Creatine supplementation shows potential benefits for Alzheimer’s patients, particularly in improving muscle strength and possibly cognitive function, but the evidence is still preliminary and requires further research to fully understand its safety and efficacy.
Alzheimer’s disease (AD) is a progressive neurodegenerative disorder primarily known for cognitive decline but also associated with physical deterioration, including loss of muscle strength and mass. This physical decline can worsen patients’ quality of life. Creatine, a compound naturally involved in energy metabolism, especially in muscles and the brain, has been studied for its potential to counteract these declines.
A pilot study conducted by researchers at the University of Kansas investigated the effects of creatine monohydrate supplementation on muscle health in AD patients. In this single-arm trial, 20 individuals with probable AD received 20 grams of creatine daily for eight weeks. The results showed a significant increase in handgrip strength by an average of 1.9 kilograms (4.2 pounds) of force, which is meaningful because handgrip strength correlates with better quality of life and lower mortality risk. However, no improvement was observed in lower-body strength. This suggests that creatine may help improve certain aspects of muscle function in AD patients, potentially aiding their physical capabilities and independence[1].
Beyond muscle health, creatine’s role in brain energy metabolism has prompted research into its neuroprotective and cognitive effects. The brain is highly energy-demanding, consuming about 20 percent of the body’s energy, and creatine helps maintain ATP (adenosine triphosphate) levels, the primary energy currency in cells. Some studies indicate that creatine supplementation can improve memory, attention, and information processing in adults, including those with neurodegenerative conditions. For example, a systematic review and meta-analysis of randomized controlled trials found that creatine supplementation led to better memory performance compared to placebo in healthy individuals, suggesting potential cognitive benefits[2].
In the context of Alzheimer’s, creatine might support brain energy metabolism and provide neuroprotection, possibly slowing disease progression or alleviating symptoms. However, current findings are preliminary, and more rigorous clinical trials are needed to confirm these effects and establish optimal dosing and safety profiles. There is also interest in guanidinoacetic acid (GAA), a metabolic precursor to creatine that crosses the blood-brain barrier more easily, which may enhance brain creatine levels more effectively than creatine itself[2].
Regarding risks, creatine is generally considered safe when used at recommended doses in healthy populations, but Alzheimer’s patients often have complex health issues and may be on multiple medications. Potential risks or side effects specific to this group have not been extensively studied. Therefore, creatine supplementation should be approached cautiously and under medical supervision in AD patients.
In summary, creatine supplementation offers promising benefits for muscle strength and possibly cognitive function in Alzheimer’s patients, but the evidence remains limited and preliminary. Further research is essential to determine its full therapeutic potential and safety in this vulnerable population[1][2][3].
Sources:
[1] NMN.com, “Creatine: A Potential Aid for Muscle Health in Alzheimer’s”
[2] Health.mil, “Information Paper on Creatine and TBI”
[3] MensHealth UK, “Creatine for Brain Health – Dosage, Risks, Benefits, & Science”





