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Condition

Football Performance

Football, whether soccer or American, asks the body for endurance, speed, power, agility and the ability to repeat hard efforts again and again. Creatine has the strongest evidence among supplements for those explosive, repeated efforts, and in a small study of 20 people beta-alanine eased fatigue symptoms. Still, findings here are sparse and small, and HMB showed no clear difference in anaerobic capacity in 28 people, so the picture is far from settled.

Sources: PMID 22270875

Supplements studied
4
Graded outcomes
4
Trials
6
People studied
176

Evidence by supplement

  • Strong
  • Moderate
  • Limited
  • Very limited

4 supplements

Beta-Alanine: outcomes studied for Football Performance
GradeOutcomeEffectSizeStudiesPeopleStudies list
Fatigue Symptoms

Small Improvement

Improves (the measure goes down)Small effect20 people
Body Fat

No effect

NoneNo effect37 people
Muscular EnduranceImproves (the measure goes up)5 studies57 people
Muscle MassImproves (the measure goes up)3 studies37 people
Power OutputImproves (the measure goes up)3 studies37 people
Creatine: outcomes studied for Football Performance
GradeOutcomeEffectSizeStudiesPeopleStudies list
Bilirubin

No effect

NoneNo effect1 study23 people

Studies that measured bilirubin

CreatinineImproves (the measure goes up)3 studies23 people
UreaImproves (the measure goes up)23 people

HMB

  • Anaerobic Capacity
  • Muscle Mass: improves
  • Muscle Soreness: improves
HMB: outcomes studied for Football Performance
GradeOutcomeEffectSizeStudiesPeopleStudies list
Anaerobic Capacity

No effect

NoneNo effect28 people
Muscle MassImproves (the measure goes up)8 studies28 people
Muscle SorenessImproves (the measure goes down)2 studies26 people
Power OutputImproves (the measure goes up)2 studies54 people
Body FatImproves (the measure goes down)1 study28 people
Muscle DamageChanges; see studies1 study26 people
CortisolImproves (the measure goes down)26 people
Fatigue SymptomsImproves (the measure goes down)26 people
TestosteroneImproves (the measure goes up)26 people
Training VolumeImproves (the measure goes up)26 people

Pyruvate

  • Power Output: improves
Pyruvate: outcomes studied for Football Performance
GradeOutcomeEffectSizeStudiesPeopleStudies list
Power OutputImproves (the measure goes up)1 study42 people

Key findings

  • Fatigue SymptomsBeta-AlanineImproves (the measure goes down)
  • BilirubinCreatine
  • Anaerobic CapacityHMB

The Football Performance Enhancement protocol

2 primary supplements · 6 supporting supplements

  • Creatine Monohydrate3–5 g daily (or 20 g/day x 5–7 days loading, then 3–5 g maintenance)
  • Beta-Alanine3–6 g daily (divided doses to reduce tingling)

See the full protocol

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Studies cited

100 studies from PubMed

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  2. Effects of β-hydroxy-β-methylbutyrate (HMB) supplementation on lipid profile in adults: a GRADE-assessed systematic review and meta-analysis of randomized controlled trials.Front Nutr, 2024 · PMID 39385778
  3. Does creatine supplementation improve glycemic control and insulin resistance in healthy and diabetic patients? A systematic review and meta-analysis.Clin Nutr ESPEN, 2022 · PMID 35063192
  4. HMB Supplementation in Elderly Populations: A Systematic Review and Meta-AnalysisClin Nutr, 2019 · PMID 30092696
  5. Efficacy of HMB in Hospitalized Older Patients: A Randomized Controlled TrialNutr Clin Pract, 2019 · PMID 30541308
  6. Beta-Alanine and High-Intensity Exercise Capacity: A Systematic ReviewAmino Acids, 2018 · PMID 29766439
  7. Beta-Alanine Supplementation in Older Adults: A Systematic ReviewExp Gerontol, 2018 · PMID 30155953
  8. Beta-Alanine Effects on Tactical Performance: A ReviewJ Strength Cond Res, 2018 · PMID 29683012
  9. HMB for Preservation of Muscle Mass in Older Adults: A Systematic ReviewJ Nutr Health Aging, 2018 · PMID 29478892
  10. Effects of HMB on Exercise-Induced Muscle Damage: A Meta-AnalysisJ Am Coll Nutr, 2018 · PMID 29129718
  11. Effects of HMB on Skeletal Muscle in Catabolic ConditionsNutrients, 2018 · PMID 29619588
  12. International Society of Sports Nutrition Position Stand: Beta-AlanineJ Int Soc Sports Nutr, 2017 · PMID 28548636
  13. Effects of Beta-Alanine on Carnosine Content and Exercise PerformanceMed Sci Sports Exerc, 2017 · PMID 28217944
  14. Safety and Efficacy of Beta-Alanine Supplementation: A ReviewAmino Acids, 2017 · PMID 29114780
  15. International Society of Sports Nutrition Position Stand: Beta-Hydroxy-Beta-Methylbutyrate (HMB)J Int Soc Sports Nutr, 2017 · PMID 28852372
  16. Beta-Hydroxy-Beta-Methylbutyrate and Muscle Protein Synthesis: A ReviewCurr Opin Clin Nutr Metab Care, 2017 · PMID 28615903
  17. HMB for Prevention of Sarcopenia in Older Adults: Clinical EvidenceClin Nutr, 2017 · PMID 28557540
  18. HMB and Resistance Training: A Comprehensive ReviewSports Med, 2017 · PMID 29108901
  19. Beta-Alanine Supplementation and Exercise Performance: A Meta-AnalysisBr J Sports Med, 2016 · PMID 27042904
  20. Paresthesia from Beta-Alanine: Mechanisms and MitigationAmino Acids, 2016 · PMID 27600058
  21. Effects of HMB Supplementation on Strength and Muscle Mass: A Meta-AnalysisJ Strength Cond Res, 2016 · PMID 27164507
  22. Beta-Hydroxy-Beta-Methylbutyrate Free Acid and Muscle Protein AnabolismInt J Sport Nutr Exerc Metab, 2016 · PMID 27710596
  23. Safety and Tolerability of Long-Term HMB SupplementationJ Am Coll Nutr, 2016 · PMID 27575826
  24. Role of creatine supplementation on exercise-induced cardiovascular function and oxidative stressOxid Med Cell Longev, 2009 · PMID 20716911
  25. Three weeks of creatine monohydrate supplementation affects dihydrotestosterone to testosterone ratio in college-aged rugby playersClin J Sport Med, 2009 · PMID 19741313
  26. Does creatine supplementation improve the plasma lipid profile in healthy male subjects undergoing aerobic trainingJ Int Soc Sports Nutr, 2008 · PMID 18831767
  27. Effects of creatine supplementation on glucose tolerance and insulin sensitivity in sedentary healthy males undergoing aerobic trainingAmino Acids, 2008 · PMID 17396216
  28. Creatine supplementation increases glycogen storage but not GLUT-4 expression in human skeletal muscleClin Sci (Lond), 2004 · PMID 14507259
  29. Creatine supplementation affects glucose homeostasis but not insulin secretion in humansAnn Nutr Metab, 2003 · PMID 12624482
  30. Creatine supplementation and health variables: a retrospective studyMed Sci Sports Exerc, 2001 · PMID 11224803
  31. Effect of oral creatine supplementation on human muscle GLUT4 protein content after immobilizationDiabetes, 2001 · PMID 11147785
  32. Role of submaximal exercise in promoting creatine and glycogen accumulation in human skeletal muscle1999 · PMID 10444618
  33. Effects of 28 days of beta-alanine and creatine monohydrate supplementation on aerobic power, ventilatory and lactate thresholds, and time to exhaustionAmino Acids · PMID 16953366
  34. Effects of β-alanine supplementation on exercise performance: a meta-analysisAmino Acids · PMID 22270875
  35. The effect of beta-alanine supplementation on power performance during repeated sprint activityJ Strength Cond Res · PMID 19935102
  36. beta-Alanine supplementation augments muscle carnosine content and attenuates fatigue during repeated isokinetic contraction bouts in trained sprintersJ Appl Physiol · PMID 17690198
  37. Effect of Beta-Alanine Supplementation on Maximal Intensity Exercise in Trained Young Male Individuals: A Systematic Review and Meta-Analysis.Int J Sport Nutr Exerc Metab · PMID 39032921
  38. Beta-alanine and the hormonal response to exerciseInt J Sports Med · PMID 18548362
  39. Effect of beta-alanine supplementation on the onset of blood lactate accumulation (OBLA) during treadmill running: Pre/post 2 treatment experimental designJ Int Soc Sports Nutr · PMID 20482881
  40. Effects of beta-alanine supplementation on the onset of neuromuscular fatigue and ventilatory threshold in womenAmino Acids · PMID 17136505
  41. Effects of beta-alanine supplementation and high-intensity interval training on endurance performance and body composition in men; a double-blind trialJ Int Soc Sports Nutr · PMID 19210788
  42. Effects of twenty-eight days of beta-alanine and creatine monohydrate supplementation on the physical working capacity at neuromuscular fatigue thresholdJ Strength Cond Res · PMID 17194255
  43. Effects of beta-alanine supplementation on body composition: a GRADE-assessed systematic review and meta-analysis.J Int Soc Sports Nutr · PMID 35813845
  44. Six weeks of high-intensity interval training with and without beta-alanine supplementation for improving cardiovascular fitness in womenJ Strength Cond Res · PMID 20386120
  45. Important role of muscle carnosine in rowing performanceJ Appl Physiol · PMID 20671038
  46. β-alanine supplementation to improve exercise capacity and performance: a systematic review and meta-analysisBr J Sports Med · PMID 27797728
  47. Effects of Beta-Alanine Supplementation on Physical Performance in Aerobic-Anaerobic Transition Zones: A Systematic Review and Meta-Analysis.Nutrients · PMID 32824885
  48. Effects of β-alanine supplementation on performance and body composition in collegiate wrestlers and football playersJ Strength Cond Res · PMID 21659893
  49. Short-duration beta-alanine supplementation increases training volume and reduces subjective feelings of fatigue in college football playersNutr Res · PMID 19083385
  50. Effects of beta-alanine supplementation on Yo-Yo test performance: A meta-analysis.Clin Nutr ESPEN · PMID 34024507
  51. The effect of beta-alanine supplementation on neuromuscular fatigue in elderly (55-92 Years): a double-blind randomized studyJ Int Soc Sports Nutr · PMID 18992136
  52. Effect of Carnosine or β-Alanine Supplementation on Markers of Glycemic Control and Insulin Resistance in Humans and Animals: A Systematic Review and Meta-analysisAdv Nutr · PMID 34333586
  53. Fourteen weeks of β-alanine supplementation and HIIT did not improve serum BDNF concentrations and Stroop test performance.Int J Sports Med · PMID 39832765
  54. Effect of creatine monohydrate in improving cellular energetics and muscle strength in ambulatory Duchenne muscular dystrophy patients: a randomized, placebo-controlled 31P MRS studyMagn Reson Imaging · PMID 20395096
  55. Creatine for treating muscle disorders.Cochrane Database Syst Rev · PMID 23740606
  56. Creatine monohydrate enhances strength and body composition in Duchenne muscular dystrophyNeurology · PMID 15159476
  57. Comparison of creatine ingestion and resistance training on energy expenditure and limb blood flowMetabolism · PMID 11735088
  58. Creatine, arginine alpha-ketoglutarate, amino acids, and medium-chain triglycerides and endurance and performanceInt J Sport Nutr Exerc Metab · PMID 19033611
  59. The effects of creatine ethyl ester supplementation combined with heavy resistance training on body composition, muscle performance, and serum and muscle creatine levelsJ Int Soc Sports Nutr · PMID 19228401
  60. Effect of in-season creatine supplementation on body composition and performance in rugby union football playersAppl Physiol Nutr Metab · PMID 18059577
  61. Creatine fails to augment the benefits from resistance training in patients with HIV infection: a randomized, double-blind, placebo-controlled studyPLoS One · PMID 19242554
  62. Effect of creatine and weight training on muscle creatine and performance in vegetariansMed Sci Sports Exerc · PMID 14600563
  63. Effects of creatine supplementation in taekwondo practitionersNutr Hosp · PMID 23822690
  64. Creatine supplementation improves muscular performance in older womenEur J Appl Physiol · PMID 17943308
  65. The effects of creatine monohydrate supplementation with and without D-pinitol on resistance training adaptationsJ Strength Cond Res · PMID 19858753
  66. Effects of creatine on body composition and strength gains after 4 weeks of resistance training in previously nonresistance-trained humansInt J Sport Nutr Exerc Metab · PMID 14967873
  67. Creatine monohydrate supplementation on body weight and percent body fatJ Strength Cond Res · PMID 14636103
  68. Reliability and detecting change following short-term creatine supplementation: comparison of two-component body composition methodsJ Strength Cond Res · PMID 17530953
  69. Low-dose creatine supplementation enhances fatigue resistance in the absence of weight gainNutrition · PMID 20591625
  70. Efficacy of Creatine Supplementation Combined with Resistance Training on Muscle Strength and Muscle Mass in Older Females: A Systematic Review and Meta-Analysis.Nutrients · PMID 34836013
  71. The Paradoxical Effect of Creatine Monohydrate on Muscle Damage Markers: A Systematic Review and Meta-AnalysisSports Med · PMID 35218552
  72. Creatine supplementation and physical training in patients with COPD: a double blind, placebo-controlled studyInt J Chron Obstruct Pulmon Dis · PMID 18044100
  73. Creatine monohydrate increases strength in patients with neuromuscular diseaseNeurology · PMID 10078740
  74. Effect of creatine ingestion after exercise on muscle thickness in males and femalesMed Sci Sports Exerc · PMID 15595301
  75. Does nutritional supplementation influence adaptability of muscle to resistance training in men aged 48 to 72 yearsJ Geriatr Phys Ther · PMID 16236227
  76. Effects of four weeks of high-intensity interval training and creatine supplementation on critical power and anaerobic working capacity in college-aged menJ Strength Cond Res · PMID 19675499
  77. Effect of creatine and beta-alanine supplementation on performance and endocrine responses in strength/power athletesInt J Sport Nutr Exerc Metab · PMID 17136944
  78. Effect of short-term creatine supplementation on neuromuscular functionMed Sci Sports Exerc · PMID 19727018
  79. The effects of polyethylene glycosylated creatine supplementation on muscular strength and powerJ Strength Cond Res · PMID 21068676
  80. Effect of thirty days of creatine supplementation with phosphate salts on anaerobic working capacity and body weight in menJ Strength Cond Res · PMID 18438234
  81. The effects of supplementation with creatine and protein on muscle strength following a traditional resistance training program in middle-aged and older menJ Nutr Health Aging · PMID 20126965
  82. The effects of pre versus post workout supplementation of creatine monohydrate on body composition and strengthJ Int Soc Sports Nutr · PMID 23919405
  83. Effect of different frequencies of creatine supplementation on muscle size and strength in young adultsJ Strength Cond Res · PMID 21512399
  84. Effects of creatine monohydrate and polyethylene glycosylated creatine supplementation on muscular strength, endurance, and power outputJ Strength Cond Res · PMID 19387397
  85. The effects of creatine supplementation on muscular performance and body composition responses to short-term resistance training overreachingEur J Appl Physiol · PMID 14685870
  86. Creatine as a metabolic controller of skeletal muscles structure and function in strength exercises in humansRoss Fiziol Zh Im I M Sechenova · PMID 16613062
  87. Effects of creatine monohydrate supplementation on body composition and strength indices in experienced resistance trained womenJ Strength Cond Res · PMID 17194243
  88. Effects of oral creatine and resistance training on serum myostatin and GASP-1Mol Cell Endocrinol · PMID 20026378
  89. Effects of two and five days of creatine loading on muscular strength and anaerobic power in trained athletesJ Strength Cond Res · PMID 19387386
  90. Effects of high dose oral creatine supplementation on anaerobic capacity of elite wrestlersJ Sports Med Phys Fitness · PMID 14767410
  91. The effects of four weeks of creatine supplementation and high-intensity interval training on cardiorespiratory fitness: a randomized controlled trialJ Int Soc Sports Nutr · PMID 19909536
  92. Effect of caffeine ingestion after creatine supplementation on intermittent high-intensity sprint performanceEur J Appl Physiol · PMID 21207054
  93. Effects of creatine supplementation and three days of resistance training on muscle strength, power output, and neuromuscular functionJ Strength Cond Res · PMID 17685691
  94. Mg2+-creatine chelate and a low-dose creatine supplementation regimen improve exercise performanceJ Strength Cond Res · PMID 15142029
  95. Physiological responses to short-term exercise in the heat after creatine loadingMed Sci Sports Exerc · PMID 11445756
  96. Skeletal muscle total creatine content and creatine transporter gene expression in vegetarians prior to and following creatine supplementationInt J Sport Nutr Exerc Metab · PMID 15673098
  97. Muscle glycogen supercompensation is enhanced by prior creatine supplementationMed Sci Sports Exerc · PMID 11445755
  98. Effect of creatine on aerobic and anaerobic metabolism in skeletal muscle in swimmersBr J Sports Med · PMID 8889115
  99. Parallel increases in phosphocreatine and total creatine in human vastus lateralis muscle during creatine supplementationInt J Sport Nutr Exerc Metab · PMID 18156666
  100. Creatine supplementation reduces muscle inosine monophosphate during endurance exercise in humansMed Sci Sports Exerc · PMID 16331129