Evidence map›Paper›PMID 41511610›Full record

Trial reportAging clinical and experimental research2026

Combined creatine and β-hydroxy-β-methylbutyrate supplementation with integral conditioning exercise enhances functional performance and metabolic health in physically active older adults: A randomized controlled crossover trial.

Rafael Ramos-Hernández, Natalia Busto, Álvaro Miguel-Ortega, María Martínez-Ferrán, Mirian Santamaría-Peláez, Miriam Saiz-Rodríguez, Juan Mielgo-Ayuso

Erratum issuedAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Aging clinical and experimental research, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors.

Rafael Ramos-HernándezFaculty of Health Sciences, University of Burgos (UBU), Burgos, 09001, Spain.
Natalia BustoFaculty of Health Sciences, University of Burgos (UBU), Burgos, 09001, Spain.
Álvaro Miguel-OrtegaFaculty of Education, Alfonso X 'El Sabio' University (UAX), Madrid, 28691, Spain.
María Martínez-FerránFaculty of Health Sciences, University of Burgos (UBU), Burgos, 09001, Spain.
Mirian Santamaría-PeláezFaculty of Health Sciences, University of Burgos (UBU), Burgos, 09001, Spain.
Miriam Saiz-RodríguezFaculty of Health Sciences, University of Burgos (UBU), Burgos, 09001, Spain.
Juan Mielgo-AyusoFaculty of Health Sciences, University of Burgos (UBU), Burgos, 09001, Spain. jfmielgo@ubu.es.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCombined creatine monohydrate (CRE) and β-hydroxy-β-methylbutyrate (HMB) supplementation may counteract age-related declines in functional capacity, yet evidence in physically active older adults is scarce.

objectiveTo investigate the effects of six weeks of CRE + HMB supplementation integrated with a supervised multicomponent exercise program on functional performance, metabolic efficiency, and physiological health in older adults.

methodsThirty physically active adults aged ≥ 60 years (20 men, 10 women) completed a randomized, double-blind, placebo-controlled crossover trial involving two 6-week intervention phases (CRE + HMB or placebo), separated by a 3-week washout. The exercise program (4 sessions/week) combined strength, endurance, and coordination training. Functional tests (4-m gait speed, 5-repetition sit-to-stand, Timed Up and Go, 400-m walk), metabolic indices, and cardiopulmonary and inflammatory markers were assessed pre- and post-intervention.

resultsCRE + HMB significantly improved gait speed, sit-to-stand, TUG, and 400-m walk (p < 0.05), with large effect sizes (η²p = 0.15–0.29). Basal metabolic rate and metabolic rate index increased, while visceral adiposity showed favorable trends. Women exhibited reductions in diastolic blood pressure and higher expiratory strength; men showed a transient rise in endothelial protein C receptor (EPCR). No period, sequence, or carryover effects were detected.

conclusionsSix weeks of CRE + HMB supplementation integrated with supervised multicomponent training enhanced mobility, metabolic efficiency, and selected physiological outcomes in physically active older adults. This strategy represents a safe, feasible, and practical approach to sustain functional independence and metabolic health with aging.

Indexed as

CreatineDietary SupplementsExercisePhysical Functional PerformanceValeratesAgedCross-Over StudiesDouble-Blind MethodFemaleHumansMaleMiddle Agedbeta-hydroxyisovaleric acidCreatineValeratesCreatine monohydrateEndothelial functionFunctional mobilityMetabolismMulticomponent trainingOlder adultsΒ-hydroxy-β-methylbutyrate

Identifiers

PMID41511610
PMCPMC12819432

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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.