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Introduction: The popularity of ultra-endurance cycling is increasing. Amongst race participants, sleep deprivation and periods of intermittent or acutely short sleep are common. Scientific research has typically focussed on the physiological or competitive performance based impact of these sleep-related paradigms. However, there is limited evidence about the mental health effects of sleep patterns in ultra-endurance cycling, despite established links between sleep deprivation and psychiatric and psychological issues. Methods: We conducted a narrative review synthesising extant empirical literature about sleep deprivation in ultra-endurance cycling. Results: Based on our search criteria, seven papers were identified discussing sleep patterns in ultra-endurance races. Each of these indicate that sleep deprivation is a prominent aspect of ultra-endurance competitions, with varying implications for riders. Discussion …