Blood Glucose Response During a 9-Hole Round of Golf for Collegiate Golfers Original Research

Main Article Content

Kaela M Hierholzer https://orcid.org/0009-0003-3930-7499
Suzanne M Bowser

Keywords

performance, nutrition, sports

Abstract

Introduction: Competitive golf places substantial physical and cognitive demands on athletes. Prolonged walking, explosive movements, environmental stressors, and mental focus contribute to significant energy expenditure and fatigue during competition. Nutrition plays a critical role in supporting both physical performance and cognitive function. Maintaining stable blood glucose levels is especially important to performance, as fluctuations may impair endurance, decision making, and concentration. Therefore, the purpose of this study was to examine blood glucose responses in collegiate golfers during a 9-hole round of golf.


Methods: Age, height, and weight were collected using a scale and stadiometer. All participants played 9 holes of golf while walking. Prior to the round of golf, participants completed a modified 24-hour food recall and a baseline blood glucose measurement. During the round, the participants were instructed to only consume water; blood glucose was collected after the completion of every hole.


Results: Blood glucose levels declined progressively across the 9-hole round, with an average decrease of 9.2 mg/dL from baseline (91.6 ± 17.7 mg/dL) to post round (82.4 ± 9.1 mg/dL). Mean blood glucose decreased by approximately 0.95 mg/dL per hole (p < 0.001), with significant variation across holes and between individuals. Linear mixed effects modeling revealed a significant effect of hole on blood glucose (p < 0.001), with over half of the total variance attributable to between participant differences (ICC = 0.545).


Conclusions: These findings highlight the need for individualized nutritional strategies to support golf performance. Collaborative, athlete specific nutrition approaches aimed at maintaining stable blood glucose levels may be essential for sustaining physical and cognitive performance throughout competitive play.

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References

1. Read PJ, Lloyd RS. Strength and conditioning considerations for golf. Strength Cond J. 2014;36(5):10-22.
2. Sahlin K. Muscle energetics during explosive activities. Sports Med. 2014;44(suppl 2):S167-S173. doi:10.1007/s40279-014-0256-9.
3. Stevenson EJ, Hayes PR, Allison SJ. Effect of a carbohydrate-caffeine sports drink on simulated golf performance. Appl Physiol Nutr Metab. 2009;34(4):681-688.
4. Hierholzer K, Salacinski A, Chomentowski III P, Broeder C. Energy Expenditure of Collegiate Golfers in a Competitive Setting. Am J Sports Sci. 2018;6(4):144-156. doi: 10.11648/j.ajss.20180604.13.
5. Kasper AM, O’Donnell A, Langan-Evans C, et al. Assessment of activity energy expenditure during competitive golf. Eur J Sport Sci. 2023;23(3):330-337. doi:10.1080/17461391.2022.2036817.
6. Febbraio MA. Alterations in energy metabolism during exercise and heat stress. Sports Med. 2001;31(1):47-59. doi:10.2165/00007256-200131010-00004.
7. Dewhurst C, Day J, Challis LJ, Jones H, Cardiff K. Regulation of body temperature during exercise in heat in children and adolescents. Sports (Basel). 2023;11(11):216. doi:10.3390/sports11110216.
8. Murray AD, Daines L, Archibald D, et al. The relationships between golf and health: a scoping review. Br J Sports Med. 2017;51:12-19. doi:10.1136/bjsports-2016-096625.
9. Pan X, Soh KG, Jaafar WMW, et al. Mental fatigue in golf: a systematic review. PLoS One. 2025;20(2):e0310403. doi:10.1371/journal.pone.0310403.
10. Berlin N, Cooke MB, Belski R. Nutritional considerations for elite golf: a narrative review. Nutrients. 2023;15(19):4116. doi:10.3390/nu15194116.
11. Smith MF. The role of physiology in the development of golf performance. Sports Med. 2010;40:635-655. doi:10.2165/11532920-000000000-00000.
12. Nagashima Y, Ehara K, Ehara Y, et al. High-carbohydrate energy intake during a round of golf. Nutrients. 2024;16(23):4120. doi:10.3390/nu16234120.
13. Costill DL, Hargreaves M. Carbohydrate nutrition and fatigue. Sports Med. 1992;13(2):86-92. doi:10.2165/00007256-199213020-00003.
14. McCardle W, Katch F, Katch V. Exercise Physiology: Nutrition, Energy, and Human Performance. 9th ed. Wolters Kluwer; 2023.
15. Kemperman ADAM, Timmermans HJP. Influence of socio-demographics and residential environment on leisure activity participation. Leisure Sci. 2008;30:306-324. doi:10.1080/01490400802165099.
16. NCAA. NCAA sports timeline—1980s (women). Accessed November 3, 2025. https://www.ncaa.org/sports/2021/6/14/timeline-1980s.aspx.
17. Broman G, Johnsson L, Kaijser L. Golf: a high intensity interval activity for elderly men. Aging Clin Exp Res. 2004;16(5):375-381. doi:10.1007/BF03324567.
18. Zeevi D, et al. Personalized nutrition by prediction of glycemic responses. Cell. 2015;163(5):1079-1094. doi:10.1016/j.cell.2015.11.001.
19. Berry SE, et al. Human postprandial responses to food and potential for personalized nutrition. Nat Med. 2020;26(6):964-973. doi:10.1038/s41591-020-0934-0.
20. DeCouto BS, Cowan RL, Fawver B, et al. Nationality and sociocultural factors influence athlete development and sport outcomes. J Sports Sci. 2021;39(10):1153-1163. doi:10.1080/02640414.2020.1861739.
21. Thomas DT, Erdman KA, Burke LM. American College of Sports Medicine joint position statement. Med Sci Sports Exerc. 2016;48(3):543-568. doi:10.1249/MSS.0000000000000852.
22. Flockhart M, Larsen FJ. Continuous glucose monitoring in endurance athletes. Sports Med. 2024;54:247-255. doi:10.1007/s40279-023-01910-4.
23. Nagashima Y, Ito Y, Mineo S, et al. Association between carbohydrate intake during golf rounds in Japanese elite junior golfers. Int J Golf Sci. 2024;12(1).
24. Burke LM, Hawley JA, Wong SHS, Jeukendrup AE. Carbohydrates for training and competition. J Sports Sci. 2011;29(suppl 1):S17-S27. doi:10.1080/02640414.2011.585473.