Dolan · European journal of sport science 2019 · narrative review · n=?

Beyond muscle: the effects of creatine supplementation on brain creatine, cognitive processing, and traumatic brain injury.

Cited 172 times in the scientific literature.

Level 5 - mechanism / opinion, no new human data

Narrative review without systematic review methodology.

PubMed 30086660 · doi:10.1080/17461391.2018.1500644 · record verified 2026-08-26

What was done

This narrative review synthesized existing evidence on the effects of creatine supplementation on brain creatine concentrations, cognitive performance under stress, and recovery from mild traumatic brain injury in healthy individuals.

What was found

The abstract reports no numerical data or statistical estimates. It reports that brain creatine responds to supplementation but likely requires higher or more prolonged doses than standard muscle-loading protocols. Cognitive benefits appear most evident during stressful conditions such as sleep deprivation, experimental hypoxia, or complex cognitive tasks. Evidence suggests potential benefit in reducing mild traumatic brain injury severity or improving recovery, but human verification is limited.

Why it matters

It highlights emerging applications of creatine supplementation for brain bioenergetics, cognitive resilience under stress, and potential neuroprotection.

Limits

The abstract describes a narrative review without systematic synthesis or reported sample sizes. Optimal dosing strategies for brain uptake remain unknown, and direct human clinical data on traumatic brain injury are sparse.

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