Research suggests that creatine supplementation may support muscle strength and growth, particularly when combined with resistance training, with one randomized controlled trial finding that creatine enhanced the muscle-building response to exercise in young men partly by reducing myostatin, a protein that limits muscle growth, beyond what training alone achieved. A 2020 review also identified creatine as a promising strategy for counteracting age-related muscle loss in older adults, though the authors noted that more research is needed to determine optimal approaches for this population. The available evidence is limited in scope — the directly relevant studies are few, and much of the surrounding literature addresses muscle physiology in clinical or disease contexts rather than healthy populations seeking performance gains — so broad conclusions should be drawn cautiously. Studies indicate that resistance training itself remains the primary driver of strength and hypertrophy outcomes, with creatine appearing to offer a supporting role rather than an independent effect.
Citations from PubMed and preprint sources. Match score (0-100) reflects automated search ranking, not clinical appraisal.
| Title | Type | Year | Direction | Match |
|---|---|---|---|---|
| Optimizing Skeletal Muscle Anabolic Response to Resistance Training in Aging. | Review | 2020 | Supports | 100 |
| Effects of Low-Load, High-Repetition Resistance Training on Maximum Muscle St... | Other | 2023 | Neutral | 95 |
| New treatments for chronic obstructive pulmonary disease using ergogenic aids. | Review | 2006 | Mixed | 90 |
| A Potential Beta-hydroxybutyrate Therapy for Duchenne Muscular Dystrophy in D... | Other | 2025 | Neutral | 85 |
| Effects of oral creatine and resistance training on serum myostatin and GASP-1. | RCT | 2010 | Supports | 85 |
| Global skeletal muscle metabolomics reveals mechanisms behind higher response... | Other | 2025 | Neutral | 80 |
| Yuja peel hot water extract protects against dexamethasone-induced skeletal m... | Other | 2025 | Neutral | 80 |
| Transcriptomic Suppression of Immune and Regenerative Signalling in Skeletal ... | Other | 2025 | Neutral | 75 |
| Effects of muscular strength training and growth hormone (GH) supplementation... | Other | 2020 | Neutral | 75 |
| Enhancement of Prednisolone efficacy and safety in Duchenne muscular dystroph... | Other | 2025 | Neutral | 70 |
| (-)-Epicatechin induces mitochondrial biogenesis and markers of muscle regene... | Other | 2021 | Neutral | 70 |
| Biological landscape of acute illness in children in sub-Saharan Africa and S... | Other | 2025 | Neutral | 65 |
| Cardiac and clinical phenotype in Barth syndrome. | Other | 2006 | Neutral | 65 |
| Muscle-specific increased expression of <i>JAG1</i> improves skeletal muscle ... | Other | 2025 | Neutral | 60 |
| Acute neuromuscular and hormonal responses to 20 versus 40% velocity loss in ... | Other | 2022 | Neutral | 60 |
| Functional selection in a population of synthetic cells with a minimal metabo... | Other | 2025 | Neutral | 55 |
| MicroRNA expression and protein acetylation pattern in respiratory and limb m... | Other | 2015 | Neutral | 55 |
| Actin polymerization counteracts prewetting of N-WASP on supported lipid bila... | Other | 2024 | Neutral | 50 |
| Heavy resistance training and peri-exercise ingestion of a multi-ingredient e... | Other | 2014 | Supports | 50 |
| Caging of membrane-to-cortex attachment proteins can trigger cellular symmetr... | Other | 2024 | Neutral | 45 |
| Deflazacort increases laminin expression and myogenic repair, and induces ear... | Other | 2000 | Neutral | 45 |
| Fast, multiplexable and highly efficient somatic gene deletions in adult mous... | Other | 2023 | Neutral | 40 |
| Prehabilitation program composed of blood flow restriction training and sport... | Other | 2021 | Mixed | 40 |
| CRISPR-mediated correction of skeletal muscle Ca<sup>2+</sup>handling in a no... | Other | 2022 | Neutral | 35 |
| Impact of maternal heat stress in conjunction with dietary zinc supplementati... | Other | 2017 | Neutral | 35 |
| Metabolically driven action potentials serve neuronal energy homeostasis and ... | Other | 2022 | Neutral | 30 |
| Mechanism of an alternative splicing switch mediated by cell-specific and gen... | Other | 2023 | Neutral | 25 |
| Chronic cholesterol administration to the brain supports complete and long-la... | Other | 2022 | Neutral | 20 |
| A SARS-CoV-2 Spike Ferritin Nanoparticle Vaccine is Protective and Promotes a... | Other | 2022 | Neutral | 15 |