Effects of creatine supplementation on renal function: a randomized, double-blind, placebo-controlled clinical trial

Creatine (CR) supplementation is commonly used by athletes. However, its effects on renal function remain controversial. The aim of this study was to evaluate the effects of creatine supplementation on renal function in healthy sedentary males (18–35 years old) submitted to exercise training. A rand...

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Veröffentlicht in:European journal of applied physiology 2008-05, Vol.103 (1), p.33-40
Hauptverfasser: Gualano, Bruno, Ugrinowitsch, Carlos, Novaes, Rafael Batista, Artioli, Guilherme Gianini, Shimizu, Maria Heloisa, Seguro, Antonio Carlos, Harris, Roger Charles, Lancha, Antonio Herbert
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container_issue 1
container_start_page 33
container_title European journal of applied physiology
container_volume 103
creator Gualano, Bruno
Ugrinowitsch, Carlos
Novaes, Rafael Batista
Artioli, Guilherme Gianini
Shimizu, Maria Heloisa
Seguro, Antonio Carlos
Harris, Roger Charles
Lancha, Antonio Herbert
description Creatine (CR) supplementation is commonly used by athletes. However, its effects on renal function remain controversial. The aim of this study was to evaluate the effects of creatine supplementation on renal function in healthy sedentary males (18–35 years old) submitted to exercise training. A randomized, double-blind, placebo-controlled trial was performed. Subjects ( n  = 18) were randomly allocated to receive treatment with either creatine (CR) (∼10 g day −1 over 3 months) or placebo (PL) (dextrose). All subjects undertook moderate intensity aerobic training, in three 40-min sessions per week, during 3 months. Serum creatinine, serum and urinary sodium and potassium were determined at baseline and at the end of the study. Cystatin C was assessed prior to training (PRE), after 4 (POST 4) and 12 weeks (POST 12). Cystatin C levels (mg L −1 ) (PRE CR: 0.82 ± 0.09; PL: 0.88 ± 0.07 vs. POST 12 CR: 0.71 ± 0.06; PL: 0.75 ± 0.09, P  = 0.0001) were decreased over time, suggesting an increase in glomerular filtration rate. Serum creatinine decreased with training in PL but was unchanged with training in CR. No significant differences were observed within or between groups in other parameters investigated. The decrease in cystatin C indicates that high-dose creatine supplementation over 3 months does not provoke any renal dysfunction in healthy males undergoing aerobic training. In addition, the results suggest that moderate aerobic training per se may improve renal function.
doi_str_mv 10.1007/s00421-007-0669-3
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However, its effects on renal function remain controversial. The aim of this study was to evaluate the effects of creatine supplementation on renal function in healthy sedentary males (18–35 years old) submitted to exercise training. A randomized, double-blind, placebo-controlled trial was performed. Subjects ( n  = 18) were randomly allocated to receive treatment with either creatine (CR) (∼10 g day −1 over 3 months) or placebo (PL) (dextrose). All subjects undertook moderate intensity aerobic training, in three 40-min sessions per week, during 3 months. Serum creatinine, serum and urinary sodium and potassium were determined at baseline and at the end of the study. Cystatin C was assessed prior to training (PRE), after 4 (POST 4) and 12 weeks (POST 12). Cystatin C levels (mg L −1 ) (PRE CR: 0.82 ± 0.09; PL: 0.88 ± 0.07 vs. POST 12 CR: 0.71 ± 0.06; PL: 0.75 ± 0.09, P  = 0.0001) were decreased over time, suggesting an increase in glomerular filtration rate. 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subjects Adolescent
Adult
Aerobics
Biomedical and Life Sciences
Biomedicine
Clinical trials
Creatine - administration & dosage
Creatine - pharmacology
Creatinine
Creatinine - blood
Dietary Supplements
Dose-Response Relationship, Drug
Double-Blind Method
Exercise
Exercise - physiology
Glomerular Filtration Rate - drug effects
Glomerular Filtration Rate - physiology
Human Physiology
Humans
Kidney - drug effects
Kidney - physiology
Kidneys
Male
Males
Occupational Medicine/Industrial Medicine
Original Article
Oxygen Consumption - physiology
Physical fitness
Potassium - blood
Potassium - urine
Sodium - blood
Sodium - urine
Sports Medicine
title Effects of creatine supplementation on renal function: a randomized, double-blind, placebo-controlled clinical trial
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