Does it REALLY Work?

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T H E    E F F I C A C Y   A N D    S A F E T Y    O F    C R E A T I N E    M O N O H Y D R A T E
C R E A T E D    B Y    J O H N    H E T T I A R A C H C H Y,  2003

Updated by Peter Hession, 2006

 

 

Background
How does it Work?
Does it Work?
Does it REALLY Work?
Adverse Effects
References

Despite the abundance of research that indicates that creatine supplementation is effective at increasing lean body mass and strength, there is also a lot of evidence which seem to contradict these claims.

Creatine may not offer fatigue resistance: In their double-blinded placebo controlled study of 32 individuals using 20 g/d x 1 week loading followed by 5 g/d for 8 weeks, Stevenson and Dudley found that creatine-supplemented subjects who were allowed to exercise their quadriceps muscles to their liking while receiving standardized electromyostimulation (EMS) therapy did not demonstrate significantly greater gains in size of muscle (measured by MRI) or strength as compared to their placebo-controlled counterparts. They conclude that creatine supplementation doesn't augment the hypertrophic or mechanical responses to an accurately measured conditioning stimulus (EMS). They suggest that enhanced fatigue resistance doesn't explain the the beneficial effects of creatine supplementation because muscle growth and fatigue resistance were not augmented in the creatine group.

Creatine may act primarily as a substrate for polypeptide synthesis: In their study, Tarnopolsky et al. argue that current creatine research is somewhat inadequate because of a lack of proper controls. They designed a study in which 23 participants received 10 g creatine and 75 g glucose, 10 g casein protein and 75 g glucose, or simply glucose for 8 weeks by double-blinded allocation. They were allowed to follow their own exercise plans. After the 8-week period, muscle biopsies did confirm that the creatine-supplemented group had a higher total creatine concentration than the protein-glucose or control groups. However, the creatine-glucose and protein-glucose groups did experience similar statistically significant increases in strength in various exercises as compared to the control group. In addition, the creatine-glucose and protein-glucose groups also had identical increases in muscle fiber diameter. The only difference between the two groups was that the creatine-glucose group had an increase in fat-free mass, which the authors attributed to an increase in the total body water content. The authors conclude that there were similar increases in strength and muscle fiber area between the creatine-glucose and protein-glucose groups.

Creatine may be ineffective in short-term anaerobic running: An article by Edwards, et al. reports that 21 moderately active males who received either 20 g/d x 6 days or placebo, which was assigned in a double-blinded manner, demonstrated that creatine supplementation did not help to increase performance during an anaerobic speed test, in which they had to run 8 mph up a 20% grade.


© 2003 John Hettiarachchy