Abstract

BackgroundThe impact of vitamin D on musculoskeletal health is well-established, although its influence on physical performance is unclear. Therefore, we conducted this study to evaluate the impact of 25-hydroxy-vitamin D (25-OH vitamin D) concentrations with maximal aerobic power of professional indoor athletes.ResultsA total of 112 male professional athletes were included in this cross-sectional study, consisting of 88 handball and 24 ice hockey players. The maximal aerobic power was assessed with a standardized cycling ergometer test. Athletes were assigned to two groups according to their 25-OH vitamin D status: insufficient (< 30 ng/mL) and sufficient (≥ 30 ng/mL). Thirty-four players (30.4%) displayed insufficient (21.9 ± 5.9 ng/mL) and 78 (69.6%) sufficient 25-OH vitamin D concentrations (41.6 ± 8.6 ng/mL). Athletes with sufficient levels achieved a higher maximal aerobic power (3.9 ± 0.9 vs. 3.5 ± 0.8 W/kg, p = 0.03) compared to those with insufficient levels.ConclusionsThere is a high prevalence of 25-OH vitamin D insufficiency in professional indoor athletes, even in summer. Insufficient 25-OH vitamin D concentrations were associated with lower maximal aerobic power in male professional indoor athletes. Further, the 25-OH vitamin D concentration was identified as the only independent predictor of maximal aerobic power in these athletes, highlighting the impact of 25-OH vitamin D on physical performance. Therefore, 25-OH vitamin D concentrations of ≥ 30 ng/mL should be maintained to ensure optimal physical performance in these athletes.

Highlights

  • The impact of vitamin D on musculoskeletal health is well-established, its influence on physical performance is unclear

  • Values are specified as means ± standard deviation (SD) Significant difference (p < 0.05) W = watt, max. = maximum, bpm = beats per minute, LVEF = left ventricular ejection fraction

  • We found a positive correlation between 25-OH vitamin D concentrations and maximal aerobic power (r = 0.555, p = 0.03)

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Summary

Introduction

The impact of vitamin D on musculoskeletal health is well-established, its influence on physical performance is unclear. 25-OH vitamin D deficiency causes osteopenia and osteoporosis, muscle weakness, and increases the risk of falls and fractures. Vitamin D deficiency has been associated with an increased risk of cardiovascular diseases and mortality [2]. Season of the year, time of day, age, and skin melanin content are important factors that influence vitamin D production [3]. The prevalence of vitamin D deficiency is increasing in the industrialized world due to a lack of sun exposure, dietary differences, clothing, lifestyle (sedentary lifestyle with less outdoor activity), obesity, and the use of sunscreen when outdoors [3,4,5]. Given the low amounts of vitamin D in the typical western nutrition, a vitamin D-enriched diet seems to be ineffective to prevent vitamin D insufficiency [6]

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