Medicina (Mar 2021)

Vitamin D and Stress Fractures in Sport: Preventive and Therapeutic Measures—A Narrative Review

  • Beat Knechtle,
  • Zbigniew Jastrzębski,
  • Lee Hill,
  • Pantelis T. Nikolaidis

DOI
https://doi.org/10.3390/medicina57030223
Journal volume & issue
Vol. 57, no. 3
p. 223

Abstract

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There are numerous risk factors for stress fractures that have been identified in literature. Among different risk factors, a prolonged lack of vitamin D (25(OH)D) can lead to stress fractures in athletes since 25(OH)D insufficiency is associated with an increased incidence of a fracture. A 25(OH)D value of 3, calcium, creatinine, and parathyroid hormone. In case of a deficiency of 25(OH)D, normal blood levels of ≥30 ng/mL may be restored by optimizing the athlete’s lifestyle and, if appropriate, an oral substitution of 25(OH)D. Very recent studies suggested that the prevalence of stress fractures decreased when athletes are supplemented daily with 800 IU 25(OH)D and 2000 mg calcium. Recommendations of daily 25(OH)D intake may go up to 2000 IU of 25(OH)D per day.

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