{"claimId":"clm_ec_b8-creatine-joints","version":1,"status":"current","verdict":"Creatine for joint health: Grade D at very-low certainty. Narrative review of creatine plus resistance training for knee osteoarthritis: available studies suggest positive effects with no significant adverse events, but sample sizes are very small and results vary between studies. Not enough evidence to establish a real effect yet.","direction":"null","magnitude":{"metric":"other","value":null,"unit":"","ci95":null,"humanReadable":"Narrative review of creatine plus resistance training for knee osteoarthritis: available studies suggest positive effects with no significant adverse events, but sample sizes are very small and results vary between studies. Not enough evidence to establish a real effect yet.","baselineAbsoluteRisk":null},"certainty":"very_low","clinicalMeaning":"trivial","applicability":{"appliesTo":["adults with knee osteoarthritis"],"doesNotApply":["children"],"unknown":["pregnancy"]},"safetyQualifiers":[],"evidenceBundleId":"eb_ec_b8-creatine-joints","citations":[{"pmid":"41243927","design":"peer-reviewed"}],"reviewedBy":{"name":"Substrate editorial","credential":"Independent research collective"},"reviewedAt":"2026-07-16T16:40:40.778Z","dateModified":"2026-07-16T16:40:40.778Z","methodologyVersion":"v1","methodologyDoi":"https://doi.org/10.5281/zenodo.21364236","canonicalUrl":"https://evidencebased.info/interventions/creatine/joints","attribution":"Substrate (evidencebased.info), claim clm_ec_b8-creatine-joints v1, reviewed 2026-07-16","license":"CC-BY-4.0 proposed; reuse license pending governance ratification","dataSource":"live"}