Evidence map›Paper›PMID 39683542›Full record

Trial reportNutrients2024

Influence of CReatine Supplementation on mUScle Mass and Strength After Stroke (ICaRUS Stroke Trial): A Randomized Controlled Trial.

Juli T Souza, Marcos F Minicucci, Natália C Ferreira, Bertha F Polegato, Marina P Okoshi, Gabriel P Modolo, Filipe W Leal-Pereira, Bethan E Phillips, Philip J Atherton, Kenneth Smith and 10 more

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Nutrients, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Trial
  2. Review
  3. Review
  4. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

20 authors.

Juli T SouzaDepartment of Internal Medicine, Medical School, São Paulo State University (UNESP), Botucatu 18618-970, SP, Brazil.ORCID 0000-0003-2227-7505
Marcos F MinicucciDepartment of Internal Medicine, Medical School, São Paulo State University (UNESP), Botucatu 18618-970, SP, Brazil.
Natália C FerreiraDepartment of Internal Medicine, Medical School, São Paulo State University (UNESP), Botucatu 18618-970, SP, Brazil.
Bertha F PolegatoDepartment of Internal Medicine, Medical School, São Paulo State University (UNESP), Botucatu 18618-970, SP, Brazil.ORCID 0000-0002-2875-9532
Marina P OkoshiDepartment of Internal Medicine, Medical School, São Paulo State University (UNESP), Botucatu 18618-970, SP, Brazil.ORCID 0000-0001-7728-4505
Gabriel P ModoloDepartment of Neuroscience and Mental Health, Medical School, São Paulo State University (UNESP), Botucatu 18618-970, SP, Brazil.
Filipe W Leal-PereiraDepartment of Internal Medicine, Medical School, São Paulo State University (UNESP), Botucatu 18618-970, SP, Brazil.
Bethan E PhillipsMRC-Versus Arthritis Centre for Musculoskeletal Ageing Research (CMAR) & NIHR Nottingham Biomedical Research Centre, University of Nottingham Medical School, Derby Uttoxeter Road, Derby DE22 3DT, UK.
Philip J AthertonMRC-Versus Arthritis Centre for Musculoskeletal Ageing Research (CMAR) & NIHR Nottingham Biomedical Research Centre, University of Nottingham Medical School, Derby Uttoxeter Road, Derby DE22 3DT, UK.ORCID 0000-0002-7286-046X
Kenneth SmithMRC-Versus Arthritis Centre for Musculoskeletal Ageing Research (CMAR) & NIHR Nottingham Biomedical Research Centre, University of Nottingham Medical School, Derby Uttoxeter Road, Derby DE22 3DT, UK.ORCID 0000-0001-8971-6635
Daniel J WilkinsonMRC-Versus Arthritis Centre for Musculoskeletal Ageing Research (CMAR) & NIHR Nottingham Biomedical Research Centre, University of Nottingham Medical School, Derby Uttoxeter Road, Derby DE22 3DT, UK.
Adam L GordonWolfson Institute of Public Health, Queen Mary University of London, London E1 4NS, UK.ORCID 0000-0003-1676-9853
Suzana E TanniDepartment of Internal Medicine, Medical School, São Paulo State University (UNESP), Botucatu 18618-970, SP, Brazil.ORCID 0000-0002-2587-2759
Vladimir E CostaStable Isotopes Center, São Paulo State University (UNESP), Institute of Biosciences, Botucatu 18618-970, SP, Brazil.ORCID 0000-0003-3889-7514
Maria F FernandesDepartment of Internal Medicine, Medical School, São Paulo State University (UNESP), Botucatu 18618-970, SP, Brazil.
Silméia G BazanDepartment of Internal Medicine, Medical School, São Paulo State University (UNESP), Botucatu 18618-970, SP, Brazil.
Leonardo M ZornoffDepartment of Internal Medicine, Medical School, São Paulo State University (UNESP), Botucatu 18618-970, SP, Brazil.
Sérgio R PaivaDepartment of Internal Medicine, Medical School, São Paulo State University (UNESP), Botucatu 18618-970, SP, Brazil.
Rodrigo BazanDepartment of Neuroscience and Mental Health, Medical School, São Paulo State University (UNESP), Botucatu 18618-970, SP, Brazil.ORCID 0000-0003-3872-308X
Paula S AzevedoDepartment of Internal Medicine, Medical School, São Paulo State University (UNESP), Botucatu 18618-970, SP, Brazil.ORCID 0000-0002-5843-6232

Funding

Voucher for Special Issue Voucher for Special Issue
6 · The paper itself

Abstract

BACKGROUND/

objectivesThe acute phase of stroke is marked by inflammation and mobility changes that can compromise nutritional status. This study was a randomized, double-blind, placebo-controlled trial evaluating the effectiveness of creatine supplementation for older people during seven days of hospitalization for stroke compared to usual care.

methodThe primary outcome measures were changes in functional capacity, strength, muscle mass, and muscle degradation. The secondary outcomes were changes in serum biomarkers related to inflammation, fibrosis, anabolism, and muscle synthesis. In addition, a follow-up 90 days after the stroke verified functional capacity, strength, quality of life, and mortality. Following admission for an acute stroke, participants received either creatine (10 g) or a visually identical placebo (10 g) orally twice daily. Both groups received supplementation with protein to achieve the goal of 1.5 g of protein/kg of body weight/day and underwent daily mobility training during seven days of hospitalization.

resultsThirty older people were included in two similar groups concerning baseline attributes (15-treatment/15-placebo).

conclusionsCreatine supplementation did not influence functional capacity, strength, or muscle mass during the first 7 days or outcomes 90 days after stroke. There were no serious adverse events associated with creatine supplementation. However, it decreased progranulin levels, raising a new possibility of creatine action. This finding needs further exploration to understand the biological significance of creatine-progranulin interaction.

Indexed as

CreatineDietary SupplementsMuscle, SkeletalMuscle StrengthStrokeAgedAged, 80 and overBiomarkersDouble-Blind MethodFemaleHumansMaleQuality of LifeStroke RehabilitationTreatment OutcomeBiomarkersCreatinecreatinemuscle massolder peopleprogranulinsarcopeniastroke

Identifiers

PMID39683542
PMCPMC11643803

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.