Sikora-Klak Jakub, Narvy Steven J, Yang Justin, Makhni Eric, Kharrazi F Daniel, Mehran Nima
Orthopedist for the University of California, San Diego Health System.
Orthopedist at the Providence Little Company of Mary Medical Center in Torrance, CA.
Perm J. 2018;22:17-216. doi: 10.7812/TPP/17-216.
Vitamin D is a lipophilic prohormone integral to musculoskeletal, autoimmune, oncologic, cardiovascular, and mental health. Of particular importance to the orthopedic surgeon is the role of vitamin D in the regulation of bone mass, muscle strength, and physical performance. Although vitamin D-related skeletal pathologies are rare in industrialized nations, emerging research in the field has shown that most American adults have inadequate levels of vitamin D. Even among athletes, there is a high prevalence of vitamin D deficiency, which may place competitors at risk of stress fractures, illness, and delayed muscle recovery. Adequately identifying vitamin D-deficient individuals in need of supplementation is important to help optimize performance and prevent future injury. The goal of this review is to describe the epidemiology of vitamin D deficiency and its effects on athletic performance and musculoskeletal health. Future double-blinded studies of vitamin D supplementation in athletes are needed. We recommend treating athletes who have insufficient or deficient vitamin D levels.
维生素D是一种亲脂性前体激素，对肌肉骨骼、自身免疫、肿瘤、心血管和心理健康至关重要。对骨科医生来说，维生素D在调节骨量、肌肉力量和身体机能方面的作用尤为重要。尽管在工业化国家，与维生素D相关的骨骼疾病很少见，但该领域的最新研究表明，大多数美国成年人的维生素D水平不足。即使在运动员中，维生素D缺乏的患病率也很高，这可能使运动员面临应力性骨折、疾病和肌肉恢复延迟的风险。准确识别需要补充维生素D的个体，对于帮助优化运动表现和预防未来损伤非常重要。本综述的目的是描述维生素D缺乏的流行病学及其对运动表现和肌肉骨骼健康的影响。未来需要对运动员补充维生素D进行双盲研究。我们建议对维生素D水平不足或缺乏的运动员进行治疗。
