Does it Work?

Home • AltMed Home • Search

 

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

There is a tremendous amount of anecdotal evidence surrounding the efficacy of creatine monohydrate. In fact, it would be virtually impossible to find a patron of an exercise facility who doesn't know someone who is using creatine.

Formal research on creatine only started in the 1990's. Unfortunately, there is some conflicting evidence among various research studies. In their article, Stevenson and Dudley explain that performing research on creatine users is difficult because they use different training protocols, they must be convinced for the duration of the study that switching protocols won't harm their training, and, "At best, this reduces the subject pool; at worst one studies poorly motivated trainees."

Research Studies

Increases in strength: One double-blinded placebo controlled study was conducted over 9 weeks on 25 NCAA Division I redshirt football players using 20 g/d loading doses x 5 days followed by 5 g/d for the duration of the study (Bemben et al.). This study indicates that there were significant increases in body weight (3.5%) and lean body mass (3.8%) in the creatine-supplemented group, while the control group had no significant gains. However, this gain in lean body mass was accounted for by a concomittant increase in total body water (average of 3.2 L). This study does demonstrate a greater increase in strength in creatine-supplemented athletes, measured by bench press and squat 1-rep max, which is statistically significant. The authors suggest that these gains may be due to quicker resynthesis of ATP after short-term exercise, allowing higher-quality bouts of exercise.

Another study of 19 handball players indicates that short-term creatine supplementation (20 g/d x 5 d) improved lower body maximal strength and total repetitions performed until fatigue during bench press and half-squat exercises (Izquierdo et al.). However, it had no effects on performance of endurance running exercises.

Assistance in short-duration, explosive activities: Burke et al. report in their double-blinded placebo controlled study designed to measure specific indices of strength gain in 41 men receiving 7.7 g/d x 21 days that creatine-supplemented subjects performed more total work until fatigue, had significantly greater improvements in peak force and power, and maintained elevated mean peak power for a longer period of time. They conclude that creatine supplementation assists in short-duration, high-intensity activities.

Enhanced sprint performance:  Mujika et al. and Jones et al. report in separate double-blinded placebo controlled studies that 5 g/d for 6 days and 10 weeks, respectively, enhanced athletes' performance in 15-second sprints and limited decay in jumping ability.

Use in improving quality of life in elderly: Another double-blinded placebo controlled study postulated that one week of creatine supplementation could increase strength and improve the quality of life in normally active older men, aged 59-72 (Gotshalk et al.). Strength was tested with 1-rep maximum bench and leg presses, knee extension and flexion, and sprints. Their data suggests that creatine increased all indices of muscle performance, and may be a useful strategy to attenuate loss of strength and performance of functional living tasks in older adults.

Efficacy in women: Brenner et al. report in their double-blinded placebo controlled study of f16 female lacrosse players using 20 g/d x 7 days loading and 2 g/d x 4 weeks that there was significant upper body strength gain and decreased body fat.

Efficacy in highly trained athletes: O'Conner et al. studied the effects of six weeks of creatine monohydrate supplementation (3grams/day) on aerobic and anaerobic performance of highly trained rugby players. They found that there was no statistical significance in their performance before and after the six week study.

Effect on body composition and performance measures:  Lehmkuhl et al. studied the effects of eight weeks of creatine monohydrate supplementation on collegiate track athletes. They found that creatine  significantly increase body mass, lean body mass, and initial rate of power production during multiple cycle ergometer bouts.

Creatine's effect on body weight and percent body fat: Kutz et al. stuided the effects of four weeks of creatine supplementation on total body water, body water content, percent body fat and daily caloric intake in 17 active males. They found a significant increase in total body water and body water content. There was no significant change in percent body fat or daily caloric intake. This study supported previous research which suggests weight gain associated with creatine supplementation may be in part due to water retention.


© 2003 John Hettiarachchy