Creatine supplementation at 8 to 12 g per day combined with resistance training reduces the rate of bone mineral density loss around the hip in postmenopausal females.
"The lowest dose ever has been shown to have bone benefits is 8 g all the way up to 12... where we've shown that about 8 to 12 g a day with exercise, and that's crucial. If you do not exercise, there's never been a study ever shown to have bone benefits, but if you do perform weightlifting, one of the very cool things in postmenopausal females is that creatine seemed to reduce the rate of bone mineral density loss around the hip region." (said at 0:25:54)
A 2015 randomized controlled trial by this research group (Chilibeck et al., PMID 25386713) did find that 12 months of creatine supplementation (0.1 g/kg/day, roughly 7–9 g/day) combined with resistance training attenuated femoral neck bone mineral density (BMD) loss (-1.2% vs -3.9% for placebo) in postmenopausal women. However, a subsequent larger 2-year RCT by the same group in 237 postmenopausal women (PMID 37144634) and a 2018 meta-analysis (PMID 29740583) found no statistically significant preservation of hip or femoral neck BMD compared with resistance training alone, although some geometric indicators of femoral bone strength were maintained.
- supports: Effects of Creatine and Resistance Training on Bone Health in Postmenopausal Women. (Medicine and science in sports and exercise 2015)
"Cr attenuated the rate of femoral neck BMD loss (-1.2%; absolute change (95% confidence interval), -0.01 (-0.025 to 0.005) g·cm) compared with Pl (-3.9%; -0.03 (-0.044 to -0.017) g·cm; P < 0.05) and also increased femoral shaft subperiosteal width, a predictor of bone bending strength" (abstract, results)
pubmedfull study (doi) - contradicts: Creatine Supplementation During Resistance Training Does Not Lead to Greater Bone Mineral … (Frontiers in nutrition 2018)
"Our meta-analyses revealed no significant effect on whole body, hip, femoral neck, or lumbar spine BMD when comparing creatine and resistance training to resistance training alone." (abstract, results, passage verified)
pubmedfull study (doi) - contradicts: A 2-yr Randomized Controlled Trial on Creatine Supplementation during Exercise for Postmen… (Medicine and science in sports and exercise 2023)
"Compared with placebo, creatine supplementation had no effect on BMD of the femoral neck (creatine: 0.725 ± 0.110 to 0.712 ± 0.100 g·cm -2 ; placebo: 0.721 ± 0.102 to 0.706 ± 0.097 g·cm -2 ), total hip (creatine: 0.879 ± 0.118 to 0.872 ± 0.114 g·cm -2 ; placebo: 0.881 ± 0.111 to 0.873 ± 0.109 g·cm -2 ), or lumbar spine" (abstract, results)
pubmedfull study (doi)