (cited only as clinician tools; cardiac and head-knock flags remain house rules with referral), REF-694 rewording, REF-748 trim, Does-not-show line, table cell, 'not as proven injury prevention'.Cross-reference pairs 19-21 not audited (spec). Level C+ unchanged and still honest: the Default stays practice-led with evidence for direction only.