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Understanding the Benefits, Safety, and Efficacy of Creatine Supplementation

Explore the well-researched advantages of creatine, including enhanced muscle performance, power, cognitive benefits, and its safety profile. Learn about creatine’s impact on exercise, recovery, and potential for combating age-related muscle loss.


  • Creatine

  • Creatine is a widely researched supplement known primarily for its benefits in enhancing exercise performance and training adaptations.

    Benefits of Creatine Supplementation

    1. Increase in Muscle Phosphocreatine (PCr) Stores:

      • Short-term supplementation increases muscle creatine and phosphocreatine stores by 10-40%123.
    2. Enhanced Strength and Power:

      • Improves maximal power and strength by 5-15%, which enhances performance in short-duration, high-intensity exercises124.
    3. Improved Exercise Performance:

      • Enhances work performed during repeated sprint performance by 5-15%, and single-effort sprint performance by 1-5%12.
    4. Increased Muscle Mass and Training Adaptations:

      • When combined with resistance training, creatine promotes greater gains in strength, fat-free mass, and muscle morphology456.
    5. Faster Recovery:

      • Reduces muscle damage and speeds up recovery time between bouts of intense exercise67.
    6. Potential Cognitive Benefits:

      • Research suggests creatine supplementation may have effects beyond muscle, potentially influencing brain creatine, cognitive processing, and mitigating effects of traumatic brain injury89.
    7. Sarcopenia and Muscular Atrophy:

      • Creatine may help combat muscle loss (sarcopenia) in the elderly910.

    Safety and Efficacy

    • Well-Studied Ergogenic Aid:
      • Creatine monohydrate is one of the most studied and supported ergogenic aids, shown to have minimal to no side effects in various populations, including athletes, recreational performers, and the elderly711.
    • Accepted as Safe:
      • Despite concerns regarding long-term safety and varied population responses, short-term usage is widely regarded as safe511.

    Footnotes

    1. Richard B. Kreider, "Effects of creatine supplementation on performance and training adaptations," PubMed 2 3

    2. Benjamin Wax, "Creatine for Exercise and Sports Performance, with Recovery Considerations for Healthy Populations," NCBI 2 3

    3. Robert Cooper, "Creatine supplementation with specific view to exercise/sports performance: an update," NCBI

    4. Richard B. Kreider, "Creatine in Health and Disease," NCBI 2

    5. Richard B. Kreider, "International Society of Sports Nutrition position stand: safety and efficacy of creatine supplementation in exercise, sport, and medicine," NCBI 2

    6. Shih-Hao Wu, "Creatine Supplementation for Muscle Growth," NCBI 2

    7. Scott C. Forbes, "Creatine supplementation and endurance performance," NCBI 2

    8. E. Dolan et al., "Beyond muscle: The effects of creatine supplementation on brain creatine, cognitive processing, and traumatic brain injury," PubMed

    9. E. Dolan et al., "Muscular Atrophy and Sarcopenia in the Elderly: Is There a Role for Creatine Supplementation?" NCBI 2

    10. A. Stares et al., "The Additive Effects of Creatine Supplementation and Exercise Training in an Aging Population," PubMed

    11. T.W. Buford et al., "Creatine supplementation and exercise," PMC 2

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