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Pre-clinical studies indicate that creatine may play a substantial role in diet-induced thermogenesis and may have a profound effect on energy balance. A recent retrospective study of BAT activation on PET-CT scans in humans showed a positive association with the estimated renal creatinine clearance and BAT activation, possibly linking creatine metabolism in humans to BAT activity. In humans, so far little options are available to activate brown adipose tissue. The most potent intervention to activate BAT is via cold, which has previously been shown to have metabolic effects in humans. Provided the potential health benefits of brown adipose tissue activation in humans, and provided the role of brown fat in diet induced thermogenesis, we here aim to determine whether creatine monohydrate supplementation can increase diet-induced thermogenesis and activate brown adipose tissue in humans.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Intervention | Active Comparator | Oral injestion of 20 grams of creatine monohydrate daily |
|
| Placebo | Placebo Comparator | Oral injestion of 20 grams of cellulose daily |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Creatine monohydrate | Dietary Supplement | 5 grams of creatine monohydrate, four times daily, for 9 consecutive days. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Brown adipose tissue activation through 18F-FDG PET-MRI | Standard Uptake Value (SUV) | Day 10 of protocol |
| Measure | Description | Time Frame |
|---|---|---|
| Diet-induced thermogenesis through indirect calorimetry | Whole body energy expenditure in kJ/kg/min | Day 8 of protocol |
| Posphocreatine (PCr) Recovery through 31P-MRS | Halftime of PCr Recovery |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Maastricht University | Maastricht | Limburg | 6229ER | Netherlands |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 33462512 | Derived | Connell NJ, Doligkeit D, Andriessen C, Kornips-Moonen E, Bruls YMH, Schrauwen-Hinderling VB, van de Weijer T, van Marken-Lichtenbelt WD, Havekes B, Kazak L, Spiegelman BM, Hoeks J, Schrauwen P. No evidence for brown adipose tissue activation after creatine supplementation in adult vegetarians. Nat Metab. 2021 Jan;3(1):107-117. doi: 10.1038/s42255-020-00332-0. Epub 2021 Jan 18. |
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| ID | Term |
|---|---|
| D003401 | Creatine |
| ID | Term |
|---|---|
| D006146 | Guanidines |
| D000578 | Amidines |
| D009930 | Organic Chemicals |
| D000596 | Amino Acids |
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A double-blind, randomised, controlled, cross-over intervention trial.
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| placebo cellulose | Dietary Supplement | oral ingestion of placebo containing 20 gram cellulose daily |
|
| Day 9 of protocol |
| D000602 |
| Amino Acids, Peptides, and Proteins |