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Quality in Sport

Additional Benefits of Creatine Monohydrate Supplementation on Muscle Strength, Muscle Mass Gain and Training Performance - A Systematic Review
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  • Additional Benefits of Creatine Monohydrate Supplementation on Muscle Strength, Muscle Mass Gain and Training Performance - A Systematic Review
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  4. Medical Sciences

Additional Benefits of Creatine Monohydrate Supplementation on Muscle Strength, Muscle Mass Gain and Training Performance - A Systematic Review

Authors

  • Tadeusz Kuźnieców Międzylesie Specialist Hospital in Warsaw, Bursztynowa 2, 04-749 Warsaw, Poland https://orcid.org/0009-0000-2120-9549
  • Łukasz Karaban Międzylesie Specialist Hospital in Warsaw, Bursztynowa 2, 04-749 Warsaw, Poland https://orcid.org/0009-0001-9285-469X
  • Monika Paszkowska Międzylesie Specialist Hospital in Warsaw, Bursztynowa 2, 04-749 Warsaw, Poland https://orcid.org/0009-0009-2006-0098
  • Klaudia Mularczyk Międzylesie Specialist Hospital in Warsaw, Bursztynowa 2, 04-749 Warsaw, Poland https://orcid.org/0009-0008-3250-7806
  • Michał Borawski Brothers Hospitallers of Saint John of God Hospital in Cracow, Trynitarska 11, 31-061 Cracow, Poland https://orcid.org/0009-0008-4864-7336
  • Aleksandra Ciuła Brothers Hospitallers of Saint John of God Hospital in Cracow, Trynitarska 11, 31-061 Cracow, Poland https://orcid.org/0009-0000-0425-863X
  • Anna Jakubiak National Medical Institute of the Ministry of the Interior and Administration, Wołoska 137, 02-507 Warsaw, Poland https://orcid.org/0009-0004-0973-7591
  • Joanna Miśkiewicz Provincial Hospital in Kielce, Grunwaldzka 45, 25-736 Kielce, Poland https://orcid.org/0009-0002-3300-940X
  • Patrycja Znamirowska Specialist Hospital Dr. Tytus Chałubiński in Radom, Lekarska 4, 26-610 Radom, Poland https://orcid.org/0009-0002-7538-5315
  • Magdalena Kupis Casimir Pulaski University of Radom, Faculty of Medical Sciences and Health Sciences, Chrobrego 27, 26-600 Radom, Poland https://orcid.org/0009-0009-4454-5866

DOI:

https://doi.org/10.12775/QS.2025.41.60300

Keywords

creatine in sport, creatine monohydrate, ceratine supplementation, muscle adaptation, athletic performance

Abstract

Introduction: Creatine monohydrate is one of the most researched and tested supplements in sport known for its benefits on muscle strength, muscle mass gain and training performance. This systematic review synthesizes evidence from various studies to evaluate the impact of creatine monohydrate supplementation on the following outcomes.

Aim of the study: To assess the effects of creatine monohydrate supplementation on muscle strength, muscle mass gain and training performance by summarizing evidence from case studies, clinical trials and long term research.

State of knowledge: Studies confirm that creatine monohydrate supplementation effectively enhances athletic performance, accelerates recovery, increases muscle strength and muscle mass gain. Additionally, it offers therapeutic advantages for neurodegenerative diseases, type 2 diabetes, aging and various chronic conditions.

Material and methods: A review and analysis of randomized clinical trials and clinical studies from 2017 to 2025 available in PubMed.

Conclusions: Research findings indicate that long term creatine monohydrate supplementation demonstrates a positive impact on muscle strength, muscle mass gain and training performance. The evidence suggests that creatine enhances strength and hypertrophy of the muscle fibers, improves recovery, exercise capacity and high-intensity performance. These benefits make creatine monohydrate a valuable, safe and well-researched supplement for professional and amateur athletes, regardless of age and gender.

References

1. Gutiérrez-Hellín J, Del Coso J, Franco-Andrés A, et al. Creatine Supplementation Beyond Athletics: Benefits of Different Types of Creatine for Women, Vegans, and Clinical Populations-A Narrative Review. Nutrients. 2024;17(1):95. Published 2024 Dec 29. doi:10.3390/nu17010095

2. Vargas-Molina S, García-Sillero M, Kreider RB, et al. A randomized open-labeled study to examine the effects of creatine monohydrate and combined training on jump and scoring performance in young basketball players. J Int Soc Sports Nutr. 2022;19(1):529-542. Published 2022 Aug 8. doi:10.1080/15502783.2022.2108683

3. Hall M, Manetta E, Tupper K. Creatine Supplementation: An Update. Curr Sports Med Rep. 2021;20(7):338-344. doi:10.1249/JSR.0000000000000863

4. Antonio J, Candow DG, Forbes SC, et al. Common questions and misconceptions about creatine supplementation: what does the scientific evidence really show?. J Int Soc Sports Nutr. 2021;18(1):13. Published 2021 Feb 8. doi:10.1186/s12970-021-00412-w

5. Askow AT, Paulussen KJM, McKenna CF, et al. Creatine Monohydrate Supplementation, but not Creatyl-L-Leucine, Increased Muscle Creatine Content in Healthy Young Adults: A Double-Blind Randomized Controlled Trial. Int J Sport Nutr Exerc Metab. 2022;32(6):446-452. Published 2022 Aug 25. doi:10.1123/ijsnem.2022-0074

6. Harmon KK, Stout JR, Fukuda DH, Pabian PS, Rawson ES, Stock MS. The Application of Creatine Supplementation in Medical Rehabilitation. Nutrients. 2021;13(6):1825. Published 2021 May 27. doi:10.3390/nu13061825

7. Doma K, Ramachandran AK, Boullosa D, Connor J. The Paradoxical Effect of Creatine Monohydrate on Muscle Damage Markers: A Systematic Review and Meta-Analysis. Sports Med. 2022;52(7):1623-1645. doi:10.1007/s40279-022-01640-z

8. Iraki J, Fitschen P, Espinar S, Helms E. Nutrition Recommendations for Bodybuilders in the Off-Season: A Narrative Review. Sports (Basel). 2019;7(7):154. Published 2019 Jun 26. doi:10.3390/sports7070154

9. Amiri E, Sheikholeslami-Vatani D. The role of resistance training and creatine supplementation on oxidative stress, antioxidant defense, muscle strength, and quality of life in older adults. Front Public Health. 2023;11:1062832. Published 2023 May 2. doi:10.3389/fpubh.2023.1062832

10. Candow DG, Moriarty T. Effects of Creatine Monohydrate Supplementation on Muscle, Bone and Brain- Hope or Hype for Older Adults?. Curr Osteoporos Rep. 2024;23(1):1. Published 2024 Nov 1. doi:10.1007/s11914-024-00895-x

11. Kaviani M, Shaw K, Chilibeck PD. Benefits of Creatine Supplementation for Vegetarians Compared to Omnivorous Athletes: A Systematic Review. Int J Environ Res Public Health. 2020;17(9):3041. Published 2020 Apr 27. doi:10.3390/ijerph17093041

12. Wu SH, Chen KL, Hsu C, et al. Creatine Supplementation for Muscle Growth: A Scoping Review of Randomized Clinical Trials from 2012 to 2021. Nutrients. 2022;14(6):1255. Published 2022 Mar 16. doi:10.3390/nu14061255

13. Wax B, Kerksick CM, Jagim AR, Mayo JJ, Lyons BC, Kreider RB. Creatine for Exercise and Sports Performance, with Recovery Considerations for Healthy Populations. Nutrients. 2021;13(6):1915. Published 2021 Jun 2. doi:10.3390/nu13061915

14. Kaviani M, Abassi A, Chilibeck PD. Creatine monohydrate supplementation during eight weeks of progressive resistance training increases strength in as little as two weeks without reducing markers of muscle damage. J Sports Med Phys Fitness. 2019;59(4):608-612. doi:10.23736/S0022-4707.18.08406-2

15. Fernández-Landa J, Fernández-Lázaro D, Calleja-González J, et al. Effect of Ten Weeks of Creatine Monohydrate Plus HMB Supplementation on Athletic Performance Tests in Elite Male Endurance Athletes. Nutrients. 2020;12(1):193. Published 2020 Jan 10. doi:10.3390/nu12010193

16. Yáñez-Silva A, Buzzachera CF, Piçarro IDC, et al. Effect of low dose, short-term creatine supplementation on muscle power output in elite youth soccer players. J Int Soc Sports Nutr. 2017;14:5. Published 2017 Feb 7. doi:10.1186/s12970-017-0162-2

17. Rawson ES, Miles MP, Larson-Meyer DE. Dietary Supplements for Health, Adaptation, and Recovery in Athletes. Int J Sport Nutr Exerc Metab. 2018;28(2):188-199. doi:10.1123/ijsnem.2017-0340

18. Fernández-Landa J, Santibañez-Gutierrez A, Todorovic N, Stajer V, Ostojic SM. Effects of Creatine Monohydrate on Endurance Performance in a Trained Population: A Systematic Review and Meta-analysis. Sports Med. 2023;53(5):1017-1027. doi:10.1007/s40279-023-01823-2

19. Wang Z, Qiu B, Li R, et al. Effects of Creatine Supplementation and Resistance Training on Muscle Strength Gains in Adults <50 Years of Age: A Systematic Review and Meta-Analysis. Nutrients. 2024;16(21):3665. Published 2024 Oct 28. doi:10.3390/nu16213665

20. Desai I, Wewege MA, Jones MD, et al. The Effect of Creatine Supplementation on Resistance Training-Based Changes to Body Composition: A Systematic Review and Meta-analysis. J Strength Cond Res. 2024;38(10):1813-1821. doi:10.1519/JSC.0000000000004862

21. Li M, Sheykhlouvand M. Effects of Combined Versus Single Supplementation of Creatine, Beta-Alanine, and L-Citrulline During Short Sprint Interval Training on Basketball Players' Performance: A Double-Blind Randomized Placebo-Controlled Trial. Int J Sports Physiol Perform. 2025;20(4):559-567. Published 2025 Feb 25. doi:10.1123/ijspp.2024-0310

22. Meixner B, Stegmaier J, Renner P, Koehler K, Yang WH, Sperlich B. Supplementation of Creatine Monohydrate Improves Sprint Performance but Has no Effect on Glycolytic Contribution: A Nonrandomized, Placebo-Controlled Crossover Trial in Trained Cyclists. Curr Dev Nutr. 2025;9(2):104561. Published 2025 Jan 28. doi:10.1016/j.cdnut.2025.104561

23. Huang D, Wang X, Gonjo T, et al. Effects of Creatine Supplementation on the Performance, Physiological Response, and Body Composition Among Swimmers: A Systematic Review and Meta-Analysis of Randomized Controlled Trials. Sports Med Open. 2024;10(1):115. Published 2024 Oct 23. doi:10.1186/s40798-024-00784-8

24. Yu P, Fan Y, Wang X, Wu H. Effect of Taurine Combined With Creatine on Repeated Sprinting Ability After Exhaustive Exercise Under Hot and Humid Conditions. Sports Health. Published online February 19, 2025. doi:10.1177/19417381251320095

25. Doherty R, Madigan S, Warrington G, Ellis JG. Sleep and nutrition for athletes. The Nutrition Society, Scottish Section Conference 2024. Proc Nutr Soc. Published online November 18, 2024. doi:10.1017/S0029665124007535

26. Gordon AN, Moore SR, Patterson ND, et al. The Effects of Creatine Monohydrate Loading on Exercise Recovery in Active Women throughout the Menstrual Cycle. Nutrients. 2023;15(16):3567. Published 2023 Aug 13. doi:10.3390/nu15163567

27. Tam R, Mitchell L, Forsyth A. Does Creatine Supplementation Enhance Performance in Active Females? A Systematic Review. Nutrients. 2025;17(2):238. Published 2025 Jan 10. doi:10.3390/nu17020238

28. Diaz-Pizarro M, Pino-Zúñiga J, Gálvez MO, et al. Creatine Supplementation Prior to Strength Exercise Training Is Not Superior in Preventing Muscle Mass Loss Compared with Standard Nutritional Recommendations in Females After Bariatric Surgery: A Pilot Study. Obes Surg. 2024;34(10):3755-3759. doi:10.1007/s11695-024-07451-7

29. Diaz-Pizarro M, Pino-Zúñiga J, Olivares Gálvez M, et al. Creatine Supplementation Prior to Strength Exercise Training is Not Superior in Preventing Muscle Mass Loss Compared with Standard Nutritional Recommendations in Females after Bariatric Surgery: A Pilot Study. Obes Surg. 2025;35(1):365-366. doi:10.1007/s11695-024-07630-6

30. Almeida D, Colombini A, Machado M. Creatine supplementation improves performance, but is it safe? Double-blind placebo-controlled study. J Sports Med Phys Fitness. 2020;60(7):1034-1039. doi:10.23736/S0022-4707.20.10437-7

31. Fairman CM, Kendall KL, Newton RU, et al. Creatine supplementation does not add to resistance training effects in prostate cancer patients under androgen deprivation therapy: A double-blind randomized trial. J Sci Med Sport. 2025;28(2):118-124. doi:10.1016/j.jsams.2024.09.002

32. Stout JR, Kreider RB, Candow DG, et al. The birth of modern sports nutrition: tracing the path from muscle biopsies to creatine supplementation-A narrative review. J Int Soc Sports Nutr. 2025;22(sup1):2463373. doi:10.1080/15502783.2025.2463373

Quality in Sport

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Published

2025-05-05

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KUŹNIECÓW, Tadeusz, KARABAN, Łukasz, PASZKOWSKA, Monika, MULARCZYK, Klaudia, BORAWSKI, Michał, CIUŁA, Aleksandra, JAKUBIAK, Anna, MIŚKIEWICZ, Joanna, ZNAMIROWSKA, Patrycja and KUPIS, Magdalena. Additional Benefits of Creatine Monohydrate Supplementation on Muscle Strength, Muscle Mass Gain and Training Performance - A Systematic Review. Quality in Sport. Online. 5 May 2025. Vol. 41, p. 60300. [Accessed 16 June 2025]. DOI 10.12775/QS.2025.41.60300.
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Vol. 41 (2025)

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Medical Sciences

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Copyright (c) 2025 Tadeusz Kuźnieców, Łukasz Karaban, Monika Paszkowska, Klaudia Mularczyk, Michał Borawski, Aleksandra Ciuła, Anna Jakubiak, Joanna Miśkiewicz, Patrycja Znamirowska, Magdalena Kupis

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