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Dangers of Creatine for Teens

When baseball slugger Mark McGwire broke Babe Ruth's home run record in 1999, he inspired young athletes all across the nation. He did this not only through his actions but through his words.

"Nothing," McGwire told reporters, "is impossible if you just set your mind to it." Unfortunately, McGwire's record-shattering performance at the plate soon sent another, more disturbing message. It was revealed in the press that the St. Louis first baseman had been swallowing large doses of creatine, a synthetic energy booster.

Creatine has been available as a dietary supplement since the early 1990s. In the last year, however, sales have tripled. partly due to McGwire's disclosure. Many of the buyers are teens who wrongly believe that "muscle candy"–a popular nickname for creatine–is safe. On the contrary, concerns over possible dangerous, even deadly side effects have prompted the Food and Drug Administration (FDA) to withhold approval of the supplement until more research is done. Currently, creatine is being marketed as a dietary supplement without approval from the FDA, which means using it poses unknown risks.

What Is Creatine?

Creatine is a naturally occurring compound found in humans and animals. It is made in the body from amino acids, the building blocks of protein. When creatine is chemically joined with phosphorous, it helps increase levels of a compound called ATP (adenosine triphosphate). ATP is the main source of energy for the activities of the body's cells.

As a dietary supplement, creatine is sold in many forms. These include powder, liquid, and gel forms. The supplement can also be found in candy bars and chewing gum. Health costs aside, creatine doesn't come cheaply. A one-month supply typically runs between $30 and $70.

Bad Candy

In the wake of creatine's newfound popularity, many claims about this seemingly magical substance have surfaced. One claim, often heard in school locker rooms, is that creatine boosts athletic performance. Another is that the supplement builds muscle without the same risks of anabolic steroids.

Is there any truth to these claims? Seeking an answer to that question, a panel of experts in biomedicine and physiology met earlier this year to review more than 120 scientific papers on creatine. The panel was headed by Ronald L. Terjung, PhD, professor of physiology in biomedical sciences at the University of Missouri-Columbia.

According to Dr. Terjung, "Creatine does not improve aerobic performance; it does not alter endurance. That applies to virtually all sports–soccer, basketball, jogging, swimming, cycling." As for the claims that the supplement builds muscle mass, Terjung admits that athletes appear "to be a little bulked up." At the same time, he readily points out that most of this appearance is the result of water-weight gain.

One final caution to teens in particular: Little research has been done to date on the effects creatine use by people 16 and under. This is a factor that greatly magnifies the supplement's potential risk for teens. "We don't know the effects," Terjung warns, "so it's better to be safe than sorry."

 Just the Facts

  1. What news event appears to have contributed to the sudden increase in sales of creatine? How much does creatine cost typically?
  2. How does creatine work in the human body?
  3. Name two common claims made for creatine. Have health experts found evidence to support these claims? Explain.

Beyond the Facts

  1. The FDA tests the safety of food and drug products but does not regulate untested products such as cosmetics and dietary supplements. How might research on creatine change the marketing of this product?
  2. Suppose that a friend told you that he or she had discovered a cheap source of creatine. What advice might you give?

Applying the Facts

The article mentions the compound called ATP, which it identifies as the main source of energy for the activities of the body's cells. Using print or online resources, find out more about this vital chemical substance. In particular, determine: (1) the specific jobs it carries out, (2) how long it remains in the body, and (3) what foods or other nutrient sources provide ATP healthfully. Share your findings in the form of a poster or brief written report.

 


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