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Erschienen in: Journal für Gynäkologische Endokrinologie/Schweiz 4/2021

09.11.2021 | Prävention

Vitamin-D-Supplementierung im Sport: Was sind die aktuellen Empfehlungen?

verfasst von: Dr. sc. nat. Joelle Leonie Flueck, Sabrina Baumgartner, Anneke Hertig-Godeschalk

Erschienen in: Journal für Gynäkologische Endokrinologie/Schweiz | Ausgabe 4/2021

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Zusammenfassung

Kontinuität in Gesundheit und Training ermöglicht dem Sportler, die Leistungsfähigkeit zu steigern. Das Vitamin D ist in diesem Kontext ein essenzieller, wenn auch kleiner Puzzlestein. Ein suffizienter Vitamin-D-Status reduziert das Auftreten von Atemwegserkrankungen in den Wintermonaten, unterstützt den Knochenmetabolismus, die muskuläre Trainingsantwort und trägt massgeblich zur Gesundheit und Aufrechterhaltung der Leistungsfähigkeit bei Sportler*Innen bei. Der Vitamin-D-Status sollte 1‑ bis 2‑mal jährlich überprüft werden. Für alle Athleten mit insuffizientem Vitamin-D-Status oder Athleten, bei denen bestimmte Risikofaktoren vorliegen (dunkle Hautpigmentierung, relatives Energiedefizit, Amenorrhö, Ausüben einer Indoor-Sportart), wird eine Supplementation von 1000 bis 4000 IE täglich empfohlen.
Literatur
1.
Zurück zum Zitat Ogan D, Pritchett K (2013) Vitamin D and the athlete: risks, recommendations, and benefits. Nutrients 5(6):1856–1868 PubMedPubMedCentral Ogan D, Pritchett K (2013) Vitamin D and the athlete: risks, recommendations, and benefits. Nutrients 5(6):1856–1868 PubMedPubMedCentral
2.
Zurück zum Zitat Dahlquist DT, Dieter BP, Koehle MS (2015) Plausible ergogenic effects of vitamin D on athletic performance and recovery. J Int Soc Sports Nutr 12:33 PubMedPubMedCentral Dahlquist DT, Dieter BP, Koehle MS (2015) Plausible ergogenic effects of vitamin D on athletic performance and recovery. J Int Soc Sports Nutr 12:33 PubMedPubMedCentral
3.
Zurück zum Zitat Książek A, Zagrodna A, Słowińska-Lisowska M (2019) Vitamin D, skeletal muscle function and athletic performance in athletes: a narrative review. Nutrients 11(8):1800 PubMedCentral Książek A, Zagrodna A, Słowińska-Lisowska M (2019) Vitamin D, skeletal muscle function and athletic performance in athletes: a narrative review. Nutrients 11(8):1800 PubMedCentral
4.
Zurück zum Zitat Ceglia L, Harris SS (2013) Vitamin D and its role in skeletal muscle. Calcif Tissue Int 92(2):151–162 PubMed Ceglia L, Harris SS (2013) Vitamin D and its role in skeletal muscle. Calcif Tissue Int 92(2):151–162 PubMed
5.
Zurück zum Zitat Cranney A et al (2007) Effectiveness and safety of vitamin D in relation to bone health. Evid Rep Technol Assess 15(8):1–235 Cranney A et al (2007) Effectiveness and safety of vitamin D in relation to bone health. Evid Rep Technol Assess 15(8):1–235
6.
7.
Zurück zum Zitat Peterlik M, Cross HS (2009) Vitamin D and calcium insufficiency-related chronic diseases: molecular and cellular pathophysiology. Eur J Clin Nutr 63(12):1377–1386 PubMed Peterlik M, Cross HS (2009) Vitamin D and calcium insufficiency-related chronic diseases: molecular and cellular pathophysiology. Eur J Clin Nutr 63(12):1377–1386 PubMed
8.
Zurück zum Zitat Holick MF, Chen TC (2008) Vitamin D deficiency: a worldwide problem with health consequences. Am J Clin Nutr 87(4):1080S–1086S PubMed Holick MF, Chen TC (2008) Vitamin D deficiency: a worldwide problem with health consequences. Am J Clin Nutr 87(4):1080S–1086S PubMed
9.
Zurück zum Zitat Walsh NP (2018) Recommendations to maintain immune health in athletes. Eur J Sport Sci 18(6):820–831 PubMed Walsh NP (2018) Recommendations to maintain immune health in athletes. Eur J Sport Sci 18(6):820–831 PubMed
10.
Zurück zum Zitat Bischoff-Ferrari HA et al (2006) Estimation of optimal serum concentrations of 25-hydroxyvitamin D for multiple health outcomes. Am J Clin Nutr 84(1):18–28 PubMed Bischoff-Ferrari HA et al (2006) Estimation of optimal serum concentrations of 25-hydroxyvitamin D for multiple health outcomes. Am J Clin Nutr 84(1):18–28 PubMed
11.
Zurück zum Zitat Bischoff-Ferrari HA et al (2009) Prevention of nonvertebral fractures with oral vitamin D and dose dependency: a meta-analysis of randomized controlled trials. Arch Intern Med 169(6):551–561 PubMed Bischoff-Ferrari HA et al (2009) Prevention of nonvertebral fractures with oral vitamin D and dose dependency: a meta-analysis of randomized controlled trials. Arch Intern Med 169(6):551–561 PubMed
12.
Zurück zum Zitat Green RJ et al (2015) Vitamin D deficiency and insufficiency in Africa and the Middle East, despite year-round sunny days. S Afr Med J 105(7):603–605 PubMed Green RJ et al (2015) Vitamin D deficiency and insufficiency in Africa and the Middle East, despite year-round sunny days. S Afr Med J 105(7):603–605 PubMed
13.
Zurück zum Zitat Matsuoka LY et al (1987) Sunscreens suppress cutaneous vitamin D3 synthesis. J Clin Endocrinol Metab 64(6):1165–1168 PubMed Matsuoka LY et al (1987) Sunscreens suppress cutaneous vitamin D3 synthesis. J Clin Endocrinol Metab 64(6):1165–1168 PubMed
14.
Zurück zum Zitat Kimlin M et al (2016) Are the current Australian sun exposure guidelines effective in maintaining adequate levels of 25-hydroxyvitamin D? J Steroid Biochem Mol Biol 155(Pt B):264–270 PubMed Kimlin M et al (2016) Are the current Australian sun exposure guidelines effective in maintaining adequate levels of 25-hydroxyvitamin D? J Steroid Biochem Mol Biol 155(Pt B):264–270 PubMed
15.
Zurück zum Zitat Vitale JA et al (2018) Rates of insufficiency and deficiency of vitamin D levels in elite professional male and female skiers: a chronobiologic approach. Chronobiol Int 35(4):441–449 PubMed Vitale JA et al (2018) Rates of insufficiency and deficiency of vitamin D levels in elite professional male and female skiers: a chronobiologic approach. Chronobiol Int 35(4):441–449 PubMed
16.
Zurück zum Zitat Quadri A, Gianovic B, Noack P, Fuhrer C, Steuer C, Huber A, Kriemler S (2016) Seasonal variation of vitamin D levels in Swiss athletes. Swiss Sports Exerc Med 64(1):19–25 Quadri A, Gianovic B, Noack P, Fuhrer C, Steuer C, Huber A, Kriemler S (2016) Seasonal variation of vitamin D levels in Swiss athletes. Swiss Sports Exerc Med 64(1):19–25
17.
Zurück zum Zitat Flueck JL et al (2016) Vitamin D deficiency in Swiss elite wheelchair athletes. Spinal Cord 54(11):991–995 PubMed Flueck JL et al (2016) Vitamin D deficiency in Swiss elite wheelchair athletes. Spinal Cord 54(11):991–995 PubMed
18.
Zurück zum Zitat Maruyama-Nagao A, Sakuraba K, Suzuki Y (2016) Seasonal variations in vitamin D status in indoor and outdoor female athletes. Biomed Rep 5(1):113–117 PubMedPubMedCentral Maruyama-Nagao A, Sakuraba K, Suzuki Y (2016) Seasonal variations in vitamin D status in indoor and outdoor female athletes. Biomed Rep 5(1):113–117 PubMedPubMedCentral
19.
Zurück zum Zitat Cialdella-Kam L, Kulpins D, Manore MM (2016) Vegetarian, gluten-free, and energy restricted diets in female athletes. Sports (Basel) 4(4):50 Cialdella-Kam L, Kulpins D, Manore MM (2016) Vegetarian, gluten-free, and energy restricted diets in female athletes. Sports (Basel) 4(4):50
20.
Zurück zum Zitat Magee PJ et al (2013) Vitamin D status and supplementation in elite Irish athletes. Int J Sport Nutr Exerc Metab 23(5):441–448 PubMed Magee PJ et al (2013) Vitamin D status and supplementation in elite Irish athletes. Int J Sport Nutr Exerc Metab 23(5):441–448 PubMed
21.
Zurück zum Zitat Villacis D et al (2014) Prevalence of abnormal vitamin D levels among division I NCAA athletes. Sports Health 6(4):340–347 PubMedPubMedCentral Villacis D et al (2014) Prevalence of abnormal vitamin D levels among division I NCAA athletes. Sports Health 6(4):340–347 PubMedPubMedCentral
22.
Zurück zum Zitat Willis KS, Peterson NJ, Larson-Meyer DE (2008) Should we be concerned about the vitamin D status of athletes? Int J Sport Nutr Exerc Metab 18(2):204–224 PubMed Willis KS, Peterson NJ, Larson-Meyer DE (2008) Should we be concerned about the vitamin D status of athletes? Int J Sport Nutr Exerc Metab 18(2):204–224 PubMed
23.
Zurück zum Zitat Lappe JM, Heaney RP (2012) Why randomized controlled trials of calcium and vitamin D sometimes fail. Dermatoendocrinology 4(2):95–100 Lappe JM, Heaney RP (2012) Why randomized controlled trials of calcium and vitamin D sometimes fail. Dermatoendocrinology 4(2):95–100
24.
Zurück zum Zitat Backx EM et al (2016) The impact of 1‑year vitamin D supplementation on vitamin D status in athletes: a dose-response study. Eur J Clin Nutr 70(9):1009–1014 PubMed Backx EM et al (2016) The impact of 1‑year vitamin D supplementation on vitamin D status in athletes: a dose-response study. Eur J Clin Nutr 70(9):1009–1014 PubMed
25.
Zurück zum Zitat Lewis RM, Redzic M, Thomas DT (2013) The effects of season-long vitamin D supplementation on collegiate swimmers and divers. Int J Sport Nutr Exerc Metab 23(5):431–440 PubMedPubMedCentral Lewis RM, Redzic M, Thomas DT (2013) The effects of season-long vitamin D supplementation on collegiate swimmers and divers. Int J Sport Nutr Exerc Metab 23(5):431–440 PubMedPubMedCentral
26.
Zurück zum Zitat Mielgo-Ayuso J et al (2018) Effects of vitamin D supplementation on haematological values and muscle recovery in elite male traditional rowers. Nutrients 10(12):1968 PubMedCentral Mielgo-Ayuso J et al (2018) Effects of vitamin D supplementation on haematological values and muscle recovery in elite male traditional rowers. Nutrients 10(12):1968 PubMedCentral
27.
Zurück zum Zitat Kasprowicz K et al (2020) The effect of vitamin D3 supplementation on hepcidin, iron, and IL‑6 responses after a 100 km ultra-marathon. Int J Environ Res Public Health 17(8):2962 PubMedCentral Kasprowicz K et al (2020) The effect of vitamin D3 supplementation on hepcidin, iron, and IL‑6 responses after a 100 km ultra-marathon. Int J Environ Res Public Health 17(8):2962 PubMedCentral
28.
Zurück zum Zitat Close GL et al (2013) The effects of vitamin D(3) supplementation on serum total 25[OH]D concentration and physical performance: a randomised dose-response study. Br J Sports Med 47(11):692–696 PubMed Close GL et al (2013) The effects of vitamin D(3) supplementation on serum total 25[OH]D concentration and physical performance: a randomised dose-response study. Br J Sports Med 47(11):692–696 PubMed
29.
Zurück zum Zitat Dubnov-Raz G et al (2014) Vitamin D concentrations and physical performance in competitive adolescent swimmers. Pediatr Exerc Sci 26(1):64–70 PubMed Dubnov-Raz G et al (2014) Vitamin D concentrations and physical performance in competitive adolescent swimmers. Pediatr Exerc Sci 26(1):64–70 PubMed
30.
Zurück zum Zitat Flueck JL, Schlaepfer MW, Perret C (2016) Effect of 12-week vitamin D supplementation on 25(OH)D status and performance in athletes with a spinal cord injury. Nutrients 8(10):586 PubMedCentral Flueck JL, Schlaepfer MW, Perret C (2016) Effect of 12-week vitamin D supplementation on 25(OH)D status and performance in athletes with a spinal cord injury. Nutrients 8(10):586 PubMedCentral
31.
Zurück zum Zitat Fairbairn KA et al (2018) Vitamin D3 supplementation does not improve sprint performance in professional rugby players: a randomized, placebo-controlled, double-blind intervention study. Int J Sport Nutr Exerc Metab 28(1):1–9 PubMed Fairbairn KA et al (2018) Vitamin D3 supplementation does not improve sprint performance in professional rugby players: a randomized, placebo-controlled, double-blind intervention study. Int J Sport Nutr Exerc Metab 28(1):1–9 PubMed
32.
Zurück zum Zitat Jung HC et al (2018) Correcting vitamin D insufficiency improves some but not all aspects of physical performance during winter training in Taekwondo athletes. Int J Sport Nutr Exerc Metab 28(6):635–643 PubMed Jung HC et al (2018) Correcting vitamin D insufficiency improves some but not all aspects of physical performance during winter training in Taekwondo athletes. Int J Sport Nutr Exerc Metab 28(6):635–643 PubMed
33.
Zurück zum Zitat Thomas DT, Erdman KA, Burke LM (2016) American College of Sports Medicine joint position statement. Nutrition and athletic performance. Med Sci Sports Exerc 48(3):543–568 PubMed Thomas DT, Erdman KA, Burke LM (2016) American College of Sports Medicine joint position statement. Nutrition and athletic performance. Med Sci Sports Exerc 48(3):543–568 PubMed
34.
Zurück zum Zitat Owens DJ, Allison R, Close GL (2018) Vitamin D and the athlete: current perspectives and new challenges. Sports Med 48(Suppl 1):3–16 PubMedPubMedCentral Owens DJ, Allison R, Close GL (2018) Vitamin D and the athlete: current perspectives and new challenges. Sports Med 48(Suppl 1):3–16 PubMedPubMedCentral
35.
Zurück zum Zitat Ceglia L (2008) Vitamin D and skeletal muscle tissue and function. Mol Aspects Med 29(6):407–414 PubMed Ceglia L (2008) Vitamin D and skeletal muscle tissue and function. Mol Aspects Med 29(6):407–414 PubMed
36.
Zurück zum Zitat Halfon M, Phan O, Teta D (2015) Vitamin D: a review on its effects on muscle strength, the risk of fall, and frailty. Biomed Res Int 2015:953241 PubMedPubMedCentral Halfon M, Phan O, Teta D (2015) Vitamin D: a review on its effects on muscle strength, the risk of fall, and frailty. Biomed Res Int 2015:953241 PubMedPubMedCentral
37.
Zurück zum Zitat Bischoff-Ferrari HA et al (2009) Fall prevention with supplemental and active forms of vitamin D: a meta-analysis of randomised controlled trials. BMJ 339:b3692 PubMedPubMedCentral Bischoff-Ferrari HA et al (2009) Fall prevention with supplemental and active forms of vitamin D: a meta-analysis of randomised controlled trials. BMJ 339:b3692 PubMedPubMedCentral
38.
Zurück zum Zitat Farrokhyar F et al (2017) Effects of vitamin D supplementation on serum 25-hydroxyvitamin D concentrations and physical performance in athletes: a systematic review and meta-analysis of randomized controlled trials. Sports Med 47(11):2323–2339 PubMed Farrokhyar F et al (2017) Effects of vitamin D supplementation on serum 25-hydroxyvitamin D concentrations and physical performance in athletes: a systematic review and meta-analysis of randomized controlled trials. Sports Med 47(11):2323–2339 PubMed
39.
Zurück zum Zitat Tomlinson PB, Joseph C, Angioi M (2015) Effects of vitamin D supplementation on upper and lower body muscle strength levels in healthy individuals. A systematic review with meta-analysis. J Sci Med Sport 18(5):575–580 PubMed Tomlinson PB, Joseph C, Angioi M (2015) Effects of vitamin D supplementation on upper and lower body muscle strength levels in healthy individuals. A systematic review with meta-analysis. J Sci Med Sport 18(5):575–580 PubMed
40.
Zurück zum Zitat Carswell AT et al (2018) Influence of vitamin D supplementation by sunlight or oral D3 on exercise performance. Med Sci Sports Exerc 50(12):2555–2564 PubMedPubMedCentral Carswell AT et al (2018) Influence of vitamin D supplementation by sunlight or oral D3 on exercise performance. Med Sci Sports Exerc 50(12):2555–2564 PubMedPubMedCentral
41.
Zurück zum Zitat Byers AW, Connolly G, Campbell WW (2020) Vitamin D status and supplementation impacts on skeletal muscle function: comparisons between young athletes and older adults. Curr Opin Clin Nutr Metab Care 23(6):421–427 PubMed Byers AW, Connolly G, Campbell WW (2020) Vitamin D status and supplementation impacts on skeletal muscle function: comparisons between young athletes and older adults. Curr Opin Clin Nutr Metab Care 23(6):421–427 PubMed
42.
Zurück zum Zitat Martineau AR et al (2017) Vitamin D supplementation to prevent acute respiratory tract infections: systematic review and meta-analysis of individual participant data. BMJ i6583:356 Martineau AR et al (2017) Vitamin D supplementation to prevent acute respiratory tract infections: systematic review and meta-analysis of individual participant data. BMJ i6583:356
43.
Zurück zum Zitat Khundmiri SJ, Murray RD, Lederer E (2016) PTH and vitamin D. Compr Physiol 6(2):561–601 PubMed Khundmiri SJ, Murray RD, Lederer E (2016) PTH and vitamin D. Compr Physiol 6(2):561–601 PubMed
44.
Zurück zum Zitat Sarra A et al (2013) Influence of developmental and hormonal factors on bone health in adolescent females: a cross-sectional study and review of the literature. J Pediatr Endocrinol Metab 26(3):239–246 PubMed Sarra A et al (2013) Influence of developmental and hormonal factors on bone health in adolescent females: a cross-sectional study and review of the literature. J Pediatr Endocrinol Metab 26(3):239–246 PubMed
45.
Zurück zum Zitat Välimäki VV et al (2004) Vitamin D status as a determinant of peak bone mass in young Finnish men. J Clin Endocrinol Metab 89(1):76–80 PubMed Välimäki VV et al (2004) Vitamin D status as a determinant of peak bone mass in young Finnish men. J Clin Endocrinol Metab 89(1):76–80 PubMed
46.
Zurück zum Zitat Mountjoy M et al (2014) The IOC consensus statement: beyond the female athlete triad—relative energy deficiency in sport (RED-S). Br J Sports Med 48(7):491–497 PubMed Mountjoy M et al (2014) The IOC consensus statement: beyond the female athlete triad—relative energy deficiency in sport (RED-S). Br J Sports Med 48(7):491–497 PubMed
47.
Zurück zum Zitat Mountjoy M et al (2018) IOC consensus statement on relative energy deficiency in sport (RED-S): 2018 update. Br J Sports Med 52(11):687–697 PubMed Mountjoy M et al (2018) IOC consensus statement on relative energy deficiency in sport (RED-S): 2018 update. Br J Sports Med 52(11):687–697 PubMed
48.
Zurück zum Zitat Baumgartner S (2021) Management der „female athlete triad“/RED‑S. J Gynäkol Endokrinol CH 24(1):32–38 Baumgartner S (2021) Management der „female athlete triad“/RED‑S. J Gynäkol Endokrinol CH 24(1):32–38
50.
Zurück zum Zitat Schwellnus M et al (2016) How much is too much? (Part 2) International Olympic Committee consensus statement on load in sport and risk of illness. Br J Sports Med 50(17):1043–1052 PubMed Schwellnus M et al (2016) How much is too much? (Part 2) International Olympic Committee consensus statement on load in sport and risk of illness. Br J Sports Med 50(17):1043–1052 PubMed
51.
Zurück zum Zitat Smolders J, Damoiseaux J (2011) Vitamin D as a T-cell modulator in multiple sclerosis. Vitam Horm 86:401–428 PubMed Smolders J, Damoiseaux J (2011) Vitamin D as a T-cell modulator in multiple sclerosis. Vitam Horm 86:401–428 PubMed
52.
53.
Zurück zum Zitat Maughan RJ et al (2018) IOC consensus statement: dietary supplements and the high-performance athlete. Br J Sports Med 52(7):439–455 PubMed Maughan RJ et al (2018) IOC consensus statement: dietary supplements and the high-performance athlete. Br J Sports Med 52(7):439–455 PubMed
54.
Zurück zum Zitat Walsh NP (2019) Nutrition and athlete immune health: new perspectives on an old paradigm. Sports Med 49(Suppl 2):153–168 PubMedPubMedCentral Walsh NP (2019) Nutrition and athlete immune health: new perspectives on an old paradigm. Sports Med 49(Suppl 2):153–168 PubMedPubMedCentral
55.
Zurück zum Zitat Tripkovic L et al (2012) Comparison of vitamin D2 and vitamin D3 supplementation in raising serum 25-hydroxyvitamin D status: a systematic review and meta-analysis. Am J Clin Nutr 95(6):1357–1364 PubMedPubMedCentral Tripkovic L et al (2012) Comparison of vitamin D2 and vitamin D3 supplementation in raising serum 25-hydroxyvitamin D status: a systematic review and meta-analysis. Am J Clin Nutr 95(6):1357–1364 PubMedPubMedCentral
56.
Zurück zum Zitat Bundesamt für Lebensmittelsicherheit und Veterinärwesen (2017) Fachinformation zu Vitamin D. BLV, Bern Bundesamt für Lebensmittelsicherheit und Veterinärwesen (2017) Fachinformation zu Vitamin D. BLV, Bern
57.
Metadaten
Titel
Vitamin-D-Supplementierung im Sport: Was sind die aktuellen Empfehlungen?
verfasst von
Dr. sc. nat. Joelle Leonie Flueck
Sabrina Baumgartner
Anneke Hertig-Godeschalk
Publikationsdatum
09.11.2021
Verlag
Springer Vienna
Erschienen in
Journal für Gynäkologische Endokrinologie/Schweiz / Ausgabe 4/2021
Print ISSN: 1995-6924
Elektronische ISSN: 2520-8500
DOI
https://doi.org/10.1007/s41975-021-00220-0