From the Department of Orthopaedic Surgery (Dr. Abrams and Dr. Safran) and the Department of Medicine, Division of Endocrinology, Gerontology, and Metabolism (Dr. Feldman), Stanford University School of Medicine, Palo Alto, CA, and VA Palo Alto Healthcare System, Palo Alto (Dr. Abrams).
J Am Acad Orthop Surg. 2018 Apr 15;26(8):278-285. doi: 10.5435/JAAOS-D-16-00464.
Vitamin D is known to be important for calcium homeostasis and bone metabolism. It also has important direct effects on skeletal muscle. Unlike authentic vitamins, which cannot be synthesized in the body, vitamin D is produced in the skin using sunlight. Through its nuclear receptor (ie, vitamin D receptor) located throughout the body, including skeletal muscle, vitamin D initiates genomic and nongenomic pathways regulating multiple actions, including myocyte proliferation and growth. In some studies, vitamin D supplementation has been shown to increase muscle strength, particularly in people who are vitamin D deficient. Higher serum levels of vitamin D are associated with reduced injury rates and improved sports performance. In a subset of the population, vitamin D appears to play a role in muscle strength, injury prevention, and sports performance.
维生素 D 对钙稳态和骨骼代谢非常重要。它对骨骼肌肉也有重要的直接作用。与不能在体内合成的真正维生素不同,维生素 D 是在皮肤中利用阳光产生的。通过其位于全身(包括骨骼肌)的核受体(即维生素 D 受体),维生素 D 启动基因组和非基因组途径,调节多种作用,包括肌细胞增殖和生长。在一些研究中,维生素 D 补充已被证明可以增加肌肉力量,特别是在维生素 D 缺乏的人群中。较高的血清维生素 D 水平与降低的损伤率和提高的运动表现有关。在人群的一部分中,维生素 D 似乎在肌肉力量、预防损伤和运动表现中发挥作用。