Effect of Creatine Supplementation on Body Composition and Performance: A Meta-analysis

Author(s):  
J. David Branch

Background: Creatine supplementation (CS) has been reported to increase body mass and improve performance in high-intensity, short-duration exercise tasks. Research on CS, most of which has come into existence since 1994, has been the focus of several qualitative reviews, but only one meta-analysis, which was conducted with a limited number of studies. Purpose: This study compared the effects of CS on effect size (ES) for body composition (BC) variables (mass and lean body mass), duration and intensity (≤30 s, [ATP-PCr = A]; 30–150 s [glycolysis = G]; >150 s, [oxidative phosphorylation = O]) of the exercise task, type of exercise task (single, repetitive, laboratory, field, upper-body, lower-body), CS duration (loading, maintenance), and subject characteristics (gender, training status). Methods: A search of MEDLINE and SPORTDiscus using the phrase “creatine supplementation” revealed 96 English-language, peer-reviewed papers (100 studies), which included randomized group formation, a placebo control, and human subjects who were blinded to treatments. ES was calculated for each body composition and performance variable. Results: Small, but significant (ES > 0, p ≤ .05) ES were reported for BC (n = 163, mean ± SE = 0.17 ± 0.03), ATP-PCr (n = 17, 0.24 ± 0.02), G (n = 135, 0.19 ± 0.05), and O (n = 69, 0.20 ± 0.07). ES was greater for change in BC following a loading-only CS regimen (0.26 ± 0.03, p = .0003) compared to a maintenance regimen (0.04 ± 0.05), for repetitive-bout (0.25 ± 0.03, p = .028) compared to single-bout (0.18 ± 0.02) exercise, and for upper-body exercise (0.42 ± 0.07, p < .0001) compared to lower (0.21 ± 0.02) and total body (0.13 ± 0.04) exercise. ES for laboratory-based tasks (e.g., isometric/isotonic/isokinetic exercise, 0.25 ± 0.02) were greater (p = .014) than those observed for field-based tasks (e.g., running, swimming, 0.14 ± 0.04). There were no differences in BC or performance ES between males and females or between trained and untrained subjects. Conclusion: ES was greater for changes in lean body mass following short-term CS, repetitive-bout laboratory-based exercise tasks ≤ 30 s (e.g., isometric, isokinetic, and isotonic resistance exercise), and upper-body exercise. CS does not appear to be effective in improving running and swimming performance. There is no evidence in the literature of an effect of gender or training status on ES following CS.

Author(s):  
Alejandro Martínez-Rodríguez ◽  
María Martínez-Olcina ◽  
María Hernández-García ◽  
Jacobo Á. Rubio-Arias ◽  
Javier Sánchez-Sánchez ◽  
...  

Background: Beach handball (BH) is a sport in which sporting performance is influenced, together with team interaction, by individual performance in terms of strength. Body composition is one of the main factors for sports performance and eating habits can condition this variable. The Mediterranean diet (MD) can significantly reduce the risk of mortality or cardiovascular disease. In addition, the Spanish Ministry of Agriculture, Food and Environment carries out different campaigns to promote it among young athletes, establishing it as a suitable diet for sports. Objectives: The main aims of the study are to assess body composition, physical activity and adherence to the MD of beach handball players. It also aims to evaluate age group differences in male and female players, as well as studying the possible relationship between MD, body composition and performance variables. Methods: A total of 59 Spanish BH players were recruited in the national championship of BH in the province of Alicante. Thirty-eight male (14 junior; 17.0 ± 0.1 years and 24 seniors; 25.5 ± 4.7 years) and twenty-one female (7 junior; 16.1 ± 1.46 years and 14 seniors; 23.2 ± 2.0 years) BH players participated in this study. The questionnaire to evaluate eating habits was Mediterranean diet adherence (KIDMED). Body composition was measured with electrical bioimpedance. Strength was evaluated by means of a maximum isometric handgrip test of the dominant hand with handgrip and height of jump by counter-jump on contact platform. In the statistical analysis, descriptions and correlations between the study variables were made. Results: In females, when the adherence to the MD is lower, the weight is higher, the lean body mass is lower and worse results are observed in performance tests. As for males, there are differences in weight and lean body mass according to category. Conclusions: Adequate eating habits are related to the weight of beach handball athletes. In addition, specifically with junior players, it has been observed that adherence to the MD correlates with weight.


2011 ◽  
Vol 21 (5) ◽  
pp. 426-435 ◽  
Author(s):  
Ina Garthe ◽  
Truls Raastad ◽  
Jorunn Sundgot-Borgen

Context:When weight loss (WL) is needed, it is recommended that athletes do it gradually by 0.5–1 kg/wk through moderate energy restriction. However, the effect of WL rate on long-term changes in body composition (BC) and performance has not been investigated in elite athletes.Purpose:To compare changes in body mass (BM), fat mass (FM), lean body mass (LBM), and performance 6 and 12 mo after 2 different WL interventions promoting loss of 0.7% vs. 1.4% of body weight per wk in elite athletes.Methods:Twenty-three athletes completed 6- and 12-mo postintervention testing (slow rate [SR] n = 14, 23.5 ± 3.3 yr, 72.2 ± 12.2 kg; fast rate [FR] n = 9, 21.4 ± 4.0 yr, 71.6 ± 12.0 kg). The athletes had individualized diet plans promoting the predetermined weekly WL during intervention, and 4 strength-training sessions per wk were included. BM, BC, and strength (1-repetition maximum) were tested at baseline, postintervention, and 6 and 12 mo after the intervention.Results:BM decreased by ~6% in both groups during the intervention but was not different from baseline values after 12 mo. FM decreased in SR and FR during the intervention by 31% ± 3% vs. 23% ± 4%, respectively, but was not different from baseline after 12 mo. LBM and upper body strength increased more in SR than in FR (2.0% ± 1.3% vs. 0.8% ± 1.1% and 12% ± 2% vs. 6% ± 2%) during the intervention, but after 12 mo there were no significant differences between groups in BC or performance.Conclusion:There were no significant differences between groups after 12 mo, suggesting that WL rate is not the most important factor in maintaining BC and performance after WL in elite athletes.


2019 ◽  
Vol 3 (Supplement_1) ◽  
Author(s):  
Joshua Hudson ◽  
Yu Wang ◽  
Robert Bergia ◽  
Wayne Campbell

Abstract Objectives Classic short-term nitrogen balance research estimated that the Recommended Dietary Allowance (RDA) of 0.8 g protein/kg/d would be adequate to maintain whole-body nitrogen balance in 97.5% of the population. However, achieving whole-body nitrogen balance does not necessarily equate with tissue-specific amino acid (nitrogen) needs, for example in skeletal muscle. The objective of this systematic review and meta-analysis was to assess in weight-stable adults the effects of chronically consuming greater than the protein RDA, compared to the RDA, on whole-body composition. Methods Articles published through 2018 were identified with PubMed, Scopus, Cochrane, and CINAHL databases. Five articles with 7 comparisons were identified to be relevant through the databases and through screening previous published reviews. Two researchers independently screened the articles for eligible randomized controlled trials (RCTs) of parallel design that measured changes in body composition after ³6 wk of dietary control. Results There was significant heterogeneity in the effect sizes amongst the comparisons (I2  = 72.8%, χ2  = 22.1, P = 0.001). Consuming greater than the protein RDA did not differentially affect any of the changes in total body mass [0.07 kg (−0.75, 0.88); WMD, (95% CI), Random effects], fat mass [−0.65 kg (−1.33, 0.03)], or lean body mass [0.08 kg (−0.59, 0.75)]. Conclusions These results from controlled feeding RCTs support adequacy of the protein RDA to retain lean body mass and indicate that protein intakes greater than the RDA do not promote morphological changes among weight-stable adults. Funding Sources Purdue University Graduate Lynn Fellowship. No external funding was provided for this review.


2010 ◽  
Vol 20 (5) ◽  
pp. 409-417 ◽  
Author(s):  
Thomas B. Walker ◽  
Jessica Smith ◽  
Monica Herrera ◽  
Breck Lebegue ◽  
Andrea Pinchak ◽  
...  

The purpose of this study was to investigate the ability of whey-protein and leucine supplementation to enhance physical and cognitive performance and body composition. Thirty moderately fit participants completed a modified Air Force fitness test, a computer-based cognition test, and a dual-energy X-ray-absorptiometry scan for body composition before and after supplementing their daily diet for 8 wk with either 19.7 g of whey protein and 6.2 g leucine (WPL) or a calorie-equivalent placebo (P). Bench-press performance increased significantly from Week 1 to Week 8 in the WPL group, whereas the increase in the P group was not significant. Push-up performance increased significantly for WPL, and P showed a nonsignificant increase. Total mass, fat-free mass, and lean body mass all increased significantly in the WPL group but showed no change in the P group. No differences were observed within or between groups for crunches, chin-ups, 3-mile-run time, or cognition. The authors conclude that supplementing with whey protein and leucine may provide an advantage to people whose performance benefits from increased upper body strength and/or lean body mass.


1992 ◽  
Vol 4 (1) ◽  
pp. 78-84 ◽  
Author(s):  
Jerry L. Mayhew ◽  
Michael G. Bemben ◽  
Donna M. Rohrs

The purpose of this study was to determine the relationships among the seated shot put (SSP), bench press power (BPP), and body composition in adolescent wrestlers. Seventy-five wrestlers from three high schools were tested during their preseason training. Upper body power was tested with a plate-loaded bench press machine equipped with infrared sensors attached to a digital timer. Each subject was given three trials with a constant 24.5-kg load (CLP) and with a variable load equal to 60% of body mass (VLP). Skinfolds were used to estimate body composition. The SSP was significantly related to both CLP and VLP as well as to body mass, lean body mass (LBM), and % fat. Removing the effect of body mass reduced the relationship between SSP and both CLP and VLP. Removing the effect of LBM had a slightly greater effect on the relationships between SSP and both CLP and VLP, although the correlations remained significant. Therefore it appears that the SSP is only moderately related to upper body power in adolescent wrestlers and may be greatly influenced by size and muscularity.


Nutrients ◽  
2021 ◽  
Vol 13 (8) ◽  
pp. 2562
Author(s):  
Antonio Hernandez-Martin ◽  
Jorge Garcia-Unanue ◽  
Alejandro Martinez-Rodriguez ◽  
Samuel Manzano-Carrasco ◽  
Jose Luis Felipe ◽  
...  

Dietary patterns, exercise, sport, and physical activity have been shown to improve body composition in children. This systematic review with meta-analysis analyzed the effects of practicing football on body composition (fat mass, lean body mass, and bone mineral content) in children. An initial search in PubMed, Web of Science, and SPORTDiscus was carried out in April 2021 to identify relevant articles. Inclusion criteria required children up to 12 years of age with a minimum football intervention duration of 10 weeks. Methodological quality of the articles was evaluated using the PEDro scale. Between the 1803 articles originally founded, only 14 articles were included in the meta-analysis. A total of 1643 subjects between the 14 studies were identified. The review and meta-analysis were conducted according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines and used Review Manager and Full Meta-Analysis software. The results between the control and experimental groups showed significantly better lean body mass and fat mass values in the experimental group (p < 0.05). Football practice was positively associated with increases in lean body mass (mean difference of 1.55; 95% CI, 0.96, 2.15), decreases in fat mass (mean difference of −0.81; 95% CI, −1.49, −0.13), and increases in whole body bone mineral content (mean difference of 117.68; 95% CI, 83.69, 151.67). In conclusion, the results of this systematic review with meta-analysis suggest that football positively affects body composition in children. However, further research is needed to confirm the results for bone mineral content.


2021 ◽  
pp. 1-27
Author(s):  
Masoome Piri Damaghi ◽  
Atieh Mirzababaei ◽  
Sajjad Moradi ◽  
Elnaz Daneshzad ◽  
Atefeh Tavakoli ◽  
...  

Abstract Background: Essential amino acids (EAAs) promote the process of regulating muscle synthesis. Thus, whey protein that contains higher amounts of EAA can have a considerable effect on modifying muscle synthesis. However, there is insufficient evidence regarding the effect of soy and whey protein supplementation on body composition. Thus, we sought to perform a meta-analysis of published Randomized Clinical Trials that examined the effect of whey protein supplementation and soy protein supplementation on body composition (lean body mass, fat mass, body mass and body fat percentage) in adults. Methods: We searched PubMed, Scopus, and Google Scholar, up to August 2020, for all relevant published articles assessing soy protein supplementation and whey protein supplementation on body composition parameters. We included all Randomized Clinical Trials that investigated the effect of whey protein supplementation and soy protein supplementation on body composition in adults. Pooled means and standard deviations (SD) were calculated using random-effects models. Subgroup analysis was applied to discern possible sources of heterogeneity. Results: After excluding non-relevant articles, 10 studies, with 596 participants, remained in this study. We found a significant increase in lean body mass after whey protein supplementation weighted mean difference (WMD: 0.91; 95% CI: 0.15, 1.67. P= 0.019). Subgroup analysis, for whey protein, indicated that there was a significant increase in lean body mass in individuals concomitant to exercise (WMD: 1.24; 95% CI: 0.47, 2.00; P= 0.001). There was a significant increase in lean body mass in individuals who received 12 or less weeks of whey protein (WMD: 1.91; 95% CI: 1.18, 2.63; P<0.0001). We observed no significant change between whey protein supplementation and body mass, fat mass, and body fat percentage. We found no significant change between soy protein supplementation and lean body mass, body mass, fat mass, and body fat percentage. Subgroup analysis for soy protein indicated there was a significant increase in lean body mass in individuals who supplemented for 12 or less weeks with soy protein (WMD: 1.48; 95% CI: 1.07, 1.89; P< 0.0001). Conclusion: Whey protein supplementation significantly improved body composition via increases in lean body mass, without influencing fat mass, body mass, and body fat percentage.


Author(s):  
Hyun Suk Lee ◽  
Junga Lee

(1) Background: Exercise interventions for overweight and obese individuals help reduce accumulated visceral fat, which is an indicator of cardiometabolic risk, but the effectiveness of these interventions is controversial. The purpose of this meta-analysis was to investigate the effectiveness of exercise interventions in overweight and obese individuals in order to reduce weight, body mass index (BMI), and accumulated visceral fat, and increase lean body mass. (2) Methods: Databases were used to select eligible studies for this meta-analysis. Randomized controlled trials with control and experimental groups were included. The degrees of effectiveness of the exercise interventions were computed to assess the benefits on reducing weight, BMI, and accumulated visceral fat, and increasing lean body mass. (3) Results: Sixteen studies were included in this meta-analysis. Participation in exercise interventions reduced weight (d = −0.58 (95% confidence interval (CI), −0.84–−0.31; p < 0.001; k = 9)), BMI (d = −0.50 (95% CI, −0.78–−0.21; p < 0.001; k = 7)), and accumulated visceral fat (d = −1.08 (95% CI, −1.60–−0.57; p < 0.001; k = 5)), but did not significantly increase lean body mass (d = 0.26 (95% CI, −0.11–0.63; p = 0.17; k = 6)). The average exercise intervention for overweight and obese individuals was of moderate to vigorous intensity, 4 times per week, 50 min per session, and 22 weeks duration. (4) Conclusions: Participating in exercise interventions has favorable effects on weight, BMI, and accumulated visceral fat. Further studies considering different modalities, intensities, durations, and measurements of fatness need to be conducted.


Nutrients ◽  
2020 ◽  
Vol 12 (8) ◽  
pp. 2349
Author(s):  
Stephen Keenan ◽  
Matthew B. Cooke ◽  
Regina Belski

Diets utilising intermittent fasting (IF) as a strategic method to manipulate body composition have recently grown in popularity, however, dietary practices involving fasting have also been followed for centuries for religious reasons (i.e., Ramadan). Regardless of the reasons for engaging in IF, the impacts on lean body mass (LBM) may be detrimental. Previous research has demonstrated that resistance training promotes LBM accrual, however, whether this still occurs during IF is unclear. Therefore, the objective of this review is to systematically analyse human studies investigating the effects of variations of IF combined with resistance training on changes in LBM in previously sedentary or trained (non-elite) individuals. Changes in body weight and fat mass, and protocol adherence were assessed as a secondary objective. This review followed the preferred reporting items for systematic reviews and meta-analyses (PRISMA) guidelines. MEDLINE, CINAHL, PubMed and SportDiscus databases were searched for articles investigating IF, combined with resistance training that reported measures of body composition. Eight studies met the eligibility criteria. LBM was generally maintained, while one study reported a significant increase in LBM. Body fat mass or percentage was significantly reduced in five of eight studies. Results suggest that IF paired with resistance training generally maintains LBM, and can also promote fat loss. Future research should examine longer-term effects of various forms of IF combined with resistance training compared to traditional forms of energy restriction. Prospero registration CRD42018103867.


2018 ◽  
Vol 62 (1) ◽  
pp. 177-184 ◽  
Author(s):  
Adam Lee Owen ◽  
Carlos Lago-Peñas ◽  
Gordon Dunlop ◽  
Rouissi Mehdi ◽  
Moktar Chtara ◽  
...  

AbstractThe primary aim of the investigation was to study the seasonal changes in body composition in elite European soccer players and identify key playing positional differences. Twenty-two players (age = 24 ± 3.7 years, body height = 180.45 ± 5.12 cm, body mass = 76.66 ± 5.34 kg) were tested. Players’ mass (kg), lean body mass (LBM), fat free mass (FFM), fat mass (FM), muscle girths (MG) and sum of 8 skinfolds (mm) were measured across 5 time points (T0 = Start of pre-season training; T1 = End of pre-season training; T2 = Mid-season; T3 = End of mid-season break; T4 = End of season). Players were divided into their tactical positional roles for analysis. The specific positions they were divided into included defenders (n = 8), midfielders (n = 8) and forwards (n = 6). Assessment of training and matchplay exposure were also recorded. Sites-4, Sites-7, Sites-8 and Fat Mass decreased dramatically from T0 to T1 and T2 in all playing positions (p < 0.01), while no remarkable differences were found between T2, T3 and T4. Except for defenders, calf girth and lean mass were higher in T2, T3 and T4 compared to T0 and T1 (p < 0.01). Midfielders were found to be leaner than forwards and defenders in all data collection time point sessions. Defenders showed higher values in calf girth and lean body mass than midfielders and forwards. It can be concluded from this investigation that there are large variances n positional body composition profiles amongst professional European soccer players. Furthermore, significant changes are prevalent and occur across the season from LBM, FFM, MG and skinfold assessment amongst European elite level soccer players.


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