Influence of Vitamin D Supplementation by Simulated Sunlight or Oral D3 on Respiratory Infection during Military Training

Autor: Jason P. Edwards, Alexander T. Carswell, Sophie E Harrison, Lesley E. Rhodes, Laurel M. Wentz, William D. Fraser, Ross Roberts, Rachel M. Izard, Samuel J. Oliver, Daniel S. Kashi, Sarah E Jackson, Julie P. Greeves, Neil P. Walsh, Jonathan Tang, Donald Allan
Rok vydání: 2021
Předmět:
Zdroj: Medicine and Science in Sports and Exercise
ISSN: 1530-0315
Popis: Purpose This study aimed to determine the relationship between vitamin D status and upper respiratory tract infection (URTI) of physically active men and women across seasons (study 1) and then to investigate the effects on URTI and mucosal immunity of achieving vitamin D sufficiency (25(OH)D ≥50 nmol·L−1) by a unique comparison of safe, simulated sunlight or oral D3 supplementation in winter (study 2). Methods In study 1, 1644 military recruits were observed across basic military training. In study 2, a randomized controlled trial, 250 men undertaking military training received placebo, simulated sunlight (1.3× standard erythemal dose, three times per week for 4 wk and then once per week for 8 wk), or oral vitamin D3 (1000 IU·d−1 for 4 wk and then 400 IU·d−1 for 8 wk). URTI was diagnosed by a physician (study 1) and by using the Jackson common cold questionnaire (study 2). Serum 25(OH)D, salivary secretory immunoglobulin A (SIgA), and cathelicidin were assessed by liquid chromatography–mass spectrometry LC-MS/MS and enzyme-linked immunosorbent assay. Results In study 1, only 21% of recruits were vitamin D sufficient during winter. Vitamin D–sufficient recruits were 40% less likely to suffer URTI than recruits with 25(OH)D 0.05). Supplementation did not affect salivary secretory immunoglobulin A or cathelicidin. Conclusion Vitamin D sufficiency reduced the URTI burden during military training.
Databáze: OpenAIRE