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Injury-Prevention with Vitamin D – Feb 2010

Tralthlon competitor had the following Feb 2010, Written by: Nathan Koch
Vitamin D: The Injury-Prevention Vitamin

New studies find that Vitamin D may be more important than previously thought when it comes to the health of endurance athletes.

As an avid cyclist and runner, I am always looking for ways to improve performance while avoiding forced time off due to injury or illness. While attending the American College of Sports Medicine meeting in Seattle last year, I heard a lecture from a well-known researcher on the benefits of vitamin D supplementation, which included increased athletic performance. I even learned about a study in which Russian and German athletes used ultraviolet sunlamps to improve performance. Four Russian sprinters used UV light and another group didn’t. The two groups trained identically for the 100-meter sprint. The control group lowered its time by 1.7 percent and the UV group improved 7.4 percent.

A more recent study from the University of Wyoming’s family and consumer science department revealed a direct correlation between vertical leap height (think power) and vitamin D levels.

So, of course, at my next physical, I asked my physician to order a vitamin D blood test (serum 25OHD concentration) along with the other standard tests. As a healthy endurance athlete residing in sunny Arizona and training outside on a daily basis, I was shocked by my results, which were 25nmol/L. ( 10 ng) My physician said that if my levels were any lower I would qualify for aggressive treatment. For the record, maintaining blood concentrations above 80nmol/L is currently considered ideal by most of the literature, although more research is needed.

Vitamin D deficiency is a growing epidemic in the U.S. and throughout the world. The deficiency causes rickets in children, osteoporosis in adults and stress fractures in athletes and has been linked to cancer, cardiovascular disease, multiple sclerosis, rheumatoid arthritis, type-1 diabetes mellitus and even influenza.

Vitamin D (calciferol) is really a combination of cholecalciferol (vitamin D3) and ergocalciferol (D2). D3 is produced by the action of ultraviolet B light on the skin of humans and is found in oily fish. D2 is formed when ultraviolet light irradiates the fungal steroid ergosterol, and very little is found in our food. With few exceptions (see table 1) there is little or no vitamin D in the food people normally eat. In other words, vitamin D deficiency is less a nutritional issue and more an environmental deficit due to inadequate ultraviolet exposure. In the past, most experts thought we could get enough vitamin D from fortified milk, but today there is increasing agreement among researchers that this measure does not even come close to doing the job.

Vitamin D absorption from the sun also has limitations and is affected by latitude, season of the year, time of day, skin pigmentation, use of sun block, age and clothing. Optimal sun exposure typically occurs between 10 a.m. and 3 p.m. and at lower latitudes. Therefore, those of us who live in the northern half of the U.S. or anywhere in Canada or Europe are at risk of being deficient. Whereas our ancestors were exposed to the sun almost daily, today we allow less than 5 percent of our skin to be exposed to sunlight. We work, play and live under artificial light, and when we get the time to soak up some rays, we either block the beneficial rays with high-powered sunscreen or totally overexpose ourselves, turning ourselves into tomatoes.

In athletes, a vitamin D deficiency can cause the dreaded down time resulting from a cold, the flu, stress fractures and joint inflammation. In a 2006 Finnish study on military recruits, Ruohola, et al., concluded that a lower level of serum 25(OH)D concentration may be a predisposing factor for bone stress fractures. Another study, from the University of Wyoming, found that 40 percent of a group of distance runners in Baton Rouge, La., were vitamin D deficient. For those of you who haven’t been to Baton Rouge, it is sunny and closer to ideal latitude for vitamin D absorption via skin than most other cities in the U.S. A recent and encouraging study by Lappe, et al., out of Creighton University, found a 21 percent lower incidence of stress fractures in female Naval recruits in a supplemented (vitamin D and calcium) group versus the control group.

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See also VitaminDWiki

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