Creatine Ethyl Ester

Title: Acute and moderate-term creatine monohydrate supplementation does not affect creatine transporter mRNA or protein content in either young or elderly humans.

Researchers: Tarnopolsky M, Parise G, Fu MH, Brose A, Parshad A, Speer O, Wallimann T.

Institution: Department of Medicine (Neurology and Rehabilitation), McMaster University, Hamilton, ON, Canada.

Source: Molecular and Cellular Biochemistry 2003 Feb;244(1-2):159-66.

Summary: Animal studies have shown that supra-physiological creatine monohydrate supplementation for 3 months reduced skeletal muscle creatine transporter (CRT) content. The doses of Creatine (1-2 g/kg/day) used in these studies were between 5 and 10 times those usually used in human studies, and it is unclear whether a down-regulation of CRT would occur in humans at the recommended doses of 0.1-0.2 g/kg/day.

Methods: CRT, and citrate synthase (CS) protein content were measured using Western blotting before and after 2 months of Creatine supplementation and weight training in young men using 0.125 g/kg/day. CRT and CS were also measured before and after 4 months of Creatine supplementation and weight training in elderly (> 65 years) men and women using 0.075 g/kg/day. Finally, CRT mRNA was measured using competitive RT-PCR before and after 8-9 days of Creatine loading in young men and women using 0.18 g/kg/day.

Results: Total creatine content was significantly elevated after the Creatine supplementation period as compared to placebo in each of the studies. Neither Creatine supplementation, nor exercise training resulted in measurable alterations in CRT protein content and acute Creatine loading did not alter CRT mRNA. There were no gender differences in CRT mRNA or total creatine content in the young subjects and no gender differences in total creatine content or CRT protein content in the elderly subjects. Weight training in young men did not increase CS protein content, however, in the elderly there was a significant increase in CS protein content after exercise training.

Conclusion: These results demonstrated that Creatine monohydrate supplementation during weight training resulted in increases in skeletal muscle total creatine without reductions in Creatine Transporter protein and acute Creatine loading did not decrease Creatine Transporter mRNA content.

Discussion: Nearly five years ago I reported on research showing that creatine transporters can down-regulate in response to creatine supplementation. (1) In this previous study animals were given very high levels of creatine monohydrate in the diet, much higher than we might use to supplement with. After 3-6 months of this high creatine intake, creatine transporter proteins were significantly decreased in muscle tissue. Since then a number of other studies have followed to augment our understanding of the creatine transporter (2,3,4,5).

Now, as the study we are presently discussing mentions, these and other similar studies used between 5 and 10 times the amount used in human studies. But none of these studies has provided clear evidence as to the down regulation of creatine transporters after creatine supplementation in humans. So in order to clarify the impact of normal creatine supplementation on creatine transporters in humans, this study was warranted.

In the present study, they used three different creatine regimens, young men using 0.125 g/kg/day and weight training for 2 months; elderly (> 65 years) men and women using 0.075 g/kg/day and weight training for 4 months; and finally, young men and women using 0.18 g/kg/day loading for 8-9 days. Each of these three regimens resulted in increased muscle creatine levels. However, none of them resulted in a decrease in creatine transporter proteins, even after 4 months of daily supplementation.

This is good news for those of us who have enjoyed the benefits of using creatine, but were concerned with the question about cycling it. From the results of this most recent study, there would be no reason to cycle creatine for up to 2-4 months.



References:

1: Guerrero-Ontiveros ML, Wallimann T. Creatine supplementation in health and disease. Effects of chronic creatine ingestion in vivo: down-regulation of the expression of creatine transporter isoforms in skeletal muscle. Mol Cell Biochem 1998 Jul;184(1?2):427-37.

2: Brault JJ, Abraham KA, Terjung RL. Muscle creatine uptake and creatine transporter expression in response to creatine supplementation and depletion. J Appl Physiol. 2003 Feb 28.

3: Brault JJ, Terjung RL. Creatine uptake and creatine transporter expression among rat skeletal muscle fiber types. Am J Physiol Cell Physiol. 2003 Feb 5.

4: Murphy R, McConell G, Cameron-Smith D, Watt K, Ackland L, Walzel B, Wallimann T, Snow R. Creatine transporter protein content, localization, and gene expression in rat skeletal muscle. Am J Physiol Cell Physiol. 2001 Mar;280(3):C415-22.

5: Walzel B, Speer O, Boehm E, Kristiansen S, Chan S, Clarke K, Magyar JP, Richter EA, Wallimann T. New creatine transporter assay and identification of distinct creatine transporter isoforms in muscle. Am J Physiol Endocrinol Metab. 2002 Aug;283(2):E390-401.
 
Title: Creatine Supplementation and Its Effect on Musculotendinous Stiffness and Performance.

Researchers: MARK L. WATSFORD, ARON J. MURPHY, and WARWICK L. SPINKS, ANDREW D. WALSHE*

Institution: Human Movement Department, School of Leisure, Sport, and Tourism, University of Technology, Sydney, Australia 2070

Reference: The Journal of Strength and Conditioning Research: (2003) Vol. 17, No. 1, pp. 26Ð33.

Summary: Anecdotal reports suggesting that creatine (Cr) supplementation may cause side effects, such as an increased incidence of muscle strains or tears, require scientific examination. In this study, it was hypothesized that the rapid fluid retention and lean tissue accretion evident after Cr supplementation may cause an increase in musculotendinous stiffness.

Methods: Twenty men were randomly allocated to a control or an experimental group and were examined for musculotendinous stiffness of the triceps surae and for numerous performance indices before and after Cr ingestion.

Results: The Cr group achieved a significant increase in body mass (79.7 ± 10.8 kg vs. 80.9 ± 10.7 kg), counter movement jump height (40.2 ± 4.8 cm vs. 42.7 ± 5.9 cm), and 20-cm drop jump height (32.3 ± 3.3 cm vs. 35.1 ± 4.8 cm) after supplementation. No increase was found for musculotendinous stiffness at any assessment load. There were no significant changes in any variables within the control group.

Conclusion: These findings have both performance- and injury-related implications. Primarily, anecdotal evidence suggesting that Cr supplementation causes muscular strain injuries is not supported by this study. In addition, the increase in jump performance is indicative of performance enhancement in activities requiring maximal power output.

Discussion: Probably the most common misconception I hear from coaches, parents, and even uninformed athletes, is that creatine causes injuries. Before gently debunking their concerns I ask why they think creatine would cause injuries. Nine out of ten times the answer is dehydration. Dehydration? What?! Ok, ok, rather than get sarcastic I'll simply explain that the osmotic effect of creatine doesn't affect your body's hydration state. On the contrary, creatine supplementation increases total body water. (1,2)

Another injury related misconception about creatine is that it causes cramps. Recent research indicates that in fact, creatine may produce the opposite affect by increasing the muscle's ability to relax. (3,4) To further corroborate this, recent research found that creatine supplementation actually decreased the incidence of muscle cramping in haemodialysis patients. (5) Muscle cramping is a common and frustrating complication of haemodialysis treatment.

This study is only one more in a growing line of research done to explore and confirm the safety of creatine supplementation. Nevertheless, as with any supplement, there will be uninformed skepticism, and as long as there is a lack of information or worse, misinformation, we will continue to share research to establish the truth for the benefit of all, whether you chose to use supplements or not.

Additional References:

1: Hultman, E, Soderlund K, Timmons A, Cedarblad JG, and Greenhaff PL. Muscle creatine loading in men. J Appl Physiol 81: 232-237, 1996

2: Ziegenfuss, TN, Lowery LM, and Lemon PWR Acute fluid changes in men during three days of creatine supplementation. JEPonline 1: 3, 1998.

3: van Leemputte M, Vandenberghe K, Hespel P Shortening of muscle relaxation time after creatine loading. J Appl Physiol 1999 Mar;86(3):840-4

4: Hespel P, Op't Eijnde B, Van Leemputte M. Opposite actions of caffeine and creatine on muscle relaxation time in humans. J Appl Physiol. 2002 Feb;92(2):513-8.

5: Chang CT, Wu CH, Yang CW, Huang JY, Wu MS. Creatine monohydrate treatment alleviates muscle cramps associated with haemodialysis. Nephrol Dial Transplant. 2002 Nov;17(11):1978-81.
 
Performance and muscle fiber adaptations to creatine supplementation and heavy resistance training
[Basic Sciences: Original Investigations]
VOLEK, JEFF S.; DUNCAN, NOEL D.; MAZZETTI, SCOTT A.; STARON, ROBERT S.; PUTUKIAN, MARGOT; GÓMEZ, ANA L.; PEARSON, DAVID R.; FINK, WILLIAM J.; KRAEMER, WILLIAM J.

Laboratory for Sports Medicine/Department of Kinesiology/Center for Sports Medicine, The Pennsylvania State University, University Park, PA 16802; The Human Performance Laboratory, Ball State University, Muncie, IN 47306; Department of Biological Sciences, College of Osteopathic Medicine, and School of Physical Therapy, Ohio University, Athens, OH 45701; and Department of Physiology, The University of Melbourne, Melbourne, AUSTRALIA



Address for correspondence: William J. Kraemer, Ph.D., Professor/Director, The Human Performance Laboratory, Ball State University, Muncie, IN 47306. E-mail: wkraemer@bsu.edu.

ABSTRACT
Performance and muscle fiber adaptations to creatine supplementation and heavy resistance training. Med. Sci. Sports Exerc., Vol. 31, No. 8, pp. 1147-1156, 1999.

Purpose: The purpose of this study was to examine the effect of creatine supplementation in conjunction with resistance training on physiological adaptations including muscle fiber hypertrophy and muscle creatine accumulation.

Methods: Nineteen healthy resistance-trained men were matched and then randomly assigned in a double-blind fashion to either a creatine (N = 10) or placebo (N = 9) group. Periodized heavy resistance training was performed for 12 wk. Creatine or placebo capsules were consumed (25 g·d-1) for 1 wk followed by a maintenance dose (5 g·d-1) for the remainder of the training.

Results: After 12 wk, significant (P ≤ 0.05) increases in body mass and fat-free mass were greater in creatine (6.3% and 6.3%, respectively) than placebo (3.6% and 3.1%, respectively) subjects. After 12 wk, increases in bench press and squat were greater in creatine (24% and 32%, respectively) than placebo (16% and 24%, respectively) subjects. Compared with placebo subjects, creatine subjects demonstrated significantly greater increases in Type I (35% vs 11%), IIA (36% vs 15%), and IIAB (35% vs 6%) muscle fiber cross-sectional areas. Muscle total creatine concentrations were unchanged in placebo subjects. Muscle creatine was significantly elevated after 1 wk in creatine subjects (22%), and values remained significantly greater than placebo subjects after 12 wk. Average volume lifted in the bench press during training was significantly greater in creatine subjects during weeks 5-8. No negative side effects to the supplementation were reported.
 
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