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Creatine and cardiovascular health

Creatine and cardiovascular health

Effect of creatine and weight training on cardiovawcular creatine and Drug abuse prevention in sports in vegetarians. Creatie supplementation improves muscle strength cardiovasculzr patients with congestive heart cardiovasculr. Lancet — Wheat allergy symptoms Acids — However, not all human studies show that creatine improves athletic performance, nor does every person seem to respond the same way to creatine supplements. Creatine monohydrate and resistance training increase bone mineral content and density in older men. Furthermore, inorganic phosphate levels were slightly, yet significantly, higher in creatine-treated MI hearts.

Creatine and cardiovascular health -

Creatine is sold over the counter in pill or powder form. Athletic enhancing formulas containing creatine also come in power bars, drinks and fruit-flavored chews. Since creatine is considered a dietary supplement, it is not regulated by a government agency.

According to the UMMC, creatine supplements may contain other harmful ingredients that could affect your heart. Contaminated supplies of the supplement have been found.

Is this an emergency? Health Heart and Cardiovascular Conditions Congestive Heart Failure. Fact Checked. Video of the Day. Side Effects of Creatine.

Cause of Heart Palpitations. Possible Heart Benefits. Forms of Creatine. Fumagalli et al. demonstrated an improvement in total work capacity and peak oxygen consumption validating the positive effect of supplementation of Cr in combination with coenzyme Q10, which however could be related to the beneficial effect on the diseased skeletal muscle rather than to a direct action on the myocardium [ 56 ].

With this regard, in the history of treatment strategies for HF — a status characterized by muscle wasting and cachexia — the improvement of clinical status by enhancing muscular performance has also been noticed in case of other micronutrients, hence, the idea of a multiple micronutrient approach or a combination of nutrient supplementation and exercise training [ 57 ].

In fact, Hemati and colleagues showed that the combination of Cr monohydrate and exercise attenuates inflammation and endothelial dysfunction markers in HF [ 45 ].

The unknown mechanisms regulating the organ distribution of the total Cr pool could explain the lack of effect of Cr supplementation on surrogate markers of cardiac performance. The energy-demanding heart has a lower Cr intake compared to the liver.

Further, tissues with high baseline Cr i. heart have less loading potential than tissues with low Cr i. liver , possibly as a consequence of CrT inhibition. The questionable results concerning the benefits of Cr therapy in HF might also be related to the use of the sole Cr monohydrate, whether other Cr forms are known to be more efficient in terms of bioavailability and tolerability [ 58 ].

Furthermore, an indirect benefit could derive from supplementation of other components of the Cr synthesis production chain, such as L-arginine that proved to be efficacious in augmenting peripheral blood flow and improving functional status in a small cohort of HF patients [ 59 ].

Exogenous PCr has gained considerable attention as an effective and safe protective agent in different clinical settings, including cardiac surgery, myocardial infarction, and HF [ 60 ].

Treatment with PCr in patients with acute and chronic heart diseases might reduce all-cause short-term mortality and is associated with an improvement in left ventricular ejection fraction in chronic HF and with a decrease in arrhythmic complications and left ventricular remodelling in patients undergoing cardiac surgery [ 61 ] Central illustration.

However, PCr studies are based on a small population and with the absence of long-term follow up [ 60 ]. The cardiac effect of PCr supplementation might be dependent on the route of administration, as intravenous route appears to be the only yielding significant and long-lasting Cr elevation in myocardium.

Moreover, differently from Cr, PCr is not carried within the cell by CrT; it does not easily cross membranes and its intracellular levels do not modulate CrT activity [ 62 ].

An overview of the principal clinical studies on Cr and PCr supplementation is illustrated in Table 1. Chemically modified, highly lipophilic Cr cyclocreatine or Cr esters may exploit passive diffusion across the plasmatic membrane and overcome the CrT down-regulation related to an elevated intracellular Cr content [ 8 ].

Furthermore, cyclocreatine is much more stable and is a superior long-acting phosphagen compared to PCr, since it longer sustains ATP synthesis during ischaemia by continuously phosphorylating ADP [ 63 ].

Moreover, since the use of cyclocreatine is limited by its water insolubility and the need to be administered much earlier than the ischemic event, a new soluble preparation has been proposed and needs further investigation [ 63 ]. As a component of the energy buffer system, Cr is involved in cardiac metabolism to transfer energy from site of production to site of utilization.

While a decreased cardiac Cr content is a feature of advanced HF, reduction in the rate of ATP synthesis through CK system might explain contractile dysfunction and poor outcomes in HF patients even in earlier stages.

Nevertheless, the effects of Cr analogue and PCr supplementation are controversial and probably need to be tested in randomized studies on top of current pharmacological and non-pharmacological therapies.

In this regard, cardiac MRS is expected to grow in importance, as it might estimate, in a non-invasive fashion, the energetic response to metabolic therapies and provide useful surrogate prognostic markers.

Finally, future studies shall address Cr supplementation treatment only to HF patients with assessed Cr deficiency, by measuring the absorbed Cr content compared to the treatment dose. Failing heart shows a decreased creatine Cr content and creatine kinase CK activity, as well as a reduced expression of Cr transporter.

Differently from Cr supplementation, treatment with PCr has showed to reduce short-term mortality, to improve left ventricular ejection fraction and to decrease the risk of major arrhythmias [ 61 ]. However, further investigation is needed for long-term treatment.

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Physiol Rev — Joncquel-Chevalier Curt M, Voicu PM, Fontaine M, Dessein AF, Porchet N, Mention-Mulliez K, Dobbelaere D, Soto-Ares G, Cheillan D, Vamecq J Creatine biosynthesis and transport in health and disease.

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ten Hove M, Makinen K, Sebag-Montefiore L, Hunyor I, Fischer A, Wallis J, Isbrandt D, Lygate C, Neubauer S Creatine uptake in mouse hearts with genetically altered creatine levels. J Mol Cell Cardiol — Zervou S, Whittington HJ, Russell AJ, Lygate CA Augmentation of creatine in the heart.

Mini Rev Med Chem — Nascimben L, Ingwall JS, Pauletto P, Friedrich J, Gwathmey JK, Saks V, Pessina AC, Allen PD Creatine kinase system in failing and nonfailing human myocardium. Circulation — Guzun R, Timohhina N, Tepp K, Gonzalez-Granillo M, Shevchuk I, Chekulayev V, Kuznetsov AV, Kaambre T, Saks VA Systems bioenergetics of creatine kinase networks: physiological roles of creatine and phosphocreatine in regulation of cardiac cell function.

Neubauer S, Krahe T, Schindler R, Horn M, Hillenbrand H, Entzeroth C, Mader H, Kromer EP, Riegger GA, Lackner K 31P magnetic resonance spectroscopy in dilated cardiomyopathy and coronary artery disease. Altered cardiac high-energy phosphate metabolism in heart failure.

Circulation —8. Weiss RG, Gerstenblith G, Bottomley PA ATP flux through creatine kinase in the normal, stressed, and failing human heart. Proc Natl Acad Sci U S A — Bottomley PA, Weiss RG Non-invasive magnetic-resonance detection of creatine depletion in non-viable infarcted myocardium.

Lancet — Bottomley PA MRS Studies of creatine kinase metabolism in human heart. eMagRes — Hansch A, Rzanny R, Heyne JP, Leder U, Reichenbach JR, Kaiser WA Noninvasive measurements of cardiac high-energy phosphate metabolites in dilated cardiomyopathy by using 31P spectroscopic chemical shift imaging.

Eur Radiol — Beer M, Seyfarth T, Sandstede J, Landschütz W, Lipke C, Köstler H, von Kienlin M, Harre K, Hahn D, Neubauer S Absolute concentrations of high-energy phosphate metabolites in normal, hypertrophied, and failing human myocardium measured noninvasively with 31 P-SLOOP magnetic resonance spectroscopy.

J Am Coll Cardiol — Gabr RE, El-Sharkawy AM, Schär M, Panjrath GS, Gerstenblith G, Weiss RG, Bottomley PA Cardiac work is related to creatine kinase energy supply in human heart failure: a cardiovascular magnetic resonance spectroscopy study.

J Cardiovasc Magn Reson Article PubMed PubMed Central Google Scholar. Bottomley PA, Panjrath GS, Lai S, Hirsch GA, Wu K, Najjar SS, Steinberg A, Gerstenblith G, Weiss RG Metabolic rates of ATP transfer through creatine kinase CK Flux predict clinical heart failure events and death.

Sci Transl Med re3. Gupta A, Akki A, Wang Y, Leppo MK, Chacko VP, Foster DB, Caceres V, Shi S, Kirk JA, Su J, Lai S, Paolocci N, Steenbergen C, Gerstenblith G, Weiss RG Creatine kinase-mediated improvement of function in failing mouse hearts provides causal evidence the failing heart is energy starved.

J Clin Invest — Shen W, Vatner DE, Vatner SF, Ingwall JS Progressive loss of creatine maintains a near normal ΔG~ATP in transgenic mouse hearts with cardiomyopathy caused by overexpressing Gsα. Weiss K, Bottomley PA, Weiss RG On the theoretical limits of detecting cyclic changes in cardiac high-energy phosphates and creatine kinase reaction kinetics using in vivo 31 P MRS.

NMR Biomed — Ingwall JS Energy metabolism in heart failure and remodelling. Cardiovasc Res — Ingwall JS, Weiss RG Is the failing heart energy starved? On using chemical energy to support cardiac function.

Zhou B, Tian R Mitochondrial dysfunction in pathophysiology of heart failure. Lygate CA, Fischer A, Sebag-Montefiore L, Wallis J, ten Hove M, Neubauer S The creatine kinase energy transport system in the failing mouse heart. Neubauer S, Horn M, Pabst T, Gödde M, Lübke D, Jilling B, Hahn D, Ertl G Contributions of 31P-magnetic resonance spectroscopy to the understanding of dilated heart muscle disease.

Eur Heart J 16 Suppl O—8. Neubauer S, Horn M, Cramer M, Harre K, Newell JB, Peters W, Pabst T, Ertl G, Hahn D, Ingwall JS, Kochsiek K Myocardial phosphocreatine-to-ATP ratio is a predictor of mortality in patients with dilated cardiomyopathy.

Mekhfi H, Hoerter J, Lauer C, Wisnewsky C, Schwartz K, Ventura-Clapier R Myocardial adaptation to creatine deficiency in rats fed with β-guanidinopropionic acid, a creatine analogue. Am J Physiol H—H Zweier JL, Jacobus WE, Korecky B, Brandejs-Barry Y Bioenergetic consequences of cardiac phosphocreatine depletion induced by creatine analogue feeding.

J Biol Chem — PMID: Article CAS Google Scholar. Horn M, Remkes H, Strömer H, Dienesch C, Neubauer S Chronic phosphocreatine depletion by the creatine analogue beta-guanidinopropionate is associated with increased mortality and loss of ATP in rats after myocardial infarction.

Boehm EA, Radda GK, Tomlin H, Clark JF The utilisation of creatine and its analogues by cytosolic and mitochondrial creatine kinase. Biochim Biophys Acta — Article PubMed Google Scholar. Lygate CA, Medway DJ, Ostrowski PJ, Aksentijevic D, Sebag-Montefiore L, Hunyor I, Zervou S, Schneider JE, Neubauer S Chronic creatine kinase deficiency eventually leads to congestive heart failure, but severity is dependent on genetic background, gender and age.

Basic Res Cardiol Spindler M, Meyer K, Strömer H, Leupold A, Boehm E, Wagner H, Neubauer S Creatine kinase-deficient hearts exhibit increased susceptibility to ischemia-reperfusion injury and impaired calcium homeostasis.

Am J Physiol Heart Circ Physiol H—H Faller KME, Atzler D, McAndrew DJ, Zervou S, Whittington HJ, Simon JN, Aksentijevic D, Ten Hove M, Choe CU, Isbrandt D, Casadei B, Schneider JE, Neubauer S, Lygate CA Impaired cardiac contractile function in arginine:glycine amidinotransferase knockout mice devoid of creatine is rescued by homoarginine but not creatine.

Lygate CA, Aksentijevic D, Dawson D, ten Hove M, Phillips D, de Bono JP, Medway DJ, Sebag-Montefiore L, Hunyor I, Channon KM, Clarke K, Zervou S, Watkins H, Balaban RS, Neubauer S Living without creatine: unchanged exercise capacity and response to chronic myocardial infarction in creatine-deficient mice.

Aksentijević D, Zervou S, Eykyn TR, McAndrew DJ, Wallis J, Schneider JE, Neubauer S, Lygate CA Age-dependent decline in cardiac function in guanidinoacetate-N-methyltransferase knockout mice. Front Physiol Baroncelli L, Molinaro A, Cacciante F, Alessandrì MG, Napoli D, Putignano E, Tola J, Leuzzi V, Cioni G, Pizzorusso T A mouse model for creatine transporter deficiency reveals early onset cognitive impairment and neuropathology associated with brain aging.

Hum Mol Genet — Lygate CA, Bohl S, ten Hove M, Faller KM, Ostrowski PJ, Zervou S, Medway DJ, Aksentijevic D, Sebag-Montefiore L, Wallis J, Clarke K, Watkins H, Schneider JE, Neubauer S Moderate elevation of intracellular creatine by targeting the creatine transporter protects mice from acute myocardial infarction.

The same results were also reported by Allard and others who also reported an increase in the peak VO 2 , anaerobic threshold and O 2 pulse in addition to aforesaid conditions among HF patients Most studies have reported the beneficial effects of exercise on inflammatory process and endothelial dysfunction among patients with cardiovascular diseases.

For example an in vitro study on rats reported that the endothelium dependent vasorelaxation to acetylcholine was reduced significantly in diabetic animals and exercise training or grape seed extract administration partially improves this response. Also, the combination of exercise training with grape seed extract restored the endothelial function completely The results of this study could indicate the beneficial effects of exercise and anti-oxidant compounds on the chronic diseases related to endothelial dysfunction such as cardio vascular diseases.

Some other studies have also reported the anti-oxidant properties 34 , improvement of endothelial dysfunction 35 and anti-inflammatory effects 36 of exercise, alone, among patients with heart failure.

A review study by Babista and co-workers reported that exercise and physical activities could improve chronic inflammation, inhibit the pre-inflammatory cytokine generation and reduce the oxidative stress among HF patients Linke and others showed that exercise could reduce the oxidative stress in skeletal muscles of patients with HF, via increasing the activities of scavenger enzymes Also, Fu and colleagues reported that regular walking improves the pulse rates of CHF patients considerably in comparison with control patients.

They also reported that walking could decrease homocystein, improve the lifestyle and endothelial function among intervention group patients of HF compared to control group These results were in accordance with the findings of our study. A study performed by Erbs and others on CHF patients reported that 12 weeks exercise resulted in improvement of the vasomotor function of peripheral vessels, improvement of left ventricular function and ejection fraction, revival of neovascularisation for skeletal muscles and endothelial function There were no studies in the literature to show the effects of creatine monohydrate on the inflammatory characteristics or endothelial dysfunction in HF patients and most studies have shown the effects of this complement on the contraction of cardiac muscles or on the ergogenic properties of creatine 18 , 38 , All these beneficial effects have been associated with only regular exercise among HF patients and mostly were in accordance with our findings.

In addition to regular exercise we investigated a combination of this physical activity and application of an essential micronutrient among HF patients. This is the first study to investigate the effects of this combination among HF patients and this pilot study revealed an effective role of this combination for HF patients among the interventional group compared to control group.

One of the limitations of the current study was the lack of evaluation of participants for left ventricular function and ejection fraction via echocardiography. According to the findings of this study, combination of creatine monohydrate and regular exercise can improve the inflammatory process and endothelial function of patients with chronic heart failure.

Therefore, this method can be suggested as a nondrug treatment for control of destructive effects, created by inflammatory process and endothelial dysfunction, among CHF patients.

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Lifetime risk for developing congestive heart failure: the Framingham Heart Study. Butler J, Kalogeropoulos A, Georgiopoulou V, Belue R, Rodondi N, Garcia M, et al.

Incident heart failure prediction in the elderly: the health ABC heart failure score. Circ Heart Fail. Marchionni N, Di Bari M, Fumagalli S, Ferrucci L, Baldereschi G, Timpanelli M, et al. Variable effect of comorbidity on the association of chronic cardiac failure with disability in community-dwelling older persons.

Arch Gerontol Geriatr. Masoudi FA, Rumsfeld JS, Havranek EP, House JA, Peterson ED, Krumholz HM, et al. Age, functional capacity, and health-related quality of life in patients with heart failure. J Card Fail. Rodriguez-Artalejo F, Guallar-Castillon P, Pascual CR, Otero CM, Montes AO, Garcia AN, et al.

Health-related quality of life as a predictor of hospital readmission and death among patients with heart failure. Arch Intern Med. Heo S, Moser DK, Lennie TA, Zambroski CH, Chung ML. A comparison of health-related quality of life between older adults with heart failure and healthy older adults.

Heart Lung. Witte KKA, Clark AL, Cleland JGF. Chronic heart failure and micronutrients. J Am College Cardiol. Berezin AE, Kremzer AA, Samura TA, Martovitskaya YV. Circulating endothelial-derived apoptotic microparticles in the patients with ischemic symptomatic chronic heart failure: relevance of pro-inflammatory activation and outcomes.

Int Cardiovasc Res J. Badavi M, Abedi HA, Sarkaki AR, Dianat M. Co-administration of Grape Seed Extract and Exercise Training Improves Endothelial Dysfunction of Coronary Vascular Bed of STZ-Induced Diabetic Rats.

Iran Red Crescent Med J. Michowitz Y, Arbel Y, Wexler D, Sheps D, Rogowski O, Shapira I, et al. Predictive value of high sensitivity CRP in patients with diastolic heart failure. Int J Cardiol. Shah SJ, Marcus GM, Gerber IL, McKeown BH, Vessey JC, Jordan MV, et al. High-sensitivity C-reactive protein and parameters of left ventricular dysfunction.

Vescovo G, Ravara B, Gobbo V, Sandri M, Angelini A, Della Barbera M, et al. L-Carnitine: a potential treatment for blocking apoptosis and preventing skeletal muscle myopathy in heart failure. Am J Physiol Cell Physiol. Tulchinsky TH. Micronutrient deficiency conditions: global health issues.

Public Health Rev. Felker GM. Coenzyme Q10 and statins in heart failure: the dog that didn't bark. Wyss M, Kaddurah-Daouk R. Creatine and creatinine metabolism. Physiol Rev. Persky AM, Brazeau GA. Clinical pharmacology of the dietary supplement creatine monohydrate.

Pharmacol Rev. Ferraro S, Maddalena G, Fazio S, Santomauro M, Lo Storto M, Codella C, et al. Acute and short-term efficacy of high doses of creatine phosphate in the treatment of cardiac failure.

Current Ther Res. Mancini DM, Ferraro N, Tuchler M, Chance B, Wilson JR. Detection of abnormal calf muscle metabolism in patients with heart failure using phosphorus nuclear magnetic resonance. Am J Cardiol.

Kuethe F, Krack A, Richartz BM, Figulla HR. Creatine supplementation improves muscle strength in patients with congestive heart failure.

Gordon A, Hultman E, Kaijser L, Kristjansson S, Rolf CJ, Nyquist O, et al. Creatine supplementation in chronic heart failure increases skeletal muscle creatine phosphate and muscle performance.

Cardiovasc Res. Weiss RG, Gerstenblith G, Bottomley PA. ATP flux through creatine kinase in the normal, stressed, and failing human heart. Proc Natl Acad Sci U S A.

Background: Serum Creatije is associated with cardiovascular risk healyh cardiovascular Creatine and cardiovascular health, however, the CCreatine between serum creatinine Improve cardiovascular health and cardiovaacular risk is not Drug abuse prevention in sports cardiovscular in hypertensive population in Jiangsu Province. We CCreatine to evaluate Food allergy myths association of serum creatinine levels with traditional cardiovascular risk factors and year cardiovascular risk in a Chinese hypertensive population. Methods: Participants were patients with hypertension registered and enrolled in health service centers in 5 counties or districts from January to May in Jiangsu Province of China followed strict inclusion and exclusion criteria, demographics as well as clinical indicators and disease history and lifestyle were collected. Participants were divided into four groups according to quartiles of serum creatinine levels, then the China-PAR model was used to calculate year cardiovascular risk for each individual. Results: A total of participants were enrolled in this study,

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13 Things No One Tells You About Creatine Mayo Clinic Creaitne appointments in Cardiovwscular, Florida and Minnesota and at Mayo Clinic Health System locations. Creatine is hhealth compound Fasting and cancer prevention comes from three amino acids. Cardiovasculad is found Creatine and cardiovascular health Brain health and cognitive decline prevention your body's muscles as well as in the brain. Most people get creatine through seafood and red meat — though at levels far below those found in synthetically made creatine supplements. The body's liver, pancreas and kidneys also can make about 1 gram of creatine per day. Your body stores creatine as phosphocreatine primarily in your muscles, where it's used for energy. As a result, people take creatine orally to improve athletic performance and increase muscle mass. Creatine and cardiovascular health

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