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Creatine supplementation and athletic performance.

Susan B Racette1

  • 1Washington University School of Medicine, Program in Physical Therapy, Department of Medicine, St. Louis, MO 63108-2212, USA. racettes@msnotes.wustl.edu

The Journal of Orthopaedic and Sports Physical Therapy
|November 19, 2003
PubMed
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Creatine monohydrate supplementation can enhance athletic performance and muscle mass in athletes. However, young athletes should exercise caution due to unknown long-term effects on growth and development.

Area of Science:

  • Sports Science
  • Nutritional Biochemistry

Background:

  • Ergogenic aids, including nutritional supplements, are widely used by athletes to improve performance.
  • Creatine monohydrate is a popular supplement known for its potential benefits and perceived safety.

Purpose of the Study:

  • To review the effects of creatine monohydrate supplementation on athletic performance and body composition.
  • To address the safety concerns and knowledge gaps regarding creatine use, particularly in young athletes.

Main Methods:

  • Review of existing scientific literature on creatine monohydrate supplementation.
  • Analysis of studies investigating creatine's impact on muscle creatine concentrations, lean body mass, strength, power, and exercise performance.

Main Results:

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  • Oral creatine supplementation increases skeletal muscle creatine levels.
  • It promotes lean body mass gains with resistance training, enhances power and strength, and improves performance in intense, repeated exercise bouts.
  • Long-term safety and effects on growth and development in young athletes remain largely undetermined.

Conclusions:

  • Creatine monohydrate is a potentially beneficial and generally safe supplement for many athletes.
  • Further research is needed to establish the long-term safety and efficacy of chronic creatine supplementation, especially for adolescent athletes.
  • Ongoing clinical investigations will guide the appropriate use of creatine for athletes of all ages.