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1 Université catholique de Louvain, 2 Université Libre de Bruxelles, Brussels 1200, Belgium; 3 Karolinska Institute, Stockholm 11440, Sweden; 4 Université de Poitiers, Poitiers 86034, France; 5 Massachusetts Institute of Technology, Cambridge, Massachusetts 02142; and 6 University of Dundee, Dundee DD1 4HN, Scotland
Dietary creatine supplementation is
associated with increases in muscle mass, but the mechanism is unknown.
We tested the hypothesis that creatine supplementation enhanced
myofibrillar protein synthesis (MPS) and diminished muscle protein
breakdown (MPB) in the fed state. Six healthy men (26 ± 7 yr,
body mass index 22 ± 4 kg/m2) were studied twice,
2-4 wk apart, before and after ingestion of creatine (21 g/day, 5 days). We carried out two sets of measurements within 5.5 h of
both MPS (by incorporation of [1-13C]leucine in
quadriceps muscle) and MPB (as dilution of [1-13C]leucine
or [2H5]phenylalanine across the forearm);
for the first 3 h, the subjects were postabsorptive but thereafter
were fed orally (0.3 g maltodextrin and 0.083 g
protein · kg body
wt
1 · h
1). Creatine
supplementation increased muscle total creatine by ~30%
(P < 0.01). Feeding had significant effects, doubling
MPS (P < 0.001) and depressing MPB by ~40%
(P < 0.026), but creatine had no effect on turnover in
the postabsorptive or fed states. Thus any increase in muscle mass
accompanying creatine supplementation must be associated with increased
physical activity.
skeletal muscle; protein synthesis; protein breakdown
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