Vitamin D and the Athlete: Risks, Recommendations, and Benefits
Open accessAbstract
Vitamin D is well known for its role in calcium regulation and bone health, but emerging literature tells of vitamin D’s central role in other vital body processes, such as: signaling gene response, protein synthesis, hormone synthesis, immune response, plus, cell turnover and regeneration. The discovery of the vitamin D receptor within the muscle suggested a significant role for vitamin D in muscle tissue function. This discovery led researchers to question the impact that vitamin D deficiency could have on athletic performance and injury. With over 77% of the general population considered vitamin D insufficient, it’s likely that many athletes fall into the same category. Research has suggested vitamin D to have a significant effect on muscle weakness, pain, balance, and fractures in the aging population; still, the athletic population is yet to be fully examined. There are few studies to date that have examined the relationship between vitamin D status and performance, therefore, this review will focus on the bodily roles of vitamin D, recommended 25(OH)D levels, vitamin D intake guidelines and risk factors for vitamin D insufficiency in athletes. In addition, the preliminary findings regarding vitamin D’s impact on athletic performance will be examined.
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Intensive training and matches are conducive to the occurrence of stress, both physical and mental.
“Such conditions are undoubtedly conducive to the occurrence of stress, both physical and mental, resulting from training and competition [42,43].”
From Influence of Sunlight and Oral D3 Supplementation on Serum 25(OH)D Concentration and Exercise Performance in Elite Soccer Players (2020) · cites this paper as [43]
Section 6, “Vitamin D and Athletic Performance” (page unavailable), says athletes’ high levels of physical activity may increase physiological demands, lending limited support to the physical-stress part of the claim. It does not address mental stress or say that training and competition cause both kinds of stress. (LLM, conf=0.76)
Experimental — accuracy not yet measuredVitamin D signals the expression of the size of myotubes to make them larger, and as a result, muscle strength increases.
“Vitamin D signals the expression of the size of myotubes to make them larger, and as a result, muscle strength increases [32,43].”
From Influence of Sunlight and Oral D3 Supplementation on Serum 25(OH)D Concentration and Exercise Performance in Elite Soccer Players (2020) · cites this paper as [43]
Section 3, “Vitamin D and Muscle Tissue” (page unavailable), suggests that vitamin D supplementation may improve strength in people with low vitamin D status, possibly through increased size and number of type II muscle fibers. It does not describe enlarged myotubes or establish that this mechanism causes strength to increase; the citing sentence states the proposed relationship as fact. (LLM, conf=0.88)
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Cites
Bischoff-Ferrari, H. A., Dietrich, T., Orav, E. J., Hu, F. B., Zhang, Y., Karlson, E. W., & Dawson-Hughes, B. (2004) · The American Journal of Clinical Nutrition · doi:10.1093/ajcn/80.3.752 · Cited by 930 · see citing works
The roles of vitamin D in skeletal muscle: form, function, and metabolism
Girgis, C. M., Clifton-Bligh, R. J., Hamrick, M. W., Holick, M. F., & Gunton, J. E. (2013) · Endocrine Reviews · doi:10.1210/er.2012-1012 · Cited by 567 · see citing works
Close, G. L., Russell, J., Cobley, J. N., Owens, D. J., Wilson, G., Gregson, W., Fraser, W. D., & Morton, J. P. (2013) · Journal of Sports Sciences · doi:10.1080/02640414.2012.733822 · Cited by 246 · see citing works
Flagged first, then by citations
Research works printed but not linked: 38
- [1]Larsen-Meyer D.E. Willis K.S. Vitamin D and athletes Curr. Sports Med. Rep. 2010 9 220 226 20622540
- [2]Willis K.S. Smith D.T. Broughton K.S. Larson-Meyer D.E. Vitamin D status and biomarkers of inflammation in runners Open Access J. Sports Med. 2012 3 35 42 PMC3781897 24198585
- [3]Campbell P.M.F. Allain T.J. Muscle strength and vitamin D in older people Gerontology 2006 52 335 338 10.1159/000094981 16905884 · DOI
- [4]Ceglia L. Vitamin D and skeletal muscle tissue and function Mole Aspects Med. 2008 29 407 414 10.1016/j.mam.2008.07.002 18727936 · DOI
- [5]Holick M.F. Vitamin D: A D-lightful health perspective Nutr. Rev. 2008 66 182 194 10.1111/j.1753-4887.2008.00104.x 18844847 · DOI
- [6]Ginde A.A. Liu M.C. Camargo C.A. Demographic differences and trends of vitamin D insufficiency in the U.S. population, 1988–2004 Arch. Intern. Med. 2009 169 626 632 10.1001/archinternmed.2008.604 19307527 PMC3447083 · DOI · Paper page
- [7]DeLuca H.F. Overview of general physiologic features and functions of vitamin D Am. J. Clin. Nutr. 2004 80 1689 1696 15585789
- [8]Lappe J. Cullen D. Haynatzki G. Recker R. Ahlf R. Thompson K. Calcium and vitamin D supplementation decreased incidence of stress fractures in female navy recruits J. Bone Miner. Res. 2008 23 741 749 10.1359/jbmr.080102 18433305 · DOI
- [9]Valimaki V.V. Alfthan H. Lehmuskallio E. Loyttyniemi E. Sahi T. Stenman U.H. Suominen H. Valimaki M.J. Vitamin D status as a determinant of peak bone mass in young Finnish men J. Clin. Endocr. Metab. 2004 89 76 80 10.1210/jc.2003-030817 14715830 · DOI
- [10]Heaney R.P. Vitamin D in health and disease Clin. J. Am. Soc. Nephrol. 2008 3 1535 1541 10.2215/CJN.01160308 18525006 PMC4571146 · DOI
- [11]Ceglia L. Harris S.S. Vitamin D and its role in skeletal muscle Calcif. Tissue Int. 2013 92 151 162 10.1007/s00223-012-9645-y 22968766 · DOI
- [12]Holick M.F. The vitamin D epidemic and its health consequences J. Nutr. 2005 135 2739S 2748S 16251641
- [13]Bischoff-Ferrari H.A. Relevance of vitamin D in muscle health Rev. Endocr. Metab. Disord. 2012 13 71 77 10.1007/s11154-011-9200-6 22020957 · DOI
- [15]Hamilton B. Vitamin D and athletic performance: The potential role of muscle Asian J. Sports Med. 2011 2 211 219 22375241 PMC3289217
- [16]Marantes I. Achenbach S.J. Atkinson E.J. Khosla S. Melton L.J. III Amin S. Is vitamin D a determinant of muscle mass and strength? J. Bone Miner. Res. 2011 26 2860 2871 10.1002/jbmr.510 21915904 PMC3248226 · DOI
- [17]Foo L.H. Zhang Q. Zhu K. Ma G. Hu X. Greenfield H. Fraser D.R. Low vitamin D status has an adverse influence on bone mass, turnover, and muscle strength in adolescent female girls J. Nutr. 2009 139 1002 1007 10.3945/jn.108.102053 19321588 · DOI
- [18]Wacker M. Holick M.F. Vitamin D—Effects on skeletal and extraskeletal health and the need for supplementation Nutrients 2013 5 111 148 10.3390/nu5010111 23306192 PMC3571641 · DOI · Paper page
- [19]Wang Y. DeLuca H.F. Is the vitamin D receptor found in muscle? Endocrinology 2011 152 354 363 10.1210/en.2010-1109 21190957 · DOI
- [20]Cannell J.J. Hollis B.W. Sorenson M.B. Taft T.N. Anderson J.J.B. Athletic performance and vitamin D Med. Sci. Sport Exerc. 2009 41 1102 1110 19346976
- [22]Chan R. Chan D. Woo J. Ohlsson C. Mellstrom D. Kwok T. Leung P.C. Not all elderly people benefit from vitamin D supplementation with respect to physical function: Results from the osteoporotic fractures in men study, Hong Kong J. Ame. Geriatr. Soc. 2012 60 290 295 10.1111/j.1532-5415.2011.03789.x 22211795 · DOI
- [23]Ward K.A. Das G. Berry J.L. Roberts S.A. Rawer R. Adams J.E. Mughal Z. Vitamin D status and muscle function in postmenarchal adolescent girls J. Clin. Endocrinol. Metab. 2004 94 559 563 19033372
- [24]Chen T.C. Chimeh F. Zhiren L. Mathieu J. Person K.S. Zhang A. Holick M.F. Factors that influence the cutaneous synthesis and dietary sources of vitamin D Arch. Biochem. Biophys. 2007 460 213 217 10.1016/j.abb.2006.12.017 17254541 PMC2698590 · DOI · Paper page
- [25]Mahan L.K. Escott-Stump S. Krause’s Food, Nutrition and Diet Therapy 11st ed. Gallagher M.G. Elsevier Philadelphia, PA, USA 2004 83 88
- [26]Moyad M.A. Vitamin D: A rapid review Dermatol. Nurs. 2009 21 25 55 25–30, 55 19283958
- [27]Holick M.F. Vitamin D and health: Evolution, biologic functions, and recommended dietary intakes for vitamin D Clin. Rev. Bone Min. Metab. 2009 7 2 19 10.1007/s12018-009-9026-x · DOI
- [28]Cannell J.J. Hollis B.W. Use of vitamin D in clinical practice Altern. Med. Rev. 2008 13 6 20 18377099
- [29]Institute of Medicine of the National Academies Dietary Reference Intakes for Calcium and Vitamin D Catharine Ross A. Taylor C.L. Yaktine A.L. The National Academy of Sciences Washington, DC, USA 2011 21796828
- [30]Holick M.F. Binkley N.C. Bischoff-Ferrari H.A. Gordon C.M. Hanley D.A. Heaney R.P. Murad M.H. Weaver C.M. Evaluation, treatment, and prevention of vitamin D deficiency: An endocrine society clinical practice guideline J. Clin. Endocrinol. Metab. 2011 96 1911 1930 10.1210/jc.2011-0385 21646368 · DOI
- [31]Bischoff-Ferrari H.A. Giovannucci E. Willett W.C. Dietrich T. Dawson-Hughes B. Estimation of optimal serum concentrations of 25-hydroxyvitamin D for multiple health outcomes Am. J. Clin. Nutr. 2006 84 18 28 16825677
- [32]Willis K.S. Peterson N.J. Larson-Meyer D.E. Should we be concerned about the vitamin D status of athletes? Int. J. Sport Nutr. Exerc. Metab. 2008 18 204 224 18458363
- [33]Hamilton B. Grantham J. Racinais S. Hakim C. Vitamin D deficiency is endemic in Middle Eastern sportsman Public Health Nutr. 2009 10 1528 1534 20074396
- [34]Tseng M. Giri V. Bruner D.W. Giovannucci E. Prevalence and correlates of vitamin D status in African American men BMC Public Health 2009 9 191 198 10.1186/1471-2458-9-191 19534831 PMC2708155 · DOI
- [35]Contantini N.W. Arieli R. Chodick G. Dubnov-Raz G. High prevalence of vitamin D insufficiency in athletes and dancers Clin. J. Sport Med. 2010 20 368 371 10.1097/JSM.0b013e3181f207f2 20818195 · DOI
- [36]Lovell G. Vitamin D status of females in an elite gymnastics program Clin. J. Sport Med. 2008 18 159 161 10.1097/JSM.0b013e3181650eee 18332692 · DOI
- [37]Halliday T.M. Peterson N.J. Thomas J.J. Kleppinger K. Hollis B.W. Larson-Meyer D.E. Vitamin D status relative to diet, lifestyle, injury and illness in college athletes Med. Sci. Sport Exerc. 2010 42 335 343 20543748
- [39]Close G.L. Leckey J. Patterson M. Bradley W. Owens D.J. Fraser W.D. Morton J.P. The effects of vitamin D3 supplementation on serum total 25(OH)D concentration and physical performance: A randomised dose-response study Br. J. Sports Med. 2013 in press 23410885
- [41]Forney L. Vitamin D status, adiposity and athletic performance measures in college-aged students M.S. Thesis Louisiana State University Baton Rouge, LA, USA 6 2012
- [42]Razavi M.Z. Nazarali P. Hanachi P. The effect of an exercise programme and consumption of vitamin D on performance and respiratory indicators in patients with asthma Sport Sci. Health 2011 6 89 92 10.1007/s11332-011-0102-5 · DOI
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- Authors
- Ogan, D., & Pritchett, K.
- Affiliations
- Central Washington University (US)
- Corresponding author
- Ogan, Dana
- ORCID
- Pritchett, Kelly
- Venue
- Nutrients
- Publisher
- MDPI AG
- Published
- 2013-05-28
- Volume
- 5
- Issue
- 6
- Pages
- 1856-1868
- ISSN
- 2072-6643 (ISSN-L)
- PMC
- PMC3725481
- OpenAlex
- W2149091802
- Cited by
- 180
- References
- 3
- Citations by year
- 2026: 11 · 2025: 8 · 2024: 11 · 2023: 14 · 2022: 16 · 2021: 20 · 2020: 29 · 2019: 12 · 2018: 13 · 2017: 15 · 2016: 11 · 2015: 10 · 2014: 9 · 2013: 1
- FWCI
- 1.51
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- Nutrients (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- ScholarWorks (Central Washington University) (submittedVersion, cc-by)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Topics
- Health Sciences › Medicine › Pathology and Forensic Medicine › Vitamin D Research Studies
- Health Sciences › Medicine › Rehabilitation › Exercise and Physiological Responses
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Nutrition and Health Studies
- Keywords
- vitamin D, athletes, vitamin D deficiency, 25-hydroxyvitamin D, athletic performance, muscle function, vitamin D receptor, bone health, calcium regulation, injury risk, risk factors
- MeSH terms
- Bone and Bones, Calcium, Dietary, Female, Humans, Male, Risk Factors, Vitamin D, Vitamin D Deficiency, Prevalence, Muscle, Skeletal, Dietary Supplements, Athletic Performance, Athletes, Recommended Dietary Allowances
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