E-bikes can also provide a source of exercise for individuals who have trouble exercising for an extended time (due to injury or excessive weight, for example) as the bike can allow the rider to take short breaks from pedaling and also provide confidence to the rider that they'll be able to complete the selected path without becoming too fatigued[58] or without having forced their knee joints too hard (people who need to use their knee joints without wearing them out unnecessarily may in some electric bikes adjust the level of motor assistance according to the terrain). A University of Tennessee study provides evidence that energy expenditure (EE) and oxygen consumption (VO2) for e-bikes are 24% lower than that for conventional bicycles, and 64% lower than for walking. Further, the study notes that the difference between e-bikes and bicycles are most pronounced on the uphill segments.[59] Reaching VO2 Max, can really help your body as a whole[60]. Professor Janet Lord of Birmingham University in the UK published a study that looked at older cyclists, ““The study looked at muscle mass, blood cholesterol, their VO2 Max, lung function, and in many of those measures we found they didn’t age! No loss of muscle, their bones were a little thin (but nothing like the general population), their blood pressure didn’t go up.[61]


A letter from Casey Evans to Electric Bike Technologies, makers of the E-BikeKit™ electric bike conversion kit system. This one of kind adaptive electric stroller was designed by students from California State University-Sacramento using two 500w direct-drive hub motors controlled by a single E-BikeKit system. Thank you for enabling me to take my daughter hiking! My name is Casey Evans and my daughter, Montel, was born with a very rare...
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Having never ridden one before, I took a few electric bikes out to review in Central London and was an instant convert. For a commuter, they're ideal. While you still feel you've done exercise, the assistance means you won't arrive at work in a hot and sweaty state. The power boost whenever you start from a standing position is ideal for a speedy getaway at a traffic light with buses and lorries right behind you. And you'll get a nice ego boost every time you effortlessly ride past a struggling regular cyclist.
"Electric bikes are great for giving you an extra boost and a bit more zip for when you're a bit low on energy," says two-time Olympic gold winner Victorian Pendleton. "E-bikes are also a fantastic route into cycling for beginners, or for those returning to cycling, as they provide a helping hand when it comes to conquering physical fitness challenges." 
E-bikes mostly use motors and battery options from a few major suppliers: Bosch, Yamaha, Shimano, and Brose. A few other brands exist, but are less reliable or powerful. Some, like the Yamaha system, have more torque and others are quieter. But generally all four make good options. Look for motor output (in watts) which will give you an idea of total power. But watt hours (Wh) is perhaps a better figure to use—it takes into account battery output and life to give a truer reflection of power.
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