“…The evidence supporting positive physical and psychosocial health outcomes in relation to nature-based activities and experiences is substantial (Brymer et al, 2010 ; Ryan et al, 2010 ; Scheinfeld et al, 2011 ; Mitchell, 2013 ; Martyn and Brymer, 2016 ; Yeh et al, 2016 ; Lawton et al, 2017 ). The natural environment is an integral part of the mountain biking experience, offering participants a unique way to connect with nature (Siderelis et al, 2010 ), and acts as an important motivational factor (Taylor, 2010 ; Davidson and Stebbins, 2011 ; Lynch and Dibben, 2016 ). Despite this, mainstream health interventions rarely include outdoor adventure activities or extreme sports (Clough et al, 2016 ).…”