Hematological and Hemodynamic Responses to Acute and Short-Term Creatine Nitrate Supplementation
Open accessAbstract
In a double-blind, crossover, randomized and placebo-controlled trial; 28 men and women ingested a placebo (PLA), 3 g of creatine nitrate (CNL), and 6 g of creatine nitrate (CNH) for 6 days. Participants repeated the experiment with the alternate supplements after a 7-day washout. Hemodynamic responses to a postural challenge, fasting blood samples, and bench press, leg press, and cycling time trial performance and recovery were assessed. Data were analyzed by univariate, multivariate, and repeated measures general linear models (GLM). No significant differences were found among treatments for hemodynamic responses, clinical blood markers or self-reported side effects. After 5 days of supplementation, one repetition maximum (1RM) bench press improved significantly for CNH (mean change, 95% CI; 6.1 [3.5, 8.7] kg) but not PLA (0.7 [−1.6, 3.0] kg or CNL (2.0 [−0.9, 4.9] kg, CNH, p = 0.01). CNH participants also tended to experience an attenuated loss in 1RM strength during the recovery performance tests following supplementation on day 5 (PLA: −9.3 [−13.5, −5.0], CNL: −9.3 [−13.5, −5.1], CNH: −3.9 [−6.6, −1.2] kg, p = 0.07). After 5 days, pre-supplementation 1RM leg press values increased significantly, only with CNH (24.7 [8.8, 40.6] kg, but not PLA (13.9 [−15.7, 43.5] or CNL (14.6 [−0.5, 29.7]). Further, post-supplementation 1RM leg press recovery did not decrease significantly for CNH (−13.3 [−31.9, 5.3], but did for PLA (−30.5 [−53.4, −7.7] and CNL (−29.0 [−49.5, −8.4]). CNL treatment promoted an increase in bench press repetitions at 70% of 1RM during recovery on day 5 (PLA: 0.4 [−0.8, 1.6], CNL: 0.9 [0.35, 1.5], CNH: 0.5 [−0.2, 0.3], p = 0.56), greater leg press endurance prior to supplementation on day 5 (PLA: −0.2 [−1.6, 1.2], CNL: 0.9 [0.2, 1.6], CNH: 0.2 [−0.5, 0.9], p = 0.25) and greater leg press endurance during recovery on day 5 (PLA: −0.03 [−1.2, 1.1], CNL: 1.1 [0.3, 1.9], CNH: 0.4 [−0.4, 1.2], p = 0.23). Cycling time trial performance (4 km) was not affected. Results indicate that creatine nitrate supplementation, up to a 6 g dose, for 6 days, appears to be safe and provide some ergogenic benefit.
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Dalton and colleagues reported that ingesting 3 and 6 g/day of creatine nitrate for 5 days significantly improved some measures of strength and muscle endurance compared to placebo.
“Dalton and colleagues [36] reported that ingesting 3 and 6 g/day of CrN for 5 days significantly improved some measures of strength and muscle endurance compared to placebo.”
From Bioavailability, Efficacy, Safety, and Regulatory Status of Creatine and Related Compounds: A Critical Review (2022) · cites this paper as [36]
The Results (§4.3) report improvements after five days in some strength and endurance measures with creatine nitrate. But they report no significant treatment-by-time effects for those measures, and the observed leg-press endurance increase was not different among treatments. The claim overstates the evidence by saying both doses significantly improved those measures compared with placebo. (LLM, conf=0.88)
Experimental — accuracy not yet measuredDalton et al. reported that ingestion of up to 6 g of creatine nitrate for 6 days does not negatively affect resting hemodynamics, response to a postural challenge, the ability to perform high-intensity exercise, or clinical chemistry profiles.
“Dalton et al. [36] reported that ingestion of up to 6 g of CrN for 6 days does not negatively affect resting hemodynamics, response to a postural challenge, the ability to perform high-intensity exercise, or clinical chemistry profiles.”
From Bioavailability, Efficacy, Safety, and Regulatory Status of Creatine and Related Compounds: A Critical Review (2022) · cites this paper as [36]
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Antonio, J., Candow, D. G., Forbes, S. C., Gualano, B., Jagim, A. R., Kreider, R. B., Rawson, E. S., Smith-Ryan, A. E., VanDusseldorp, T. A., Willoughby, D. S., et al. (2021) · Journal of the International Society of Sports Nutrition · doi:10.1186/s12970-021-00412-w · Cited by 231 · see citing works
“buffered creatine [41], creatine nitrate [194, 195], creatine dipeptides, or the micro amounts of creatine contained in”
MethodSelf-citationKreider, R. B., Jäger, R., & Purpura, M. (2022) · Nutrients · doi:10.3390/nu14051035 · Cited by 103 · see citing works
Self-citationFazio, C., Elder, C. L., & Harris, M. M. (2022) · Journal of Strength & Conditioning Research · doi:10.1519/jsc.0000000000003873 · Cited by 20 · see citing works
- Authors
- Dalton, R., Sowinski, R., Grubic, T., Collins, P., Coletta, A., Reyes, A., Sanchez, B., Koozehchian, M., Jung, Y., Rasmussen, C., Greenwood, M., Murano, P., Earnest, C., & Kreider, R.
- Affiliations
- Texas A&M University (US)
- Corresponding author
- Kreider, Richard
- ORCID
- Venue
- Nutrients
- Publisher
- MDPI AG
- Published
- 2017-12-15
- Volume
- 9
- Issue
- 12
- Pages
- 1359
- ISSN
- 2072-6643 (ISSN-L)
- PMC
- PMC5748809
- OpenAlex
- W2775438327
- Cited by
- 23
- References
- 23
- Citations by year
- 2026: 4 · 2024: 4 · 2023: 2 · 2022: 3 · 2021: 6 · 2020: 1 · 2019: 2 · 2018: 1
- FWCI
- 0.57
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- Nutrients (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Funders
- Nutrabolt
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Cell Biology › Muscle metabolism and nutrition
- Health Sciences › Medicine › Orthopedics and Sports Medicine › Sports Performance and Training
- Health Sciences › Medicine › Physiology › Biochemical effects in animals
- Keywords
- creatine supplementation, acute supplementation, short-term supplementation, hemodynamic response, blood markers, postural challenge, strength performance, bench press, leg press, cycling time trial, recovery performance, post-exercise recovery, adverse effects, dose comparison, sex differences, men and women
- MeSH terms
- Adolescent, Adult, Animals, Anthropometry, Bicycling, Body Composition, Creatine, Dose-Response Relationship, Drug, Double-Blind Method, Female, Hemodynamics, Humans, Male, Nitrates, Physical Endurance, Surveys and Questionnaires, Treatment Outcome, Muscle, Skeletal, Cross-Over Studies, Dietary Supplements, Muscle Strength, Athletic Performance, Young Adult, Performance-Enhancing Substances
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 ›
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