Evidence map›Paper›PMID 41712056›Full record

Trial reportBiogerontology2026

Creatine plus β-Hydroxy-β-Methylbutyrate supplementation is associated with preserved glutathione redox-balance and redox-function associations in older adults: a secondary analysis of a randomized crossover trial.

Rafael Ramos-Hernández, Juan Mielgo-Ayuso, Diego Fernández-Lázaro, Alba Abia, Juan F Pérez-López, Miriam Saiz-Rodríguez, Natalia Busto

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Biogerontology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. 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

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

7 authors.

Rafael Ramos-HernándezFaculty of Health Sciences, University of Burgos (UBU), 09001, Burgos, Spain.
Juan Mielgo-AyusoFaculty of Health Sciences, University of Burgos (UBU), 09001, Burgos, Spain. jfmielgo@ubu.es.
Diego Fernández-LázaroResearch Group "Nutrition and Physical Activity", Spanish Nutrition Society "SEÑ", 28010, Madrid, Spain.
Alba AbiaFaculty of Health Sciences, University of Burgos (UBU), 09001, Burgos, Spain.
Juan F Pérez-LópezFaculty of Health Sciences, University of Burgos (UBU), 09001, Burgos, Spain.
Miriam Saiz-RodríguezFaculty of Health Sciences, University of Burgos (UBU), 09001, Burgos, Spain.
Natalia BustoFaculty of Health Sciences, University of Burgos (UBU), 09001, Burgos, Spain.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Oxidative stress contributes to age-related musculoskeletal decline, partly through disruption of glutathione-dependent redox homeostasis. Although creatine and β-hydroxy-β-methylbutyrate (HMB) have been individually linked to antioxidant and cytoprotective effects, their combined influence on systemic redox balance in older adults remains insufficiently characterized.To examine the effects of creatine plus HMB supplementation on oxidative stress biomarkers and composite redox indices, and to explore whether redox adaptations co-vary with changes in functional measures in physically active older adults.In a randomized, double-blind, placebo-controlled crossover trial, 30 physically active older adults (62.7 ± 5.3 years; 20 men, 10 women) completed two 6-week intervention phases (3 g/day creatine + 3 g/day calcium HMB vs. placebo) during supervised exercise training. Primary endpoints were oxidized glutathione and the Glutathione Redox Index. Secondary biomarkers and composite indices were analyzed with false discovery rate (FDR) control. Percent changes (Δ%) in functional tests were examined exclusively as exploratory correlates of redox adaptations.Supplementation was associated with attenuation of the placebo-related increase in oxidized glutathione and nominal preservation of the Glutathione Redox Index, although these effects did not remain significant after FDR adjustment. In men, a nominal increase in malondialdehyde was observed under supplementation. Exploratory analyses indicated weak associations between changes in composite redox indices and Δ% functional measures.Creatine plus HMB supplementation was associated with nominal modulation of glutathione-centered redox balance during training in active older adults. Exploratory redox-function associations support further investigation in larger, adequately powered trials.

Indexed as

AgingCreatineDietary SupplementsGlutathioneOxidative StressValeratesAgedBiomarkersCross-Over StudiesDouble-Blind MethodExerciseFemaleHumansMaleMiddle AgedOxidation-Reductionbeta-hydroxyisovaleric acidBiomarkersCreatineGlutathioneValeratesAgingCreatineGlutathioneHMBOxidative stressRedox balanceSecondary analysis

Identifiers

PMID41712056
PMCPMC12920352

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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.