Randomized controlled trial2019Open access

Effect of Creatine Supplementation on the Airways of Youth Elite Soccer Players

Simpson AJ, Horne S, Sharp P, Sharps R, Kippelen P

Medicine and science in sports and exercise · 7 citations

How it was studied

Design
Randomized controlled trial (indexed by PubMed)
Studied in
People
Main outcome
Health markers and function

Who paid for it

Funding
Independent funding
University or hospital
University of Hull

Based on 1 listed funder(s).

Publication

Published
2019-03-22 · Med Sci Sports Exerc · vol. 51 · issue 8 · pp. 1582–1590
Publisher
Lippincott Williams & Wilkins
Cited
16 citations · more than 69% of similar papers · 0.9× the field average
References
44 works
Access
Open access (hybrid journal) · CC-BY-NC-ND
Research areas
Muscle metabolism and nutrition · Exercise and Physiological Responses · Chronic Obstructive Pulmonary Disease (COPD) Research
Keywords
Creatine, Exhaled nitric oxide, Placebo, Medicine, Athletes, Dose, Internal medicine, Physical therapy, Asthma, Spirometry
MeSH
lung, humans, hypersensitivity, immediate, inflammation, nitric oxide, creatine, breath tests, lung volume measurements, pulmonary ventilation, forced expiratory flow rates, double-blind method, soccer, dietary supplements, adolescent, male, performance-enhancing substances, physical conditioning, human, biomarkers

5 authors

From GB

  • Andrew SimpsonBrunel University of London
  • Sara HorneBrunel University of London
  • Peter C. SharpManchester City Football Club
  • ROBERT SHARPSManchester City Football Club
  • Pascale KippelenBrunel University of London

Abstract

Introduction

Owing to its well-established ergogenic potential, creatine is a highly popular food supplement in sports. As an oral supplement, creatine is considered safe and ethical. However, no data exist on the safety of creatine on lung function in athletes. The aim of this project was to evaluate the effects of a standard course of creatine on the airways of youth elite athletes.

Methods

Nineteen elite soccer players, 16-21 yr old, completed a stratified, randomized, double-blind, placebo-controlled, parallel-group trial. The creatine group (n = 9) ingested 0.3 g·kg⋅d of creatine monohydrate (CM) for 1 wk (loading phase) and 5 g·d for 7 wk (maintenance phase), and the placebo group (n = 10) received the same dosages of maltodextrin. Airway inflammation (assessed by exhaled nitric oxide, FENO) and airway responsiveness (to dry air hyperpnoea) were measured pre- and postsupplementation.

Results

Mild, unfavorable changes in FENO were noticed by trend over the supplementation period in the CM group only (P = 0.056 for interaction, η = 0.199), with a mean group change of 9 ± 13 ppb in the CM group versus -5 ± 16 ppb in the placebo group (P = 0.056, d = 0.695). Further, the maximum fall in forced expiratory volume in 1 s after dry air hyperpnoea was larger by trend postsupplementation in the CM group compared with the placebo group: 9.7% ± 7.5% vs 4.4% ± 1.4%, respectively (P = 0.070, d = 0.975). These adverse effects were more pronounced when atopic players only (n = 15) were considered.

Conclusion

On the basis of the observed trends and medium to large effect sizes, we cannot exclude that creatine supplementation has an adverse effect on the airways of elite athletes, particularly in those with allergic sensitization. Further safety profiling of the ergogenic food supplement is warranted.

Abstract via Europe PMC. Copyright remains with the authors or publisher (CC BY-NC-ND).

Community trust

Loading…

How much do you trust this study's findings?

0 · not at all10 · completely

Comments

Sign in to rate, comment on or flag this study.Sign in

Something wrong here?

Flag this study if its information, labels or funding look wrong. An editor reviews every flag.

Sign in to rate, comment on or flag this study.Sign in

Educational information about published research. Not medical advice, and not a recommendation to start or stop anything.