크레아틴 구강 섭취: 작용기전, 근력증가 및 축적방법
Creatine Oral Supplementation : Muscle Strength, Mechanism of Action, and Loading Protocol
2
조회
0
다운로드
4
인용
0
참고문헌
키워드
초록
크레아틴(Cr) 보충제는 상업적으로 비교적 손쉽게 구매할 수 있는 안전한 경기력 강화물질로 알려져 있다. Cr 보충제의 사용 목적은 근력증가, 근육크기 증가, 체중증가 및 고강도 운동 후 빠른 회복을 위해 널리 사용되고 있다(Ransone & Park, 2002). 최근 선수들의 경우 Cr을 단순한 경기력 보조제로 사용하는 것이 아니라 고강도 저항성 훈련기간(off-season) 중 훈련 보조제로 사용하는 경향이 증가하고 있는 실정이다(Rawson & Volek, 2003). Cr 보충에 의한 근 파워 운동수행력 향상에 대한 작용 기전을 살펴보면, 1) Cr 보충에 의한 ATP 재합성의 증가, 2) PCr hydrolysis에 의한 H+의 제거로 세포내 산성화가 지연됨으로써 무산소성 해당작용에 의한 에너지공급의 증가, 3) PCr hydrolysis에 의한 H+의 제거로 운동 후 또는 세트 사이 PCr의 재합성 증가, 4) 근 수축 후 근 이완 시간의 감소에 의한 Ca2+-ATP 활성 및 미오신과 액틴의 cross bridge 결합률의 증가 등을 들 수 있다(Francaux et al., 2000; Harris et al., 1992; Lemon, 2002; Arnold et al., 1984; van Leemputte et al., 1999). 결과적으로, Cr 보충은 중량 운동과 같은 간헐적, 고강도 반복적 무산소성 운동 시 근육내 ATP 재합성을 증가시켜 세트 사이 또는 운동 후 빠르게 근 피로로부터 회복할 수 있을 뿐만 아니라 한번 더 중량을 들게 함으로써 근비대 및 근력 향상을 위한 추가적인 부하 자극을 제공할 것 같다. 하지만 근 Cr의 축적은 Cr의 섭취방법, 섭취량 및 섭취시기에 따라 차이가 있으며(Ziegenfuss et al., 2002; Sora et al., 1994; Preen et al., 2003), 섭취 시기는 세 가지 국면으로 구분하여 섭취량을 달리하여야 한다. Cr의 섭취 시기는 첫째, 축적기 국면으로 Cr 섭취 초기 5-6일 동안 20g(4회×5g, 2∼3시간 간격)을 섭취하는 시기. 둘째, 5∼6일간의 Cr 축적기 이후부터 약 4∼6주간 매일 2g의 Cr을 섭취하는 유지기. 셋째, 유지기 이후부터 약 3∼4주간 Cr 섭취를 중지하는 휴지기로 구분할 수 있다. Cr의 섭취 방법으로는 Cr 축적기 동안 일일 4회 1g 단순당/kg(체중) 섭취하거나 일일 4회 각각 50g의 단백질과 단순당을 섭취하는 방법 또는 단순당 섭취에 의한 부작용이 있을 경우, 1시간 정도의 유산소성 운동을 실시함으로써 Cr 축적을 극대화시킬 수 있다. 마지막으로, 현재까지 알려진 Cr 보충제의 유일한 부작용은 근육내 Cr 축적과 함께 체수분량 및 제지방질량이 증가하여 체중이 증가하며, 일반적으로 Cr 섭취 초기 3~5일 동안의 축적기에 평균적으로 0.5~2kg의 체중이 증가한다는 사실이다(Haussinger et al., 1993). 향후 Cr 섭취에 대한 다양한 효과와 건강에 미치는 잠재적인 효과에 대하여 많은 연구가 수행되어야 할 것이다.
Abstract
Creatine monohydrate(Cr), a popular, commercially sold supplement in easy is recognized as a relatively safe ergogenic aid(Ransone & Park, 2002). In general, athletes often use Cr supplement for enhancing muscle strength, muscle mass, weight, and quicker recovery. Recent data indicate that athletes may not be using acutely Cr as a sports performance booster per se but instead use Cr chronically as a training aid to increase intense resistance training workouts during off-season(Rawson & Volek, 2003). Several potential mechanisms could be responsible for increased strength power exercise performance following acute and chronical Cr supplementation; 1) the increase of ATP synthesis by Cr supplementation. 2) the increase of energy supply through anaerobic glycolysis because regeneration of ATP from PCr buffers hydrogen ions. 3) hydrogen ion buffering may also facilitate PCr resynthesis following or between exercise bouts due to low pH slowing PCr resynthesis. 4) muscle relaxation time following contraction appears to be shortened following Cr-loading via Ca2+-ATPase activity and rate of cross bridge detachment(Francaux et al., 2000; Harris et al., 1992; Lemon, 2002; Arnold et al, 1984; van Leemputte et al., 1999). Therefore, the resulting increased muscle stores of both Cr and PCr should make it possible to prolong one's maximal effort time and/or shorten recovery time due to an enhanced ability to regenerate ATP. This may provide an additional load for increasing muscle strength and hypertrophy. However, the content of muscle Cr is depending on method, dose and time of Cr supplementation(Ziegenfuss et al., 2002; Sora et al., 1994; Preen et al., 2003). The time of Cr supplement that has each different Cr dose is divided into three phases; First, the ingestion with Cr 20g/d (4×5g, 2-3h interval)for 5-6d, called loading phase. Second, after 5-6d loading phase, ingestion with 2g /d for 4-6 weeks, called maintenance phase. Third, after maintenance phase, no ingestion with Cr for 3-4 weeks, called wash out phase. As the method of Cr supplementation, Cr supplemtation(4×5g, for 5-6d) with simple carbohydrate(CHO) ingestion(4×1g/kg in body weight) or combined protein and simple CHO ingestion(4×50g protein+50g CHO). Otherwise, if somebody has any side effect on ingestion with simple CHO, either low intensity of aerobic exercise spending 1h may increase Cr content in muscle. In the last time, the only reported side effect related Cr supplementation appears to be an increase in total body mass, probably due to an increase in intracellular water content and increase lean body mass. In general, body weight will be increase about 0.5-2kg during initial 3-5d Cr ingestion(Haussinger et al., 1993). In the future, additional research involving Cr supplementation should determine a various effect on health related issues.
참고문헌 (73)
- Arnold, D. L, "Metabolic recovery after exercise and the assessment of mitochondrial function in vivo in human skeletal muscle by means of 31P NMR", Magn Reson Med, 1(3), pp.307~15 (1984)
- Balsom, P. D, "Creatine in humans with special references to creatine supplementation", Sports Med, 18, pp.268~280 (1994)
- Balsom, P. D, "Skeletal muscle metabolism during short duration high-intensity exercise: influence of creatine supplementation", Acta Physiol Scand, 1154, pp.303~310 (1995)
- Bangsbo, J, "Anaerobic energy production and O2 deficit-debt relationship during exhaustive exercise in humans", J Physiol, 422, pp.539~559 (1990)
- Bemben, M. G, "Creatine supplementation and exercise performance: recent findings", Sports Med, 35(2), pp.107~125 (2005)
- Berneis, K, "Effects of hyper- and hypoosmolality on whole body protein and glucose kinetics in humans", Am J Physiol, 276(1), pp.E188~E195 (1999)
- Block, K, "The biological precursors of creatine", J Biol Chem, 138, pp.167~194 (1941)
- Casey, A, "Creatine ingestion favorably affects performance and muscle metabolism during maximal exercise in humans", Am J Physiol, 271(1), pp.E31~E37 (1996)
- Casey, A, "Does dietary creatine supplementation play a role in skeletal muscle metabolism and performance?", Am J Clin Nutr, 72(2), pp.607S~6017S (2000)
- Clausen,T, "Regulation of active Na+-K+ transport in skeletal muscle", Physiol Rev, 66(3), pp.542~580 (1986)
- Clausen, T, "The effect of catecholamines on Na-K transport and membrane potential in rat soleus muscle", J Physiol, 270(2), pp.383~414 (1977)
- Demant, T. W, "Effects of creatine supplementation on exercise performance", Sports Med, 28(1), pp.49~60 (1999)
- Earnest, C. P, "High performance capillary electrophoresis-pure creatine monohydrate reduces blood lipids in men and women", Clin Sci, 91, pp.113~118 (1996)
- Easton, C, "Creatine and glycerol hyperhydration in trained subjects before exercise in the heat", Int J Sport Nutr Exerc Metab, 17(1), pp.70~91 (2007)
- Francaux, M, "Effect of exogenous creatine supplementation on muscle PCr metabolism", Int J Sports Med, 21(2), pp.139~145 (2000)
- Gaitanos, G. C, "Human muscle metabolism during intermittent maximal exercise", J Appl Physiol, 75(2), pp.712~719 (1993)
- Glaister, M, "Creatine supplementation and multiple sprint running performance", J Strength Cond Res, 20(2), pp.273~277 (2006)
- Green, H. J., "Increases in human skeletal muscle Na(+)-K(+)-ATPase concentration with short-term training", Am J Physiol, 264(6), pp.C1538~C1541 (1993)
- Green, A. L, "Carbohydrate ingestion augments creatine retention during creatine feeding in humans", Acta Physiol Scand, 158(2), pp.195~202 (1996)
- Green, A. L, "Carbohydrate ingestion augments skeletal muscle creatine accumulation during creatine supplementation in humans", Am J Physiol, 271(5), pp.E821~E826 (1996)
- Greenhaff, P. L, "Dietary creatine supplementation and fatigue during high intensity exercise in man. In:E8", Champaign ILL Human Kinetics Publishers, pp.219~242 (1996)
- Greenhaff, P. L, "The influence of oral creatine supplementation on muscle phosphocreatine resynthesis following intense contraction in man", J Physiol, 467, pp.75~ (1993)
- Greenhaff, P. L, "Effect of oral creatine supplementation on skeletal muscle phosphocreatine resynthesis", Am J Physiol, 266(5), pp.E725~E730 (1994)
- Greenhaff, P. L, "The metabolic responses of human type I and II muscle fibres during maximal treadmill sprinting", J Physiol, 478(1), pp.149~155 (1994)
- Guerrero-Ontiveros, M. L, "Creatine supplementation in health and disease. Effects of chronic creatine ingestion in vivo: down-regulation of the expression of creatine transporter isoforms in skeletal muscle", Mol Cell Biochem, 184(1), pp.427~137 (1998)
- Harris, R. C, "Elevation of creatine in resting and exercised muscle of normal subjects by creatine supplementation", Clin Sci(Lond), 83(3), pp.367~374 (1992)
- Haussinger, D, "Cellular hydration state: an important determinant of protein catabolism in health and disease", Lancet, 341(8856), pp.1330~1332 (1993)
- Hespel, P, "Oral creatine supplementation facilitates the rehabilitation of disuse atrophy and alters the expression of muscle myogenic factors in humans", J Physiol, 536(2), pp.625~633 (2001)
- Hultman, E, "Breakdown and resynthesis of phosphorylcreatine and adenosine triphosphate in connection with muscular work in man", Scand J Clin Lab Invest, 19(1), pp.56~66 (1967)
- Hultman, E, "Muscle creatine loading in men", J Appl Physiol, 81(1), pp.232~237 (1996)
- Juhn, M. S, "Oral creatine supplementation in male collegiate athletes: a survey of dosing habits and side effects", J Am Diet Assoc, 99(5), pp.593~595 (1999)
- Kreider, R. B, "Effects of creatine supplementation on body composition, strength and sprint performance", Med Sci Sport Exerc, 30, pp.73~82 (1998)
- Kreider, R. B, "Long-term creatine supplementation does not significantly affect clinical markers of health in athletes", Mol Cell Biochem, 244(1), pp.95~104 (2003)
- Keller, U, "Effects of changes in hydration on protein, glucose and lipid metabolism in man: impact on health", Eur J Clin Nutr, 57(2), pp.S69~S74 (2003)
- Lemon,P.W, "Dietary creatine supplementation and exercise performance: why inconsistent results?", Can J Appl Physiol, (6), pp.663~681 (2002)
- McGuine, T. A, "Creatine supplementation in Wisconsin high school athletes", WMJ, 101(2), pp.25~30 (2002)
- McGuine, T. A, "Creatine supplementation in high school football players", Clin J Sport Med, 11(4), pp.247~253 (2001)
- McKenna, M. J, "Effects of training on potassium,calcium and hydrogen ion regulation in skeletal muscle and blood during exercise.Acta Physiol", Acta Physiol Scand, 156(3), pp.335~346 (1996)
- McKenna, M. J, "Sprint training enhances ionic regulation during intense exercise in men", J Physiol, 501(3), pp.687~702 (1997)
- Odoom, J. E, "The regulation of total creatine content in a myoblast cell line", Mol Cell Biochem, 158(2), pp.179~188 (1996)
- Op 't Eijnde, B, "Effect of creatine supplementation on creatine and glycogen content in rat skeletal muscle", Acta Physiol Scand, 171(2), pp.169~176 (2001)
- Parise, G, "Effects of acute creatine monohydrate supplementation on leucine kinetics and mixed-muscle protein synthesis", J Appl Physiol, 91(3), pp.1041~1047 (2001)
- Poortmans, J, "Effect of short-term creatine supplementation on renal responses in men", Eur J Appl Physiol, 76, pp.566~567 (1997)
- Poortmans, J. R, "Long-term oral creatine supplementation does not impair renal function in healthy athletes", Med Sci Sports Exerc, 31, pp.1108~1110 (1999)
- Powers, M. E, "Creatine Supplementation Increases Total Body Water Without Altering Fluid Distribution", J Athl Train, 38(1), pp.44~50 (2003)
- Preen, D, "Creatine supplementation: a comparison of loading and maintenance protocols on creatine uptake by human skeletal muscle", Int J Sport Nutr Exerc Metab, 13(1), pp.97~111 (2003)
- Putman, C. T, "Skeletal muscle pyruvate dehydrogenase activity during maximal exercise in humans", Am J Physiol, 269(3), pp.E458~E468 (1995)
- Ransone, J, "Physiological Effects of Creatine Supplementation: A meta-analysis", International Journal of Applied Sports Sciences, 14(2), pp.1~25 (2002)
- Rawson, E. S, "Differential response of muscle phosphocreatine to creatine supplementation in young and old subjects", Acta Physiol Scand, 174(1), pp.57~65 (2002)
- Rawson, E. S, "Effects of creatine supplementation and resistance training on muscle strength and weightlifting performance", J Strength Cond Res, 17(4), pp.822~831 (2003)
- Robinson, T. M, "Role of submaximal exercise in promoting creatine and glycogen accumulation in human skeletal muscle", J Appl Physiol, 87(2), pp.598~604 (1999)
- Ronsen, O, "Supplement use and nutritional habits in Norwegian elite athletes", Scand J Med Sci Sports, 9(1), pp.28~35 (1999)
- Schilling, B. K, "Creatine supplementation and health variables: a retrospective study", Med Sci Sports Exerc, 33(2), pp.183~188 (2001)
- Sheppard, H .L, "Use of creatine and other supplements by members of civilian and military health clubs: a cross-sectional survey", Int J Sport Nutr Exerc Metab, 10(3), pp.245~259 (2000)
- Silverman,S, "What are the effects of creatine supplementation on performance?", JOPERD, 68, pp.6~ (1997)
- Sipilä, I, "Supplementary creatine as a treatment for gyrate atrophy of the choroid and retina", N Engl J Med, 304(15), pp.867~870 (1981)
- Snow, R. J, "Factors influencing creatine loading into human skeletal muscle", Exerc Sport Sci Rev, 31(3), pp.154~158 (2003)
- Söderlund, K, "ATP and phosphocreatine changes in single human muscle fibers after intense electrical stimulation", Am J Physiol, 261(6), pp.E737~E741 (1991)
- Sora, I, "The cloning and expression of a human creatine transporter", Biochem Biophys Res Commun, 204(1), pp.419~427 (1994)
- Spriet,L.L, "Anaerobic metabolism during high-intensity exercise. In: Exercise Metabolism", pp.1~40 (1995), Human Kinetics
- Stanton, R, "Creatine monohydrate use among elite Australian powerlifters", J. Strength Cond Res, 14, pp.322~327 (2000)
- Steenge, G. R, "The stimulatory effect of insulin on creatine accumulationin human skeletal muscle", Am J Physiol, 275, pp.E74~E79 (1998)
- Steenge, G. R, "Protein- and carbohydrate-induced augmentation of whole body creatine retention in humans", J Appl Physiol, 89(3), pp.1165~1171 (2000)
- Stout, J. R, "Effects of creatine supplementation on the onset of neuromuscular fatigue threshold and muscle strength in elderly men and women", J Nutr Health Aging, 11(6), pp.459~464 (2007)
- Takahashi, H, "Control of the rate of phosphocreatine resynthesis after exercise in trained and untrained human quadriceps muscles", Eur J Appl Physiol, 71, pp.396~404 (1995)
- Terjung, R. L, "American College of Sports Medicine roundtable. The physiological and health effects of oral creatine supplementation", Med Sci Sports Exerc, 32(3), pp.706~717 (2000)
- Tsakiridis, T, "Insulin activates a p21-activated kinase in muscle cells via phosphatidylinositol 3-kinase", J Biol Chem, 271(33), pp.19664~19667 (1996)
- van Leemputte, M, "Shortening of muscle relaxation time after creatine loading", J Appl Physiol, 86(3), pp.840~844 (1999)
- Vandenberghe, K, "Caffeine counteracts the ergogenic action of muscle creatine loading", J Appl Physiol, 80(2), pp.452~457 (1996)
- Volek, J. S, "Scientific basis and practical aspects of creatine supplementation for athletes", Nutrition, 20(7), pp.609~614 (2004)
- Walzel, B, "Novel mitochondrial creatine transport activity. Implications for intracellular creatine compartments and bioenergetics", J Biol Chem, 277(40), pp.37503~37511 (2002)
- Wyss, M, "The therapeutic potential of oral creatine supplementation in muscle disease", Med Hypotheses, 51, pp.333~336 (1998)
- Ziegenfuss, T. N, "Effect of creatine loading on anaerobic performance and skeletal muscle volume in NCAA Division I athletes", Nutrition, 18(5), pp.397~402 (2002)
