{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,22]],"date-time":"2026-09-22T19:11:06Z","timestamp":1790104266940,"version":"4.0.1"},"reference-count":110,"publisher":"MDPI AG","issue":"4","license":[{"start":{"date-parts":[[2023,2,8]],"date-time":"2023-02-08T00:00:00Z","timestamp":1675814400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Nutrients"],"abstract":"<jats:p>Creatine supplementation has been one of the most studied and useful ergogenic nutritional support for athletes to improve performance, strength, and muscular mass. Over time creatine has shown beneficial effects in several human disease conditions. This review aims to summarise the current evidence for creatine supplementation in advanced chronic liver disease and its complications, primarily in sarcopenic cirrhotic patients, because this condition is known to be associated with poor prognosis and outcomes. Although creatine supplementation in chronic liver disease seems to be barely investigated and not studied in human patients, its potential efficacy on chronic liver disease is indirectly highlighted in animal models of non-alcoholic fatty liver disease, bringing beneficial effects in the fatty liver. Similarly, encephalopathy and fatigue seem to have beneficial effects. Creatine supplementation has demonstrated effects in sarcopenia in the elderly with and without resistance training suggesting a potential role in improving this condition in patients with advanced chronic liver disease. Creatine supplementation could address several critical points of chronic liver disease and its complications. Further studies are needed to support the clinical burden of this hypothesis.<\/jats:p>","DOI":"10.3390\/nu15040863","type":"journal-article","created":{"date-parts":[[2023,2,8]],"date-time":"2023-02-08T04:57:41Z","timestamp":1675832261000},"page":"863","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":25,"title":["Creatine Supplementation to Improve Sarcopenia in Chronic Liver Disease: Facts and Perspectives"],"prefix":"10.3390","volume":"15","author":[{"given":"Riccardo","family":"Casciola","sequence":"first","affiliation":[{"name":"Gastroenterology Unit, Department of Specialistic Medicines, University of Modena & Reggio Emilia, University Hospital of Modena and Reggio Emilia, Largo del Pozzo 71, 41125 Modena, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laura","family":"Leoni","sequence":"additional","affiliation":[{"name":"Division of Metabolic Diseases and Clinical Nutrition, Department of Specialistic Medicines, University Hospital of Modena and Reggio Emilia, Largo del Pozzo 71, 41125 Modena, Italy"},{"name":"Department of Medical and Surgical Sciences, University of Bologna, 40138 Bologna, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Biagio","family":"Cuffari","sequence":"additional","affiliation":[{"name":"Gastroenterology Unit, Department of Specialistic Medicines, University of Modena & Reggio Emilia, University Hospital of Modena and Reggio Emilia, Largo del Pozzo 71, 41125 Modena, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maddalena","family":"Pecchini","sequence":"additional","affiliation":[{"name":"Gastroenterology Unit, Department of Specialistic Medicines, University of Modena & Reggio Emilia, University Hospital of Modena and Reggio Emilia, Largo del Pozzo 71, 41125 Modena, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Renata","family":"Menozzi","sequence":"additional","affiliation":[{"name":"Division of Metabolic Diseases and Clinical Nutrition, Department of Specialistic Medicines, University Hospital of Modena and Reggio Emilia, Largo del Pozzo 71, 41125 Modena, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8384-801X","authenticated-orcid":false,"given":"Antonio","family":"Colecchia","sequence":"additional","affiliation":[{"name":"Gastroenterology Unit, Department of Specialistic Medicines, University of Modena & Reggio Emilia, University Hospital of Modena and Reggio Emilia, Largo del Pozzo 71, 41125 Modena, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1142-8585","authenticated-orcid":false,"given":"Federico","family":"Ravaioli","sequence":"additional","affiliation":[{"name":"Gastroenterology Unit, Department of Specialistic Medicines, University of Modena & Reggio Emilia, University Hospital of Modena and Reggio Emilia, Largo del Pozzo 71, 41125 Modena, Italy"},{"name":"Department of Medical and Surgical Sciences, University of Bologna, 40138 Bologna, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2023,2,8]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","unstructured":"Kreider, R.B., and Stout, J.R. 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