Skip to main content
Log in

Risk assessment of the potential side effects of long–term creatine supplementation in team sport athletes

  • ORIGINAL CONTRIBUTION
  • Published:
European Journal of Nutrition Aims and scope Submit manuscript

Summary

Background

Use of creatine has become widespread among sportsmen and women, although there are no conclusive evidences concerning possible health risks of long–term creatine supplementation.

The aim of the study

To investigate long–term effects of creatine monohydrate supplementation on clinical parameters related to health.

Methods

Eighteen professional basketball players of the first Spanish Basketball League participated in the present longitudinal study. The subjects were ingesting 5 g creatine monohydrate daily during three competition seasons. Blood was collected in the morning after an overnight fast, five times during each of the three official competition seasons of the first National Basketball League (September 1999–June 2000, September 2000–June 2001 and September 2001–June 2002) and the European League. Standard clinical examination was performed for 16 blood chemistries.

Results

The plasma concentrations of all clinical parameters did not alter significantly during the analyzed time frames of creatine supplementation. All of these parameters were, with the exception of creatinine and creatine kinase, within their respective clinical ranges at all time points.

Conclusion

Our data shows that low–dose supplementation with creatine monohydrate did not produce laboratory abnormalities for the majority of the parameters tested.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  1. Branch JD (2003) Effect of creatine supplementation on body composition and performance: a meta analysis. Int J Sport Nutr Exerc Metabol 13:198–226

    CAS  Google Scholar 

  2. Casey A, Greenhaff P (2000) Does dietary creatine supplementation plays a role in skeletal muscle metabolism and performance? Am J Clin Nutr 72 (Suppl):607S–617S

    CAS  PubMed  Google Scholar 

  3. Demant TW, Rhodes EC (1999) Effects of creatine supplementation on exercise performance. Sports Med 28:49–60

    CAS  PubMed  Google Scholar 

  4. American College of Sports Medicine Roundtable (2000) The physiological and health effects of oral creatine supplementation. Med Sci Sports Exerc 32: 706–717

    PubMed  Google Scholar 

  5. Tarnopolsky MA, MacLennan DP (2000) Creatine monohydrate supplementation enhances high-intensity exercise performance in males and females. Int J Sport Nutr Exerc Metab 10:452–463

    CAS  PubMed  Google Scholar 

  6. Burke DG, Silver S, Holt L-E, Smith- Palmer T, Culligan CJ, Chilibeck PD (2000) The effect of continuous low dose creatine supplementation on force, power, and total work. Int J Sport Nutr Exerc Metab 10:235–244

    CAS  PubMed  Google Scholar 

  7. Wyss M, Kaddurah-Daouk R (2000) Creatine and creatinine metabolism. Physiol Rev 80:1107–1213

    CAS  PubMed  Google Scholar 

  8. Wyss M, Schulze A (2002) Health implications of creatine: can oral creatine supplementation protect against neurological and atherosclerotic disease. Neuroscience 112:243–260

    Article  CAS  PubMed  Google Scholar 

  9. Persky AM, Brazeu GA (2001) Clinical Pharmacology of the dietary supplement creatine monohydrate. Pharmacol Rev 53:161–176

    CAS  PubMed  Google Scholar 

  10. McGuine TA, Sullivan JC, Bernhardt DT (2001) Creatine supplementation in high school football players. Clin J Sport Med 11:247–253

    CAS  PubMed  Google Scholar 

  11. Baylis A, Cameron-Smith D, Burke LM (2001) Inadvertent doping through supplement use by athletes: assessment and management of the risk in Australia. Int J Sport Nutr Exerc Metab 11: 365–383

    CAS  PubMed  Google Scholar 

  12. Schroeder C, Potteiger J, Randall J, Jacobsen D, Magee L, Benedict S, Hulver M (2001) The effects of creatine dietary supplementation on anterior compartment pressure in the lower leg during rest and following exercise. Clin J Sport Med 11:87–95

    CAS  PubMed  Google Scholar 

  13. Kreider RB, Melton C, Rasmussen CJ, Greenwood M, Lancaster S, Cantler EC, Milnor P, Almada A (2003) Long term creatine supplementation does not significantly affect clinical markers of health in athletes. Mol Cell Biochem 244:95–104

    Article  CAS  PubMed  Google Scholar 

  14. Kreider RB, Melton C, Rasmussen CJ, Greenwood M, Lancaster S, Cantler EC, Milnor P, Almada A (2003) Creatine supplementation during college football training does not increase the incidence of cramping or injury. Mol Cell Biochem 244:83–88

    PubMed  Google Scholar 

  15. Poortmans JR, Francaux M (1999) Long-term oral creatine supplementation does not impair renal function in healthy athletes. Med Sci Sports Exerc 31:1108–1100

    Article  CAS  PubMed  Google Scholar 

  16. Poortmans JR, Auquier H, Renaut V, Durussel A, Saugy M, Brisson GR (1997) Effects of short term creatine supplementation on renal response in men. Eur J Appl Physiol 76:566–567

    Article  CAS  Google Scholar 

  17. Robinson TM, Sewell DA, Casey A, Steenge G, Greenhaff PL (2000) Dietary creatine supplementation does not affect some haematological indices, or indices of muscle damage and hepatic and renal function. Br J Sports Med 34:284–288

    Article  CAS  PubMed  Google Scholar 

  18. Schilling BK, Stone MH, Utter A, Kearney JT, Johnson M, Coglianese R, Smith L, O’Bryant HS, Frey AC, Stakes M, Keith R, Stone ME (2001) Creatine supplementation and health variables: a retrospective study. Med Sci Sports Exerc 33:183–188

    Article  CAS  PubMed  Google Scholar 

  19. Dill DB,Costill DL (1974) Calculation of percentage changes in volumes of blood,plasma, and red cells in dehydration. J Appl Physiol 37:47–48

    Google Scholar 

  20. Juhm MS, Tarnopolsky M (1998) Potential side effects of oral creatine supplementation: a critical review. Clin J Sport Med 8:298–304

    PubMed  Google Scholar 

  21. Mujika I, Padilla S, Ibáñez J, Izquierdo M, Gorostiaga E (2000) Creatine supplementation and sprint performance in soccer players. Med Sci Sports Exerc 32:518–525

    Article  CAS  PubMed  Google Scholar 

  22. Romer LM, Barrington JP, Jeukendrup AE (2001) Effects of oral creatine supplementation on high intensity, intermittent exercise performance in competitive squash players. Int J Sports Med 22:546–552

    Article  CAS  PubMed  Google Scholar 

  23. Cox G, Mujika I, Tumilty D, Burke L (2002) Acute creatine supplementation and performance during a field test simulating match play in elite female soccer players. Int J Sport Nutr Exerc Met 12:33–46

    CAS  Google Scholar 

  24. Margaritis I, Tessier F, Verdera F, Bermon S, Marconnet P (1999) Muscle Enzyme release does not predict muscle function impairment after triathlon. J Sports Med Phys Fitness 39:133–139

    CAS  PubMed  Google Scholar 

  25. Sorichter S, Puschendorf P, Mair J (1999) Skeletal muscle injury induced by eccentric muscle action: muscle proteins as markers of muscle fiber injury. Exerc Immunol Rev 5:5–25

    CAS  PubMed  Google Scholar 

  26. Schröder H, Navarro E, Mora D, Galliano D, Tramullas A (2001) Effects of α- tocopherol, β-carotene and ascorbic acid on oxidative, hormonal and enzymatic exercise stress markers in habitual training activity of professional basketball player. Eur J Nutr 40:178–184

    Article  PubMed  Google Scholar 

  27. Koshy KM, Griswold E, Schneeberger EE (1999) Interstitial nephritis in an patient taking creatine (letter). N Eng J Med 340:814–815

    CAS  Google Scholar 

  28. Pritchard NR, Kalra PA (1998) Renal dysfunction accompanying oral creatine supplements (letter). Lancet 351:1252–1253

    Article  CAS  PubMed  Google Scholar 

  29. Berl T, Bonventre JV (eds) (1999) Atlas of Diseases of the Kidney. Disorders of water, electrolyte and acid base. ISN Informatics and NKF Cyber/Nephrology

  30. Macdonald JE, Struthers AD (2004) What is the optimal serum potassium level in cardiovascular patients. J Am Coll Cardiol 43:155–161

    CAS  PubMed  Google Scholar 

  31. Vandenbergehe K, Goris M, Van Hecke PP, Van Leemputte M, Vangerven L, Hespel P (1997) Long-term creatine intake is beneficial to muscle performance during resistance training. J Appl Physiol 83:2055–2063

    PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to H. Schröder PhD.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Schröder, H., Terrados, N. & Tramullas, A. Risk assessment of the potential side effects of long–term creatine supplementation in team sport athletes. Eur J Nutr 44, 255–261 (2005). https://doi.org/10.1007/s00394-004-0519-6

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00394-004-0519-6

Key words

Navigation