Creatine: Kicking your fitness level up a notch or two, it can work for you

Photo: Alora Griffiths/Unsplash

by Matt Sheehan
OSF Healthcare
In the sports world, victory can be just inches or seconds away.

Photo provided
Dr. Karan Rai

BLOOMINGTON - Think about ‘The Longest Yard’ in Super Bowl 34 between the Tennessee Titans and St. Louis Rams. In the final play of the game, one yard was all that stood between the Titans and the Vince Lombardi Trophy.

Or look at the 2024 Summer Olympics! Noah Lyles earned the United States a gold medal after winning by just five thousandths of a second in the 100-meter final.

Athletes look for game changers to help propel themselves ahead of the competition, and creatine has entered the chat.

Who does creatine work for?

“Creatine, when used appropriately, can improve your max power. It can help with muscle growth in certain individuals, it typically does not have as significant of an impact when you're doing more endurance-based sports," says Karan Rai, MD, a sports medicine physician with OSF HealthCare. "If you're a weekend warrior or CrossFit athlete trying to get a little extra boost, while practicing appropriate hydration and dietary intake, I think creatine has benefits.”

Dr. Rai adds that in the realm of supplements, creatine has been “decently studied over the years.” He says football players, power lifters and track sprinters could benefit from the supplement. However, if you’re training for an upcoming Ironman or triathlon, it’s really not necessary.

Hydrate, hydrate, hydrate!

It’s no surprise that extreme exercise increases the amount we sweat. With or without creatine, that’s reason enough to up your water intake. But Dr. Rai says with creatine, there’s an added reason to why water is so important.

“Commonly I'll find someone who is new to using a supplement and they'll come see me and talk about muscle cramps or excessive fatigue after their workouts,” Dr. Rai says. Oftentimes it's because of an imbalance in their intake, whether that's food intake or hydration."

If you already cramp constantly or are not as experienced in weight training, Dr. Rai would recommend caution in using creatine. He says to talk to your primary care physician or a sports medicine physician to see if creatine is a beneficial option for you.

Best times to use creatine

Before and/or after your workouts are times Dr. Rai recommends taking creatine. He says like most dietary changes, don’t rush it.

"When someone is using creatine, I recommend they start slowly. Typically, utilizing it before the workout and making sure your workout is power based vs. endurance-based matters," Dr. Rai says. “Just starting off, depending on the serving size, use one to two scoops.”

Careful with the caffeine!

Avoid a ton of caffeine consumption if you're using creatine. Caffeine can elevate the heart rate and creatine can cause cramping, so combining those things could lead to "adverse outcomes," Dr. Rai says.

"Supplements are meant for augmentation," Dr. Rai adds. “A healthy diet, hydrating appropriately while cultivating your goals, whether you're a power or endurance athlete, gives the max benefit. Really we should be looking at creatine or sports drinks as a way to augment and get that extra 5-10% we are pushing for, based off our goals.”

If you’re looking to add creatine to your lifestyle, Dr. Rai recommends creating an individualized plan with your doctor or sports medicine team.

Due to limited data, the American Academy of Pediatrics does not recommend creatine for kids under 18.


Subscribe


Health tip: Exercise boosts immunity during winter months

Photo: Nathanael Mosqueda/Pexels

DALLAS -— Many people think January is a great time to get a fresh start on a new fitness routine, while many of us in Illinois use the cold weather as an excuse to huddle under the covers on the couch. No matter how you approach the new year, the American Heart Association has some important information about how to get healthy – and stay healthy – when the temperatures start to dip.

"There’s actually some advantages to working out in cold weather – with no heat and humidity to deal with you may be able to work out longer in cold weather which means you can burn even more calories. It’s also a great way to get much needed vitamin D from the sunlight, which can help elevate your mood," said John A. Osborne, M.D., Ph.D., FACC, FNLA, Founder and Director State of the Heart Cardiology, Metroplex Cardiology.

It doesn't matter if you are in downstate Illinois or the northern part of the state, getting out and exercising is good for you.

"Research shows that exercise also boosts your immunity during the cold and flu season, which can be especially important in dealing with possible COVID infection."

Osborne said if you can’t exercise outdoors, there are many online resources available to assist in developing a workout at home, or athletes can still visit a gym or even walk the mall if they use the appropriate precautions to protect against COVID.

If you are heading outdoors for exercise, winter sports like skiing or skating or if you have to shovel your car out of a snow drift, Osborne has some warnings. Aside from some of the well-known cold weather dangers such as frostbite or unsafe driving conditions, there are cardiovascular risks to consider. The cold causes blood vessels to contract and coronary arteries to constrict, which can raise blood pressure, increasing the risk of heart attack and stroke.

Photo: Noelle Otto/Pexels

"Strenuous activities such as walking through heavy snow or snow shoveling can add stressors to the heart that people aren’t normally used to," said Osborne "Our hearts also have to work extra hard in cold weather to keep a healthy body temperature."

Here are some tips to keep your heart in check during coat season:

  • Stay active safely: Make sure you wear layers to keep warm while exercising outdoors to avoid cold weather hazards like hypothermia and frostbite and take breaks. It’s important to stay active year-round but make sure you’re not overexerting yourself in winter months. When in doubt, ask your doctor. Here are some tips on how to stay active in cold weather.
  • Stay hydrated: Just because it’s cold and you may not feel thirsty, it’s just as important to drink water like you would during a warm weather workout. Thirst isn’t the best indicator that you need to drink, even if you aren't sweating as much you still need to hydrate.
  • Watch out for the added calories in cold weather drinks: Comforting drinks like pumpkin spiced lattes and hot chocolate can be loaded with unwanted sugar and fat.
  • Get vaccinated: COVID-19 and the flu are especially dangerous for people with cardiovascular disease.
  • Learn CPR: EMS response times can be slower with inclement weather. More than 350,000 cardiac arrests happen outside of a hospital each ear. If administered immediately after cardiac arrest, CPR can double or triple a person’s chance of survival.

  • Peak season for sore throats lingers on, here are the causes

    by Tim Ditman
    OSF Healthcare

    Temperatures may be warming, but Awad Alyami, MD, an OSF HealthCare pediatrician, says we’re still in the peak season for sore throats. Many cases have time-tested treatments, but some can have serious complications.

    Dr. Awad Alyami

    Dr. Alyami says a sore throat is an infection that causes inflammation in your throat. They’re annoying and painful, bringing symptoms like difficulty swallowing or talking and swelling of glands and tonsils. Causes can include tonsil stones, heartburn and allergies. But most commonly, causes break down into two groups: viral and bacterial.

    Viral infections

    Dr. Alyami says many viruses can cause sore throats – the common cold, influenza, coronavirus and others. Dr. Alyami says if your sore throat comes with coughing or a runny nose, that’s a sign it’s a viral infection. You can start treatment at home with over-the-counter medicine like Tylenol and ibuprofen. You can also gargle salt water and, generally, stay hydrated. Water is good for all ages, and Pedialyte can help hydrate kids.

    If your symptoms include fever and neck swelling, it’s a more serious situation. You should see a health care provider.

    Bacterial infections

    The main bacterial infection that causes sore throats is group A streptococcus (commonly known as strep or strep throat). Strep throat may bring the hallmark sore throat symptoms, but you should also watch for fever and white patches toward the back of your mouth.

    “This is a bacterial infection that’s common in kids,” Dr. Alyami says of strep throat. “About 30% of sore throats are strep, and about 70% are viral. It’s a big deal. We need to treat to prevent complications.”

    The most common complication is dehydration, Dr. Alyami says.

    “The sore throat is so bad, the child doesn’t want to eat or drink,” he explains.

    Other times, untreated strep throat can lead to abscesses, or pus pockets.

    “If that abscess gets big enough, it can go toward other structures in the body that are very important. That infection can spread and progress very quickly,” Dr. Alyami says. Life-threatening conditions like difficulty breathing can result.

    Dr. Alyami says providers can diagnose strep throat with a throat swab. They treat strep throat with 10 days of antibiotic medication, either injected or taken orally. He says most kids will take the medicine orally unless that’s troublesome. For example, some kids have a tough time swallowing pills due to throat pain.

    Prevention

    It’s advice you’ve heard before, but it’s worth repeating. Dr. Alyami says good hand hygiene goes a long way to preventing sore throats. Wash your hands thoroughly, and keep them away from your face.

    Early detection is also key.

    “If the child is sick, especially with symptoms that could be strep, it’s better to get them to a health care professional early,” Dr. Alyami implores. “They can get checked and isolated for 12 to 24 hours before they start antibiotics.

    “If you’re sure about what they have, it’s better to just bring them in and get them checked,” he adds.


    Read our latest health and medical news


    More Sentinel Stories