Meta-analysis2021Open access

Meta-Analysis Examining the Importance of Creatine Ingestion Strategies on Lean Tissue Mass and Strength in Older Adults

Forbes SC, Candow DG, Ostojic SM, Roberts MD, Chilibeck PD

Nutrients · 53 citations

Review labels

Author industry ties

Neutral facts our review recorded about how this study was done. They describe method, never whether we like the result.

How it was studied

Design
Meta-analysis (indexed by PubMed)
Studied in
People
Main outcome
Health markers and function

Who paid for it

Funding
Independent funding
Authors
At least one author declares a financial tie to industry

Based on full-text disclosure statement.

Publication

Published
2021-06-02 · Nutrients · vol. 13 · issue 6 · p. 1912
Publisher
Multidisciplinary Digital Publishing Institute
Cited
86 citations · more than 98% of similar papers · 5.7× the field average
Impact
Top 10% most cited in its field
References
58 works
Access
Open access (journal) · CC-BY
Research areas
Muscle metabolism and nutrition · Nutrition and Health in Aging · Body Composition Measurement Techniques
Keywords
Creatine, Lean body mass, Placebo, Creatine Monohydrate, Ingestion, Dosing, Medicine, Internal medicine, Resistance training, Endocrinology, Body weight, Pathology
MeSH
muscle, skeletal, humans, creatine, aging, eating, weight lifting, dietary supplements, food, fortified, aged, muscle strength, resistance training

5 authors

From CA, RS, US

  • Scott C. Forbes · correspondingBrandon University
  • Darren Glenn CandowUniversity of Regina
  • Sergej M. OstojićUniversity of Novi Sad
  • Michael D. RobertsAuburn University
  • Philip David ChilibeckUniversity of Saskatchewan

Abstract

Creatine supplementation in conjunction with resistance training (RT) augments gains in lean tissue mass and strength in aging adults; however, there is a large amount of heterogeneity between individual studies that may be related to creatine ingestion strategies. Therefore, the purpose of this review was to (1) perform updated meta-analyses comparing creatine vs. placebo (independent of dosage and frequency of ingestion) during a resistance training program on measures of lean tissue mass and strength, (2) perform meta-analyses examining the effects of different creatine dosing strategies (lower: ≤5 g/day and higher: >5 g/day), with and without a creatine-loading phase (≥20 g/day for 5-7 days), and (3) perform meta-analyses determining whether creatine supplementation only on resistance training days influences measures of lean tissue mass and strength. Overall, creatine (independent of dosing strategy) augments lean tissue mass and strength increase from RT vs. placebo. Subanalyses showed that creatine-loading followed by lower-dose creatine (≤5 g/day) increased chest press strength vs. placebo. Higher-dose creatine (>5 g/day), with and without a creatine-loading phase, produced significant gains in leg press strength vs. placebo. However, when studies involving a creatine-loading phase were excluded from the analyses, creatine had no greater effect on chest press or leg press strength vs. placebo. Finally, creatine supplementation only on resistance training days significantly increased measures of lean tissue mass and strength vs. placebo.

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

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