THE ROLE OF CREATINE SUPPLEMENTATION IN POSTMENOPAUSAL WOMEN - A NARRATIVE REVIEW

Authors

DOI:

https://doi.org/10.31435/ijitss.1(49).2026.4976

Keywords:

Creatine Supplementation; Menopause; Postmenopause; Women; Bone; Muscle; Cognition

Abstract

Introduction and purpose: Menopause is a phase in a woman’s life characterized by substantial physiological changes resulting from hormonal fluctuations, which can negatively impact bone health, muscle function, and overall physical and cognitive well-being. Creatine is a major factor in regulation of cellular energy metabolism, affecting numerous physiological processes relevant to human health. Current evidence suggests that creatine supplementation may be associated with beneficial effects across a wide range of health outcomes. Therefore, the purpose of this narrative review is to summarize and evaluate the available evidence on the effects of creatine supplementation in postmenopausal women, with particular emphasis on bone health, skeletal muscle function, physical strength, and mental health outcomes.

Material and methods: This narrative review summarizes evidence from PubMed-indexed clinical trials, systematic reviews, and meta-analyses examining the potential benefits of creatine supplementation in postmenopausal women.

Results: Across the reviewed studies, the findings indicate that creatine may present beneficial effects on various aspects of health in postmenopausal women. In particular, evidence suggests that the composite of creatine supplementation and resistance training may positively determine selected indicators of bone health, skeletal muscle function, and physical strength. Creatine supplementation may be associated with supportive effects on memory and cognitive function. Moreover, emerging evidence indicates a possible supportive role of creatine supplementation in the treatment of depression and sleep-related disorders.

Conclusions: Creatine supplementation may provide a practical strategy to help limit bone and muscle loss and to support mental health in postmenopausal women. Future research should focus on clarifying long-term effects and optimal dosing strategies, including larger and more representative cohorts.

References

Neves, M., Jr., Gualano, B., Roschel, H., Fuller, R., Benatti, F. B., Pinto, A. L., Lima, F. R., Pereira, R. M., Lancha, A. H., Jr., & Bonfá, E. (2011). Beneficial effect of creatine supplementation in knee osteoarthritis. Medicine & Science in Sports & Exercise, 43(8), 1538–1543. https://doi.org/10.1249/MSS.0b013e3182118592

Terjung, R. L., Clarkson, P., Eichner, E. R., et al. (2000). American College of Sports Medicine roundtable: The physiological and health effects of oral creatine supplementation. Medicine & Science in Sports & Exercise, 32(3), 706–717. https://doi.org/10.1097/00005768-200003000-00024

Wyss, M., & Kaddurah-Daouk, R. (2000). Creatine and creatinine metabolism. Physiological Reviews, 80(3), 1107–1213. https://doi.org/10.1152/physrev.2000.80.3.1107

Collins, B. C., Laakkonen, E. K., & Lowe, D. A. (2019). Aging of the musculoskeletal system: How the loss of estrogen impacts muscle strength. Bone, 123, 137–144. https://doi.org/10.1016/j.bone.2019.03.033

Messier, V., Rabasa-Lhoret, R., Barbat-Artigas, S., Elisha, B., Karelis, A. D., & Aubertin-Leheudre, M. (2011). Menopause and sarcopenia: A potential role for sex hormones. Maturitas, 68(4), 331–336. https://doi.org/10.1016/j.maturitas.2011.01.014

Brose, A., Parise, G., & Tarnopolsky, M. A. (2003). Creatine supplementation enhances isometric strength and body composition improvements following strength exercise training in older adults. The Journals of Gerontology: Series A, 58(1), B11–B19. https://doi.org/10.1093/gerona/58.1.b11

Chrusch, M. J., Chilibeck, P. D., Chad, K. E., Davison, K. S., & Burke, D. G. (2001). Creatine supplementation combined with resistance training in older men. Medicine & Science in Sports & Exercise, 33(12), 2111–2117. https://doi.org/10.1097/00005768-200112000-00021

Gotshalk, L. A., Kraemer, W. J., Mendonca, M. A., et al. (2008). Creatine supplementation improves muscular performance in older women. European Journal of Applied Physiology, 102(2), 223–231. https://doi.org/10.1007/s00421-007-0580-y

Gotshalk, L. A., Volek, J. S., Staron, R. S., Denegar, C. R., Hagerman, F. C., & Kraemer, W. J. (2002). Creatine supplementation improves muscular performance in older men. Medicine & Science in Sports & Exercise, 34(3), 537–543. https://doi.org/10.1097/00005768-200203000-00023

Chilibeck, P. D., Vatanparast, H., Pierson, R., et al. (2013). Effect of exercise training combined with isoflavone supplementation on bone and lipids in postmenopausal women: A randomized clinical trial. Journal of Bone and Mineral Research, 28(4), 780–793. https://doi.org/10.1002/jbmr.1815

Raisz, L. G. (2005). Pathogenesis of osteoporosis: Concepts, conflicts, and prospects. Journal of Clinical Investigation, 115(12), 3318–3325. https://doi.org/10.1172/JCI27071

Cummings, S. R., Black, D. M., Nevitt, M. C., et al. (1993). Bone density at various sites for prediction of hip fractures. The Lancet, 341(8837), 72–75. https://doi.org/10.1016/0140-6736(93)92555-8

NIH Consensus Development Panel on Osteoporosis Prevention, Diagnosis, and Therapy. (2001). Osteoporosis prevention, diagnosis, and therapy. JAMA, 285(6), 785–795. https://doi.org/10.1001/jama.285.6.785

Sales, L. P., Pinto, A. J., Rodrigues, S. F., Alvarenga, J. C., Gonçalves, N., Sampaio-Barros, M. M., Benatti, F. B., Gualano, B., & Rodrigues Pereira, R. M. (2020). Creatine supplementation (3 g/d) and bone health in older women: A 2-year, randomized, placebo-controlled trial. The Journals of Gerontology: Series A, 75(5), 931–938. https://doi.org/10.1093/gerona/glz162

Chilibeck, P. D., Candow, D. G., Gordon, J. J., Duff, W. R. D., Mason, R., Shaw, K., Taylor-Gjevre, R., Nair, B., & Zello, G. A. (2023). A 2-yr randomized controlled trial on creatine supplementation during exercise for postmenopausal bone health. Medicine & Science in Sports & Exercise, 55(10), 1750–1760. https://doi.org/10.1249/MSS.0000000000003202

Chilibeck, P. D., Candow, D. G., Landeryou, T., Kaviani, M., & Paus-Jenssen, L. (2015). Effects of creatine and resistance training on bone health in postmenopausal women. Medicine & Science in Sports & Exercise, 47(8), 1587–1595. https://doi.org/10.1249/MSS.0000000000000571

Kuehl, K., Goldberg, L., & Elliot, D. (1998). Renal insufficiency after creatine supplementation in a college football athlete [Abstract]. Medicine & Science in Sports & Exercise, 30(Suppl.), S235. https://doi.org/10.1097/00005768-199805001-01336

Pritchard, N. R., & Kalra, P. A. (1998). Renal dysfunction accompanying oral creatine supplements. The Lancet, 351(9111), 1252–1253. https://doi.org/10.1016/S0140-6736(05)79319-3

Koshy, K. M., Griswold, E., & Schneeberger, E. E. (1999). Interstitial nephritis in a patient taking creatine. The New England Journal of Medicine, 340(10), 814–815. https://doi.org/10.1056/NEJM199903113401017

Thorsteinsdottir, B., Grande, J. P., & Garovic, V. D. (2006). Acute renal failure in a young weight lifter taking multiple food supplements, including creatine monohydrate. Journal of Renal Nutrition, 16(4), 341–345. https://doi.org/10.1053/j.jrn.2006.04.025

Gualano, B., Ugrinowitsch, C., Novaes, R. B., Artioli, G. G., Shimizu, M. H., Seguro, A. C., et al. (2008). Effects of creatine supplementation on renal function: A randomized, double-blind, placebo-controlled clinical trial. European Journal of Applied Physiology, 103(1), 33–40. https://doi.org/10.1007/s00421-007-0669-3

Neves, M., Jr., Gualano, B., Roschel, H., Lima, F. R., Pinto, A. L., Seguro, A. C., Shimizu, M. H., Sapienza, M. T., Fuller, R., Lancha, A. H., Jr., & Bonfá, E. (2011). Effect of creatine supplementation on measured glomerular filtration rate in postmenopausal women. Applied Physiology, Nutrition, and Metabolism, 36(3), 419–422. https://doi.org/10.1139/h11-014

Rango, M., Castelli, A., & Scarlato, G. (1997). Energetics of 3.5 s neural activation in humans: A 31P MR spectroscopy study. Magnetic Resonance in Medicine, 38(6), 878–883. https://doi.org/10.1002/mrm.1910380605

Volz, H. P., Rzanny, R., Riehemann, S., May, S., Hegewald, H., Preussler, B., Hubner, G., Kaiser, W. A., & Sauer, H. (1998). 31P magnetic resonance spectroscopy in the frontal lobe of major depressed patients. European Archives of Psychiatry and Clinical Neuroscience, 248(6), 289–295. https://doi.org/10.1007/s004060050052

Allen, P. J. (2012). Creatine metabolism and psychiatric disorders: Does creatine supplementation have therapeutic value? Neuroscience & Biobehavioral Reviews, 36(5), 1442–1462. https://doi.org/10.1016/j.neubiorev.2012.03.005

Prokopidis, K., Giannos, P., Triantafyllidis, K. K., et al. (2023). Effects of creatine supplementation on memory in healthy individuals: A systematic review and meta-analysis of randomized controlled trials. Nutrition Reviews, 81(4), 416–427. https://doi.org/10.1093/nutrit/nuac064

Smith-Ryan, A. E., Cabre, H. E., Eckerson, J. M., & Candow, D. G. (2021). Creatine supplementation in women’s health: A lifespan perspective. Nutrients, 13(3), Article 877. https://doi.org/10.3390/nu13030877

McMorris, T., Harris, R. C., Swain, J., Corbett, J., Collard, K., Dyson, R. J., Dye, L., Hodgson, C., & Draper, N. (2006). Effect of creatine supplementation and sleep deprivation, with mild exercise, on cognitive and psychomotor performance, mood state, and plasma concentrations of catecholamines and cortisol. Psychopharmacology, 185(1), 93–103. https://doi.org/10.1007/s00213-005-0269-z

Candow, D. G., Forbes, S. C., Ostojic, S. M., et al. (2023). “Heads up” for creatine supplementation and its potential applications for brain health and function. Sports Medicine, 53(Suppl. 1), 49–65. https://doi.org/10.1007/s40279-023-01870-9

Roschel, H., Gualano, B., Ostojic, S. M., et al. (2021). Creatine supplementation and brain health. Nutrients, 13(2), Article 586. https://doi.org/10.3390/nu13020586

Smith-Ryan, A. E., DelBiondo, G. M., Brown, A. F., Kleiner, S. M., Tran, N. T., & Ellery, S. J. (2025). Creatine in women’s health: Bridging the gap from menstruation through pregnancy to menopause. Journal of the International Society of Sports Nutrition, 22(1), Article 2502094. https://doi.org/10.1080/15502783.2025.2502094

Lyoo, I. K., Yoon, S., Kim, T.-S., et al. (2012). A randomized, double-blind placebo-controlled trial of oral creatine monohydrate augmentation for enhanced response to a selective serotonin reuptake inhibitor in women with major depressive disorder. American Journal of Psychiatry, 169(9), 937–945. https://doi.org/10.1176/appi.ajp.2012.12010009

Albert, P. R. (2015). Why is depression more prevalent in women? Journal of Psychiatry & Neuroscience, 40(4), 219–221. https://doi.org/10.1503/jpn.150205

Ellery, S. J., Walker, D. W., & Dickinson, H. (2016). Creatine for women: A review of the relationship between creatine and the reproductive cycle and female-specific benefits of creatine therapy. Amino Acids, 48(8), 1807–1817. https://doi.org/10.1007/s00726-016-2199-y

Downloads

Published

2026-06-30

How to Cite

Komisarczyk, Łucja, Brzózka, K. ., Leszczyński-Czeczatka, J., Tadulewicz, I., Petrosjan, R., Głogowski-Kulasza, J., Nowak, N., Drozd, M., Kozłowska, A., Butkowska, Z., & Kocik, A. (2026). THE ROLE OF CREATINE SUPPLEMENTATION IN POSTMENOPAUSAL WOMEN - A NARRATIVE REVIEW. International Journal of Innovative Technologies in Social Science, 5(1(49). https://doi.org/10.31435/ijitss.1(49).2026.4976

Most read articles by the same author(s)