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image of Dietary Creatine Intake and Serum Leptin Levels: A Population-Based Analysis

Abstract

Introduction

Creatine is a semi-essential nutrient involved in cellular bioenergetics. While its effects on energy metabolism are well established, its potential influence on appetite regulation remains unclear. This study examined the association between dietary creatine intake and serum leptin levels in a nationally representative U.S. population.

Methods

Data were analyzed from NHANES III (1988–1994), including 6,415 participants who completed a 24-hour dietary recall and had fasting serum leptin levels measured. Creatine intake (g/day) was estimated based on established food composition values. Serum leptin was quantified radioimmunoassay. Multivariate regression models adjusted for age, gender, and body mass index (BMI) were used to assess associations.

Results

The mean creatine intake was 0.91 ± 0.87 g/day, and the mean serum leptin concentration was 12.6 ± 11.8 µg/L. A significant inverse association was observed between dietary creatine intake and serum leptin levels (B = -1.586, < 0.01), independent of age, gender, and BMI.

Discussion

Higher dietary creatine intake is associated with lower circulating leptin concentrations, suggesting a potential role for creatine in the regulation of long-term energy balance through mechanisms that extend beyond its established effects on muscle metabolism.

Conclusion

Higher dietary creatine intake is associated with lower serum leptin levels, suggesting a potential role for creatine in appetite regulation. Further research is needed to clarify underlying mechanisms and causality.

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2025-07-21
2025-09-29
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References

  1. Ostojic S.M. Forbes S.C. Creatine, a conditionally essential nutrient: Building the case. Adv. Nutr. 2022 13 1 34 37 10.1093/advances/nmab111 34662902
    [Google Scholar]
  2. Wyss M. Kaddurah-Daouk R. Creatine and creatinine metabolism. Physiol. Rev. 2000 80 3 1107 1213 10.1152/physrev.2000.80.3.1107 10893433
    [Google Scholar]
  3. Rackayova V. Cudalbu C. Pouwels P.J.W. Braissant O. Creatine in the central nervous system: From magnetic resonance spectroscopy to creatine deficiencies. Anal. Biochem. 2017 529 144 157 10.1016/j.ab.2016.11.007 27840053
    [Google Scholar]
  4. Bonilla D.A. Kreider R.B. Stout J.R. Forero D.A. Kerksick C.M. Roberts M.D. Rawson E.S. Metabolic basis of creatine in health and disease: A bioinformatics-assisted review. Nutrients 2021 13 4 1238 10.3390/nu13041238 33918657
    [Google Scholar]
  5. Niklasson F. Agren H. Brain energy metabolism and blood-brain barrier permeability in depressive patients: Analyses of creatine, creatinine, urate, and albumin in CSF and blood. Biol. Psychiatry 1984 19 8 1183 1206 6498242
    [Google Scholar]
  6. Ranisavljev M. Todorovic N. Panic J. Andjelic B. Vranes M. Ostojic S.M. Short-term fasting affects biomarkers of creatine metabolism in healthy men and women. Hum. Nutr. Metab. 2023 34 4 200217 10.1016/j.hnm.2023.200217
    [Google Scholar]
  7. Jatoi A. Steen P.D. Atherton P.J. Moore D.F. Rowland K.M. Le-Lindqwister N.A. Adonizio C.S. Jaslowski A.J. Sloan J. Loprinzi C. A double-blind, placebo-controlled randomized trial of creatine for the cancer anorexia/weight loss syndrome (N02C4): An Alliance trial. Ann. Oncol. 2017 28 8 1957 1963 10.1093/annonc/mdx232 28475678
    [Google Scholar]
  8. Stefanakis K. Upadhyay J. Ramirez-Cisneros A. Patel N. Sahai A. Mantzoros C.S. Leptin physiology and pathophysiology in energy homeostasis, immune function, neuroendocrine regulation and bone health. Metabolism 2024 161 156056 10.1016/j.metabol.2024.156056 39481533
    [Google Scholar]
  9. Bakian A.V. Huber R.S. Scholl L. Renshaw P.F. Kondo D. Dietary creatine intake and depression risk among U.S. adults. Transl. Psychiatry 2020 10 1 52 10.1038/s41398‑020‑0741‑x 32066709
    [Google Scholar]
  10. Todorovic N. Korovljev D. Stajer V. Jorga J. Ostojic S.M. Creatine consumption and liver disease manifestations in individuals aged 12 years and over. Food Sci. Nutr. 2023 11 2 1134 1141 10.1002/fsn3.3151 36789045
    [Google Scholar]
  11. Nedeljkovic D. Baltic S. Todorovic N. Ostojic S.M. Creatine intake is not associated with elevated circulating cystatin C levels in individuals with and without kidney dysfunction in the general population. J. Am. Nutr. Assoc. 2025 44 4 338 341 10.1080/27697061.2024.2432484 39778146
    [Google Scholar]
  12. Juhn M.S. Tarnopolsky M. Potential side effects of oral creatine supplementation: A critical review. Clin. J. Sport Med. 1998 8 4 298 304 10.1097/00042752‑199810000‑00007 9884794
    [Google Scholar]
  13. Terjung R.L. Clarkson P. Eichner E.R. Greenhaff P.L. Hespel P.J. Israel R.G. Kraemer W.J. Meyer R.A. Spriet L.L. Tarnopolsky M.A. Wagenmakers A.J. Williams M.H. American College of Sports Medicine roundtable. The physiological and health effects of oral creatine supplementation. Med. Sci. Sports Exerc. 2000 32 3 706 717 10.1097/00005768‑200003000‑00024 10731017
    [Google Scholar]
  14. Benzi G. Ceci A. Creatine as nutritional supplementation and medicinal product. J. Sports Med. Phys. Fitness 2001 41 1 1 10 11317142
    [Google Scholar]
  15. Kutz M.R. Gunter M.J. Creatine monohydrate supplementation on body weight and percent body fat. J. Strength Cond. Res. 2003 17 4 817 821 10.1519/1533‑4287(2003)017<0817:CMSOBW>2.0.CO;2 14636103
    [Google Scholar]
  16. Koenig C.A. Benardot D. Cody M. Thompson W.R. Comparison of creatine monohydrate and carbohydrate supplementation on repeated jump height performance. J. Strength Cond. Res. 2008 22 4 1081 1086 10.1519/JSC.0b013e31816a58c6 18545204
    [Google Scholar]
  17. Bender A. Samtleben W. Elstner M. Klopstock T. Long-term creatine supplementation is safe in aged patients with Parkinson disease. Nutr. Res. 2008 28 3 172 178 10.1016/j.nutres.2008.01.001 19083405
    [Google Scholar]
  18. Semeredi S. Stajer V. Ostojic J. Vranes M. Ostojic S.M. Guanidinoacetic acid with creatine compared with creatine alone for tissue creatine content, hyperhomocysteinemia, and exercise performance: A randomized, double-blind superiority trial. Nutrition 2019 57 162 166 10.1016/j.nut.2018.04.009 30170305
    [Google Scholar]
  19. de Guingand D.L. Palmer K.R. Snow R.J. Davies-Tuck M.L. Ellery S.J. Risk of adverse outcomes in females taking oral creatine monohydrate: A systematic review and meta-analysis. Nutrients 2020 12 6 1780 10.3390/nu12061780 32549301
    [Google Scholar]
  20. Liu Z. Xiao T. Liu H. Leptin signaling and its central role in energy homeostasis. Front. Neurosci. 2023 17 1238528 10.3389/fnins.2023.1238528 38027481
    [Google Scholar]
  21. Jéquier E. Leptin signaling, adiposity, and energy balance. Ann. N. Y. Acad. Sci. 2002 967 1 379 388 10.1111/j.1749‑6632.2002.tb04293.x 12079865
    [Google Scholar]
  22. Galbraith R.A. Furukawa M. Li M. Possible role of creatine concentrations in the brain in regulating appetite and weight. Brain Res. 2006 1101 1 85 91 10.1016/j.brainres.2006.05.032 16781683
    [Google Scholar]
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  • Article Type:
    Research Article
Keywords: dietary creatine ; Creatine ; leptin ; appetite regulation ; regression ; adenosine triphosphate
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