Carbohydrate ingestion augments creatine retention during creatine feeding in humans
Abstract
Blood and urine samples were obtained from four groups of healthy male subjects (A–D, total n=22) before, during and after ingesting the following: group A, 5 g of creatine in solution; groups B and C, 5 g of creatine and 93 g of simple carbohydrate in solution; group D, a creatine‐ and carbohydrate‐free solution. Subjects ingested the above preparations every 4 h for the remainder of the day and throughout the next day (total daily creatine dose=20 g), and reported back to the laboratory on day 3 to undergo the same procedures as on day 1. Throughout this time, subjects weighed and recorded all dietary intake, and those in groups B and C ingested a prescribed isoenergetic high carbohydrate diet. Subjects in group C also performed 1 h of cycling exercise at 70% of their maximal oxygen consumption on the morning of each day. On both days 1 and 3, peak plasma creatine concentration, the area under the plasma creatine concentration/time curve and urinary creatine concentration were lower in groups B and C than in group A. Conversely, serum insulin concentration was higher in groups B and C than in A. No differences were evident when comparing groups B and C. These data suggest carbohydrate ingestion augmented creatine retention during creatine feeding and that creatine retention was not further increased when exercise was performed prior to ingestion.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
Co-ingesting CrM with carbohydrates and carbohydrate and protein promotes more consistent and greater creatine retention.
“Co-ingesting CrM with carbohydrates [20,21,22] and carbohydrate and protein [23] promotes more consistent and greater creatine retention.”
From Bioavailability, Efficacy, Safety, and Regulatory Status of Creatine and Related Compounds: A Critical Review (2022) · cites this paper as [21]
Cited by
Sorted by citations
Creatine and Creatinine Metabolism
Wyss, M., & Kaddurah-Daouk, R. (2000) · Physiological Reviews · doi:10.1152/physrev.2000.80.3.1107 · Cited by 2,950 · see citing works
Effects of creatine supplementation on body composition, strength, and sprint performance
KREIDER, R. B., FERREIRA, M., WILSON, M., GRINDSTAFF, P., PLISK, S., REINARDY, J., CANTLER, E., & ALMADA, A. L. (1998) · Medicine &amp Science in Sports &amp Exercise · doi:10.1097/00005768-199801000-00011 · Cited by 430 · see citing works
Performance and muscle fiber adaptations to creatine supplementation and heavy resistance training
VOLEK, J. S., DUNCAN, N. D., MAZZETTI, S. A., STARON, R. S., PUTUKIAN, M., G??MEZ, A. L., PEARSON, D. R., FINK, W. J., & KRAEMER, W. J. (1999) · Medicine & Science in Sports & Exercise · doi:10.1097/00005768-199908000-00011 · Cited by 366 · see citing works
Effect of creatine supplementation on body composition and performance: a meta-analysis
Branch, J. D. (2003) · International Journal of Sport Nutrition and Exercise Metabolism · doi:10.1123/ijsnem.13.2.198 · Cited by 309 · see citing works
Analysis of the efficacy, safety, and regulatory status of novel forms of creatine
Jäger, R., Purpura, M., Shao, A., Inoue, T., & Kreider, R. B. (2011) · Amino Acids · doi:10.1007/s00726-011-0874-6 · Cited by 181 · see citing works
Creatine for exercise and sports performance, with recovery considerations for healthy populations
Wax, B., Kerksick, C. M., Jagim, A. R., Mayo, J. J., Lyons, B. C., & Kreider, R. B. (2021) · Nutrients · doi:10.3390/nu13061915 · Cited by 182 · see citing works
Adverse Effects of Creatine Supplementation: Fact or Fiction?
Poortmans, J. R., & Francaux, M. (2000) · Sports Medicine · doi:10.2165/00007256-200030030-00002 · Cited by 176 · see citing works
Avgerinos, K. I., Spyrou, N., Bougioukas, K. I., & Kapogiannis, D. (2018) · Experimental Gerontology · doi:10.1016/j.exger.2018.04.013 · Cited by 164 · see citing works
Effect of Oral Creatine Supplementation on Human Muscle GLUT4 Protein Content After Immobilization
Eijnde, B. O. '., Ursø, B., Richter, E. A., Greenhaff, P. L., & Hespel, P. (2001) · Diabetes · doi:10.2337/diabetes.50.1.18 · Cited by 162 · see citing works
Self-citationRole of submaximal exercise in promoting creatine and glycogen accumulation in human skeletal muscle
Robinson, T. M., Sewell, D. A., Hultman, E., & Greenhaff, P. L. (1999) · Journal of Applied Physiology · doi:10.1152/jappl.1999.87.2.598 · Cited by 160 · see citing works
Self-citationPharmacokinetics of the Dietary Supplement Creatine
Persky, A. M., Brazeau, G. A., & Hochhaus, G. (2003) · Clinical Pharmacokinetics · doi:10.2165/00003088-200342060-00005 · Cited by 132 · see citing works
Protein- and carbohydrate-induced augmentation of whole body creatine retention in humans
Steenge, G. R., Simpson, E. J., & Greenhaff, P. L. (2000) · Journal of Applied Physiology · doi:10.1152/jappl.2000.89.3.1165 · Cited by 132 · see citing works
Self-citationKraemer, W. J., & Volek, J. S. (1999) · Clinics in Sports Medicine · doi:10.1016/s0278-5919(05)70174-5 · Cited by 130 · see citing works
Stimulatory effect of insulin on creatine accumulation in human skeletal muscle
Steenge, G. R., Lambourne, J., Casey, A., Macdonald, I. A., & Greenhaff, P. L. (1998) · American Journal of Physiology-Endocrinology and Metabolism · doi:10.1152/ajpendo.1998.275.6.e974 · Cited by 125 · see citing works
Aguiar, A. F., Januário, R. S. B., Junior, R. P., Gerage, A. M., Pina, F. L. C., do Nascimento, M. A., Padovani, C. R., & Cyrino, E. S. (2013) · European Journal of Applied Physiology · doi:10.1007/s00421-012-2514-6 · Cited by 121 · see citing works
Oral creatine supplementation and skeletal muscle metabolism in physical exercise
Mesa, J. L. M., Ruiz, J. R., Gonz??lez-Gross, M. M., Guti??rrez S??inz, ?., & Castillo Garz??n, M. J. (2002) · Sports Medicine · doi:10.2165/00007256-200232140-00003 · Cited by 103 · see citing works
Kreider, R. B., Jäger, R., & Purpura, M. (2022) · Nutrients · doi:10.3390/nu14051035 · Cited by 103 · see citing works
Rawson, E. S., Clarkson, P. M., Price, T. B., & Miles, M. P. (2002) · Acta Physiologica Scandinavica · doi:10.1046/j.1365-201x.2002.00924.x · Cited by 94 · see citing works
Creatine supplementation in women's health: a lifespan perspective
Smith-Ryan, A. E., Cabre, H. E., Eckerson, J. M., & Candow, D. G. (2021) · Nutrients · doi:10.3390/nu13030877 · Cited by 92 · see citing works
Derave, W., Eijnde, B. O., Verbessem, P., Ramaekers, M., Van Leemputte, M., Richter, E. A., & Hespel, P. (2003) · Journal of Applied Physiology · doi:10.1152/japplphysiol.00977.2002 · Cited by 88 · see citing works
A review of creatine supplementation in age-related diseases: more than a supplement for athletes
Smith, R. N., Agharkar, A. S., & Gonzales, E. B. (2014) · F1000Research · doi:10.12688/f1000research.5218.1 · Cited by 82 · see citing works
Creatine supplementation does not improve cognitive function in young adults
Rawson, E. S., Lieberman, H. R., Walsh, T. M., Zuber, S. M., Harhart, J. M., & Matthews, T. C. (2008) · Physiology & Behavior · doi:10.1016/j.physbeh.2008.05.009 · Cited by 77 · see citing works
“Nutraceuticals” in relation to human skeletal muscle and exercise
Deane, C. S., Wilkinson, D. J., Phillips, B. E., Smith, K., Etheridge, T., & Atherton, P. J. (2017) · American Journal of Physiology-Endocrinology and Metabolism · doi:10.1152/ajpendo.00230.2016 · Cited by 73 · see citing works
β-hydroxy-β-methylbutyrate (HMB) kinetics and the influence of glucose ingestion in humans
Vukovich, M. D., Slater, G., Macchi, M. B., Turner, M. J., Fallon, K., Boston, T., & Rathmacher, J. (2001) · The Journal of Nutritional Biochemistry · doi:10.1016/s0955-2863(01)00182-6 · Cited by 66 · see citing works
Mayhew, D. L., Mayhew, J. L., & Ware, J. S. (2002) · International Journal of Sport Nutrition and Exercise Metabolism · doi:10.1123/ijsnem.12.4.453 · Cited by 66 · see citing works
Safety of Creatine Supplementation
Persky, A. M., & Rawson, E. S. (2007) · Subcellular Biochemistry · doi:10.1007/978-1-4020-6486-9_14 · Cited by 60 · see citing works
Roberts, P. A., Fox, J., Peirce, N., Jones, S. W., Casey, A., & Greenhaff, P. L. (2016) · Amino Acids · doi:10.1007/s00726-016-2252-x · Cited by 59 · see citing works
Stout, J., Eckerson, J., Noonan, D., Moore, G., & Cullen, D. (1999) · Nutrition Research · doi:10.1016/s0271-5317(98)00185-7 · Cited by 54 · see citing works
Effects of creatine on isometric bench-press performance in resistance-trained humans
KILDUFF, L. P., VIDAKOVIC, P., COONEY, G., TWYCROSS-LEWIS, R., AMUNA, P., PARKER, M., PAUL, L., & PITSILADIS, Y. P. (2002) · Medicine & Science in Sports & Exercise · doi:10.1097/00005768-200207000-00019 · Cited by 49 · see citing works
Creatine supplementation alters insulin secretion and glucose homeostasis in vivo
Rooney, K., Bryson, J., Phuyal, J., Denyer, G., Caterson, I., & Thompson, C. (2002) · Metabolism · doi:10.1053/meta.2002.31330 · Cited by 50 · see citing works
Preen, D., Dawson, B., Goodman, C., Beilby, J., & Ching, S. (2003) · International Journal of Sport Nutrition and Exercise Metabolism · doi:10.1123/ijsnem.13.1.97 · Cited by 49 · see citing works
Kerksick, C. M., Wilborn, C. D., Campbell, W. I., Harvey, T. M., Marcello, B. M., Roberts, M. D., Parker, A. G., Byars, A. G., Greenwood, L. D., Almada, A. L., et al. (2009) · Journal of Strength and Conditioning Research · doi:10.1519/jsc.0b013e3181b3e0de · Cited by 39 · see citing works
Effect of creatine ingestion on glucose tolerance and insulin sensitivity in men
N. NEWMAN, J. E., HARGREAVES, M., GARNHAM, A., & SNOW, R. J. (2003) · Medicine & Science in Sports & Exercise · doi:10.1097/00005768-200301000-00012 · Cited by 34 · see citing works
Oral creatine supplementation and upper extremity anaerobic response in females
Hamilton, K. L., Meyers, M. C., Skelly, W. A., & Marley, R. J. (2000) · International Journal of Sport Nutrition and Exercise Metabolism · doi:10.1123/ijsnem.10.3.277 · Cited by 23 · see citing works
Creatine O'Clock: Does Timing of Ingestion Really Influence Muscle Mass and Performance?
Candow, D. G., Forbes, S. C., Roberts, M. D., Roy, B. D., Antonio, J., Smith-Ryan, A. E., Rawson, E. S., Gualano, B., & Roschel, H. (2022) · Frontiers in Sports and Active Living · doi:10.3389/fspor.2022.893714 · Cited by 23 · see citing works
Evaluation of the stability of creatine in solution prepared from effervescent creatine formulations
Ganguly, S., Jayappa, S., & Dash, A. K. (2003) · AAPS PharmSciTech · doi:10.1208/pt040225 · Cited by 20 · see citing works
The Effect and Safety of Short-Term Creatine Supplementation on Performance of Push-Ups
Armentano, M. J., Brenner, A. K., Hedman, T. L., Solomon, Z. T., Chavez, J., Kemper, G. B., Salzberg, D., Battafarano, D. F., & Christie, D. S. (2007) · Military Medicine · doi:10.7205/milmed.172.3.312 · Cited by 19 · see citing works
Optimization of insulin-mediated creatine retention during creatine feeding in humans
Pittas, G., Hazell, M. D., Simpson, E. J., & Greenhaff, P. L. (2010) · Journal of Sports Sciences · doi:10.1080/02640410903390071 · Cited by 15 · see citing works
Self-citation
- Authors
- GREEN, A. L., SIMPSON, E. J., LITTLEWOOD, J. J., MACDONALD, I. A., & GREENHAFF, P. L.
- Affiliations
- Queen's Medical Centre (GB)
- Corresponding author
- GREEN, A. L.
- GREENHAFF, P. L.
- Venue
- Acta Physiologica Scandinavica
- Publisher
- Wiley
- Published
- 1996-10
- Volume
- 158
- Issue
- 2
- Pages
- 195-202
- ISSN
- 0001-6772 (ISSN-L)
- 1365-201X
- OpenAlex
- W2160066898
- Cited by
- 182
- References
- 0
- Citations by year
- 2026: 1 · 2025: 2 · 2024: 4 · 2022: 4 · 2021: 4 · 2020: 1 · 2019: 4 · 2018: 3 · 2017: 5 · 2016: 6 · 2015: 3 · 2014: 1 · 2013: 8 · 2012: 5
- FWCI
- 2.24
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Acta Physiologica Scandinavica (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Cell Biology › Muscle metabolism and nutrition
- Health Sciences › Medicine › Physiology › Biochemical effects in animals
- Health Sciences › Medicine › Orthopedics and Sports Medicine › Sports Performance and Training
- Keywords
- creatine supplementation, carbohydrate intake, plasma creatine, urinary creatine, serum insulin, physical activity, high-carbohydrate diet
- MeSH terms
- Adult, Energy Intake, Creatine, Dietary Carbohydrates, Energy Metabolism, Humans, Insulin, Male, Exercise
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review