Effects of Park Golf on Working Memory and Prefrontal Cortex Activation in Older Adults
11 de septiembre de 2026 actualizado por: Gwangju Health University
Does Park Golf Affect Working Memory?: An fNIRS-Based Randomized Controlled Trial in Community-Dwelling Older Adults
This study investigates whether a park golf program can improve working memory and prefrontal cortex activity in community-dwelling older adults.
A total of 36 older adults (aged 65-85) were randomly assigned to either a park golf group or a health education group.
The park golf group participated in a supervised park golf program (2 sessions per week for 4 weeks, 60 minutes per session), while the health education group attended lectures on healthy aging topics such as nutrition and fall prevention on the same schedule.
Before and after the intervention, participants completed cognitive and physical assessments, including the Korean Montreal Cognitive Assessment (MoCA-K), the Timed Up and Go test, and a spatial working memory task (N-back) performed while brain activity in the prefrontal cortex was measured using functional near-infrared spectroscopy (fNIRS), a non-invasive, radiation-free imaging method.
The findings may help establish evidence for community-based physical activity programs, such as park golf, as a strategy to support cognitive health in older adults.
Descripción general del estudio
Estado
Activo, no reclutando
Condiciones
Intervención / Tratamiento
Tipo de estudio
Intervencionista
Inscripción (Estimado)
36
Fase
- No aplica
Contactos y Ubicaciones
Esta sección proporciona los datos de contacto de quienes realizan el estudio e información sobre dónde se lleva a cabo este estudio.
Ubicaciones de estudio
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Gwangju
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Gwangju, Gwangju, Corea del Sur, 61161
- Gwangju Health University, Buk-gu Campus, Smart Care Village
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Criterios de participación
Los investigadores buscan personas que se ajusten a una determinada descripción, denominada criterio de elegibilidad. Algunos ejemplos de estos criterios son el estado de salud general de una persona o tratamientos previos.
Criterio de elegibilidad
Edades elegibles para estudiar
- Adulto Mayor
Acepta Voluntarios Saludables
Sí
Descripción
Inclusion Criteria:
- Community-dwelling older adults aged 65 to 85 years, living independently (excluding those residing in nursing facilities or hospitalized)
- Korean version of the Montreal Cognitive Assessment (MoCA-K) score of 23 or higher (normal cognitive function range)
- Able to walk independently and possess the basic functional capacity required to participate in park golf
- No experience with park golf, or no regular participation in park golf within the past 6 months
- Voluntary written informed consent to participate in the study
Exclusion Criteria:
- History of severe neurological disease (e.g., Parkinson's disease, stroke, dementia) or psychiatric disease (e.g., major depressive disorder, schizophrenia)
- Scalp disease, skull abnormality, or history of craniotomy that could affect fNIRS measurement
- Currently taking medications affecting cognitive function (e.g., anticholinergics, antipsychotics)
- Regular participation in high-intensity exercise programs 3 or more times per week
- Physician-prescribed restriction on physical activity
- Severe visual or auditory impairment that would make assessment difficult, even with correction
- Left-handedness (excluded to control for hemispheric dominance in fNIRS measurement)
Plan de estudios
Esta sección proporciona detalles del plan de estudio, incluido cómo está diseñado el estudio y qué mide el estudio.
¿Cómo está diseñado el estudio?
Detalles de diseño
- Propósito principal: Prevención
- Asignación: Aleatorizado
- Modelo Intervencionista: Asignación paralela
- Enmascaramiento: Único
Armas e Intervenciones
Grupo de participantes/brazo |
Intervención / Tratamiento |
|---|---|
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Experimental: Park Golf Group (PGG)
Participants attended supervised park golf sessions twice weekly for 4 weeks (8 sessions total, 60 minutes per session), including warm-up (10 min), park golf skills training and practice (40 min), and cool-down (10 min), held at a community park.
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A structured, supervised park golf program consisting of 8 sessions over 4 weeks (2 sessions/week, 60 minutes/session).
Each session included a 10-minute warm-up, 40 minutes of park golf technique instruction and practice, and a 10-minute cool-down, conducted at an outdoor community park under the supervision of trained instructors.
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Comparador activo: Health Education Group (HEG)
Participants attended health education lectures on senior health management, nutrition, fall prevention, and chronic disease management, twice weekly for 4 weeks (8 sessions total, 60 minutes per session).
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A structured health education program consisting of 8 sessions over 4 weeks (2 sessions per week, 60 minutes per session), covering topics such as senior health management, nutrition, fall prevention, and chronic disease management, conducted at a community facility.
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¿Qué mide el estudio?
Medidas de resultado primarias
Medida de resultado |
Medida Descripción |
Periodo de tiempo |
|---|---|---|
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Change in Prefrontal Cortex Activation (Beta-value of HbO Concentration)
Periodo de tiempo: Change from baseline to 4 weeks (post-intervention)
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Change in oxygenated hemoglobin (HbO) concentration in the dorsolateral prefrontal cortex (DLPFC), measured as a beta-value derived from general linear model (GLM) analysis during the spatial N-back task, using functional near-infrared spectroscopy (fNIRS).
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Change from baseline to 4 weeks (post-intervention)
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Medidas de resultado secundarias
Medida de resultado |
Medida Descripción |
Periodo de tiempo |
|---|---|---|
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Working Memory Performance (Spatial N-back Task)
Periodo de tiempo: Change from baseline to 4 weeks (post-intervention)
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Reaction time and accuracy on the 2-back condition of a spatial N-back task, assessing spatial working memory.
Task administered using E-Prime 3.0 software with 1-back and 2-back conditions presented in alternating blocks.
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Change from baseline to 4 weeks (post-intervention)
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Dynamic Balance (Timed Up and Go Test)
Periodo de tiempo: Change from baseline to 4 weeks (post-intervention)
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Time (in seconds) taken to rise from a chair, walk 3 meters, turn around, and return to sitting, assessing dynamic balance and functional mobility.
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Change from baseline to 4 weeks (post-intervention)
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Cognitive-Motor Dual-Task Performance (TUG with Naming Animals)
Periodo de tiempo: Change from baseline to 4 weeks (post-intervention)
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Performance on the TUG test while simultaneously naming as many animals as possible, assessing integrated cognitive-motor function.
Measures include dual-task time, dual-task cost, number of animals named, and animals named per 10 seconds.
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Change from baseline to 4 weeks (post-intervention)
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Global Cognitive Function (Korean Montreal Cognitive Assessment)
Periodo de tiempo: Change from baseline to 4 weeks (post-intervention)
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Overall cognitive function assessed using MoCA-K, covering visuospatial/executive function, naming, attention, language, abstraction, delayed recall, and orientation.
Total score range 0-30.
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Change from baseline to 4 weeks (post-intervention)
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Colaboradores e Investigadores
Aquí es donde encontrará personas y organizaciones involucradas en este estudio.
Patrocinador
Investigadores
- Investigador principal: Eun-Sang Lee, PhD, Gwangju Health University
Fechas de registro del estudio
Estas fechas rastrean el progreso del registro del estudio y los envíos de resultados resumidos a ClinicalTrials.gov. Los registros del estudio y los resultados informados son revisados por la Biblioteca Nacional de Medicina (NLM) para asegurarse de que cumplan con los estándares de control de calidad específicos antes de publicarlos en el sitio web público.
Fechas importantes del estudio
Inicio del estudio (Actual)
10 de septiembre de 2026
Finalización primaria (Estimado)
15 de octubre de 2026
Finalización del estudio (Estimado)
15 de octubre de 2026
Fechas de registro del estudio
Enviado por primera vez
2 de septiembre de 2026
Primero enviado que cumplió con los criterios de control de calidad
2 de septiembre de 2026
Publicado por primera vez (Actual)
8 de septiembre de 2026
Actualizaciones de registros de estudio
Última actualización publicada (Actual)
14 de septiembre de 2026
Última actualización enviada que cumplió con los criterios de control de calidad
11 de septiembre de 2026
Última verificación
1 de septiembre de 2026
Más información
Términos relacionados con este estudio
Palabras clave
Otros números de identificación del estudio
- P01-202607-01-010
Plan de datos de participantes individuales (IPD)
¿Planea compartir datos de participantes individuales (IPD)?
NO
Descripción del plan IPD
Data will not be shared beyond this study, in accordance with the informed consent obtained from participants, which specified that collected data would be used solely for this study without secondary use or third-party disclosure.
Información sobre medicamentos y dispositivos, documentos del estudio
Estudia un producto farmacéutico regulado por la FDA de EE. UU.
No
Estudia un producto de dispositivo regulado por la FDA de EE. UU.
No
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