תזונה ותוספים Vitamin D: Recent Advances and Implications for Athletes

Mike Bikov

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Sports Medicine
February 2015, Volume 45, Issue 2, pp 213-229
Date: 25 Sep 2014

Vitamin D: Recent Advances and Implications for Athletes

Joshua J. Todd, L. Kirsty Pourshahidi, Emeir M. McSorley, Sharon M. Madigan, Pamela J. Magee

Abstract
Athletes may be predisposed to low vitamin D concentrations, with studies reporting a high prevalence of athletes with a vitamin D concentration below 50 nmol/L across a range of sports and geographical locations, particularly over the winter months. It is well documented that vitamin D is important for osseous health by enhancing calcium absorption at the small intestine; however, emerging research suggests that vitamin D may also benefit a plethora of extra-skeletal target tissues and systems. There is strong evidence that vitamin D is capable of regulating both innate and adaptive immune processes via binding of active vitamin D to its complementary receptor. Supplementation with vitamin D may also enhance skeletal muscle function through morphological adaptations and enhanced calcium availability during cross-bridge cycling; however, an exact mechanism of action is yet to be elucidated. Such findings have prompted research into the importance of maintaining vitamin D concentrations over wintertime and the possible physiological and immunological benefits of vitamin D supplementation in athletes. The following review critically evaluates existing literature and presents novel perspectives on how vitamin D may enhance athletic performance.
 
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