E-bikes can be a useful part of cardiac rehabilitation programmes, since health professionals will often recommend a stationary bike be used in the early stages of these. Exercise-based cardiac rehabilitation programmes can reduce deaths in people with coronary heart disease by around 27%;[59] and a patient may feel safer progressing from stationary bikes to e-bikes.They require less cardiac exertion for those who have experienced heart problems.

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. 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. Reaching VO2 Max, can really help your body as a whole[64]. 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. Males didn’t go through the menopause either.””

Some individuals have lost considerable amounts of weight by using an electric bike. By making the biking terrain less of an issue, people who wouldn’t otherwise consider biking can use the electric assistance when needed and otherwise pedal as they are able.[67] This means people of lower fitness levels or who haven’t cycled in many years can start enjoying the many health benefits E-bikes have to offer.