Vitamin D and Post-Exercise Muscle Recovery: Current Evidence on Exercise-Induced Muscle Damage, Inflammation and Regeneration: a narrative review
DOI:
https://doi.org/10.12775/QS.2026.70.74578Keywords
vitamin D, muscle recovery, exercise-induced muscle damage, skeletal muscle, athletic performance, supplementationAbstract
Background. Vitamin D plays a pleiotropic role in skeletal muscle physiology and may influence regeneration, inflammation, and adaptation to exercise. Suboptimal vitamin D status is frequently reported among athletes.
Aim. To critically synthesize current evidence on the role of vitamin D in post-exercise skeletal muscle recovery, exercise-induced muscle damage (EIMD), and athletic performance.
Material and methods. A literature search of PubMed, Scopus, and Web of Science (2012–2026) identified studies on vitamin D and muscle recovery, EIMD, inflammation, and performance. Given heterogeneity, findings were synthesized narratively; 32 publications were included.
Results. Skeletal muscle is a direct target of vitamin D signaling via receptors in myofibers and satellite cells. Findings on EIMD biomarkers and inflammation remain heterogeneous; benefits occur mainly with insufficient baseline 25(OH)D, though also reported in sufficient endurance athletes. Status varies with season, latitude, and sport type, and inadequacy is common. Evidence on injury risk is inconsistent overall but more consistent for stress fractures. Meta-analyses show no consistent ergogenic effect without deficiency.
Conclusions. Vitamin D is a supportive nutrient rather than a classical ergogenic aid. Effects depend largely on baseline status, supporting individualized supplementation.
References
1. Bello HJ, Caballero-García A, Pérez-Valdecantos D, Roche E, Noriega DC, Córdova A. Effects of vitamin D in post-exercise muscle recovery: a systematic review and meta-analysis. Nutrients. 2021;13(11):4013. https://doi.org/10.3390/nu13114013
2. Rojano-Ortega D, Berral-de la Rosa FJ. Effects of vitamin D supplementation on muscle function and recovery after exercise-induced muscle damage: a systematic review. J Hum Nutr Diet. 2023;36(3):1068-1078. https://doi.org/10.1111/jhn.13084
3. Pilch W, Kita B, Piotrowska A, et al. The effect of vitamin D supplementation on the muscle damage after eccentric exercise in young men: a randomized, control trial. J Int Soc Sports Nutr. 2020;17(1):53. https://doi.org/10.1186/s12970-020-00386-1
4. Liu MC, Weng PW, Chien LH, Kumar S, Yang MT. Immunologic, anti-inflammatory, and anti-muscle damage profile of supplemented vitamin D3 in healthy adults on strenuous endurance exercise. Biology (Basel). 2023;12(5):657. https://doi.org/10.3390/biology12050657
5. Mieszkowski J, Kochanowicz A, Niespodziński B, et al. Single high-dose vitamin D supplementation as an approach for reducing ultramarathon-induced inflammation. Nutrients. 2021;13(4):1280. https://doi.org/10.3390/nu13041280
6. Latham CM, Brightwell CR, Keeble AR, et al. Vitamin D Promotes Skeletal Muscle Regeneration and Mitochondrial Health. Front Physiol. 2021;12:660498. https://doi.org/10.3389/fphys.2021.660498
7. Dahlquist DT, Dieter BP, Koehle MS. Plausible ergogenic effects of vitamin D on athletic performance and recovery. J Int Soc Sports Nutr. 2015;12:33. https://doi.org/10.1186/s12970-015-0093-8
8. Sist M, Zou L, Galloway SDR, Rodriguez-Sanchez N. Effects of vitamin D supplementation on maximal strength and power in athletes: a systematic review and meta-analysis of randomized controlled trials. Front Nutr. 2023;10:1163313. https://doi.org/10.3389/fnut.2023.1163313
9. Zhang L, Quan M, Cao ZB. Effect of vitamin D supplementation on upper and lower limb muscle strength and muscle power in athletes: A meta-analysis. PLoS One. 2019 Apr 30;14(4):e0215826. https://doi.org/10.1371/journal.pone.0215826
10. Wyatt PB, Reiter CR, Satalich JR, et al. Effects of Vitamin D Supplementation in Elite Athletes: A Systematic Review. Orthop J Sports Med. 2024;12(1):23259671231220371. https://doi.org/10.1177/23259671231220371
11. Han Q, Li X, Tan Q, Shao J, Yi M. Effects of vitamin D3 supplementation on serum 25(OH)D concentration and strength in athletes: a systematic review and meta-analysis of RCTs. J Int Soc Sports Nutr. 2019;16(1):55. https://doi.org/10.1186/s12970-019-0323-6
12. Knechtle B, Nikolaidis PT. Vitamin D and Sport Performance. Nutrients. 2020;12(3):841. https://doi.org/10.3390/nu12030841
13. Żebrowska A, Sadowska-Krępa E, Stanula A, et al. The effect of vitamin D supplementation on serum total 25(OH) levels and biochemical markers of skeletal muscles in runners. J Int Soc Sports Nutr. 2020;17(1):18. https://doi.org/10.1186/s12970-020-00347-8
14. Saedmocheshi S, Amiri E, Mehdipour A, Stefani GP. The Effect of Vitamin D Consumption on Pro-Inflammatory Cytokines in Athletes: A Systematic Review of RCTs. Sports (Basel). 2024;12(1):32. https://doi.org/10.3390/sports12010032
15. Crescioli C. Vitamin D, exercise, and immune health in athletes: a narrative review. Front Immunol. 2022;13:954994. https://doi.org/10.3389/fimmu.2022.954994
16. Płudowski P, Kos-Kudła B, Walczak M, et al. Guidelines for Preventing and Treating Vitamin D Deficiency: A 2023 Update in Poland. Nutrients. 2023;15(3):695. https://doi.org/10.3390/nu15030695
17. Demay MB, Pittas AG, Bikle DD, et al. Vitamin D for the Prevention of Disease: An Endocrine Society Clinical Practice Guideline. J Clin Endocrinol Metab. 2024;109(8):1907-1947. https://doi.org/10.1210/clinem/dgae290
18. Giustina A, Bouillon R, Binkley N, et al. Consensus Statement on Vitamin D Status Assessment and Supplementation. Endocr Rev. 2024;45(5):625-654. https://doi.org/10.1210/endrev/bnae009
19. de la Puente Yagüe M, Collado Yurrita L, Ciudad Cabañas MJ, Cuadrado Cenzual MA. Role of Vitamin D in Athletes and Their Performance: Current Concepts and New Trends. Nutrients. 2020;12(2):579. https://doi.org/10.3390/nu12020579
20. Ip TS, Fu SC, Ong MT, Yung PS. Vitamin D deficiency in athletes: Laboratory, clinical and field integration. Asia Pac J Sports Med Arthrosc Rehabil Technol. 2022;29:22-29. https://doi.org/10.1016/j.asmart.2022.06.001
21. Dzik KP, Kaczor JJ. Mechanisms of vitamin D on skeletal muscle function: oxidative stress, energy metabolism and anabolic state. Eur J Appl Physiol. 2019;119:825–839. https://doi.org/10.1007/s00421-019-04104-x
22. Caballero-García A, Córdova-Martínez A, Vicente-Salar N, Roche E, Pérez-Valdecantos D. Vitamin D, Its Role in Recovery after Muscular Damage Following Exercise. Nutrients. 2021;13(7):2336. https://doi.org/10.3390/nu13072336
23. Owens DJ, Allison R, Close GL. Vitamin D and the Athlete: Current Perspectives and New Challenges. Sports Med. 2018 Mar;48(Suppl 1):3-16. https://doi.org/10.1007/s40279-017-0841-9
24. Maai N, Frank FA, Meuris A, Ferreira N. Association Between Vitamin D and Musculoskeletal Injuries: A Systematic Review. Cureus. 2025 Apr 18;17(4):e82495. https://doi.org/10.7759/cureus.82495
25. Rawson ES, Miles MP, Larson-Meyer DE. Dietary Supplements for Health, Adaptation, and Recovery in Athletes. Int J Sport Nutr Exerc Metab. 2018;28(2):188-199. https://doi.org/10.1123/ijsnem.2017-0340
26. Maai N, Frank FA, Meuris A, Ferreira N. Effect of Vitamin D on athletic performance: A systematic review. J Hum Sport Exerc. 2025;20(3):771-786. https://doi.org/10.55860/r03ayc39
27. Abrahamsen B, Harvey NC. Vitamin D supplementation for musculoskeletal health outcomes in adults - The end of the beginning? Maturitas. 2019 Apr;122:87-88. https://doi.org/10.1016/j.maturitas.2018.10.011
28. Agoncillo M, Yu J, Gunton JE. The Role of Vitamin D in Skeletal Muscle Repair and Regeneration in Animal Models and Humans: A Systematic Review. Nutrients. 2023;15(20):4377. https://doi.org/10.3390/nu15204377
29. Barker T, Henriksen VT, Martins TB, et al. Higher serum 25-hydroxyvitamin D concentrations associate with a faster recovery of skeletal muscle strength after muscular injury. Nutrients. 2013;5(4):1253-75. https://doi.org/10.3390/nu5041253
30. Farrokhyar F, Tabasinejad R, Dao D, et al. Prevalence of Vitamin D Inadequacy in Athletes: A Systematic-Review and Meta-Analysis. Sports Med. 2015;45(3):365-78. https://doi.org/10.1007/s40279-014-0267-6
31. Tripkovic L, Lambert H, Hart K, et al. 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. 2012;95(6):1357-64. https://doi.org/10.3945/ajcn.111.031070
32. Maughan RJ, Burke LM, Dvorak J, et al. IOC Consensus Statement: Dietary Supplements and the High-Performance Athlete. Int J Sport Nutr Exerc Metab. 2018;28(2):104-125. https://doi.org/10.1123/ijsnem.2018-0020
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Copyright (c) 2026 Kamila Tarnawska, Aleksandra Syguda, Weronika Matyja, Weronika Ścieglińska, Agnieszka Szcześniak, Anna Strózik

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