Creatine supplementation and cognitive function across different populations: A narrative review
DOI:
https://doi.org/10.12775/JEHS.2026.88.69419Keywords
Creatine, creatine supplementation, cognitive function, mental fatigue, memory, brain energy metabolism, neurodegenerative disease, amyotrophic lateral sclerosis, Parkinson's disease, Huntingtion's diseaseAbstract
Creatine is a naturally occurring compound in the body that plays a key role in cellular energy metabolism by participating in the renewal of adenosine triphosphate (ATP). Due to the importance of ATP for neuronal function, creatine supplementation has been the subject of research into its potential effects on cognitive function. The aim of this study was to analyze the available scientific data on the effects of oral creatine supplementation on overall cognitive performance, memory and attention in various populations.
Based on a review of selected studies, it was found that creatine supplementation might have a moderate, context-dependent effect on cognitive function. The most consistent results were observed in the elderly, especially in terms of memory. Beneficial effects were also noted in conditions of increased energy demand, such as sleep deprivation. In the population of young, healthy adults, the results remain inconclusive. In turn, in clinical studies on neurodegenerative diseases, despite promising theoretical foundations, no significant clinical benefits have been demonstrated.
The available data suggest that the effect of creatine on cognitive function may be most pronounced in situations of reduced energy availability. Further high-quality, objective clinical studies are needed to determine the optimal doses, supplementation duration, and potential therapeutic indications.
References
Andres RH, Ducray AD, Schlattner U, Wallimann T, Widmer HR. Functions and effects of creatine in the central nervous system. Brain Res Bull. 2008;76(4):329-343. doi:10.1016/j.brainresbull.2008.02.035
Avgerinos KI, Spyrou N, Bougioukas KI, Kapogiannis D. Effects of creatine supplementation on cognitive function of healthy individuals: A systematic review of randomized controlled trials. Exp Gerontol. 2018;108:166-173. doi:10.1016/j.exger.2018.04.013
Beal MF. Neuroprotective effects of creatine. Amino Acids. 2011;40(5):1305-1313. doi:10.1007/s00726-011-0851-0
Braissant O, Henry H, Villard AM, et al. Ammonium-induced impairment of axonal growth is prevented through glial creatine. J Neurosci. 2002;22(22):9810-9820. doi:10.1523/JNEUROSCI.22-22-09810.2002
Candow DG, Ostojic SM, Chilibeck PD, et al. Creatine monohydrate supplementation for older adults and clinical populations. J Int Soc Sports Nutr. 2025;22(sup1):2534130. doi:10.1080/15502783.2025.2534130
Chang H, Leem YH. The potential role of creatine supplementation in neurodegenerative diseases. Phys Act Nutr. 2023;27(4):48-54. doi:10.20463/pan.2023.0037
Dechent P, Pouwels PJ, Wilken B, Hanefeld F, Frahm J. Increase of total creatine in human brain after oral supplementation of creatine-monohydrate. Am J Physiol. 1999;277(3):R698-R704. doi:10.1152/ajpregu.1999.277.3.R698
Deldicque L, Décombaz J, Zbinden Foncea H, Vuichoud J, Poortmans JR, Francaux M. Kinetics of creatine ingested as a food ingredient. Eur J Appl Physiol. 2008;102(2):133-143. doi:10.1007/s00421-007-0558-9
Frith CD, Friston K, Liddle PF, Frackowiak RS. Willed action and the prefrontal cortex in man: a study with PET. Proc Biol Sci. 1991;244(1311):241-246. doi:10.1098/rspb.1991.0077
Gordji-Nejad A, Matusch A, Kleedörfer S, et al. Single dose creatine improves cognitive performance and induces changes in cerebral high energy phosphates during sleep deprivation. Sci Rep. 2024;14(1):4937. Published 2024 Feb 28. doi:10.1038/s41598-024-54249-9
Gualano B, Artioli GG, Poortmans JR, Lancha Junior AH. Exploring the therapeutic role of creatine supplementation. Amino Acids. 2010;38(1):31-44. doi:10.1007/s00726-009-0263-6
Hervias I, Beal MF, Manfredi G. Mitochondrial dysfunction and amyotrophic lateral sclerosis. Muscle Nerve. 2006;33(5):598-608. doi:10.1002/mus.20489
Kim DJ, Lee HP, Kim MS, et al. The effect of total sleep deprivation on cognitive functions in normal adult male subjects. Int J Neurosci. 2001;109(1-2):127-137. doi:10.3109/00207450108986529
Marshall S, Kitzan A, Wright J, Bocicariu L, Nagamatsu LS. Creatine and Cognition in Aging: A Systematic Review of Evidence in Older Adults. Nutr Rev. 2026;84(2):333-344. doi:10.1093/nutrit/nuaf135
Matthews RT, Yang L, Jenkins BG, et al. Neuroprotective effects of creatine and cyclocreatine in animal models of Huntington's disease. J Neurosci. 1998;18(1):156-163. doi:10.1523/JNEUROSCI.18-01-00156.1998
McMorris T, Harris RC, Howard AN, et al. Creatine supplementation, sleep deprivation, cortisol, melatonin and behavior. Physiol Behav. 2007;90(1):21-28. doi:10.1016/j.physbeh.2006.08.024
McMorris T, Harris RC, Swain J, et al. Effect of creatine supplementation and sleep deprivation, with mild exercise, on cognitive and psychomotor performance, mood state, and plasma concentrations of catecholamines and cortisol. Psychopharmacology (Berl). 2006;185(1):93-103. doi:10.1007/s00213-005-0269-z
McMorris T, Mielcarz G, Harris RC, Swain JP, Howard A. Creatine supplementation and cognitive performance in elderly individuals. Neuropsychol Dev Cogn B Aging Neuropsychol Cogn. 2007;14(5):517-528. doi:10.1080/13825580600788100
Ostojic SM, Korovljev D, Stajer V. Dietary creatine and cognitive function in U.S. adults aged 60 years and over. Aging Clin Exp Res. 2021;33(12):3269-3274. doi:10.1007/s40520-021-01857-4
Pan JW, Takahashi K. Cerebral energetic effects of creatine supplementation in humans. Am J Physiol Regul Integr Comp Physiol. 2007;292(4):R1745-R1750. doi:10.1152/ajpregu.00717.2006
Rawson ES, Lieberman HR, Walsh TM, Zuber SM, Harhart JM, Matthews TC. Creatine supplementation does not improve cognitive function in young adults. Physiol Behav. 2008;95(1-2):130-134. doi:10.1016/j.physbeh.2008.05.009
Roschel H, Gualano B, Ostojic SM, Rawson ES. Creatine Supplementation and Brain Health. Nutrients. 2021;13(2):586. Published 2021 Feb 10. doi:10.3390/nu13020586
Rosenfeld J, King RM, Jackson CE, et al. Creatine monohydrate in ALS: effects on strength, fatigue, respiratory status and ALSFRS. Amyotroph Lateral Scler. 2008;9(5):266-272. doi:10.1080/17482960802028890
Taylor-Robinson SD, Weeks RA, Bryant DJ, et al. Proton magnetic resonance spectroscopy in Huntington's disease: evidence in favour of the glutamate excitotoxic theory. Mov Disord. 1996;11(2):167-173. doi:10.1002/mds.870110209
Watanabe A, Kato N, Kato T. Effects of creatine on mental fatigue and cerebral hemoglobin oxygenation. Neurosci Res. 2002;42(4):279-285. doi:10.1016/s0168-0102(02)00007-x
Writing Group for the NINDS Exploratory Trials in Parkinson Disease (NET-PD) Investigators, Kieburtz K, Tilley BC, et al. Effect of creatine monohydrate on clinical progression in patients with Parkinson disease: a randomized clinical trial. JAMA. 2015;313(6):584-593. doi:10.1001/jama.2015.120
Wyss M, Kaddurah-Daouk R. Creatine and creatinine metabolism. Physiol Rev. 2000;80(3):1107-1213. doi:10.1152/physrev.2000.80.3.1107
Xu C, Bi S, Zhang W, Luo L. The effects of creatine supplementation on cognitive function in adults: a systematic review and meta-analysis. Front Nutr. 2024;11:1424972. Published 2024 Jul 12. doi:10.3389/fnut.2024.1424972
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2026 Zuzanna Kalinowska, Hanna Aleksandrowicz, Maciej Krężel, Olga Krężel, Marcelina Rybińska, Artur Szafraniec

This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
The periodical offers access to content in the Open Access system under the Creative Commons Attribution-NonCommercial-ShareAlike 4.0
Stats
Number of views and downloads: 81
Number of citations: 0