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He was coached by John Cook, the former coach of 2008 Olympic 10,000-metre bronze medalist Shalane Flanagan. His career was riddled with injuries, and he missed the 1991 World Championships as well as the 1988 and 1992 Olympics because of such problems. In 1996 he finished sixth in the Olympic 1500 m final. As of the 2020s, Bile has the 17th fastest kilometer race of all time with a time of 2:14.50.

Bile has traveled widely and has inspired many young people and helped several humanitarian organizations. He is married, with two sons and daughter named Farhiya, born in 1995, Ahmed born 1993 and Mohamed born 2001. As a senior in high school, Ahmed won the Virginia state cross country title, the 1000m title and 1600m title along with being a two-time New Balance All-American in the 800m. The largest stadium in Las Anod is named after him.

In 1987, he became world champion in the 1500 metres, the first Somali to do so. Bile ran the final 800m of the race in 1:46.0, which as of the 2020s, remains the fastest latter half in the history of the 1500m track race. During the semi-finals of the same championships, in 4 September 1987, he set a championship record with a time of 3:35.67 which lasted until 1 September 1991, when broken by Noureddine Morceli.

Bile has won gold medals in the 1987 World Championships in 1987 at the 1500m. In 1989 he won the gold medal at the World Continental Cup in Barcelona at the 1500m in a time of 3:35.56. In 1987, he won first place at the NCAA Championships in Baton Rouge, Louisiana at the 1500m in a time of 3:35.79. In 1993, he won second place at the 1500m in the Grand Prix Final in London UK, in a time of 3:34.65. In the same year, he also won the bronze medal at the World Championships at 1500m in Stuttgart, Germany in a time of 3:35.96. At the 1985 African Championships in Athletics, he won silver at the 1500m. Bile holds Somalia's national records in seven outdoor disciplines, namely the 800m, 1000m, 1500m, one mile, 2000m, 3000m and the 4x1500 metre relay as well as in two indoor disciples, namely the 1500m and the one mile, thus in a total of nine disciplines. The collapse of state institutions from 1990 onwards and injuries had prevented Bile from competing at the Olympics during his prime years.

Bile graduated from George Mason University with a BSc in marketing management. At George Mason, Bile was team captain and a two-time NCAA Division I 1,500-metre champion, winning his first title in 1985 (3:41.20) and the second in 1987 (3:35.79). He also won many conference titles and held the inter-collegiate 1500 m record for more than ten years.

Abdi Bile (Somali: Cabdi Bile Cabdi, Arabic: عبد بلي عبد ‎; born 28 December 1962) is a former middle distance runner. He holds the highest number of national records in athletics in Somalia across various disciplines. He is currently Somalia's national record holder in nine athletic disciplines, and is thus far Somalia's most decorated athlete in history.