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Quality in Sport

A Review of the Influence of Vitamin D Deficiency on Muscle Strength and Exercise Performance in Adults
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  • A Review of the Influence of Vitamin D Deficiency on Muscle Strength and Exercise Performance in Adults
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A Review of the Influence of Vitamin D Deficiency on Muscle Strength and Exercise Performance in Adults

Authors

  • Weronika Popow ORLIK Medical Clinic Sp. z.o.o. Motorowa 6, 04-041 Warszawa https://orcid.org/0009-0005-6680-0750
  • Paulina Sadkowska Samodzielny Publiczny Zespół Zakładów Opieki Zdrowotnej w Kozienicach Aleja Generała Władysława Sikorskiego 10, 26-900 Kozienice https://orcid.org/0009-0000-7409-2460
  • Katarzyna Jania Powiatowe Centrum Zdrowia w Otwocku Sp. z.o.o. Batorego 44, 05-400 Otwock https://orcid.org/0009-0004-4399-1016
  • Karolina Smolińska University Clinical Centre of the Medical University of Warsaw, The Infant Jesus Clinical Hospital Lindleya 4, 02-005 Warszawa https://orcid.org/0009-0001-4115-0297
  • Julia Kulczycka Mazovia Rehabilitation Center STOCER Włodzimierz Roefler Hospital Warsztatowa 1, 05-800 Pruszków https://orcid.org/0009-0009-9624-8273
  • Michał Ciołkosz Czerniakowski Hospital Stępińska 19/25, 00-739 Warszawa https://orcid.org/0009-0008-7330-7069
  • Tomasz Antczak Warsaw Medical University Żwirki i Wigury 61, 02-091 Warszawa https://orcid.org/0009-0006-3407-0981
  • Monika Gajda-Bathelt Beskid Oncology Center - Municipal Hospital of John Paul II in Bielsko-Biała Wyzwolenia 18, 43-300 Bielsko-Biała https://orcid.org/0009-0006-6231-607X
  • Monika Dąbek Mazovia Rehabilitation Center STOCER Włodzimierz Roefler Hospital Warsztatowa 1, 05-800 Pruszków https://orcid.org/0009-0008-4403-556X
  • Zuzanna Perlicka Beskid Oncology Center - Municipal Hospital of John Paul II in Bielsko-Biała Wyzwolenia 18, 43-300 Bielsko-Biała https://orcid.org/0009-0000-6153-7299

DOI:

https://doi.org/10.12775/QS.2025.43.62325

Keywords

Vitamin D, deficiency, muscle endurance, adults, dietary supplementation, Exercise benefits

Abstract

Background: Vitamin D plays a crucial role in maintaining musculoskeletal health. A growing body of evidence links vitamin D deficiency with decreased muscle strength and suboptimal exercise performance in adults.

Aim: This review aims to synthesize existing research on the effects of vitamin D deficiency on muscle strength and exercise efficiency in adults, identifying the physiological mechanisms involved and discussing the potential clinical implications.

Materials and Methods: A comprehensive literature search was conducted using PubMed, Scopus, and Web of Science databases. Studies included original research, systematic reviews, and meta-analyses published in English between 2000 and 2024. Keywords used included "vitamin D," "muscle strength," "exercise performance," "deficiency," and "adults."

Results: Most studies support a positive association between adequate vitamin D levels and improved muscle function. Deficiency is linked with reduced type II muscle fiber size, impaired neuromuscular function, and increased inflammation. Supplementation with vitamin D, particularly in individuals with vitamin D deficiency, often results in improved muscle strength and exercise performance, although findings vary by study design and population.

Conclusions: Vitamin D deficiency negatively affects muscle strength and exercise capacity in adults. Clinicians should consider monitoring and correcting vitamin D levels, particularly in populations at risk of deficiency. Future research should focus on identifying optimal dosing strategies and the long-term effects of supplementation.

References

Agoncillo, Miguel, Lucy J. O'Brien, Kelly D. Banfield, et al. 2023. "The Role of Vitamin D in

Skeletal Muscle Repair and Regeneration in Animal Models and Humans: A Systematic

Review." Nutrients 15 (20): 4377. https://doi.org/10.3390/nu15204377.

Avenell, Alison, William J. Gillespie, Lesley D. Gillespie, and David O'Connell. 2014. "Vitamin

D and Vitamin D Analogues for Preventing Fractures in Post-Menopausal Women and

Older Men." Cochrane Database of Systematic Reviews 2014 (4): CD000227.

https://doi.org/10.1002/14651858.CD000227.pub4.

Bajwa, Namra S., Sophie S. F. Law, Amy C. Wallace, et al. 2020. "The Impact of Vitamin D

Deficiency on Muscle Health." International Journal of Molecular Sciences 21 (3): 689.

https://doi.org/10.3390/ijms21030689.

Barker, Tyler, Michael Henriksen, Nicolas E. Martins, et al. 2016. "Circulating Prostaglandin E2

Levels in Women with Chronic Low Back Pain after Spinal Manipulation Therapy: A Pilot

Study." Journal of Manipulative and Physiological Therapeutics 39 (3): 202–209.

https://doi.org/10.1016/j.jmpt.2016.02.012.

Beaudart, Charlotte, François Buckinx, Virginie Rabenda, et al. 2014. "The Effects of Vitamin

D on Skeletal Muscle Strength, Muscle Mass, and Muscle Power: A Systematic Review

and Meta-Analysis of Randomized Controlled Trials." Journal of Clinical Endocrinology &

Metabolism 99 (11): 4336–4345. https://doi.org/10.1210/jc.2014-1742.

Bello, Hugo J., Francisco José Grijota, Jorge López-González, et al. 2021. "Effects of Vitamin

D in Post-Exercise Muscle Recovery: A Systematic Review and Meta-Analysis." Nutrients

13 (11): 4013. https://doi.org/10.3390/nu13114013.

Bischoff-Ferrari, Heike A., Walter C. Willett, Barry Dawson-Hughes, et al. 2008. "Effect of

Vitamin D on Falls: A Meta-Analysis." JAMA 299 (5): 553–560.

https://doi.org/10.1001/jama.299.5.553.

Bischoff-Ferrari, Heike A., Eva J. Orav, Hans B. Stahelin, et al. 2010. "Serum 25-Hydroxyvitamin

D and Functional Outcomes in Elderly Patients with Hip Fracture." PLoS Medicine 7 (8):

e1001104. https://doi.org/10.1371/journal.pmed.1001104.

Cannell, John J., Thomas C. Hollis, Bruce W. Zasloff, et al. 2009. “Vitamin D and Athletes: Current

Perspectives and New Challenges.” Journal of Sports Sciences 27 (8): 803–819.

https://doi.org/10.1080/02640410902966740.

Cashman, Kevin D., Mairead Kiely, and Michael F. Holick. 2020. "Vitamin D Deficiency in Europe:

Pandemic?" American Journal of Clinical Nutrition 112 (3): 564–573.

https://doi.org/10.1093/ajcn/nqaa155.

Chapuy, Marie C., Monique E. Arlot, Francine Duboeuf, et al. 1992. "Vitamin D3 and Calcium to

Prevent Hip Fractures in Elderly Women." New England Journal of Medicine 327 (23):

1637–1642. https://doi.org/10.1056/NEJM199212033272305.

Ceglia, Lisa. 2009. “Vitamin D and Its Role in Skeletal Muscle.” Current Opinion in Clinical Nutrition &

Metabolic Care 12 (6): 628–633. https://doi.org/10.1097/MCO.0b013e328332a4ce.

Churchward-Venne, Tyler A., and Stuart M. Phillips. 2020. "Muscle Mass and Muscle Strength: Is

There a Relationship in Young Adults?" European Journal of Applied Physiology 120 (7):

1511–1525. https://doi.org/10.1007/s00421-020-04392-z.

Cunningham, John J., and S. I. Sprague. 2022. "Vitamin D and Muscle Function: Testing the

Hypothesis." Nutrients 14 (1): 172. https://doi.org/10.3390/nu14010172.

Dirks-Naylor, Amie J. 2017. "The Effects of Vitamin D on Skeletal Muscle Function and Cellular

Signaling." Journal of Steroid Biochemistry and Molecular Biology 173: 200–206.

https://doi.org/10.1016/j.jsbmb.2017.04.007.

Dzik, Katarzyna P., and Jakub J. Kaczor. 2019. "Mechanisms of Vitamin D on Skeletal Muscle

Function: Oxidative Stress, Energy Metabolism and Anabolic State." European Journal of

Applied Physiology 119 (4): 825–839. https://doi.org/10.1007/s00421-019-04104-x.

Girgis, Christian M., Richard J. Clifton-Bligh, Michael W. Hamrick, Michael F. Holick, and Jenny

E. Gunton. 2013. "The Roles of Vitamin D in Skeletal Muscle: Form, Function, and

Metabolism." Endocrine Reviews 34 (1): 33–83. https://doi.org/10.1210/er.2012-1012.

Hill, Thomas R., Mairead Kiely, and Kevin D. Cashman. 2019. "Vitamin D Status and

Age-Related Health Outcomes in the Elderly." Nutrients 11 (12): 3011.

https://doi.org/10.3390/nu11123011.

Holick, Michael F. 2007. "Vitamin D Deficiency." New England Journal of Medicine 357 (3):

266–281. https://doi.org/10.1056/NEJMra070553.

Hollis, Bruce W., Carol L. Wagner, Mark K. Drezner, and Neil C. Binkley. "Circulating Vitamin D3 and

25-Hydroxyvitamin D in Humans: An Important Tool to Define Adequate Nutritional Vitamin D

Status." Journal of Steroid Biochemistry and Molecular Biology 103, no. 3-5 (2007): 631–634.

https://doi.org/10.1016/j.jsbmb.2006.12.066.

Koukoulis, Georgios N., Evangelos G. Nassis, and Mary Hassapidou. 2013. "The Role of

Physical Activity on Bone Density and Quality in Adult Individuals." Sports Medicine 43

(11): 987–1000. https://doi.org/10.1007/s40279-013-0080-2.

Książek, Anna, Agata Zagrodna, Gaetano Lombardi, and Marta Słowińska-Lisowska. 2023.

"Seasonal Changes in Free 25-(OH)D and Vitamin D Metabolite Ratios and Their

Relationship with Psychophysical Stress Markers in Male Professional Football Players."

Frontiers in Physiology 14: 1258678. https://doi.org/10.3389/fphys.2023.1258678.

Latham, Christine M., Charles R. Brightwell, Andrew R. Keeble, et al. 2021. "Vitamin D Promotes

Skeletal Muscle Regeneration and Mitochondrial Health." Frontiers in Physiology 12:

660498. https://doi.org/10.3389/fphys.2021.660498.

Lin, Liang-Yu, Liam Smeeth, Sinead Langan, and Charlotte Warren-Gash. "Distribution of Vitamin D

Status in the UK: A Cross-Sectional Analysis of UK Biobank." BMJ Open 11, no. 1 (2021):

e038503. https://doi.org/10.1136/bmjopen-2020-038503.

Lombardi, Giovanni, Jessica A. Vitale, Sabrina Logoluso, et al. 2017. "Circannual Rhythm of

Plasmatic Vitamin D Levels and the Association with Markers of Psychophysical Stress in

a Cohort of Italian Professional Soccer Players." Chronobiology International 34 (4):

471–479. https://doi.org/10.1080/07420528.2017.1299676.

Lu, Liang, Xi Zhang, Min Li, Yanan Shen, et al. 2019. "Vitamin D Status and Risk of Dementia

and Alzheimer's Disease: A Meta-Analysis of Dose-Response Studies." Medicine

(Baltimore) 98 (22): e16345. https://doi.org/10.1097/MD.0000000000016345.

Minshull, Claire, Lynne C. Biant, Stuart H. Ralston, and Neil Gleeson. 2016. "A Systematic

Review of the Role of Vitamin D on Neuromuscular Remodelling Following Exercise and

Injury." Calcified Tissue International 98 (5): 426–437.

https://doi.org/10.1007/s00223-015-0093-y.

Muir, Scott W., and Susan Montero-Odasso. 2011. "Effect of Vitamin D Supplementation on

Muscle Strength, Gait and Balance in Older Adults: A Systematic Review and

Meta-Analysis." Journal of the American Geriatrics Society 59 (12): 2291–2300.

https://doi.org/10.1111/j.1532-5415.2011.03733.x.

Owens, Daniel J., Richard Allison, and Graeme L. Close. "Vitamin D and the Athlete: Current Perspectives

and New Challenges." Sports Medicine 48, suppl. 1 (2018): 3–16.

https://doi.org/10.1007/s40279-017-0841-9.

Orysiak, Joanna, Joanna Mazur-Rozycka, John Fitzgerald, Michal Starczewski, Jadwiga

Malczewska-Lenczowska, and Krzysztof Busko. "Vitamin D Status and Its Relation to Exercise

Performance and Iron Status in Young Ice Hockey Players." PLoS ONE 13, no. 4 (2018):

e0195284. https://doi.org/10.1371/journal.pone.0195284.

Pludowski, Pawel, Michael F. Holick, William B. Grant, Jerzy Konstantynowicz, Mario R. Mascarenhas,

Afrozul Haq, Vladyslav Povoroznyuk, Nataliya Balatska, Ana Paula Barbosa, Tatiana Karonova,

Ema Rudenka, Waldemar Misiorowski, Irina Zakharova, Alena Rudenka, Jacek Łukaszkiewicz,

Ewa Marcinowska-Suchowierska, Natalia Łaszcz, Pawel Abramowicz, Harjit P. Bhattoa, and

Sunil J. Wimalawansa. "Vitamin D Supplementation Guidelines." Journal of Steroid Biochemistry

and Molecular Biology 175 (2018): 125–135. https://doi.org/10.1016/j.jsbmb.2017.01.021.

Reis, Nadine G., Amanda P. Assis, Daniela A. Gonçalves, et al. 2022. "Maternal Vitamin

D Deficiency Affects the Morphology and Function of Glycolytic Muscle in Adult

Offspring Rats." Journal of Cachexia, Sarcopenia and Muscle 13 (4): 2175–2187.

https://doi.org/10.1002/jcsm.12991.

Rondanelli, Mariangela, Catherine Klersy, Gilles Terracol, Jacopo Talluri, Roberto Maugeri, Davide

Guido, Milena A. Faliva, Bruno S. Solerte, Marisa Fioravanti, Henry Lukaski, and Simone Perna.

"Whey Protein, Amino Acids, and Vitamin D Supplementation with Physical Activity Increases

Fat-Free Mass and Strength, Functionality, and Quality of Life and Decreases Inflammation in Sarcopenic Elderly." American Journal of Clinical Nutrition 103, no. 3 (2016): 830–840. https://doi.org/10.3945/ajcn.115.113357.

Russo, Cristina, Maria Stella Valle, Antonio Casabona, et al. 2022. "Vitamin D Impacts on

Skeletal Muscle Dysfunction in Patients with COPD Promoting Mitochondrial

Health." Biomedicines 10 (4): 898.

https://doi.org/10.3390/biomedicines10040898.

Srikuea, Ratarak, and Mananya Hirunsai. 2016. "Effects of Intramuscular Administration

of 1α,25(OH)2D3 during Skeletal Muscle Regeneration on Regenerative

Capacity, Muscular Fibrosis, and Angiogenesis." Journal of Applied Physiology

(Bethesda, Md. : 1985) 120 (12): 1381–1393.

https://doi.org/10.1152/japplphysiol.01078.2015.

Todd, Joshua J., Emeir M. McSorley, L. Kirsty Pourshahidi, Sharon M. Madigan, Eamon Laird, Martin

Healy, and Pamela J. Magee. "Vitamin D3 Supplementation Using an Oral Spray Solution

Resolves Deficiency but Has No Effect on VO2 Max in Gaelic Footballers: Results from a

Randomised, Double-Blind, Placebo-Controlled Trial." European Journal of Nutrition 56, no. 4

(2017): 1577–1587. https://doi.org/10.1007/s00394-016-1202-4.

Zeng, Zhe, Bingyu Xi, Yifan Ma, et al. 2024. "Adenosine A1 Receptor-Mediated

Regulation of Interleukin-6 Expression by Human Microglial Cells." Frontiers in

Cellular Neuroscience 18: 19. https://doi.org/10.3389/fncel.2024.1198257.

Zhang, Fan, and Wenjian Li. "The Complex Relationship between Vitamin D and Kidney

Stones: Balance, Risks, and Prevention Strategies." Frontiers in Nutrition 11 (2024):

1435403. https://doi.org/10.3389/fnut.2024.1435403.

Zittermann, Armin, Stefan Pilz, Winfried März, and Stefan R. von Flüe. 2019. "Vitamin D

and Cardiovascular Disease." Current Opinion in Lipidology 30 (5): 391–398.

https://doi.org/10.1097/MOL.0000000000000621.

Quality in Sport

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Published

2025-07-11

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POPOW, Weronika, SADKOWSKA, Paulina, JANIA, Katarzyna, SMOLIŃSKA, Karolina, KULCZYCKA, Julia, CIOŁKOSZ, Michał, ANTCZAK, Tomasz, GAJDA-BATHELT, Monika, DĄBEK, Monika and PERLICKA, Zuzanna. A Review of the Influence of Vitamin D Deficiency on Muscle Strength and Exercise Performance in Adults. Quality in Sport. Online. 11 July 2025. Vol. 43, p. 62325. [Accessed 31 December 2025]. DOI 10.12775/QS.2025.43.62325.
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Copyright (c) 2025 Weronika Popow, Paulina Sadkowska, Katarzyna Jania, Karolina Smolińska, Julia Kulczycka, Michał Ciołkosz, Tomasz Antczak, Monika Gajda-Bathelt, Monika Dąbek, Zuzanna Perlicka

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