Systematic review2020Open access

Benefits of Creatine Supplementation for Vegetarians Compared to Omnivorous Athletes: A Systematic Review

Kaviani M, Shaw K, Chilibeck PD

International journal of environmental research and public health · 49 citations

How it was studied

Design
Systematic review (indexed by PubMed)
Studied in
People
Main outcome
Health markers and function

Who paid for it

Funding
Independent funding

Based on full-text disclosure statement.

Publication

Published
2020-04-27 · Int J Environ Res Public Health · vol. 17 · issue 9 · p. 3041
Publisher
Multidisciplinary Digital Publishing Institute
Cited
89 citations · more than 79% of similar papers · 1.1× the field average
References
53 works
Access
Open access (journal) · CC-BY
Research areas
Muscle metabolism and nutrition · Agriculture Sustainability and Environmental Impact · Exercise and Physiological Responses
Keywords
Creatine, Phosphocreatine, Creatine Monohydrate, Medicine, Internal medicine, Athletes, Anaerobic exercise, Endocrinology, Creatine kinase, Lean body mass, Physical therapy, Physiology, Placebo, Body weight, Energy metabolism
MeSH
humans, creatine, prospective studies, cognition, memory, diet, vegetarian, physical fitness, dietary supplements, athletes, vegetarians

3 authors

From CA

  • Mojtaba Kaviani · correspondingAcadia University
  • Keely A. ShawUniversity of Saskatchewan
  • Philip David Chilibeck · correspondingUniversity of Saskatchewan

Abstract

Background

Creatine monohydrate is a nutritional supplement often consumed by athletes in anaerobic sports. Creatine is naturally found in most meat products; therefore, vegetarians have reduced creatine stores and may benefit from supplementation.

Objective

to determine the effects of creatine supplementation on vegetarians.

Data sources

PubMed and SPORTDiscus. Eligibility criteria: Randomized controlled trials (parallel group, cross-over studies) or prospective studies.

Participants

Vegetarians.

Intervention

Creatine supplementation. Study appraisal and synthesis: A total of 64 records were identified, and eleven full-text articles (covering nine studies) were included in this systematic review.

Results

Creatine supplementation in vegetarians increased total creatine, creatine, and phosphocreatine concentrations in vastus lateralis and gastrocnemius muscle, plasma, and red blood cells, often to levels greater than omnivores. Creatine supplementation had no effect on brain levels of phosphocreatine. Creatine supplementation increased lean tissue mass, type II fiber area, insulin-like growth factor-1, muscular strength, muscular endurance, Wingate mean power output, and brain function (memory and intelligence) in vegetarian participants. Studies were mixed on whether creatine supplementation improved exercise performance in vegetarians to a greater extent compared to omnivores.

Limitations

Studies that were reviewed had moderate-high risk of bias.

Conclusions

Overall, it appears vegetarian athletes are likely to benefit from creatine supplementation.

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

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