REVIEW PAPER
Can vitamin D supplementation influence the physical components and performance of athletes with deficiency? A systematic review
 
More details
Hide details
1
Department of Physiotherapy, Madhav University, Abu Road, Pindwara, Sirohi, Rajasthan, India
 
2
Department of Physiotherapy, KMCT College of Allied Health Sciences, Manassery, Kozhikode, Kerala, India
 
3
ABC Orthopedics, Manjeri, Kerala, India
 
 
Submission date: 2020-12-26
 
 
Acceptance date: 2021-06-08
 
 
Publication date: 2023-06-01
 
 
Physiother Quart. 2023;31(2):7-13
 
KEYWORDS
TOPICS
ABSTRACT
Introduction:
Vitamin D deficiency, which is on the rise, can put any athlete at an increased susceptibility to various musculoskeletal injuries and prolonged recovery. It was intended to determine whether vitamin D supplements can help athletes to enhance their performance and body composition, and to determine which physical components of the athlete correlates with vitamin D inadequacy and vitamin D supplementation.

Methods:
Study eligibility criteria – randomized controlled trials (RCT) and quasi-experimental studies that examined the effect of vitamin D supplementation in athletes performed during 2015–2019. The participants were athletes aged 20–40, including both sexes. Study appraisal – Pedro score.

Results:
A total number of 43 studies were analysed, out of which 10 studies were selected for the final review (8 were double-blinded RCT and 2 were non-blinded RCT) reports. All the trials used 25-hydroxy vitamin D (25(OH)D) as the primary outcome measure to analyse the vitamin D levels. Studies were performed on subjects belonging to a variety of sports like football, rowing, winter sports, taekwondo, rugby and swimming. Except for one study, all the other studies reported that there was a significant improvement in the vitamin D levels after supplementation irrespective of the mode of administration. Higher doses of vitamin D3 had resulted in better improvement over a short period.

Conclusions:
This systematic review analysis concludes that vitamin D inadequacy, which results in many physical derangements and compromised performance levels of athletes, can be restored by supplementing with vitamin D.

 
REFERENCES (25)
1.
Holick MF. The vitamin D epidemic and its health consequences. J Nutr. 2005;135(11):2739–2748; doi: 10.1093/jn/135.11.2739S.
 
2.
Angeline ME, Gee AO, Shindle M, Warren RF, Rodeo SA. The effects of vitamin D deficiency in athletes. Am J Sports Med. 2013;41(2):461–464; doi: 10.1177/0363546513475787.
 
3.
Ogan D, Pritchett K. Vitamin D and the athlete: risks, recommendations, and benefits. Nutrients. 2013;5(6):1856–1868; doi: 10.3390/nu5061856.
 
4.
Allison RJ, Close GL, Farooq A, Riding NR, Salah O, Ha­milton B, et al. Severely vitamin D-deficient athletes present smaller hearts than sufficient athletes. Eur J Prev Card. 2015;22(4): 535–542; doi: 10.1177/2047487313518473.
 
5.
Lovell G. Vitamin D status of females in an elite gymnastics program. Clin J Sport Med. 2008;18(2):159–161; doi: 10.1097/JSM.0b013e3181650eee.
 
6.
Redzic M, Lewis RM, Thomas DT. Relationship between 25-hydoxyVitamin D, muscle strength, and incidence of injury in healthy adults: a systematic review. Nutr Res. 2013;33(4):251–258; doi: 10.1016/j.nutres.2013.02.007.
 
7.
Farrokhyar F, Tabasinejad R, Dao D, Peterson D, Ayeni OR, Hadioonzadeh R, et al. Prevalence of vitamin D inadequacy in athletes: a systematic-review and meta-analysis. Sports Med. 2014;45:365–378; doi: 10.1007/s40279-014-0267-6.
 
8.
Książek A, Zagrodna A, Słowińska-Lisowska M. Vitamin D, skeletal muscle function and athletic performance in athletes – a narrative review. Nutrients 2019;11(8):1800; doi: 10.3390/nu11081800.
 
9.
Jadad AR, Moore RA, Carroll D, Jenkinson C, Reynolds DJ, Gavaghanet DJ, al. Assessing the quality of reports of randomized clinical trials: is blinding necessary? Control Clin Trials. 1996;17(1):1–12; doi: 10.1016/0197-2456(95)00134-4.
 
10.
Maher CG. A systematic review of workplace interventions to prevent low back pain. Aust J Physiother. 2000;46(4):259–269; doi: 10.1016/s0004-9514(14)60287-7.
 
11.
Foley NC, Teasell RW, Bhogal SK, Speechley MR. Stroke rehabilitation evidence-based review: methodology. Top Stroke Rehabil. 2003;10:1–7.
 
12.
Alimoradi K, Nikooyeh B, Ravasi AA, Zahedirad M, Shariatzadeh N, Kalayi A, et al. Efficacy of vitamin D supplementation in physical performance of Iranian elite athletes. Int J Prev Med. 2019:7;10(1):100; doi: 10.4103/ijpvm.IJPVM_227_18.
 
13.
Skalska M, Nikolaidis PT, Knechtle B, Rosemann TJ, Radzimiński Ł, Jastrzębska J, et al. Vitamin D supplementation and physical activity of young soccer players during high-intensity training. Nutrients. 2019;11(2):349; doi: 10.3390/nu11020349.
 
14.
Mielgo-Ayuso J, Calleja-González J, Urdampilleta A, León-Guereño P, Córdova A, Caballero-García A, et al. Effects of vitamin D supplementation on haematological values and muscle recovery in elite male traditional rowers. Nutrients. 2018;10(12):1968; doi: 10.3390/nu10121968.
 
15.
Carswell AT, Oliver SJ, Wentz LM, Kashi DS, Roberts R, Tang JCY, et al. Influence of vitamin D supplementation by sunlight or oral D3 on exercise performance. Med Sci Sports Exerc. 2018;50(12):2555–2564; doi: 10.1249/MSS.0000000000001721.
 
16.
Jung HC, Seo MW, Lee S, Jung SW, Song JK. Correcting vitamin D insufficiency improves some but not all aspects of physical performance during winter training in taekwondo athletes. Int J Sport Nutr Exerc Metab. 2018;28(6):635–643; doi: 10.1123/ijsnem.2017-0412.
 
17.
Jung HC, Seo M-W, Lee S, Kim SW, Song JK. Vitamin D3 supplementation reduces the symptoms of upper respiratory tract infection during winter training in vitamin D-insufficient taekwondo athletes: a randomized controlled trial. Int J Environ Res Public Health. Sep 2018;14;15(9):2003; doi: 10.3390/ijerph15092003.
 
18.
Fairbairn KA, Ceelen IJM, Skeaff CM, Cameron CM, Perry TL. Vitamin D3 supplementation does not improve sprint performance in professional rugby players: a randomized, placebo-controlled, double-blind intervention study. Int J Sport Nutr Exerc Metab. 2018;28(1):1–9; doi: 10.1123/ijsnem.2017-0157.
 
19.
Todd JJ, McSorley EM, Pourshahidi LK, Madigan SM, Laird E, Healy M, et al. Vitamin D3 supplementation using an oral spray solution resolves deficiency but has no effect on VO2max in Gaelic footballers: results from a randomised, double-blind, placebo-controlled trial. Eur J Nutr. 2017;56(4):1577–1587; doi: 10.1007/s00394-016-1202-4.
 
20.
Jastrzębska M, Kaczmarczyk M, Jastrzębski Z. Effect of vitamin D supplementation on training adaptation in well-trained soccer players. J Strength Cond Res. 2016;30(9):2648–2655; doi: 10.1519/JSC.0000000000001337.
 
21.
Dubnov-Raz G, Rinat B, Hemilä H, Choleva L, Cohen AH, Constantini NW. Vitamin D supplementation and upper respiratory tract infections in adolescent swimmers: a randomized controlled trial. Pediatr Exerc Sci. 2015;27(1):113–119; doi: 10.1123/pes.2014-0030.
 
22.
Moher D, Liberati A, Tetzlaff J, Altman DG, The PRISMA Group. Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. J Clin Epidemiol. 2009;62(10):1006–1012; doi: 10.1016/j.jclinepi.2009.06.005.
 
23.
Loturco I, Pereira L, Fílter A, Olivares-Jabalera J, Reis VP, Fernandes V, et al. Curve sprinting in soccer: relationships with linear sprints and vertical jump performance. Biol Sport. 2020;37(3):277–283; doi:10.5114/biolsport.2020.96271.
 
24.
Krzywński J, Pokrywka A, Młyńczak M, Mikulski T. Is vitamin D status reflected by testosterone concentration in elite athletes? Biol Sport. 2020;37(3):229–237; doi: 10.5114/biolsport.2020.95633.
 
25.
Ozer PK, Emet S, Karaayvaz EB, Elitok A, Bilge AK, Adalet K, et al. Silent myocardial dysfunction in vitamin D deficiency. Arch Med Sci Atheroscl Dis. 2020;5:e153–e162; doi: 10.5114/amsad.2020.97110.
 
eISSN:2544-4395
Journals System - logo
Scroll to top