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Effect of creatine supplementation as a potential adjuvant therapy to exercise training in cardiac patients: a randomized controlled trial

Objective: To investigate the effect of oral creatine supplementation in conjunction with an exercise programme on physical fitness in patients with coronary artery disease or chronic heart failure. Design: Single centre double-blind randomized placebo controlled trial. Setting: Cardiac rehabilitati...

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Published in:Clinical rehabilitation 2010-11, Vol.24 (11), p.988-999
Main Authors: Cornelissen, VA, Defoor, JGM, Stevens, A., Schepers, D., Hespel, P., Decramer, M., Mortelmans, L., Dobbels, F., Vanhaecke, J., Fagard, RH, Vanhees, L.
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cited_by cdi_FETCH-LOGICAL-c525t-db1bff9696ec2de738bb37328ffe2061fbd9b41c37ec8054ede4c805715d4c793
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container_end_page 999
container_issue 11
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container_title Clinical rehabilitation
container_volume 24
creator Cornelissen, VA
Defoor, JGM
Stevens, A.
Schepers, D.
Hespel, P.
Decramer, M.
Mortelmans, L.
Dobbels, F.
Vanhaecke, J.
Fagard, RH
Vanhees, L.
description Objective: To investigate the effect of oral creatine supplementation in conjunction with an exercise programme on physical fitness in patients with coronary artery disease or chronic heart failure. Design: Single centre double-blind randomized placebo controlled trial. Setting: Cardiac rehabilitation centre. Subjects and intervention: 70 (4 women) cardiac patients (age 57.5 (8.4) years) were randomized to a placebo (n = 37) or creatine (n = 33) treatment for three months. Combined aerobic endurance and resistance training (three sessions/ week) was performed during supplementation. Main Measures: Aerobic power was determined during graded bicycle testing, knee extensor peak isometric and isokinetic strength, endurance and recovery were assessed by an isokinetic dynamometer, and health related quality of life was evaluated with the SF-36 and MacNew Heart Disease questionnaires. In addition, blood samples were taken after an overnight fast and 24 hour urinary collection was performed. Results: At baseline there were no significant differences between both groups. We observed main time effects for aerobic power, muscle performance, health related quality of life, high density lipoprotein cholesterol and triglycerides (pre vs post; P0.05). Further, no detrimental effect on renal or liver function was observed nor were there any reports of side effects. Conclusion: Oral creatine supplementation in combination with exercise training does not exert any additional effect on the improvement in physical performance, health related quality of life, lipid profile in patients with coronary artery disease or chronic heart failure than exercise training alone.
doi_str_mv 10.1177/0269215510367995
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Design: Single centre double-blind randomized placebo controlled trial. Setting: Cardiac rehabilitation centre. Subjects and intervention: 70 (4 women) cardiac patients (age 57.5 (8.4) years) were randomized to a placebo (n = 37) or creatine (n = 33) treatment for three months. Combined aerobic endurance and resistance training (three sessions/ week) was performed during supplementation. Main Measures: Aerobic power was determined during graded bicycle testing, knee extensor peak isometric and isokinetic strength, endurance and recovery were assessed by an isokinetic dynamometer, and health related quality of life was evaluated with the SF-36 and MacNew Heart Disease questionnaires. In addition, blood samples were taken after an overnight fast and 24 hour urinary collection was performed. Results: At baseline there were no significant differences between both groups. We observed main time effects for aerobic power, muscle performance, health related quality of life, high density lipoprotein cholesterol and triglycerides (pre vs post; P&lt;0.05 for all). However, changes after training were similar between placebo group and creatine group (P&gt;0.05). Further, no detrimental effect on renal or liver function was observed nor were there any reports of side effects. Conclusion: Oral creatine supplementation in combination with exercise training does not exert any additional effect on the improvement in physical performance, health related quality of life, lipid profile in patients with coronary artery disease or chronic heart failure than exercise training alone.</description><identifier>ISSN: 0269-2155</identifier><identifier>EISSN: 1477-0873</identifier><identifier>DOI: 10.1177/0269215510367995</identifier><identifier>PMID: 20576665</identifier><identifier>CODEN: CEHAEN</identifier><language>eng</language><publisher>London, England: SAGE Publications</publisher><subject>Angina pectoris ; Angioplasty ; Bicycling ; Cardiac surgery ; Cardiovascular disease ; Chemotherapy, Adjuvant ; Chronic Disease ; Clinical trials ; Coronary Artery Disease - drug therapy ; Coronary Artery Disease - physiopathology ; Coronary Artery Disease - rehabilitation ; Coronary vessels ; Creatine - administration &amp; dosage ; Dietary Supplements ; Endurance ; Exercise ; Exercise Test ; Female ; Fitness training programs ; Health care ; Health status ; Heart failure ; Heart Failure - drug therapy ; Heart Failure - physiopathology ; Heart Failure - rehabilitation ; Humans ; Hypertension ; Male ; Middle Aged ; Muscle strength ; Muscle Strength - drug effects ; Muscle Strength - physiology ; Musculoskeletal system ; Patients ; Physical Endurance - drug effects ; Physical Endurance - physiology ; Physical fitness ; Physical Fitness - physiology ; Quality of life ; Rehabilitation ; Resistance Training ; Sickness Impact Profile ; Strength training ; Vein &amp; artery diseases</subject><ispartof>Clinical rehabilitation, 2010-11, Vol.24 (11), p.988-999</ispartof><rights>The Author(s), 2010.</rights><rights>SAGE Publications © Nov 2010</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c525t-db1bff9696ec2de738bb37328ffe2061fbd9b41c37ec8054ede4c805715d4c793</citedby><cites>FETCH-LOGICAL-c525t-db1bff9696ec2de738bb37328ffe2061fbd9b41c37ec8054ede4c805715d4c793</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.proquest.com/docview/761114553?pq-origsite=primo$$EHTML$$P50$$Gproquest$$H</linktohtml><link.rule.ids>314,776,780,12825,21373,21374,27901,27902,30976,30977,33588,33589,34507,34508,43709,44091</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/20576665$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Cornelissen, VA</creatorcontrib><creatorcontrib>Defoor, JGM</creatorcontrib><creatorcontrib>Stevens, A.</creatorcontrib><creatorcontrib>Schepers, D.</creatorcontrib><creatorcontrib>Hespel, P.</creatorcontrib><creatorcontrib>Decramer, M.</creatorcontrib><creatorcontrib>Mortelmans, L.</creatorcontrib><creatorcontrib>Dobbels, F.</creatorcontrib><creatorcontrib>Vanhaecke, J.</creatorcontrib><creatorcontrib>Fagard, RH</creatorcontrib><creatorcontrib>Vanhees, L.</creatorcontrib><title>Effect of creatine supplementation as a potential adjuvant therapy to exercise training in cardiac patients: a randomized controlled trial</title><title>Clinical rehabilitation</title><addtitle>Clin Rehabil</addtitle><description>Objective: To investigate the effect of oral creatine supplementation in conjunction with an exercise programme on physical fitness in patients with coronary artery disease or chronic heart failure. Design: Single centre double-blind randomized placebo controlled trial. Setting: Cardiac rehabilitation centre. Subjects and intervention: 70 (4 women) cardiac patients (age 57.5 (8.4) years) were randomized to a placebo (n = 37) or creatine (n = 33) treatment for three months. Combined aerobic endurance and resistance training (three sessions/ week) was performed during supplementation. Main Measures: Aerobic power was determined during graded bicycle testing, knee extensor peak isometric and isokinetic strength, endurance and recovery were assessed by an isokinetic dynamometer, and health related quality of life was evaluated with the SF-36 and MacNew Heart Disease questionnaires. In addition, blood samples were taken after an overnight fast and 24 hour urinary collection was performed. Results: At baseline there were no significant differences between both groups. We observed main time effects for aerobic power, muscle performance, health related quality of life, high density lipoprotein cholesterol and triglycerides (pre vs post; P&lt;0.05 for all). However, changes after training were similar between placebo group and creatine group (P&gt;0.05). Further, no detrimental effect on renal or liver function was observed nor were there any reports of side effects. 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Design: Single centre double-blind randomized placebo controlled trial. Setting: Cardiac rehabilitation centre. Subjects and intervention: 70 (4 women) cardiac patients (age 57.5 (8.4) years) were randomized to a placebo (n = 37) or creatine (n = 33) treatment for three months. Combined aerobic endurance and resistance training (three sessions/ week) was performed during supplementation. Main Measures: Aerobic power was determined during graded bicycle testing, knee extensor peak isometric and isokinetic strength, endurance and recovery were assessed by an isokinetic dynamometer, and health related quality of life was evaluated with the SF-36 and MacNew Heart Disease questionnaires. In addition, blood samples were taken after an overnight fast and 24 hour urinary collection was performed. Results: At baseline there were no significant differences between both groups. We observed main time effects for aerobic power, muscle performance, health related quality of life, high density lipoprotein cholesterol and triglycerides (pre vs post; P&lt;0.05 for all). However, changes after training were similar between placebo group and creatine group (P&gt;0.05). Further, no detrimental effect on renal or liver function was observed nor were there any reports of side effects. Conclusion: Oral creatine supplementation in combination with exercise training does not exert any additional effect on the improvement in physical performance, health related quality of life, lipid profile in patients with coronary artery disease or chronic heart failure than exercise training alone.</abstract><cop>London, England</cop><pub>SAGE Publications</pub><pmid>20576665</pmid><doi>10.1177/0269215510367995</doi><tpages>12</tpages></addata></record>
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subjects Angina pectoris
Angioplasty
Bicycling
Cardiac surgery
Cardiovascular disease
Chemotherapy, Adjuvant
Chronic Disease
Clinical trials
Coronary Artery Disease - drug therapy
Coronary Artery Disease - physiopathology
Coronary Artery Disease - rehabilitation
Coronary vessels
Creatine - administration & dosage
Dietary Supplements
Endurance
Exercise
Exercise Test
Female
Fitness training programs
Health care
Health status
Heart failure
Heart Failure - drug therapy
Heart Failure - physiopathology
Heart Failure - rehabilitation
Humans
Hypertension
Male
Middle Aged
Muscle strength
Muscle Strength - drug effects
Muscle Strength - physiology
Musculoskeletal system
Patients
Physical Endurance - drug effects
Physical Endurance - physiology
Physical fitness
Physical Fitness - physiology
Quality of life
Rehabilitation
Resistance Training
Sickness Impact Profile
Strength training
Vein & artery diseases
title Effect of creatine supplementation as a potential adjuvant therapy to exercise training in cardiac patients: a randomized controlled trial
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