Does creatine improve bone health?

The current body of scientific evidence looking at the effects of creatine on bone health is limited and inconclusive. According to a 2018 meta-analysis, supplementation with creatine alongside resistance training in older adults was no more effective than resistance training alone for improving whole body bone mineral density (BMD) or BMD measured at the lumbar spine, hip, or femoral neck.^[1] That said, a 2023 randomized controlled trial conducted in 237 postmenopausal women found that supplementation with creatine for 2 years alongside resistance training preserved the compressive and bending strength of parts of the femur.^[2]