Creatine and Older Adults Meta-Analysys

Just more support for creatine as a supplement with benefits to younger or older adults:

Creatine Supplementation during Resistance Training in Older Adults—A Meta-analysis

Medicine & Science in Sports & Exercise
June 2014
Vol. 46 - Issue 6: p 1194–1203

Introduction: Age-related sarcopenia and dynapenia have negative effects on strength and the ability to perform activities of daily living. Resistance training (RT) increases muscle mass and strength in older adults and is an established countermeasure for sarcopenia and dynapenia, and creatine may enhance this effect. We aimed to determine whether the addition of Cr to RT increased gains in muscle mass, strength, and function in older adults over RT alone by conducting a systematic review and meta-analysis.

Methods: PubMed and Healthstar databases were searched. Randomized, placebo-controlled trials that involved older adults supplemented with Cr and included RT regimens (>6 wk) were included. Data were analyzed using fixed or random (if data were heterogeneous) effects meta-analysis using RevMan 5.

Results: The meta-analysis comprised 357 older adults (average ± SD Cr: 63.6 ± 5.9 yr, Pl: 64.2 ± 5.4 yr) with 12.6 ± 4.9 wk of RT. Cr + RT increased total body mass (P = 0.004) and fat-free mass (P < 0.0001) with no effect on fat mass as compared with RT alone. Cr + RT increased chest press (P = 0.004) and leg press (P = 0.02) one-repetition maximum to a greater extent than RT alone, with no difference in the effect on knee extension or biceps curl one-repetition maximum, isokinetic or isometric knee extension peak torque. Cr + RT had a greater effect than RT alone on the 30-s chair stand test (P = 0.03).

Conclusion: Retention of muscle mass and strength is integral to healthy aging. The results from this meta-analysis are encouraging in supporting a role for Cr supplementation during RT in healthful aging by enhancing muscle mass gain, strength, and functional performance over RT alone; however, the limited number of studies indicates further work is needed.

http://mobile.journals.lww.com/acsm-msse/_layouts/oaks.journals.mobile/articleviewer.aspx?year=2014&issue=06000&article=00016

My only problem with creatine is that I sweat like a pig (got the “sweat gene” from my dad’s side) and in the hotter months creatine tends to dehydrate me more quickly. I’d say from roughly May-September it’s a no-go here in TN for me and creatine.

Any advice on this? Like maybe only use it on weight-training days during the summer and not cardio ones?

Studies that looked at the effects of creatine on hydration, thermo regulation, etc do not find any negative impact, and some data suggests improved thermo regulation. For example:

“Does Creatine Supplementation Hinder Exercise Heat Tolerance or Hydration Status? A Systematic Review With Meta-Analyses”

Conclusion:

“No evidence supports the concept that creatine supplementation either hinders the body’s ability to dissipate heat or negatively affects the athlete’s body fluid balance. Controlled experimental trials of athletes exercising in the heat resulted in no adverse effects from creatine supplementation at recommended dosages.”

Full paper:

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2657025/

Hmmm…very interesting. Thanks.