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Ensayo controlado aleatorizado2023Acceso abierto

The effects of creatine supplementation on cognitive performance-a randomised controlled study

Sandkühler JF, Kersting X, Faust A, Königs EK, Altman G, Ettinger U, Lux S, Philipsen A, Müller H, Brauner J

BMC medicine · 16 citas

Cómo se estudió

Diseño
Ensayo controlado aleatorizado (indexado por PubMed)
Estudiado en
Personas
Resultado principal
Marcadores de salud y funcionamiento

Quién lo pagó

Financiación
Financiación independiente
Organización sin fines de lucro
Cancer Research UK
Universidad u hospital
Rheinische Friedrich-Wilhelms-Universität Bonn
Gobierno
Engineering and Physical Sciences Research Council
Organización sin fines de lucro
Effective Altruism Foundation
Organización sin fines de lucro
Effective Ventures Foundation
Sin clasificar
Paul Christiano
Subvenciones
Engineering and Physical Sciences Research Council (2242671); Engineering and Physical Sciences Research Council (2242671); Cancer Research UK (S_4017)

Según 6 financiadores declarados y la declaración de financiación del texto completo.

Publicación

Publicado
2023-11-15 · BMC Med · vol. 21 · número 1 · pág. 440
Editorial
BioMed Central
Citado
26 citas · más que el 94% de estudios similares · 3.3× el promedio de su campo
Impacto
Entre el 10 % más citado de su campo
Referencias
73 trabajos
Acceso
Acceso abierto (revista) · CC-BY
Áreas de investigación
Muscle metabolism and nutrition · Cardiovascular and exercise physiology · Genetics and Physical Performance
Palabras clave
Creatine, Medicine, Placebo, Creatine Monohydrate, Effects of sleep deprivation on cognitive performance, Cognition, Phosphocreatine, Creatine kinase, Randomized controlled trial, Internal medicine, Physical therapy, Physical medicine and rehabilitation, Endocrinology, Psychiatry, Energy metabolism, Pathology
MeSH
brain, humans, creatine, bayes theorem, double-blind method, cognition, dietary supplements

10 autores

  • Julia Fabienne Sandkühler🇩🇪University of Bonn; University Hospital Bonn
  • Xenia A. K. Kersting🇩🇪Johannes Gutenberg University Mainz; University Hospital Bonn; University Medical Center of the Johannes Gutenberg University Mainz
  • Annika Faust🇩🇪University Hospital Bonn
  • Eva Kathrin Königs🇩🇪University Hospital Bonn
  • George T. Altman🇬🇧Manchester University NHS Foundation Trust
  • Ulrich Ettinger🇩🇪University of Bonn
  • Silke Lux🇩🇪University Hospital Bonn
  • Alexandra Philipsen🇩🇪University Hospital Bonn
  • Helge Müller🇩🇪Witten/Herdecke University; University Hospital Bonn
  • Jan Brauner🇩🇪🇬🇧Witten/Herdecke University; University of Oxford

Resumen

El texto original del estudio, en el idioma en que se publicó.

Background

Creatine is an organic compound that facilitates the recycling of energy-providing adenosine triphosphate (ATP) in muscle and brain tissue. It is a safe, well-studied supplement for strength training. Previous studies have shown that supplementation increases brain creatine levels, which might increase cognitive performance. The results of studies that have tested cognitive performance differ greatly, possibly due to different populations, supplementation regimens, and cognitive tasks. This is the largest study on the effect of creatine supplementation on cognitive performance to date.

Methods

Our trial was preregistered, cross-over, double-blind, placebo-controlled, and randomised, with daily supplementation of 5 g for 6 weeks each. We tested participants on Raven's Advanced Progressive Matrices (RAPM) and on the Backward Digit Span (BDS). In addition, we included eight exploratory cognitive tests. About half of our 123 participants were vegetarians and half were omnivores.

Results

Bayesian evidence supported a small beneficial effect of creatine. The creatine effect bordered significance for BDS (p = 0.064, η2P = 0.029) but not RAPM (p = 0.327, η2P = 0.008). There was no indication that creatine improved the performance of our exploratory cognitive tasks. Side effects were reported significantly more often for creatine than for placebo supplementation (p = 0.002, RR = 4.25). Vegetarians did not benefit more from creatine than omnivores.

Conclusions

Our study, in combination with the literature, implies that creatine might have a small beneficial effect. Larger studies are needed to confirm or rule out this effect. Given the safety and broad availability of creatine, this is well worth investigating; a small effect could have large benefits when scaled over time and over many people.

Trial registration

The trial was prospectively registered (drks.de identifier: DRKS00017250, https://osf.io/xpwkc/ ).

Resumen vía Europe PMC. Los derechos de autor siguen siendo de los autores o la editorial (CC BY).

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