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Creatine found to improve cognitive performance during sleep deprivation (opens in a new tab)

medicalxpress.com · 2024-04-25

Short answerEvidenceSource

Short answer

Mostly not supported

Mostly not supported.

One claim goes further than the study. 3 other points were not covered by the paper.

  • 1 supported
  • 1 overstated
  • 3 not covered

Checked against the study summary. The full text wasn't available, so some details couldn't be settled either way.

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Mostly not supported

One claim overstates the study. One of five checks out. Three claims the study doesn't address.

  • 1 supported
  • 1 overstated
  • 3 not covered
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5 claims in this story

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What the story carried across

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4 things the story did carry across
  • Primary intervention finding: a single high oral dose of creatine monohydrate during about 21 hours of sleep deprivation improved or preserved cognitive performance/processing speed versus placebo.
  • Study design: randomized placebo-controlled human interventional study with repeated testing during sub-total sleep deprivation.
  • MRS/metabolic biomarker component: creatine was associated with changes in cerebral PCr/Pi, ATP, tCr/tNAA and prevention of a pH drop as measured by 31P- and 1H-MRS.
  • Generalizability limitation: findings concern acute single-dose effects during a specific sub-total sleep-deprivation paradigm and may not generalize to chronic dosing, lower doses, or other sleep-deprivation settings.
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study summary

Lead result

human in vivo

1Lead resulthuman in vivoTest whether a single high oral dose of creatine during acute/sub-total sleep deprivation improves cognitive performance (fatigue-related cognitive deterioration).Randomized placebo-controlled single-dose creatine vs placebo during sub-total ~21 h sleep deprivation; repeated-measures designExpand

In plain English

In a randomized placebo-controlled human study during ~21 h sub-total sleep deprivation, a single high oral dose of creatine monohydrate (0.35 g/kg) given in the evening was associated with preserved/improved cognitive performance and processing speed versus placebo and with concomitant changes in cerebral high-energy phosphate metabolites measured by 31P- and 1H-MRS.

Key findings

  • Single high-dose creatine (0.35 g/kg) improved cognitive performance and processing speed during ~21 h sub-total sleep deprivation compared with placebo.
  • Creatine induced changes in cerebral high-energy phosphate metrics (PCr/Pi, ATP, tCr/tNAA) and prevented a drop in pH during sleep deprivation as measured by 31P- and 1H-MRS.
“subjects were orally administered a high single dose of creatinemonohydrate (0.35 g/kg) while performing cognitive tests during sleep deprivation”
What this piece can’t prove
  • Findings reflect acute single-dose effects during sub-total (~21 h) sleep deprivation and may not generalize to chronic dosing or different sleep-deprivation paradigms.

2 further details could not be confirmed from the summary.

2human in vivoTest whether a single high oral dose of creatine during acute/sub-total sleep deprivation induces measurable changes in cerebral high-energy phosphate metabolism and related MRS biomarkers (31P-MRS and 1H-MRS), including PCr/Pi, ATP, pH, and tCr/tNAA.Randomized placebo-controlled single-dose creatine vs placebo during sub-total sleep deprivationExpand

In plain English

In a human in vivo placebo-controlled single-dose creatine study during ~21 h sub-total sleep deprivation, a single oral high dose of creatine monohydrate (0.35 g/kg) was associated with changes in cerebral high-energy phosphate metrics measured by repeated 31P-MRS (PCr/Pi, ATP, pH) and with changes in tCr/tNAA measured by 1H-MRS, measured at baseline and 3, 5.5, and 7.5 h post-dose; cognitive testing showed improved performance and processing speed. The authors interpret findings to indicate that a high single dose of creatine can partially reverse metabolic alterations and fatigue-related cognitive deterioration during acute sleep deprivation.

Key findings

  • Single high oral dose creatine (0.35 g/kg) was associated with changes in cerebral PCr/Pi as measured by repeated 31P-MRS during ~21 h sleep deprivation.
  • Creatine administration was associated with changes in ATP levels measured by 31P-MRS during the sleep-deprivation protocol.
“Two consecutive 31P-MRS scans, 1H-MRS, and cognitive tests were performed each at evening baseline, 3, 5.5, and 7.5 h after single dose creatine (0.35 g/kg) or placebo during sub-total 21 h sleep deprivation (SD).”
What this piece can’t prove
  • Abstract lacks MRS acquisition parameters, voxel locations, quantification methods, and statistical details (exact p-values, confidence intervals, correction for multiple comparisons).

2 further details could not be confirmed from the summary.

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