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| Name | Class |
|---|---|
| University of Guelph | OTHER |
| University of Prince Edward Island | OTHER |
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Creatine is a nutritional supplement that is often ingested to improve exercise performance. The advent of a new product that is applied to the skin overlying muscle offers potential benefit, if the creatine can be targeted to specific muscles. The investigators are testing a novel creatine cream to determine the effects on human muscular performance. The investigators are assessing whether 7 days of topical creatine application is additive to orally-ingested creatine for improving muscular power (determined by knee extension).
Creatine monohydrate is a popular nutritional supplement with athletes involved in sports involving strength and power. When creatine is orally ingested it combines with inorganic phosphate to form phorylcreatine (PCr) in skeletal muscle . Adenosine Triphosphate (ATP) is the immediate source of energy in muscle - during exercise ATP is broken down to Adenosine Diphosphate (ADP) and inorganic phosphate. Duration of high-intensity exercise is limited to a few seconds based on limited ATP stores in muscle. PCr acts to re-phosphorylate ADP to form ATP so that muscle contraction can continue at high intensities. After creatine monohydrate is ingested, high-intensity exercise capacity is increased because of the increased PCr stores in muscle.
Traditionally, creatine is consumed orally as a supplement. Delivra Inc. has developed a topical cream containing creatine that is designed to penetrate the skin. The study purpose is to determine whether topically-applied creatine is additive with orally-ingested creatine for improving muscular strength and power.
The hypothesis is that topically-applied creatine is additive with orally-ingested creatine for improving muscular performance.
The study involves a double-blind placebo-controlled parallel group design. Participants (n=132) will be randomized to receive either oral creatine supplementation or placebo (21 g/d) for 7 days. One leg of each participant will be randomized to receive topical creatine (3.5 mL/d) and the opposite leg placebo for 7 days.
The baseline assessment involves measuring muscular power during 5 sets of 15 repetitions of knee extension on a dynamometer, with each set separated by 1 minute rest, with each leg tested separately. Additional measures include assessment of body composition and body water content. Participants will then receive either oral creatine (21 g/d) or placebo for 7 days. One leg of each participant will be randomized to receive topical creatine (3.5 mL/d) and the opposite leg placebo for 7 days. The same assessments as done at baseline will then be repeated after the 7 days of creatine supplementation.
The primary outcomes are average and peak power output.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Oral creatine supplementation | Experimental | 21 g/d oral creatine for 7 days |
|
| Oral placebo supplementation | Placebo Comparator | 21 g/d oral placebo for 7 days |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| 3.5 mL/d topical creatine | Dietary Supplement |
| ||
| 3.5 mL/d topical placebo |
| Measure | Description | Time Frame |
|---|---|---|
| Change in average power across 5 set of 15 repetitions separated by 60s rest on an isokinetic dynamometer | Change from baseline to 7 days |
| Measure | Description | Time Frame |
|---|---|---|
| Change in body composition (percent fat) | Change from baseline to 7 days | |
| Change in body water content | Change from baseline to 7 days | |
| Change in peak power across 5 set of 15 repetitions separated by 60s rest on an isokinetic dynamometer |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Philip Chilibeck, PhD | University of Saskatchewan | Principal Investigator |
| Jamie Burr, PhD | University of Guelph | Principal Investigator |
| Travis Saunders, PhD | University of Prince Edward Island | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University of Guelph | Guelph | Ontario | N1G 2W1 | Canada | ||
| University of Prince Edward Island |
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| ID | Term |
|---|---|
| D018908 | Muscle Weakness |
| ID | Term |
|---|---|
| D009135 | Muscular Diseases |
| D009140 | Musculoskeletal Diseases |
| D020879 | Neuromuscular Manifestations |
| D009461 | Neurologic Manifestations |
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| ID | Term |
|---|---|
| D003401 | Creatine |
| ID | Term |
|---|---|
| D006146 | Guanidines |
| D000578 | Amidines |
| D009930 | Organic Chemicals |
| D000596 | Amino Acids |
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| Dietary Supplement |
|
| 21 g/d Oral creatine | Dietary Supplement |
|
| 21 g/d oral placebo | Dietary Supplement |
|
| Change from baseline to 7 days |
| Adverse events recorded on adverse event forms | Change from baseline to 7 days |
| Charlottetown |
| Prince Edward Island |
| C1A 4P3 |
| Canada |
| University of Saskatchewan | Saskatoon | Saskatchewan | S7N 5B2 | Canada |
| D009422 | Nervous System Diseases |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D012816 | Signs and Symptoms |
| D000602 |
| Amino Acids, Peptides, and Proteins |