Creatine and Glycerol Hyperhydration in Trained Subjects before Exercise in the Heat
Abstract
The authors examined the effects of combined creatine (Cr) and glycerol (Gly) supplementation on responses to exercise in the heat. Subjects (N = 24) were matched for body mass and assigned to either a Cr or placebo (Pl) group. Twice daily during two 7-d supplementation regimens, the Cr group received 11.4 g of Cr·H 2 O and the Pl group received 11.4 g of glucose. Subjects in both groups also ingested 1 g of Gly/kg body mass (twice daily) in either the first or the second supplementation regimen. This design allowed 4 possible combinations of supplements to be examined (Pl/Pl, Pl/Gly, Cr/Pl, and Cr/Gly). Exercise trials were conducted pre- and post supplementation at 30 °C and 70% relative humidity. In the Pl group, total body water (TBW) increased by 0.50 ± 0.28 L after Gly and in the Cr group by 0.63 ± 0.33 L after Pl and by 0.87 ± 0.21 L after Gly. Both Cr/Pl and Cr/Gly resulted in significantly attenuated heart rate, rectal temperature, and perceived effort during exercise, although no regimen had any effect on performance. The addition of Gly to Cr significantly increased TBW more than Cr alone (P = 0.02) but did not further enhance the attenuation in HR, T re, and RPE during exercise. These data suggest that combined Cr and Gly is an effective method of hyper hydration capable of reducing thermal and cardiovascular responses.
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Creatine supplementation does not increase the incidence of dehydration.
“dehydration [111, 112, 117, 122, 127–129, 242]”
From International Society of Sports Nutrition position stand: safety and efficacy of creatine supplementation in exercise, sport, and medicine (2017) · cites this paper as [122]
Other studies found that creatine supplementation did not increase the incidence of musculoskeletal injuries, dehydration, muscle cramping, gastrointestinal issues, renal dysfunction, or long-term detrimental effects.
“Other studies directly assessed the merit of anecdotal reports of side effects and found that creatine supplementation did not increase the incidence of musculoskeletal injuries [84–87], dehydration [85,86,91–96], muscle cramping [80,85,86,92,97], gastrointestinal issues [84–87], promote renal dysfunction [87,89,98–107], or have long-term detrimental effects [50,87,106,108,109].”
From Safety of creatine supplementation: analysis of the prevalence of reported side effects in clinical trials and adverse event reports (2025) · cites this paper as [93]
Present findings are consistent with other safety studies on creatine supplementation and the long-term study conducted in Parkinson's patients.
“They are also consistent with other safety studies on creatine supplementation [50,80,84–87,89,91–109] and the long-term study conducted in Parkinson’s patients [74].”
From Safety of creatine supplementation: analysis of the prevalence of reported side effects in clinical trials and adverse event reports (2025) · cites this paper as [93]
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- Authors
- Easton, C., Turner, S., & Pitsiladis, Y. P.
- Affiliations
- University of Glasgow (GB)
- Venue
- International Journal of Sport Nutrition and Exercise Metabolism
- Publisher
- Human Kinetics
- Published
- 2007-02
- Volume
- 17
- Issue
- 1
- Pages
- 70-91
- ISSN
- 1526-484X (ISSN-L)
- 1543-2742
- OpenAlex
- W2164143583
- Cited by
- 65
- References
- 45
- Citations by year
- 2026: 3 · 2025: 10 · 2024: 5 · 2023: 2 · 2021: 2 · 2020: 1 · 2019: 4 · 2018: 2 · 2017: 1 · 2016: 2 · 2015: 3 · 2014: 4 · 2013: 1 · 2012: 5
- FWCI
- 3.55
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- International Journal of Sport Nutrition and Exercise Metabolism (publishedVersion)
- PubMed (publishedVersion)
- University of Brighton Repository (University of Brighton) (submittedVersion)
- Funders
- Health Research
- Topics
- Health Sciences › Medicine › Physiology › Thermoregulation and physiological responses
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Cell Biology › Muscle metabolism and nutrition
- Health Sciences › Medicine › Complementary and alternative medicine › Cardiovascular and exercise physiology
- Keywords
- creatine supplementation, glycerol supplementation, fluid overload, exercise in the heat, total body water, heart rate, rectal temperature, perceived exertion, trained athletes, heat stress
- MeSH terms
- Adult, Body Water, Creatine, Dehydration, Glycerol, Heart Rate, Hot Temperature, Humans, Male, Oxygen Consumption, Exercise, Cross-Over Studies, Area Under Curve, Dietary Supplements, Thermogenesis
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