The relationships between golf and health: a scoping review

A D Murray, L Daines, D Archibald, R A Hawkes, C Schiphorst, P Kelly, L Grant, N Mutrie, A D Murray, L Daines, D Archibald, R A Hawkes, C Schiphorst, P Kelly, L Grant, N Mutrie

Abstract

Objective: To assess the relationships between golf and health.

Design: Scoping review.

Data sources: Published and unpublished reports of any age or language, identified by searching electronic databases, platforms, reference lists, websites and from consulting experts.

Review methods: A 3-step search strategy identified relevant published primary and secondary studies as well as grey literature. Identified studies were screened for final inclusion. Data were extracted using a standardised tool, to form (1) a descriptive analysis and (2) a thematic summary.

Results and discussion: 4944 records were identified with an initial search. 301 studies met criteria for the scoping review. Golf can provide moderate intensity physical activity and is associated with physical health benefits that include improved cardiovascular, respiratory and metabolic profiles, and improved wellness. There is limited evidence related to golf and mental health. The incidence of golfing injury is moderate, with back injuries the most frequent. Accidental head injuries are rare, but can have serious consequences.

Conclusions: Practitioners and policymakers can be encouraged to support more people to play golf, due to associated improved physical health and mental well-being, and a potential contribution to increased life expectancy. Injuries and illnesses associated with golf have been identified, and risk reduction strategies are warranted. Further research priorities include systematic reviews to further explore the cause and effect nature of the relationships described. Research characterising golf's contribution to muscular strengthening, balance and falls prevention as well as further assessing the associations and effects between golf and mental health are also indicated.

Keywords: Evidence based review; Exercise; Golf; Health; Sport.

Conflict of interest statement

ADM and RAH received an unrestricted grant from the World Golf Foundation to fund this research. The World Golf Foundation agreed to publish findings whether positive, negative, or no associations or effects were found. RAH and ADM are remunerated for clinical work for the European Golf Tour.

Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/.

Figures

Figure 1
Figure 1
Scoping review flow chart.
Figure 2
Figure 2
Included studies by year of publication.
Figure 3
Figure 3
Taxonomy of research designs for included literature.
Figure 4
Figure 4
Primary focus of included studies.
Figure 5
Figure 5
MET values attributed to different modes of golf and other physical activities. MET, Metabolic Equivalent of Task.

References

    1. Farrally MR, Cochran AJ, Crews DJ, et al. . Golf science research at the beginning of the twenty-first century. J Sports Sci 2003;21:753–65. 10.1080/0264041031000102123
    1. The Royal and Ancient. Golf around the world. The Royal and Ancient, 2015.
    1. World Health Organisation. Health impact assessment—the determinants of health. World Health Organisation, 2011.
    1. Lee IM, Shiroma EJ, Lobelo F, et al. . Effect of physical inactivity on major non-communicable diseases worldwide: an analysis of burden of disease and life expectancy. Lancet 2012;380:219–29. 10.1016/S0140-6736(12)61031-9
    1. Lim SS, Vos T, Flaxman AD, et al. . A comparative risk assessment of burden of disease and injury attributable to 67 risk factors and risk factor clusters in 21 regions, 1990–2010: a systematic analysis for the Global Burden of Disease Study 2010. Lancet 2012;380:2224–60. 10.1016/S0140-6736(12)61766-8
    1. Kohl HW III, Craig CL, Lambert EV, et al. . The pandemic of physical inactivity: global action for public health. Lancet 2012;380:294–305. 10.1016/S0140-6736(12)60898-8
    1. National Centre for Social Research. Health survey for England. Health and Social Care Information Centre, 2012.
    1. The Scottish Government. The Scottish Health Survey 2013. The Scottish Government, 2014.
    1. McHardy A, Pollard H, Luo K. Golf injuries: a review of the literature. Sports Med 2006;36:171–87. 10.2165/00007256-200636020-00006
    1. Batt ME. Golfing injuries. An overview. Sports Med 1993;16:64–71. 10.2165/00007256-199316010-00006
    1. Cabri J, Sousa JP, Kots M, et al. . Golf-related injuries: a systematic review. Eur J Sport Sci 2009;9:353–66. 10.1080/17461390903009141
    1. Walker Research Group. World golf foundation and golf 20/20 commission report on golf's health benefits. Walker Research Group, 2011.
    1. Oja P, Titze S, Kokko S, et al. . Health benefits of different sport disciplines for adults: systematic review of observational and intervention studies with meta-analysis. Br J Sports Med 2015;49:434–40. 10.1136/bjsports-2014-093885
    1. Arksey H, O'Malley L. Scoping studies: towards a methodological framework. Int J Soc Res Methodol 2005;8:19–32. 10.1080/1364557032000119616
    1. Peters M, Godfrey C, McInerney P, et al. . The Joanna Briggs Institute Reviewers' Manual 2015: Methodology for JBI Scoping Reviews. The Joanna Briggs Institute, 2015.
    1. Levac D, Colquhoun H, O'Brien KK. Scoping studies: advancing the methodology. Implement Sci 2010;5:69 10.1186/1748-5908-5-69
    1. Murray A, Daines L, Archibald D, et al. . The relationship and effects of golf on physical and mental health: a scoping review protocol. Br J Sports Med 2016;50:647–50. 10.1136/bjsports-2015-095914
    1. Broman G, Thomas P. Golf: Exercise for health and longevity. In Thomas PR, Ed. Optimising performance in golf. Australian Academic Press, 2001:149–63.
    1. Sabo D, Snyder M. Sports and fitness in the lives of working women golfers: an exploratory study. A special report prepared for the ladies professional golf association. A Special Summary Report Golf Summit, 1991.
    1. Shade CX. Teeing up for a healthy heart. Diabetes Self Manag 2011;28:28, 30-2.
    1. Global Observatory for Physical Activity. Country cards. Global Observatory for Physical Activity, 2016. (accessed Aug 2016).
    1. Giulianotti R, Robertson R. The globalization of football: a study in the glocalization of the ‘serious life’. Br J Sociol 2004;55:545–68. 10.1111/j.1468-4446.2004.00037.x
    1. Pluim BM, Miller S, Dines D, et al. . Sport science and medicine in tennis. Br J Sports Med 2007;41:703–4. 10.1136/bjsm.2007.040865
    1. World Rugby. World Rugby participation statistics. World Rugby, 2016. (accessed Aug 2016).
    1. Petrick J, Backman S, Bixler R, et al. . Analysis of golfer motivations and constraints by experience use history. J Leisure Res 2001;33:56–70.
    1. Thériault G, Lachance P. Golf injuries. An overview. Sports Med 1998;26:43–57. 10.2165/00007256-199826010-00004
    1. Kolt GS, Driver RP, Giles LC. Why older Australians participate in exercise and sport. J Aging Phys Act 2004;12:185–98. 10.1123/japa.12.2.185
    1. Hulteen RM, Lander NJ, Morgan PJ, et al. . Validity and reliability of field-based measures for assessing movement skill competency in lifelong physical activities: a systematic review. Sports Med 2015;45:1443–54. 10.1007/s40279-015-0357-0
    1. Hunt K, Ford G, Mutrie N. Is sport for all? Exercise and physical activity patterns in early and late middle age in the West of Scotland. Health Educ 2001;101:151–8.
    1. KPMG Golf Advisory Practice. Golf participation in Europe 2015. KPMG report, 2015.
    1. The Scottish Government. The Scottish Health Survey 2014. The Scottish Government, 2015.
    1. Hallal PC, Andersen LB, Bull FC, et al. . Global physical activity levels: surveillance progress, pitfalls, and prospects. Lancet 2012;380:247–57. 10.1016/S0140-6736(12)60646-1
    1. World Health Organisation. Global recommendations on physical activity for health. World Health Organisation, 2010.
    1. Four Home Countries’ Chief Medical Officers. Start active, stay active. A report on physical activity for health from the four home countries’ chief medical officers. Department of Health, 2011.
    1. US Department of Health and Human Services. 2008 physical activity guidelines for Americans. US Department of Health and Human Services, 2008.
    1. Tangen JO, Sunde A, Sageie J, et al. . In accordance with governmental recommendations—a study of golf and health. J Sports Sci 2013;1:15–25.
    1. O'Halloran P. Exercise prescription in health and disease. Faculty of Sports and Exercise Medicine, 2012.
    1. Ainsworth BE, Herrmann SD, Meckes N, et al. . 2011 compendium of physical activities: a second update of codes and MET values. Med Sci Sports Exerc 2011;43:1575–81. 10.1249/MSS.0b013e31821ece12
    1. Moy K, Scragg R, McLean G, et al. . Metabolic equivalent (MET) intensities of culturally-specific physical activities performed by New Zealanders. N Z Med J 2006;119:U2000.
    1. Hendelman D, Miller K, Baggett C, et al. . Validity of accelerometry for the assessment of moderate intensity physical activity in the field. Med Sci Sports Exerc 2000;32(9 Suppl):S442–9. 10.1097/00005768-200009001-00002
    1. Passmore R, Durnin JV. Human energy expenditure. Physiol Rev 1955;35:801–40.
    1. Lampley JH, Lampley PM, Howley ET. Caloric cost of playing golf. Res Q 1977;48:637–9.
    1. Dobrosielski DA, Brubaker PH, Berry MJ, et al. . The metabolic demand of golf in patients with heart disease and in healthy adults. J Cardiopulm Rehabil 2002;22:96–104. 10.1097/00008483-200203000-00008
    1. Bassett DR Jr, Ainsworth BE, Swartz AM, et al. . Validity of four motion sensors in measuring moderate intensity physical activity. Med Sci Sports Exerc 2000;32(9 Suppl):S471–80. 10.1097/00005768-200009001-00006
    1. Ikeda ER, Cooper L, Gulick P, et al. . The metabolic cost of carrying a single-versus double-strap golf bag. J Strength Cond Res 2008;22:974–7. 10.1519/JSC.0b013e31816f6f2e
    1. Taylor HL, Jacobs DR, Schucker B, et al. . A questionnaire for the assessment of leisure time physical activities. J Chronic Dis 1978;31:741–55. 10.1016/0021-9681(78)90058-9
    1. Zunzer SC, von Duvillard SP, Tschakert G, et al. . Energy expenditure and sex differences of golf playing. J Sports Sci 2013;31:1045–53. 10.1080/02640414.2013.764465
    1. Dear JB, Porter MM, Ready AE. Energy expenditure during golfing and lawn mowing in older adult men. J Aging Phys Act 2010;18:185–200. 10.1123/japa.18.2.185
    1. Gabellieri JM. The physiological demands of walking during golf [M.S.]. Ann Arbor: University of Rhode Island, 2011.
    1. Haisman MF, Winsmann FR, Goldman RF. Energy cost of pushing loaded handcarts. J Appl Physiol 1972;33:181–3.
    1. Crowell B. Energy cost of participation in golf as determined by telemetry. ProQuest Dissertations Publishing, 1970.
    1. McGill S. A determination of the energy cost of golf during play. ProQuest Dissertations Publishing, 1963.
    1. Murase Y, Kamei S, Hoshikawa T. Heart rate and metabolic responses to participation in golf. J Sports Med Phys Fitness 1989;29:269–72.
    1. Loy SF. The effect of the game of golf on cardiopulmonary fitness of middle-aged men. Northridge: California State University, 1979.
    1. Burkett LN, von Heijne-Fisher U. Heart rate and calorie expenditure of golfers carrying their clubs and walking flat and hilly golf courses. Int Sports J 1998;2:78–85.
    1. Getchell LH. Energy cost of playing golf. Arch Phys Med Rehabil 1968;49:31–5.
    1. Parkkari J, Natri A, Kannus P, et al. . A controlled trial of the health benefits of regular walking on a golf course. Am J Med 2000;109:102–8.
    1. Ludlum D, Henry S, Iwaskewcz M, et al. . Energy expenditure and cardiovascular responses to golf: walking vs riding. American College of Sports Medicine Conference—abstract, 2014.
    1. Lyerly G, Epton H, Fitzsimmons K, et al. . Golf: the effect of walking versus riding on energy expenditure. American College of Sports Medicine South East Conference—abstract, 2011.
    1. Kobriger SL, Smith J, Hollman JH, et al. . The contribution of golf to daily physical activity recommendations: how many steps does it take to complete a round of golf? Mayo Clin Proc 2006;81:1041–3. 10.4065/81.8.1041
    1. Sanders CM, Broker JP, Berning JR, et al. . The relationship between golf and walking benefits: a pedometer-based exercise assessment. Med Sci Sports Exerc 2007;39:S384 10.1249/01.mss.0000274510.86518.f5
    1. Lane AM, Jarrett H. Mood changes following golf among senior recreational players. J Sports Sci Med 2005;4:47–51.
    1. Dear JB. Determining energy expenditure during golf and lawn-mowing in older adult males: sufficient for health? Proquest Dissertation Publishing, 2005.
    1. Lyerly GW, Meyler T, Fitzsimmons K, et al. . Golf: the effect of walking versus utilizing a pull-cart on cardiovascular responses. American College of Sports Medicine South East Conference—abstract, 2011.
    1. Fitzsimmons K, Lyerly GW, Beam S, et al. . Acute cardiovascular responses to playing golf: walking versus riding. American College of Sports Medicine South East Conference—abstract, 2014.
    1. Broman G, Johnsson L, Kaijser L. Golf: a high intensity interval activity for elderly men. Aging Clin Exp Res 2004;16:375–81. 10.1007/BF03324567
    1. Stauch M, Liu Y, Giesler M, et al. . Physical activity level during a round of golf on a hilly course. J Sports Med Phys Fitness 1999;39:321–7.
    1. Kras J, Larsen B. A comparison of the health benefits of walking and riding during a round of golf. Int Sports J 2002;6:112–16.
    1. Getchell L. An analysis of the effects of a season of golf on selected cardiovascular, metabolic, and muscular fitness measures on middle-aged men and the caloric cost of golf. ProQuest Dissertations Publishing, 1965.
    1. Tsang WW, Hui-Chan CW. Static and dynamic balance control in older golfers. J Aging Phys Act 2010;18:1–13. 10.1123/japa.18.1.1
    1. Tsang WW, Hui-Chan CW. Effects of exercise on joint sense and balance in elderly men: Tai Chi versus golf. Med Sci Sports Exerc 2004;36:658–67. 10.1249/01.MSS.0000122077.87090.2E
    1. Martínez-Bustelo S, Brown S, Warner M, et al. . Between-side symmetry of quadriceps thickness using ultrasound imaging in female golfers and non-golfers aged over 80 years. Conference proceeding, Osteoarthritis Research Society International 2016 World Congress—abstract, 2016.
    1. Gao KL, Hui-Chan CW, Tsang WW. Golfers have better balance control and confidence than healthy controls. Eur J Appl Physiol 2011;111:2805–12. 10.1007/s00421-011-1910-7
    1. Sell TC, Tsai YS, Smoliga JM, et al. . Strength, flexibility, and balance characteristics of highly proficient golfers. J Strength Cond Res 2007;21:1166–71.
    1. Dorado C, Sanchis Moysi J, Vicente G, et al. . Bone mass, bone mineral density and muscle mass in professional golfers. J Sports Sci 2002;20:591–7. 10.1080/026404102320183149
    1. Sedentary Behaviour Research Network. Standardized use of the terms “sedentary” and “sedentary behaviours”. Appl Physiol Nutr Metab 2012;37:540–2.
    1. Hansen H, Gauthier R. The professional golf product: spectators’ views. Sport Market Q 1994;3:9–16.
    1. Hansen H, Gauthier R. Spectators’ views of LPGA golf events. Sport Market Q 1993;2:17–25.
    1. Lyu SO, Lee H. Market segmentation of golf event spectators using leisure benefits. J Trav Tourism Market 2013;30:186–200. 10.1080/10548408.2013.774913
    1. Farahmand B, Broman G, de Faire U, et al. . Golf: a game of life and death—reduced mortality in Swedish golf players. Scand J Med Sci Sports 2009;19:419–24. 10.1111/j.1600-0838.2008.00814.x
    1. Lee IM, Sesso HD, Oguma Y, et al. . The “weekend warrior” and risk of mortality. Am J Epidemiol 2004;160:636–41. 10.1093/aje/kwh274
    1. Coate D, Schwenkenberg J. Survival function estimates for champions tour golfers. J Sports Econ 2013;14:656–63. 10.1177/1527002512451583
    1. Wen CP, Wai JP, Tsai MK, et al. . Minimum amount of physical activity for reduced mortality and extended life expectancy: a prospective cohort study. Lancet 2011;378:1244–53. 10.1016/S0140-6736(11)60749-6
    1. Yang PF. A comparison of self-reported health conditions and exercise habits among middle aged male golfers in southern Alabama [D.S.M.]. Ann Arbor: United States Sports Academy, 2008.
    1. Palank EA, Hargreaves EH Jr. The benefits of walking the golf course. Phys Sportsmed 1990;18:77–80. 10.1080/00913847.1990.11710155
    1. Unverdorben M, Kolb M, Bauer I, et al. . Cardiovascular load of competitive golf in cardiac patients and healthy controls. Med Sci Sports Exerc 2000;32:1674–8. 10.1097/00005768-200010000-00002
    1. Unverdorben M, Bauer U, Bauer I, et al. . Golf in the rehabilitation of cardiac patients. Herz Kreislauf 1998;30:99–102.
    1. The Editor. Therapeutic golf puts patients back in the swing. Hosp Peer Rev 1995;20:58–60.
    1. Lemaitre RN, Siscovick DS, Raghunathan TE, et al. . Leisure-time physical activity and the risk of primary cardiac arrest. Arch Intern Med 1999;159:686 10.1001/archinte.159.7.686
    1. Fujiwara M, Asakuma S, Nakamura K, et al. [Acute myocardial infarction during sport]. J Cardiol 1995;26:213–17.
    1. Quigley F. A survey of the causes of sudden death in sport in the Republic of Ireland. Br J Sports Med 2000;34:258–61. 10.1136/bjsm.34.4.258
    1. Ragosta M, Crabtree J, Sturner WQ, et al. . Death during recreational exercise in the State of Rhode Island. Med Sci Sports Exerc 1984;16:339–42. 10.1249/00005768-198408000-00003
    1. Reed DB, Birnbaum A, Brown LH, et al. . Location of cardiac arrests in the public access defibrillation trial. Prehosp Emerg Care 2006;10:61–76. 10.1080/10903120500366128
    1. Eckstein M. The Los Angeles public access defibrillator (PAD) program: ten years after. Resuscitation 2012;83:1411–12. 10.1016/j.resuscitation.2012.03.029
    1. Lucas J, Davila AA, Waninger KN, et al. . Cardiac arrest on the links: are we up to par? Availability of automated external defibrillators on golf courses in southeastern Pennsylvania. Prehosp Disaster Med 2006;21:112–14.
    1. Muraoka H, Ohishi Y, Hazui H, et al. . Location of out-of-hospital cardiac arrests in Takatsuki City: where should automated external defibrillator be placed. Circ J 2006;70:827–31. 10.1253/circj.70.827
    1. Choi MH, Hong JM, Lee JS, et al. . Preferential location for arterial dissection presenting as golf-related stroke. AJNR Am J Neuroradiol 2014;35:323–6. 10.3174/ajnr.A3768
    1. Brown S, Samuel D, Agyapong-Badu S, et al. . Age related differences in lung function between female recreational golfers and less active. Proceedings of the World Scientific Congress on Golf, 2016. (in press).
    1. Weisgerber M, Webber K, Meurer J, et al. . Moderate and vigorous exercise programs in children with asthma: safety, parental satisfaction, and asthma outcomes. Pediatr Pulmonol 2008;43:1175–82. 10.1002/ppul.20895
    1. Downs N, Parisi A, Schouten P. Basal and squamous cell carcinoma risks for golfers: an assessment of the influence of tee time for latitudes in the Northern and Southern hemispheres. J Photochem Photobiol B 2011;105:98–105. 10.1016/j.jphotobiol.2011.07.007
    1. Downs NJ, Schouten PW, Parisi AV, et al. . Measurements of the upper body ultraviolet exposure to golfers: non-melanoma skin cancer risk, and the potential benefits of exposure to sunlight. Photodermatol Photoimmunol Photomed 2009;25:317–24. 10.1111/j.1600-0781.2009.00472.x
    1. Gurrea Ysasi G, Moreno JC, Serrano MA. Ultraviolet erythematic radiation dose received by golfers in winter, in Valencia. Photochem Photobiol 2014;90:1170–3. 10.1111/php.12295
    1. Sung H, Slocum AC. UV radiation exposure to body sites of golfers and effects of clothing. Fam Consum Sci Res J 2006;34:386–400. 10.1177/1077727X06286416
    1. Sung H. Golfers’ UV exposure, health beliefs and practices, and intention to adopt UV protective clothing. Ann Arbor: Michigan State University, 2003.
    1. Hanke CW, Zollinger TW, O'Brian JJ, et al. . Skin cancer in professional and amateur female golfers. Phys Sportsmed 1985;13:51–68. 10.1080/00913847.1985.11708857
    1. Shuliak-Wills L, Navarro K. A community intervention plan to prevent skin cancer in male golfers. Can Oncol Nurs J 2000;10:109–11.
    1. Goto S, Ishima M, Shimizu M, et al. . A longitudinal study for femoral neck bone mineral density increases in premenopausal caddies using dual-energy X-ray absorptiometry. J Bone Miner Metab 2001;19:125–30. 10.1007/s007740170051
    1. Hoshino H, Kushida K, Yamazaki K, et al. . Effect of physical activity as a caddie on ultrasound measurements of the Os calcis: a cross-sectional comparison. J Bone Miner Res 1996;11:412–18. 10.1002/jbmr.5650110316
    1. McHardy A, Pollard H, Luo K. One-year follow-up study on golf injuries in Australian amateur golfers. Am J Sports Med 2007;35:1354–60. 10.1177/0363546507300188
    1. McHardy A, Pollard H. The epidemiology of golf-related injuries in Australian amateur golfers. Med Sci Sports Exerc 2006;38:S350 10.1249/00005768-200605001-01491
    1. Lee H-J, Yong-Seok J. Golf and injury incidence in recreational golfers: a retrospective study. J Convergence Inf Technol 2013;8:522.
    1. Eisenhart C, Fradkin A. To practice or to play: is golf participation associated with an increased risk of injury? Med Sci Sports Exerc 2011;43:357 10.1249/MSS.0b013e3181ed61a3
    1. Fradkin AJ, Windley TC, Myers JB, et al. . Describing the epidemiology and associated age, gender and handicap comparisons of golfing injuries. Int J Inj Contr Saf Promot 2007;14:264–6. 10.1080/17457300701722585
    1. Fradkin AJ, Cameron PA, Gabbe BJ. Golf injuries—common and potentially avoidable. J Sci Med Sport 2005;8:163–70. 10.1016/S1440-2440(05)80007-6
    1. Theriault G, Lacoste E, Gadoury M, et al. . Golf injury characteristics: a survey from 528 golfers. Med Sci Sports Exerc 1996;28:65 10.1097/00005768-199605001-00389
    1. Gosheger G, Liem D, Ludwig K, et al. . Injuries and overuse syndromes in golf. Am J Sports Med 2003;31:438–43.
    1. McCarroll JR, Rettig AC, Shelbourne KD. Injuries in the amateur golfer. Phys Sportsmed 1990;18:122–6. 10.1080/00913847.1990.11709999
    1. Nicholas JJ, Reidy M, Oleske DM. An epidemiologic survey of injury in golfers. J Sport Rehabil 1998;7:112–21. 10.1123/jsr.7.2.112
    1. Parkkari J, Kannus P, Natri A, et al. . Active living and injury risk. Int J Sports Med 2004;25:209–16. 10.1055/s-2004-819935
    1. Barclay C, West S, Shoaib Q, et al. . Injuries patterns among professional golfers: an international survey. Br J Sports Med 2011;45:e1 10.1136/bjsm.2010.081554.12
    1. McCarroll JR, Gioe TJ. Professional golfers and the price they pay. Phys Sportsmed 1982;10:64–8.
    1. McCarroll JR. The frequency of golf injuries. Clin Sports Med 1996;15:1–7.
    1. Fradkin AJ, Windley TC, Myers JB, et al., eds Describing the warm-up habits of recreational golfers and the associated injury risk. Science and Golf V Proceedings of the Fifth World Scientific Congress of Golf. Mesa: (AZ: ): Energy in Motion, 2008.
    1. Fradkin AJ, Finch CF, Sherman CA. Warm-up attitudes and behaviours of amateur golfers. J Sci Med Sport 2003;6:210–15. 10.1016/S1440-2440(03)80256-6
    1. Fradkin AJ, Finch CF, Sherman CA. Warm up practices of golfers: are they adequate? Br J Sports Med 2001;35:125 10.1136/bjsm.35.2.125
    1. Versteegh TH, Vandervoort AA, Lindsay DM, et al. . Fitness, performance and injury prevention strategies for the senior golfer. Int J Sports Sci Coach 2008;3:199–214. 10.1260/174795408785024162
    1. Dhillon M, Singh S, Dhillon H, et al. . Epidemiology of golf related musculo-skeletal injuries. Indian J Orthop 2006;40:188–90. 10.4103/0019-5413.34491
    1. Smith MF, Hillman R. A retrospective service audit of a mobile physiotherapy unit on the PGA European Golf Tour. Phys Ther Sport 2012;13:41–4. 10.1016/j.ptsp.2010.09.001
    1. Sherman CA, Finch CF. Preventing injuries to competitive and recreational adult golfers: what is the evidence? J Sci Med Sport 2000;3:65–78. 10.1016/S1440-2440(00)80049-3
    1. Meira EP, Brumitt J. Minimizing injuries and enhancing performance in golf through training programs. Sports Health 2010;2:337 10.1177/1941738110365129
    1. Jacobson JA, Miller BS, Morag Y. Golf and racquet sports injuries. Semin Musculoskelet Radiol 2005;9:346–59. 10.1055/s-2005-923379
    1. Hawkes R, O'Connor P, Campbell D. The prevalence, variety and impact of wrist problems in elite professional golfers on the European Tour. Br J Sports Med 2013;47:1075–9. 10.1136/bjsports-2012-091917
    1. Batt ME. A survey of golf injuries in amateur golfers. Br J Sports Med 1992;26:63–5. 10.1136/bjsm.26.1.63
    1. Fountas KN, Kapsalaki EZ, Machinis TG, et al. . Pediatric golf-related head injuries. Childs Nerv Syst 2006;22:1282–7. 10.1007/s00381-006-0077-8
    1. Fradkin AJ, Cameron PA, Gabbe BJ. Children's misadventures with golfing equipment. Int J Inj Contr Saf Promot 2005;12:201–3. 10.1080/17457300500088972
    1. Brian R, Glazer G. Taming the little tigers. Golf-related head injuries in children. Adv Nurse Pract 2005;13:59–60, 62.
    1. Finch C, Sherman C, James T. The epidemiology of golf injuries in Victoria, Australia: evidence from sports medicine clinics and emergency department presentations. Science and golf III: proceedings of the 1998 World Scientific Congress of Golf Human Kinetics, 1999:73–82.
    1. Vitale MA, Mertz KJ, Gaines B, et al. . Morbidity associated with golf-related injuries among children: findings from a pediatric trauma center. Pediatr Emerg Care 2011;27:11–12. 10.1097/PEC.0b013e3182037c9a
    1. Rahimi SY, Singh H, Yeh DJ, et al. . Golf-associated head injury in the pediatric population: a common sports injury. J Neurosurg 2005;102(2 Suppl):163–6. 10.3171/jns.2005.102.2.0163
    1. McGuffie AC, Fitzpatrick MO, Hall D. Golf related head injuries in children: the little tigers. Scott Med J 1998;43:139–40.
    1. Brennan PO. Golf related head-injuries in children. BMJ 1991;303:54 10.1136/bmj.303.6793.54-b
    1. Lindsay KW, McLatchie G, Jennett B. Serious head injury in sport. Br Med J 1980;281:789–91. 10.1136/bmj.281.6243.789
    1. Wang A, Cohen AR, Robinson S. The “swing-ding”: a golf-related head injury in children. J Neurosurg Pediatr 2011;7:111–15. 10.3171/2010.10.PEDS10283
    1. Delilbasi C, Yamazawa M, Nomura K, et al. . Maxillofacial fractures sustained during sports played with a ball. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2004;97:23–7. 10.1016/j.tripleo.2003.10.008
    1. Rosenow JM, Hahn MS, Moore KD, et al. . Pediatric cranial golf injuries—an emerging contemporary phenomenon? Surg Neurol 1998;50:608.
    1. Cherington M, Vervalin C. Lightning injuries—who is at greatest risk? Phys Sportsmed 1990;18:58–61. 10.1080/00913847.1990.11710113
    1. Cherington M. Lightning injuries in sports: situations to avoid. Sports Med 2001;31:301–8. 10.2165/00007256-200131040-00004
    1. Zack F, Raphael T, Kupfer J, et al. . Four fatalities due to lightning on a golf course. Rechtsmedizin 2013;23:114–18. 10.1007/s00194-013-0870-0
    1. Watson DS, Mehan TJ, Smith GA, et al. . Golf cart-related injuries in the U.S. Am J Prev Med 2008;35:55–9. 10.1016/j.amepre.2008.03.029
    1. McGwin G Jr, Zoghby JT, Griffin R, et al. . Incidence of golf cart-related injury in the United States. J Trauma 2008;64:1562–6. 10.1097/TA.0b013e3181238d39
    1. Tung MY, Hong A, Chan C. Golf buggy related head injuries. Singapore Med J 2000;41:504–5.
    1. Miller BL, Waller JL, McKinnon BJ. Craniofacial injuries due to golf cart trauma. Otolaryngol Head Neck Surg 2011;144:883–7. 10.1177/0194599810396790
    1. Kruger J, Bowles HR, Jones DA, et al. . Health-related quality of life, BMI and physical activity among US adults (>/=18 years): National Physical Activity and Weight Loss Survey, 2002. Int J Obes (Lond) 2006;31:321 10.1038/sj.ijo.0803386
    1. Das P, Horton R. Rethinking our approach to physical activity. Lancet 2012;380:189–90. 10.1016/S0140-6736(12)61024-1
    1. Carless D, Douglas K. A golf programme for people with severe and enduring mental health problems. J Publ Ment Health 2004;3:26–39. 10.1108/17465729200400026
    1. Belanger LJ, Plotnikoff RC, Clark AM, et al. . Prevalence, correlates, and psychosocial outcomes of sport participation in young adult cancer survivors. Psychol Sport Exerc 2013;14:298–304. 10.1016/j.psychsport.2012.10.010
    1. Adatto C. On play and the psychopathology of golf. J Am Psychoanal Assoc 1964;12:826–41. 10.1177/000306516401200408
    1. Paul JF. The experience of playing golf: a heuristic psychological study. Diss Abstr Int 1991;51:5586.
    1. Walker HJ. An investigation into the personal meaning of golf [Ph.D.]. Ann Arbor: The Ohio State University, 1989.
    1. Austin M. Constructing the active-body: a sociological investigation [Ph.D.]. Ann Arbor: Oxford Brookes University (United Kingdom), 2003.
    1. Beard DS. Psychological factors impeding older men from returning to recreational golf after knee joint replacement surgery [Ph.D.]. Ann Arbor: Capella University, 2007.
    1. Berlin KL, Klenosky DB. Let Me Play, Not Exercise! A laddering study of older women's motivations for continued engagement in sports-based versus exercise-based leisure time physical activities. J Leisure Res 2014;46:127–52.
    1. Cann AP, Vandervoort AA, Lindsay DM. Optimizing the benefits versus risks of golf participation by older people. J Geriatr Phys Ther 2005;28:85–92. 10.1519/00139143-200512000-00004
    1. Kleiber DA. Redeeming leisure in later life. Positive leisure science: from subjective experience to social contexts. Springer Science + Business Media, 2013:21–38.
    1. Hoberty RJ, Craig MW. “Living up to par”—a golf tournament for persons with COPD. Respir Care 1983;28:1480–3.
    1. Kim K, Compton DM, Robb GM. Increasing the self-efficacy of individuals with a disability through a theory-based curriculum applied to playing golf. Int J Disabil Hum Dev 2011;10:151–7.
    1. Ekeland E, Heian F, Hagen KB, et al. . Can exercise improve self esteem in children and young people? A systematic review of randomised controlled trials. Br J Sports Med 2005;39:792–8; discussion 792–8.
    1. Weiss MR, Stuntz CP, Bhalla JA, et al. . ‘More than a game’: impact of The First Tee life skills programme on positive youth development: project introduction and Year 1 findings. Qual Res Sport Exer Health 2013;5:214–44. 10.1080/2159676X.2012.712997
    1. Pham MT, Rajić A, Greig JD, et al. . A scoping review of scoping reviews: advancing the approach and enhancing the consistency. Res Synth Methods 2014;5: 371–85. 10.1002/jrsm.1123
    1. Murray A, Daines L, Archibald D, et al. . Infographic. Golf and health. Br J Sports Med 2017;51:13–4. 10.1002/jrsm.1123

Source: PubMed

3
Prenumerera