Student or educator? Sign up with your school email and get 6 months of Pro free.
Cited by 37

The DOI matches its Crossref record; 43 of the 43 references it cites were found in a registry or an index.

Creatine supplementation beyond athletics: benefits of different types of creatine for women, vegans, and clinical populations-A narrative review

Gutiérrez-Hellín, Jorge, Del Coso, Juan, Franco-Andrés, Arturo, Gamonales, José M., Espada, Mário C., González-García, Jaime, López-Moreno, Miguel, Varillas-Delgado, David·2024·Nutrients

Abstract

Creatine monohydrate supplementation is widely used by athletes in high-intensity, power-based sports due to its ability to enhance short-term performance by increasing intramuscular phosphocreatine (PCr) stores, which aid in ATP resynthesis during intense muscle contractions. However, emerging evidence suggests that creatine monohydrate offers benefits beyond athletic performance. This narrative review explores the literature supporting the advantages of creatine supplementation in women, vegans, and clinical populations. In women, who typically have lower baseline intramuscular creatine levels, supplementation may help alleviate fatigue-related symptoms associated with the menstrual cycle, particularly during the early follicular and luteal phases. For vegans and vegetarians, who often have reduced creatine stores due to the absence of creatine-rich animal products in their diet, supplementation can improve both physical and cognitive performance while supporting adherence to plant-based diets. Additionally, creatine supplementation holds potential for various clinical populations. It may mitigate muscle wasting in conditions such as sarcopenia and cachexia, support neuroprotection in neurodegenerative diseases such as Parkinson’s and Huntington’s, improve exercise capacity in cardiovascular diseases, and enhance energy metabolism in chronic fatigue syndrome. Creatine may also aid recovery from traumatic brain injury by promoting brain energy metabolism and reducing neuronal damage. In conclusion, creatine monohydrate supplementation can enhance physical performance, cognitive function, and overall health in women, vegans, and clinical populations by addressing creatine deficiencies, improving energy metabolism, and supporting recovery from physical and neurological challenges. Most available evidence supports the effectiveness of creatine monohydrate, which should be considered the preferred form of creatine supplementation over other variants. Additionally, proper creatine dosing is essential to maximize benefits and minimize potential adverse effects that may arise from chronic ingestion of excessively high doses.

Overview

The claims and statistics of this paper haven’t been checked yet.

Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.

A few free checks a day · papers already verified open instantly · results are public

Integrity signals

Registry

Crossref · 10.3390/nu17010095

Cites

43 of 43 references verified0 citation errors · 0 not checkable

Statistics

Verification

Claims the paper makes

The claims and statistics of this paper haven’t been checked yet.

Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.

A few free checks a day · papers already verified open instantly · results are public

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?

Self-check

Percentages, sums and reported differences re-computed from the paper’s own numbers.

The self-check needs the paper’s full text.

Citations

Cites

Research works printed but not linked: 70

  1. Barcelos, 2016, Creatine and the Liver: Metabolism and Possible Interactions, Mini Rev. Med. Chem., 16, 12, 10.2174/1389557515666150722102613 · DOI
  2. Brault, 2003, Muscle creatine uptake and creatine transporter expression in response to creatine supplementation and depletion, J. Appl. Physiol., 94, 2173, 10.1152/japplphysiol.01171.2002 · DOI
  3. Brosnan, 2007, New insights into creatine function and synthesis, Adv. Enzym. Regul., 47, 252, 10.1016/j.advenzreg.2006.12.005 · DOI
  4. Balestrino, M. (2021). Role of Creatine in the Heart: Health and Disease. Nutrients, 13. · DOI
  5. 2002, Separation methods applicable to urinary creatine and creatinine, J. Chromatogr. B Anal. Technol. Biomed. Life Sci., 781, 93, 10.1016/S1570-0232(02)00617-7 · DOI
  6. Sallsten, G., and Barregard, L. (2021). Variability of Urinary Creatinine in Healthy Individuals. Int. J. Environ. Res. Public Health, 18. · DOI
  7. Nissim, 2009, Creatine synthesis: Hepatic metabolism of guanidinoacetate and creatine in the rat in vitro and in vivo, Am. J. Physiol.-Endocrinol. Metab., 296, E256, 10.1152/ajpendo.90547.2008 · DOI
  8. Brosnan, 2016, The role of dietary creatine, Amino Acids, 48, 1785, 10.1007/s00726-016-2188-1 · DOI · Paper page
  9. Rawson, 2003, Effects of creatine supplementation and resistance training on muscle strength and weightlifting performance, J. Strength Cond. Res., 17, 822
  10. Almeida, 2020, Creatine supplementation improves performance, but is it safe? Double-blind placebo-controlled study, J. Sports Med. Phys. Fit., 60, 1034
  11. Nunes, 2017, Creatine supplementation elicits greater muscle hypertrophy in upper than lower limbs and trunk in resistance-trained men, Nutr. Health, 23, 223, 10.1177/0260106017737013 · DOI
  12. Heidari, 2024, Creatine supplementation protocols with or without training interventions on body composition: A GRADE-assessed systematic review and dose-response meta-analysis, J. Int. Soc. Sports Nutr., 21, 2380058, 10.1080/15502783.2024.2380058 · DOI
  13. Powers, 2003, Creatine Supplementation Increases Total Body Water Without Altering Fluid Distribution, J. Athl. Train., 38, 44
  14. Cannataro, R., Carbone, L., Petro, J.L., Cione, E., Vargas, S., Angulo, H., Forero, D.A., Odriozola-Martínez, A., Kreider, R.B., and Bonilla, D.A. (2021). Sarcopenia: Etiology, Nutritional Approaches, and miRNAs. Int. J. Mol. Sci., 22. · DOI
  15. Gualano, 2014, Creatine supplementation and resistance training in vulnerable older women: A randomized double-blind placebo-controlled clinical trial, Exp. Gerontol., 53, 7, 10.1016/j.exger.2014.02.003 · DOI · Paper page
  16. Aguiar, 2013, Long-term creatine supplementation improves muscular performance during resistance training in older women, Eur. J. Appl. Physiol., 113, 987, 10.1007/s00421-012-2514-6 · DOI · Paper page
  17. Tarnopolsky, 2001, Potential for creatine and other therapies targeting cellular energy dysfunction in neurological disorders, Ann. Neurol., 49, 561, 10.1002/ana.1028 · DOI · Paper page
  18. Poortmans, 2000, Adverse effects of creatine supplementation: Fact or fiction?, Sports Med., 30, 155, 10.2165/00007256-200030030-00002 · DOI · Paper page
  19. Adriano, 2018, Di-acetyl creatine ethyl ester, a new creatine derivative for the possible treatment of creatine transporter deficiency, Neurosci. Lett., 665, 217, 10.1016/j.neulet.2017.12.020 · DOI
  20. Ravera, 2012, Creatine ethyl ester: A new substrate for creatine kinase, Mol. Biol., 46, 162, 10.1134/S0026893312010190 · DOI
  21. Green, 1996, Carbohydrate ingestion augments skeletal muscle creatine accumulation during creatine supplementation in humans, Am. J. Physiol.-Endocrinol. Metab., 271, E821, 10.1152/ajpendo.1996.271.5.E821 · DOI · Paper page
  22. Theodorou, 2005, Effects of acute creatine loading with or without carbohydrate on repeated bouts of maximal swimming in high-performance swimmers, J. Strength Cond. Res., 19, 265
  23. Zajac, A., Golas, A., Chycki, J., Halz, M., and Michalczyk, M.M. (2020). The Effects of Long-Term Magnesium Creatine Chelate Supplementation on Repeated Sprint Ability (RAST) in Elite Soccer Players. Nutrients, 12. · DOI · Paper page
  24. Hall, 2021, Creatine Supplementation: An Update, Curr. Sports Med. Rep., 20, 338, 10.1249/JSR.0000000000000863 · DOI
  25. Wallimann, 1992, Intracellular compartmentation, structure and function of creatine kinase isoenzymes in tissues with high and fluctuating energy demands: The ‘phosphocreatine circuit’ for cellular energy homeostasis, Biochem. J., 281, 21, 10.1042/bj2810021 · DOI · Paper page
  26. Borchel, A., Verleih, M., Kühn, C., Rebl, A., and Goldammer, T. (2019). Evolutionary expression differences of creatine synthesis-related genes: Implications for skeletal muscle metabolism in fish. Sci. Rep., 9. · DOI
  27. Wilson, 1993, Expression of the rat brain creatine kinase gene in C6 glioma cells, J. Neurosci. Res., 35, 92, 10.1002/jnr.490350111 · DOI
  28. Wilson, 1997, Expression of the brain creatine kinase gene is low in neuroblastoma cell lines, Dev. Neurosci., 19, 375, 10.1159/000111235 · DOI
  29. Hamburg, 1990, Muscle creatine kinase isoenzyme expression in adult human brain, J. Biol. Chem., 265, 6403, 10.1016/S0021-9258(19)39340-8 · DOI
  30. Valenzuela, 2019, Supplements with purported effects on muscle mass and strength, Eur. J. Nutr., 58, 2983, 10.1007/s00394-018-1882-z · DOI
  31. Cribb, 2007, Effects of whey isolate, creatine, and resistance training on muscle hypertrophy, Med. Sci. Sports Exerc., 39, 298, 10.1249/01.mss.0000247002.32589.ef · DOI · Paper page
  32. Hultman, 1996, Muscle creatine loading in men, J. Appl. Physiol. (1985), 81, 232, 10.1152/jappl.1996.81.1.232 · DOI · Paper page
  33. Baker, 2010, Interaction among Skeletal Muscle Metabolic Energy Systems during Intense Exercise, J. Nutr. Metab., 2010, 905612, 10.1155/2010/905612 · DOI · Paper page
  34. Murphy, 2004, Creatine supplementation increases glycogen storage but not GLUT-4 expression in human skeletal muscle, Clin. Sci., 106, 99, 10.1042/CS20030116 · DOI
  35. Buzzachera, 2017, Effect of low dose, short-term creatine supplementation on muscle power output in elite youth soccer players, J. Int. Soc. Sports Nutr., 14, 5, 10.1186/s12970-017-0162-2 · DOI · Paper page
  36. Mujika, 2010, Nutrition in team sports, Ann. Nutr. Metab., 57, 26, 10.1159/000322700 · DOI
  37. Todorovic, 2023, Effects of Creatine Monohydrate on Endurance Performance in a Trained Population: A Systematic Review and Meta-analysis, Sports Med., 53, 1017, 10.1007/s40279-023-01823-2 · DOI
  38. Fiorenza, 2019, Neuromuscular Fatigue and Metabolism during High-Intensity Intermittent Exercise, Med. Sci. Sports Exerc., 51, 1642, 10.1249/MSS.0000000000001959 · DOI
  39. Gastin, 2001, Energy system interaction and relative contribution during maximal exercise, Sports Med., 31, 725, 10.2165/00007256-200131100-00003 · DOI · Paper page
  40. Spencer, 2001, Energy system contribution during 200- to 1500-m running in highly trained athletes, Med. Sci. Sports Exerc., 33, 157, 10.1097/00005768-200101000-00024 · DOI · Paper page
  41. Cooper, 2012, Creatine supplementation with specific view to exercise/sports performance: An update, J. Int. Soc. Sports Nutr., 9, 33, 10.1186/1550-2783-9-33 · DOI · Paper page
  42. Volek, 2004, Scientific basis and practical aspects of creatine supplementation for athletes, Nutrition, 20, 609, 10.1016/j.nut.2004.04.014 · DOI
  43. Terjung, 2000, American College of Sports Medicine roundtable. Physiological and health effects of oral creatine supplementation, Med. Sci. Sports Exerc., 32, 706, 10.1097/00005768-200003000-00024 · DOI · Paper page
  44. Ribeiro, F., Longobardi, I., Perim, P., Duarte, B., Ferreira, P., Gualano, B., Roschel, H., and Saunders, B. (2021). Timing of Creatine Supplementation around Exercise: A Real Concern?. Nutrients, 13. · DOI
  45. Kutz, 2003, Creatine monohydrate supplementation on body weight and percent body fat, J. Strength Cond. Res., 17, 817
  46. Moore, S.R., Gordon, A.N., Cabre, H.E., Hackney, A.C., and Smith-Ryan, A.E. (2023). A Randomized Controlled Trial of Changes in Fluid Distribution across Menstrual Phases with Creatine Supplementation. Nutrients, 15. · DOI
  47. Poortmans, 1999, Long-term oral creatine supplementation does not impair renal function in healthy athletes, Med. Sci. Sports Exerc., 31, 1108, 10.1097/00005768-199908000-00005 · DOI · Paper page
  48. Marini, A.C.B., Schincaglia, R.M., Candow, D.G., and Pimentel, G.D. (2024). Effect of Creatine Supplementation on Body Composition and Malnutrition-Inflammation Score in Hemodialysis Patients: An Exploratory 1-Year, Balanced, Double-Blind Design. Nutrients, 16. · DOI
  49. Post, A., Tsikas, D., and Bakker, S.J.L. (2019). Creatine is a Conditionally Essential Nutrient in Chronic Kidney Disease: A Hypothesis and Narrative Literature Review. Nutrients, 11. · DOI
  50. Gordon, A.N., Moore, S.R., Patterson, N.D., Hostetter, M.E., Cabre, H.E., Hirsch, K.R., Hackney, A.C., and Smith-Ryan, A.E. (2023). The Effects of Creatine Monohydrate Loading on Exercise Recovery in Active Women throughout the Menstrual Cycle. Nutrients, 15. · DOI
  51. Chilibeck, 2015, Effects of Creatine and Resistance Training on Bone Health in Postmenopausal Women, Med. Sci. Sports Exerc., 47, 1587, 10.1249/MSS.0000000000000571 · DOI · Paper page
  52. Sales, 2020, Creatine Supplementation (3 g/d) and Bone Health in Older Women: A 2-Year, Randomized, Placebo-Controlled Trial, J. Gerontol. A Biol. Sci. Med. Sci., 75, 931, 10.1093/gerona/glz162 · DOI · Paper page
  53. Delanghe, 1989, Normal reference values for creatine, creatinine, and carnitine are lower in vegetarians, Clin. Chem., 35, 1802, 10.1093/clinchem/35.8.1802 · DOI · Paper page
  54. Allen, 2008, Causes of vitamin B12 and folate deficiency, Food Nutr. Bull., 29, S20, 10.1177/15648265080292S105 · DOI · Paper page
  55. Rogerson, 2017, Vegan diets: Practical advice for athletes and exercisers, J. Int. Soc. Sports Nutr., 14, 36, 10.1186/s12970-017-0192-9 · DOI
  56. Benzi, 2001, Creatine as nutritional supplementation and medicinal product, J. Sports Med. Phys. Fit., 41, 1
  57. Walter, 2000, Creatine monohydrate in muscular dystrophies: A double-blind, placebo-controlled clinical study, Neurology, 54, 1848, 10.1212/WNL.54.9.1848 · DOI · Paper page
  58. Avgerinos, 2018, Effects of creatine supplementation on cognitive function of healthy individuals: A systematic review of randomized controlled trials, Exp. Gerontol., 108, 166, 10.1016/j.exger.2018.04.013 · DOI · Paper page
  59. Xu, C., Bi, S., Zhang, W., and Luo, L. (2024). The effects of creatine supplementation on cognitive function in adults: A systematic review and meta-analysis. Front. Nutr., 11. · DOI · Paper page
  60. Elechi, 2024, Creatine in Cognitive Performance: A Commentary, Curr. Mol. Pharmacol., 17, e18761429272915, 10.2174/0118761429272915231122112748 · DOI
  61. Moriarty, T., Bourbeau, K., Dorman, K., Runyon, L., Glaser, N., Brandt, J., Hoodjer, M., Forbes, S.C., and Candow, D.G. (2023). Dose-Response of Creatine Supplementation on Cognitive Function in Healthy Young Adults. Brain Sci., 13. · DOI
  62. Hersch, 2017, The CREST-E study of creatine for Huntington disease: A randomized controlled trial, Neurology, 89, 594, 10.1212/WNL.0000000000004209 · DOI
  63. Bender, 2006, Creatine supplementation in Parkinson disease: A placebo-controlled randomized pilot trial, Neurology, 67, 1262, 10.1212/01.wnl.0000238518.34389.12 · DOI
  64. Kieburtz, 2015, Effect of creatine monohydrate on clinical progression in patients with Parkinson disease: A randomized clinical trial, JAMA, 313, 584, 10.1001/jama.2015.120 · DOI · Paper page
  65. Clarke, H., Hickner, R.C., and Ormsbee, M.J. (2021). The Potential Role of Creatine in Vascular Health. Nutrients, 13. · DOI
  66. Clarke, H., Kim, D.H., Meza, C.A., Ormsbee, M.J., and Hickner, R.C. (2020). The Evolving Applications of Creatine Supplementation: Could Creatine Improve Vascular Health?. Nutrients, 12. · DOI · Paper page
  67. Kuethe, 2006, Creatine supplementation improves muscle strength in patients with congestive heart failure, Pharmazie., 61, 218
  68. Aksentijević, D., Zervou, S., Faller, K.M., McAndrew, D.J., Schneider, J.E., Neubauer, S., and Lygate, C.A. (2014). Myocardial creatine levels do not influence response to acute oxidative stress in isolated perfused heart. PLoS ONE, 9. · DOI
  69. Gordon, 1995, Creatine supplementation in chronic heart failure increases skeletal muscle creatine phosphate and muscle performance, Cardiovasc. Res., 30, 413, 10.1016/S0008-6363(95)00062-3 · DOI
  70. Harmon, K.K., Stout, J.R., Fukuda, D.H., Pabian, P.S., Rawson, E.S., and Stock, M.S. (2021). The Application of Creatine Supplementation in Medical Rehabilitation. Nutrients, 13. · DOI

Cited by

See all 37

Metadata

Authors
Gutiérrez-Hellín, J., Del Coso, J., Franco-Andrés, A., Gamonales, J. M., Espada, M. C., González-García, J., López-Moreno, M., & Varillas-Delgado, D.
Affiliations
  • Exercise and Sport Science, Faculty of Health Sciences, Universidad Francisco de Vitoria, 28223 Pozuelo, Spain
  • Sport Sciences Research Centre, Rey Juan Carlos University, 28943 Fuenlabrada, Spain
  • Instituto Politécnico de Setúbal, Escola Superior de Educação, 2914-504 Setúbal, Portugal
  • Diet, Planetary Health and Performance, Faculty of Health Sciences, Universidad Francisco de Vitoria, 28223 Pozuelo, Spain
Venue
Nutrients
Publisher
MDPI AG
Published
2024-12-29
Volume
17
Issue
1
Pages
95
ISSN
2072-6643
Cited by
37
References
43
Language
en

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

Data sources

Bibliographic data: Semantic Scholar, OpenAlex, Crossref.

Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.