The Science Behind Pure Creatine
Creatine
Monohydrate is a nutrient found naturally in the human body, where it
is crucial to muscular contraction. It is formed in the
liver by a metabolic pathway that requires the amino acids
glycine, arginine, and methionine. It can also be obtained
from foods such as red meat, fish, and chicken. It has an
amino acid structure, but it is not a building block for
protein. Creatine is produced synthetically by combining
the salts sarcosine and cyanamide in a hot water bath, and
dehydrating the product to produce a pure crystalline creatine
powder.
Effects
of Creatine Monohydrate
To understand
how creatine functions as a performance-enhancing supplement,
it is necessary to review the physiology and energetics
of muscle contraction. Each individual muscle fiber contains
two types of protein filaments: thick filaments, comprised
of myosin strands, and thin filaments, comprised mostly
of actin strands. Each muscle fiber consists of many thick
and thin filaments in series with each other. Fibers, in
turn, group together to form the body of a muscle. The contraction
of the muscle is due to the shortening of individual muscle
fibres as these filaments slide together.
Myosin
strands consist of long ‘tails’ connected to globular ‘head’
regions, which stick out from the side of the thick filament.
Muscle contraction occurs as the myosin heads attach to
the thin filament, slide the filaments together, and then
release the thin filament. Only energized myosin heads are
capable of this process during muscle contraction, and this
energy must come in the form of ATP (adenosine triphosphate).
The energy stored in ATP is transferred to myosin, resulting
in energized myosin and ADP, as outlined below.
ATP
+ myosin ---> ADP + energized myosin
Once
the energized myosin head has pulled the filaments together,
it must be re-energized with a new molecule of ATP before
the process can be repeated. The pool of available ATP in
the muscle cell is very rapidly depleted, however, and new
ATP must be produced for muscular contraction to continue
(the ATP pool contains only enough energy to sustain contraction
for about 1-2 seconds). A deficit of ATP in contracting
muscle results in fatigue and decreased strength, power,
and endurance.
The
fastest way in which ATP is regenerated in the muscle cell
is through the high-energy molecule creatine phosphate (CrP).
This molecule, which comprises about two thirds of the creatine
found in muscle cells, rapidly regenerates ATP from ADP,
as outlined below. The ATP produced is then available to
fuel further muscle contraction.
Creatine
phosphate + ADP ---> Creatine + ATP
Creatine
moves into the mitochondria, where it is re-energized to
CRP before moving back into the cytosol. Published reports
estimate that the pool of creatine phosphate will be depleted
within approximately 10 seconds during high intensity muscular
contraction. Increasing the amount of available creatine
phosphate increases the rate at which ATP is made available
to contracting muscle cells.
Creatine
is perhaps the most effective natural performance-enhancing
supplement on the market today. Researchers have proven
that oral supplementation with creatine monohydrate increases
plasma concentration of creatine by up to 30%, and muscular
concentration of creatine phosphate by up to 20%. The increased
concentration of CRP results in a higher rate of ATP synthesis
from ADP.
The higher availability of ATP allows muscles
to work at maximal output for a longer duration than possible
without creatine supplementation.
Oral
supplementation with creatine monohydrate has been proven
in numerous controlled, clinical trials published in peer-reviewed
journals to enhance sport performance through increased
muscular power and endurance during high intensity exercise
(see examples in reference section at the end of this discussion).
The
elevated rate of ATP re-synthesis has also been proven to
decrease recovery times between bouts of exercise, as less
time is required to re-stock the cellular pool of ATP. Athletes
involved in sports such as weightlifting, sprinting, wrestling,
football, basketball, or any activity which involves bouts
of intense activity, benefit from creatine monohydrate supplementation.
Supplementation
with creatine monohydrate is reported to increase cellular
hydration, as the absorption of creatine requires concurrent
absorption of water. It has been reported that this increased
hydration is conducive to increased protein synthesis in
muscle cells, and that this may contribute to the observed
increase in performance. It also causes the initial weight
gains noted immediately upon beginning creatine supplementation.
Recommended
Dosage
Research
has determined that results are optimized if muscle cells
are saturated with creatine. This is achieved by ingesting
high doses of creatine for the first 5 days of supplementation
(loading phase), and then decreasing the dose to a level
that maintains saturation (maintenance phase). The recommended
dose is 5g four to six times a day for the loading phase
(5 days) and then 5g one to three times a day for the maintenance
phase. These doses are standardized for a person of about
160 pounds. A heavier person should use the high end of
the recommended dosage range, while a lighter person should
go with the low end of the recommended dosage range. You
may need to increase or decrease these doses, depending
on your body type and weight.
It is
recommended that supplementation be continued for up to
10 weeks followed by 2 weeks off, and then started again
with the loading phase.
Creatine
is best taken in a beverage, such as grape juice, that contains
simple sugars. The sugar causes a spike in insulin level,
which is known to enhance the absorption of creatine by
muscle cells. There are products on the market that contain
a mixture of creatine and sugar, but the same effect is
achieved by taking pure creatine in juice.
Safety
Since
intense study of creatine supplementation began, there have
been no adverse effects documented in the scientific and
medical literature. All published studies have been conducted
on healthy subjects, however, and it is recommended that
people with liver or kidney disease avoid using creatine,
since it may place extra strain on these filtering organs.
Anecdotal evidence suggests that some people may experience
occasional muscle cramps, intestinal discomfort or diarrhea.
Should this occur, decrease your dosage levels until symptoms
are alleviated.
We recommend
that when taking creatine you increase the volume of water
that you drink each day, especially during the loading phase.
References
- Balsom,
et al., 1994. Creatine in Humans with Special Reference
to Creatine Supplementation. Sports Med 18:268-280.
- Balsom,
et al., 1995. Skeletal muscle metabolism during short
duration high-intensity exercise: influence of creatine
supplementation. Acta Physiol Scand 154:303-310.
- Brannon,
et al., 1997. Effects of creatine loading and training
on running performance and biochemical properties of rat
skeletal muscle. Med Sci Sports Exerc 29:489-495.
- Casey,
et al., 1996. Creatine ingestion favorably affects performance
and muscle metabolism during maximal exercise in humans.
Am J Physiol 271:E31-E37.
- Clark,
1998. Creatine: a review of its nutritional applications
in sport. Nutrition 14:322-324.
- Earnest,
et al., 1995. The effect of creatine monohydrate ingestion
on anaerobic power indices, muscular strength and body
composition. Acta Physiol Scand 153:207-209.
- Earnest,
et al., 1997. Effects of Creatine Monohydrate Ingestion
on Intermediate Duration Anaerobic Treadmill Running to
Exhaustion. J Strength and Cond Res 11:234-238.
- Ekblom,
1996. Effects of Creatine Supplementation on Performance.
Am J Sports Med 24:S38-S39.
- Engelhardt,
et al., 1998. Creatine supplementation in endurance sports.
Med Sci Sports Exerc 30:1123-1129.
- Feldman,
1999. Creatine: A dietary supplement and ergogenic aid.
Nutr Rev 57:45-50.
- Green,
et al., 1996. Carbohydrate ingestion augments skeletal
muscle creatine accumulation during creatine supplementation
in humans. Am J Physiol 271:E821-E826.
- Greenhaff,
et al., 1993. Influence of oral creatine supplementation
of muscle torque during repeated bouts of maximal voluntary
exercise in man. Clin Sci 84:565-571.
- Greenhaff,
et al., 1993. The influence of oral creatine supplementation
on muscle phosphocreatine synthesis following intense
contraction in man. J Physiol 467:75P.
- Greenhaff,
et al., 1994. Effect of oral creatine supplementation
on skeletal muscle phosphocreatine resynthesis. Am J Physiol
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- Kelly
and Jenkins, 1998. Effect of Oral Creatine Supplementation
on Near-Maximal Strength and Repeated Sets of High-Intensity
Bench Press Exercise. J Strength and Cond Res 12:109-115.
- Mathews
and van Holde, 1991. Biochemistry. The Benjamin/Cummings
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- Matthews,
1991. Cellular Physiology of Nerve and Muscle, 2nd Edition.
Blackwell Scientific Publishing, Boston.
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et al., 1998. Effects of Varying Dosages of Oral Creatine
Relative to Fat Free Body Mass on Strength and Body Composition.
J Strength and Cond Res 12:104-108.
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et al., 1998. Stimulatory effect of insulin on creatine
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- Vandenberghe,
et al., 1997. Long-term creatine intake is beneficial
to muscle performance during resistance training. J Appl
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- Van
Leemputte, et al., 1999. Shortening of muscle relaxation
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et al., 1997. Creatine supplementation enhances muscular
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