---
_id: '30119'
abstract:
- lang: eng
  text: "<jats:title>Abstract</jats:title><jats:sec>\r\n                <jats:title>Background</jats:title>\r\n
    \               <jats:p>Subjective Memory Complaints (SMC) in elderly people due
    to preclinical Alzheimer’s Disease may be associated with dysregulation of the
    Kynurenine Pathway (KP), with an increase in neurotoxic metabolites that affect
    cognition. Golf is a challenging sport with high demands on motor, sensory, and
    cognitive abilities, which might bear the potential to attenuate the pathological
    changes of preclinical AD. This trial investigated the feasibility of learning
    to play golf for elderly with cognitive problems and its effects on cognitive
    functions and the KP.</jats:p>\r\n              </jats:sec><jats:sec>\r\n                <jats:title>Methods</jats:title>\r\n
    \               <jats:p>In a 22-week single-blinded randomized controlled trial,
    elderly people with SMC were allocated to the golf (<jats:italic>n</jats:italic> = 25,
    180 min training/week) or control group (<jats:italic>n</jats:italic> = 21). Primary
    outcomes were feasibility (golf exam, adherence, adverse events) and general cognitive
    function (Alzheimer’s Disease Assessment Scale). Secondary outcomes include specific
    cognitive functions (Response Inhibition, Corsi Block Tapping Test, Trail Making
    Test), KP metabolites and physical performance (6-Minute-Walk-Test). Baseline-adjusted
    Analysis-of-Covariance was conducted for each outcome.</jats:p>\r\n              </jats:sec><jats:sec>\r\n
    \               <jats:title>Results</jats:title>\r\n                <jats:p>42
    participants were analyzed. All participants that underwent the golf exam after
    the intervention passed it (20/23). Attendance rate of the golf intervention was
    75 %. No adverse events or drop-outs related to the intervention occurred. A significant
    time*group interaction (<jats:italic>p</jats:italic> = 0.012, F = 7.050, Cohen’s
    d = 0.89) was found for correct responses on the Response Inhibition task, but
    not for ADAS-Cog. Moreover, a significant time*group interaction for Quinolinic
    acid to Tryptophan ratios (<jats:italic>p</jats:italic> = 0.022, F = 5.769, Cohen’s
    d = 0.84) in favor of the golf group was observed. An uncorrected negative correlation
    between attendance rate and delta Quinolinic acid to Kynurenic acid ratios in
    the golf group (<jats:italic>p</jats:italic> = 0.039, <jats:italic>r</jats:italic>=-0.443)
    was found as well.</jats:p>\r\n              </jats:sec><jats:sec>\r\n                <jats:title>Conclusions</jats:title>\r\n
    \               <jats:p>The findings indicate that learning golf is feasible and
    safe for elderly people with cognitive problems. Preliminary results suggest positive
    effects on attention and the KP. To explore the whole potential of golfing and
    its effect on cognitive decline, a larger cohort should be studied over a longer
    period with higher cardiovascular demands.</jats:p>\r\n              </jats:sec><jats:sec>\r\n
    \               <jats:title>Trial registration</jats:title>\r\n                <jats:p>The
    trial was retrospectively registered (2nd July 2018) at the German Clinical Trials
    Register (<jats:ext-link xmlns:xlink=\"http://www.w3.org/1999/xlink\" ext-link-type=\"uri\"
    xlink:href=\"https://www.drks.de/drks_web/setLocale_EN.do\">DRKS00014921</jats:ext-link>).</jats:p>\r\n
    \             </jats:sec>"
article_number: '200'
author:
- first_name: Julia K.
  full_name: Stroehlein, Julia K.
  last_name: Stroehlein
- first_name: Solveig
  full_name: Vieluf, Solveig
  last_name: Vieluf
- first_name: Philipp
  full_name: Zimmer, Philipp
  last_name: Zimmer
- first_name: Alexander
  full_name: Schenk, Alexander
  last_name: Schenk
- first_name: Max
  full_name: Oberste, Max
  last_name: Oberste
- first_name: Christian Johannes
  full_name: Gölz, Christian Johannes
  id: '33725'
  last_name: Gölz
  orcid: 0000-0003-0536-1481
- first_name: Franziska
  full_name: van den Bongard, Franziska
  last_name: van den Bongard
- first_name: Claus
  full_name: Reinsberger, Claus
  id: '48978'
  last_name: Reinsberger
citation:
  ama: 'Stroehlein JK, Vieluf S, Zimmer P, et al. Learning to play golf for elderly
    people with subjective memory complaints: feasibility of a single‐blinded randomized
    pilot trial. <i>BMC Neurology</i>. 2021;21(1). doi:<a href="https://doi.org/10.1186/s12883-021-02186-9">10.1186/s12883-021-02186-9</a>'
  apa: 'Stroehlein, J. K., Vieluf, S., Zimmer, P., Schenk, A., Oberste, M., Gölz,
    C. J., van den Bongard, F., &#38; Reinsberger, C. (2021). Learning to play golf
    for elderly people with subjective memory complaints: feasibility of a single‐blinded
    randomized pilot trial. <i>BMC Neurology</i>, <i>21</i>(1), Article 200. <a href="https://doi.org/10.1186/s12883-021-02186-9">https://doi.org/10.1186/s12883-021-02186-9</a>'
  bibtex: '@article{Stroehlein_Vieluf_Zimmer_Schenk_Oberste_Gölz_van den Bongard_Reinsberger_2021,
    title={Learning to play golf for elderly people with subjective memory complaints:
    feasibility of a single‐blinded randomized pilot trial}, volume={21}, DOI={<a
    href="https://doi.org/10.1186/s12883-021-02186-9">10.1186/s12883-021-02186-9</a>},
    number={1200}, journal={BMC Neurology}, publisher={Springer Science and Business
    Media LLC}, author={Stroehlein, Julia K. and Vieluf, Solveig and Zimmer, Philipp
    and Schenk, Alexander and Oberste, Max and Gölz, Christian Johannes and van den
    Bongard, Franziska and Reinsberger, Claus}, year={2021} }'
  chicago: 'Stroehlein, Julia K., Solveig Vieluf, Philipp Zimmer, Alexander Schenk,
    Max Oberste, Christian Johannes Gölz, Franziska van den Bongard, and Claus Reinsberger.
    “Learning to Play Golf for Elderly People with Subjective Memory Complaints: Feasibility
    of a Single‐blinded Randomized Pilot Trial.” <i>BMC Neurology</i> 21, no. 1 (2021).
    <a href="https://doi.org/10.1186/s12883-021-02186-9">https://doi.org/10.1186/s12883-021-02186-9</a>.'
  ieee: 'J. K. Stroehlein <i>et al.</i>, “Learning to play golf for elderly people
    with subjective memory complaints: feasibility of a single‐blinded randomized
    pilot trial,” <i>BMC Neurology</i>, vol. 21, no. 1, Art. no. 200, 2021, doi: <a
    href="https://doi.org/10.1186/s12883-021-02186-9">10.1186/s12883-021-02186-9</a>.'
  mla: 'Stroehlein, Julia K., et al. “Learning to Play Golf for Elderly People with
    Subjective Memory Complaints: Feasibility of a Single‐blinded Randomized Pilot
    Trial.” <i>BMC Neurology</i>, vol. 21, no. 1, 200, Springer Science and Business
    Media LLC, 2021, doi:<a href="https://doi.org/10.1186/s12883-021-02186-9">10.1186/s12883-021-02186-9</a>.'
  short: J.K. Stroehlein, S. Vieluf, P. Zimmer, A. Schenk, M. Oberste, C.J. Gölz,
    F. van den Bongard, C. Reinsberger, BMC Neurology 21 (2021).
date_created: 2022-02-25T12:02:57Z
date_updated: 2023-02-06T09:30:38Z
department:
- _id: '35'
- _id: '17'
- _id: '176'
doi: 10.1186/s12883-021-02186-9
intvolume: '        21'
issue: '1'
keyword:
- Clinical Neurology
- General Medicine
language:
- iso: eng
publication: BMC Neurology
publication_identifier:
  issn:
  - 1471-2377
publication_status: published
publisher: Springer Science and Business Media LLC
status: public
title: 'Learning to play golf for elderly people with subjective memory complaints:
  feasibility of a single‐blinded randomized pilot trial'
type: journal_article
user_id: '33213'
volume: 21
year: '2021'
...
