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Body composition measured by multi-frequency bioelectrical impedance following creatine supplementation
Emily A Buck1, Michael J Saunders1, Elizabeth S Edwards1
1Human Performance Laboratory, James Madison University, Harrisonburg, VA, USA.
The Journal of Sports Medicine and Physical Fitness
|September 7, 2023
Summary
Creatine supplementation increases total body water (TBW) and fat-free mass (FFM) as measured by multi-frequency bioelectrical impedance (MF-BIA). This study confirms MF-BIA accurately detects body composition changes after creatine intake.
Area of Science:
- Exercise Physiology
- Nutritional Biochemistry
- Body Composition Analysis
Background:
- Acute fluid intake can elevate body fat percentage (BF%) estimates from bioelectrical impedance analysis (BIA).
- The impact of creatine supplementation, known to cause fluid retention and increase fat-free mass (FFM) and total body water (TBW), on multi-frequency bioelectrical impedance (MF-BIA) accuracy is unclear.
Purpose of the Study:
- To evaluate the accuracy of a multi-frequency bioelectrical impedance (MF-BIA) device (InBody 770) in measuring total body water (TBW) and body composition after creatine supplementation.
- To analyze the effects of creatine monohydrate on body composition and TBW.
Main Methods:
- A randomized controlled trial involving 27 participants (13 male, 14 female, aged 18-22 years) receiving either creatine monohydrate or maltodextrin for one week.
- Body composition, including BF%, FFM, and fat mass (FM), was assessed using dual-energy X-ray absorptiometry (DEXA), single-frequency BIA (SF-BIA), and MF-BIA (InBody 770).
- Total body water (TBW), intracellular water (ICW), and extracellular water (ECW) were estimated via MF-BIA.
Main Results:
- The creatine group exhibited significantly greater increases in FFM compared to the placebo group across all measurement methods (SF-BIA, MF-BIA, DEXA).
- Creatine supplementation led to a statistically significant 2% increase in TBW as measured by the InBody 770 MF-BIA device.
- Significant increases in FFM were observed in the creatine group, attributed to increased TBW.
Conclusions:
- One week of creatine supplementation effectively increases TBW, which is accurately detected by the InBody 770 MF-BIA device.
- The observed increases in FFM following creatine supplementation, as measured by SF-BIA, MF-BIA, and DEXA, are influenced by the rise in TBW.

