Vitamin D Metabolites Are Associated with Physical Performance in Young Healthy Adults

Med Sci Sports Exerc. 2022 Nov 1;54(11):1982-1989. doi: 10.1249/MSS.0000000000002987. Epub 2022 Jun 28.

Abstract

Purpose: This study aimed to determine vitamin D metabolites and vitamin D receptor (VDR) single-nucleotide polymorphism (SNP) relationships with physical performance.

Methods: In 1205 men and 322 women (94.8% White Caucasian, 22.0 ± 2.8 yr) commencing military training, we measured serum vitamin D metabolites (25-hydroxyvitamin D (25(OH)D) and 24,25-dihydroxyvitamin D (24,25(OH) 2 D) by high-performance liquid chromatography tandem mass spectrophotometry and 1,25-dihydroxyvitamin D (1,25(OH) 2 D) by immunoassay), VDR SNPs (rs2228570, rs4516035, and rs7139166 by polymerase chain reaction genotyping), and endurance performance by 2.4-km run, muscle strength by maximal dynamic lift, and muscle power by maximal vertical jump.

Results: Serum 25(OH)D was negatively associated with 2.4-km run time and positively associated with muscle power ( β = -12.0 and 90.1), 1,25(OH) 2 D was positively associated with run time and negatively associated with strength and muscle power ( β = 5.6, -1.06, and -38.4), and 24,25(OH) 2 D was negatively associated with run time ( β = -8.9; P < 0.01), after controlling for age, sex, smoking, alcohol, physical activity, time outdoors, season, and body mass index. Vitamin D metabolites (25(OH)D, 1,25(OH) 2 D, and 24,25(OH) 2 D) together explained variances of 5.0% in run time, 0.7% in strength, and 0.9% in muscle power (Δ F P < 0.001). All performance measures were superior with low 1,25(OH) 2 D:24,25(OH) 2 D ratio ( P < 0.05). VDR SNPs were not associated with physical performance (Δ FP ≥ 0.306).

Conclusions: Vitamin D metabolites accounted for a small portion of variance in physical performance. Associations between vitamin D metabolites and run time were the most consistent. VDR SNPs explained no variance in performance. Greater conversion of 25(OH)D to 24,25(OH) 2 D, relative to 1,25(OH) 2 D (i.e., low 1,25(OH) 2 D:24,25(OH) 2 D ratio), was favorable for performance, indicating 24,25(OH) 2 D may have a role in optimizing physical performance.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Calcifediol / blood
  • Female
  • Humans
  • Male
  • Military Personnel
  • Physical Functional Performance*
  • Polymorphism, Single Nucleotide
  • Receptors, Calcitriol* / genetics
  • Vitamin D* / blood

Substances

  • Calcifediol
  • Receptors, Calcitriol
  • Vitamin D
  • VDR protein, human