Sports

Creatine in old age – a game-changer for longevity?

Elderly man with a beard lifting a barbell in a gym, wearing a gray t-shirt, focused on his exercise.

Mag. Margit Weichselbraun

15.06.20266 Reading time

Creatine and strength training – for many, a real dream team. But research is looking further ahead and increasingly focusing on creatine as a potential building block for longevity. Why creatine is more than just a sports staple and remains important as we age.

01

Is it worth taking creatine as you get older?

As we get older, our bodies change – often gradually and in ways that are barely noticeable at first. Muscle mass and strength can gradually decline, whilst the efficiency of the mitochondria – the powerhouses of our cells – also slowly diminishes. You may find that physical exertion leaves you feeling tired more quickly, or that prolonged periods of concentrated thought require more energy than they used to.

A common factor in many of these changes is the availability of energy at the cellular level. If cells are less efficient at providing energy, this affects both physical performance and mental processes.

This is exactly where creatine comes into play. The substance is produced in the body from the amino acids arginine, glycine and methionine and plays a key role in energy metabolism. As a component of phosphocreatine, creatine helps make energy available particularly quickly – precisely when your cells need it.

But what role can creatine actually play in the context of healthy ageing? A look at the latest research provides some fascinating insights.

02

Creatine as a building block for longevity – areas & studies

Creatine, muscle strength and muscle mass in older adults

From around the age of 50, muscle mass begins to decline gradually. Around 5–10% can be lost every decade. Over time, this process can intensify and develop into what is known as sarcopenia – age-related muscle loss that can increase the risk of falls, fractures and a loss of independence.

This is precisely where research into creatine comes in. Studies are investigating the role creatine can play in muscle health in older age, in conjunction with exercise and training.

A meta-analysis by Chilibeck et al. (2017), for example, shows that adults aged 60 and over who take creatine in combination with strength training can achieve greater increases in muscle strength and lean body mass than through training alone.

However, even without intensive training, studies have observed moderate positive effects on muscle health and functional performance.

Muscle strength is far more than just a traditional fitness goal. It is regarded as an important indicator of healthy ageing and plays a key role in mobility, stability and independence in everyday life. By strengthening your muscles, you are also investing in your quality of life for years to come.

Creatine and energy in older age

As we get older, our energy metabolism can also change. Things that once seemed second nature – physical performance, mental alertness or quick recovery – sometimes no longer feel quite so effortless. That is why it is worth taking a closer look at the key building blocks of our energy system. One of these is creatine.

In the body, creatine plays a special role in energy management. According to Wallimann et al. (2011), it acts like an energy shuttle: it stores energy in the form of phosphocreatine and transports it from the mitochondria – the powerhouses of the cells – to where it is currently needed.

If this system is well supplied with creatine, energy can be made available again particularly quickly – in the form of ATP, the body’s own energy currency. Tissues with high energy demands benefit from this most of all, such as the muscles and the nervous system.

In everyday life, this means one thing above all: a stable energy supply during physical exertion, support for all aspects of training, and reliable resources when your mind needs to concentrate for long periods.

Because energy is far more than a pleasant extra. It forms the basis for activity, independence and quality of life.

Creatine and the brain in old age

It is not just your muscles that rely on creatine – your brain also uses this substance as a key component of its energy system. Around 5% of the body’s total creatine stores are found in the brain. A stable energy supply is particularly crucial there, as many neural processes require a continuous supply of energy.

However, as we age, the efficiency of cellular energy production can gradually decline, whilst at the same time the energy requirements of certain brain functions increase.

Against this backdrop, the role of creatine in the brain is also coming more into the focus of research. This opens up interesting prospects, particularly for older people, whose memory and processing speed often gradually decline over the years.

Scientific studies suggest that creatine supplementation may have positive effects on mental alertness and performance.

For example, a systematic review by Marshall et al. (2025) describes a link between the intake of creatine monohydrate and cognitive performance – particularly in the areas of memory and attention.

What is noticeable here: the effects appear to be particularly pronounced in people with lower creatine levels. This often includes older people and vegetarians. Against this backdrop, creatine is increasingly being discussed as a potential building block when it comes to maintaining mental vitality in old age.

Creatine and stress in old age

Mental strain always has an energetic dimension. Particularly during periods of prolonged stress, the brain’s energy requirements increase significantly – whilst cognitive performance may suffer as a result.

For this reason, researchers are also investigating the potential role of creatine in this context, particularly in older people. Initial studies suggest that creatine may support energy supply in nerve cells during stressful situations.

McMorris et al. (2007) observed in older adults that cognitive performance under mental stress improved following creatine supplementation. These findings suggest that sufficient creatine availability may play a role when the brain is under increased demand.

How does all this tie in with longevity?

Longevity isn’t simply about racking up as many years as possible. What really matters is how you experience and shape those years:

  • with strength in your muscles

  • with clarity of mind

  • with the freedom to shape your daily life on your own terms

This is exactly where creatine comes into its own. It supports the rapid release of ATP – the energy your cells need immediately. And this energy plays a key role in determining whether you can climb stairs effortlessly, stick to your training regime or stay mentally focused.

However, creatine is not a solo player. Its potential is particularly realised when combined with strength training, a protein-rich diet, an adequate supply of micronutrients and sufficient restorative sleep.

As part of this bigger picture, creatine can therefore be an interesting building block.

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03

Conclusion: Energy is key to healthy ageing

Creatine is no miracle cure – and certainly no shortcut to eternal youth. At the same time, it is one of the most thoroughly researched substances in relation to muscle strength, lean body mass and training adaptation in older age. It is precisely these factors that play a key role in determining how stable, mobile and independent we remain as the years go by.

After all, as we age, energy is not merely a nice-to-have. It forms the basis for movement, mental alertness and the ability to actively shape one’s own daily life.

Anyone taking a holistic view of longevity therefore focuses on several key elements: exercise, diet, recovery – and a good supply of relevant nutrients.

Within this broader picture, creatine can play an interesting role. Not just as a classic sports supplement, but as a potential component of a conscious, vigorous and self-determined approach to ageing.

Margit Weichselbraun with long hair in a black dress, standing with her arms crossed in a softly lit room. Black and white photograph.

Mag. Margit Weichselbraun

Expert in knowledge management, BIOGENA

The fascinating world of micronutrients and emotional health topics is a great passion of the post-graduate nutritionist. The zealous wordsmith skillfully puts together contributions from various scientific sources, explaining complex topics in easily accessible terms. She is also a dedicated mum to two children.

FAQs

Frequently asked questions about creatine in older age:

References:

Chilibeck PD, et al. 2017. Effect of creatine supplementation during resistance training on lean tissue mass and muscular strength in older adults: a meta-analysis. Open Access J Sports Med. 2017 Nov 2;8:213-226. doi: 10.2147/OAJSM.S123529. PMID: 29138605; PMCID: PMC5679696. https://pubmed.ncbi.nlm.nih.gov/29138605/

Devries MC, Phillips SM. 2014. Creatine supplementation during resistance training in older adults-a meta-analysis. Med Sci Sports Exerc. 2014 Jun;46(6):1194-203. doi: 10.1249/MSS.0000000000000220. PMID: 24576864. https://pubmed.ncbi.nlm.nih.gov/24576864/

Forbes SC, et al. 2019. Changes in Fat Mass Following Creatine Supplementation and Resistance Training in Adults ≥50 Years of Age: A Meta-Analysis. J Funct Morphol Kinesiol. 2019 Aug 23;4(3):62. doi: 10.3390/jfmk4030062. PMID: 33467377; PMCID: PMC7739317. https://pubmed.ncbi.nlm.nih.gov/33467377/

Candow DG, et al. 2025. Creatine monohydrate supplementation for older adults and clinical populations. J Int Soc Sports Nutr. 2025 Sep;22(sup1):2534130. doi: 10.1080/15502783.2025.2534130. Epub 2025 Jul 17. PMID: 40673730; PMCID: PMC12272710. https://pubmed.ncbi.nlm.nih.gov/40673730/

Dos Santos EEP, et al. 2021. Efficacy of Creatine Supplementation Combined with Resistance Training on Muscle Strength and Muscle Mass in Older Females: A Systematic Review and Meta-Analysis. Nutrients. 2021 Oct 24;13(11):3757. doi: 10.3390/nu13113757. PMID: 34836013; PMCID: PMC8619193. https://pubmed.ncbi.nlm.nih.gov/34836013/

Wallimann T, Tokarska-Schlattner M, Schlattner U. The creatine kinase system and pleiotropic effects of creatine. Amino Acids. 2011 May;40(5):1271-96. doi: 10.1007/s00726-011-0877-3. Epub 2011 Mar 30. PMID: 21448658; PMCID: PMC3080659.

McMorris T, et al. 2007. Creatine supplementation and cognitive performance in elderly individuals. Neuropsychol Dev Cogn B Aging Neuropsychol Cogn. 2007 Sep;14(5):517-28. doi: 10.1080/13825580600788100. PMID: 17828627. https://pubmed.ncbi.nlm.nih.gov/17828627/

Cook CJ, et al. 2011. Skill execution and sleep deprivation: effects of acute caffeine or creatine supplementation - a randomized placebo-controlled trial. J Int Soc Sports Nutr. 2011 Feb 16;8:2. doi: 10.1186/1550-2783-8-2. PMID: 21324203; PMCID: PMC3049131. https://pmc.ncbi.nlm.nih.gov/articles/PMC3049131/

Kanekar S, et al. 2021. Sex-Based Impact of Creatine Supplementation on Depressive Symptoms, Brain Serotonin and SSRI Efficacy in an Animal Model of Treatment-Resistant Depression. Int J Mol Sci. 2021 Jul 30;22(15):8195. doi: 10.3390/ijms22158195. PMID: 34360959; PMCID: PMC8348220. https://pubmed.ncbi.nlm.nih.gov/34360959/

Gutiérrez-Hellín J, et al. 2024. Creatine Supplementation Beyond Athletics: Benefits of Different Types of Creatine for Women, Vegans, and Clinical Populations-A Narrative Review. Nutrients. 2024 Dec 29;17(1):95. doi: 10.3390/nu17010095. PMID: 39796530; PMCID: PMC11723027. https://pubmed.ncbi.nlm.nih.gov/39796530/

Rae C, et al. 2003. Oral creatine monohydrate supplementation improves brain performance: a double-blind, placebo-controlled, cross-over trial. Proc Biol Sci. 2003 Oct 22;270(1529):2147-50. doi: 10.1098/rspb.2003.2492. PMID: 14561278; PMCID: PMC1691485. https://pubmed.ncbi.nlm.nih.gov/14561278/

McMorris T, et al. 2007. Creatine supplementation and cognitive performance in elderly individuals. Neuropsychol Dev Cogn B Aging Neuropsychol Cogn. 2007 Sep;14(5):517-28. doi: 10.1080/13825580600788100. PMID: 17828627. https://pubmed.ncbi.nlm.nih.gov/17828627/

Avgerinos KI, et al 2018. Effects of creatine supplementation on cognitive function of healthy individuals: A systematic review of randomized controlled trials. Exp Gerontol. 2018 Jul 15;108:166-173. doi: 10.1016/j.exger.2018.04.013. Epub 2018 Apr 25. PMID: 29704637; PMCID: PMC6093191. https://pubmed.ncbi.nlm.nih.gov/29704637/

Kreider RB, et al. 2017. International Society of Sports Nutrition position stand: safety and efficacy of creatine supplementation in exercise, sport, and medicine. J Int Soc Sports Nutr. 2017 Jun 13;14:18. doi: 10.1186/s12970-017-0173-z. PMID: 28615996; PMCID: PMC5469049. https://pubmed.ncbi.nlm.nih.gov/28615996/

Marshall S. et al. 2026. Creatine and Cognition in Aging: A Systematic Review of Evidence in Older Adults, Nutrition Reviews, Volume 84, Issue 2, February 2026, Pages 333–344, https://doi.org/10.1093/nutrit/nuaf135

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