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Role of Vitamin D in Athletes and Their Performance: Current Concepts and New Trends
Abstract
We are currently experiencing a vitamin D (VITD) deficiency pandemic across the world. Athletes have the same predisposition to low levels of vitamin D, the majority of its concentrations being below 20 ng/mL in a wide range of sports, especially in the winter months. Vitamin D is important in bone health, but recent research also points out its essential role in extraskeletal functions, including skeletal muscle growth, immune and cardiopulmonary functions and inflammatory modulation, which influence athletic performance. Vitamin D can also interact with extraskeletal tissues to modulate injury recovery and also influence the risk of infection. The data presented in this paper has triggered investigations in relation to the importance of maintaining adequate levels of vitamin D and to the possible positive influence supplementation has on immune and musculoskeletal functions in athletes, benefiting their performance and preventing future injuries. The objective of this review is to describe the latest research conducted on the epidemiology of vitamin D deficiency and its effects on sports performance and musculoskeletal health.
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“Similar to adults, young athletes are at high risk of vitamin D deficiency if they have little exposure to the sun—such as in those who live at latitudes >35 degrees, spend long periods training indoors, have dark skin, use sunscreen, or wear protective clothing [45].”
From Youth and Adolescent Athlete Musculoskeletal Health: Dietary and Nutritional Strategies to Optimise Injury Prevention and Support Recovery (2024) · cites this paper as [45]
In the citing paper
“Vitamin D insufficiency is also linked to skeletal muscle function, muscle pain and weakness, and inflammation, and may potentially increase susceptibility to injury and slow rate of rehabilitation from injury (for review see de la Puente Yague et al. [69]).”
From Youth Athlete Development and Nutrition (2021) · cites this paper as [69]
In the citing paper
“Low vitamin D levels have been associated with an increased risk of stress fractures, respiratory tract infections, and muscle injuries (Crescioli 2022; de la Puente Yagüe et al. 2020)”
From Vitamin D status and its determinants in German elite athletes (2025) · cites this paper as de la Puente Yagüe et al. 2020
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Citations
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Vitamin D metabolism, mechanism of action, and clinical applications
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Vitamin D status and its determinants in German elite athletes
Hacker, S., Lenz, C., Reichert, L., Ringseis, R., Zentgraf, K., & Krüger, K. (2025) · European Journal of Applied Physiology · doi:10.1007/s00421-024-05699-6 · Cited by 9
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Metadata
- Authors
- de la Puente Yagüe, M., Collado Yurrita, L., Ciudad Cabañas, M., & Cuadrado Cenzual, M.
- Venue
- Nutrients
- Publisher
- MDPI AG
- Published
- 2020-02-23
- Volume
- 12
- Issue
- 2
- Pages
- 579
- ISSN
- 2072-6643
- Cited by
- 151
- References
- 10
- Language
- en
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