Vitamins are essential organic micronutrients that are vital for maintaining good health and normal physiological function, as they primarily perform necessary metabolic functions. However, they do not supply energy directly to the body.
Vitamins are typically classified based on their solubility:
Some vitamins are contained within dietary fat, carried by fat in the blood, and dissolved and stored in the body's fat tissues. Because of this, it can take a long time—sometimes years—for a deficiency to develop. It is important to note that consumption of vitamins A, D, E, and K above the recommended level is potentially dangerous and can lead to toxic effects.
This group includes the B vitamins and Vitamin C. They are easily dissolved in water and transported in the blood. Excess amounts are typically excreted in the urine, so they must be consumed regularly to maintain optimal levels.
Vitamin D: Bone Health and Nutrient Absorption
Vitamin D is an essential micronutrient recognized for its critical role in skeletal health and metabolism. Specifically, it enhances the absorption of calcium and phosphate in the gastrointestinal tract and is necessary for regulating calcium levels, which is crucial for bone formation and strength. Adequate intake of both macronutrients and micronutrients is necessary for overall health and physiological function.
The primary source of Vitamin D is sunlight exposure, which facilitates its synthesis in the skin. The body cannot produce sufficient Vitamin D without sunlight, so it must also be obtained through diet or supplementation. Excellent dietary sources include fortified beverages (such as milk, orange juice, and soy beverages), fatty fish, fortified yogurt, and egg yolks. It is also commonly added to dairy products, breads, and cereals.
Athletes face unique risks for Vitamin D deficiency, especially those involved in indoor sports like basketball, gymnastics, and figure skating, due to insufficient sunlight exposure. Female athletes may also have marginal intake. Overall, low Vitamin D status is common among athletes and dancers who train indoors.
Vitamin A: Vision, Growth, and Immune Support
Vitamin A is a fat-soluble vitamin, carried by fat in the blood and stored in the body’s fat tissues, like other fat-soluble vitamins (D, E, and K). It plays several crucial physiological roles:Supports vision, Maintains healthy teeth and body tissues, Supports mucous membranes and skin health, Promotes growth and reproduction, Enhances immune function.
Vitamin A can be obtained in two main forms: the active form (retinol) from animal sources, and the precursor form (carotenoids) from plant sources. Retinol is found in liver, egg yolks, butter, and fortified dairy products. Carotenoids, such as beta-carotene, are found in colorful fruits and vegetables like carrots, sweet potatoes, spinach, and tomatoes, which the body converts into active Vitamin A as needed.
Vitamin A is potentially the most toxic vitamin in human nutrition. Toxicity occurs almost exclusively from chronic supplemental intake of retinol, since reaching toxic levels through food alone is difficult. Symptoms of excessive intake include dry skin, severe headaches, joint and bone pain, vomiting, peeling skin, and irritability. Chronic excessive intake may result in liver damage, bone malformations, or even death. Therefore, the UL for preformed Vitamin A (retinol) is 3,000 mcg/day for adults.
Vitamin E: Antioxidant and Tissue Protection
Vitamin E is a fat-soluble vitamin and a potent antioxidant, essential for tissue function and overall health. It works together with iron, zinc, Vitamin A, Vitamin B6, and Vitamin B12 to help maintain the immune system, particularly against immunosuppression from strenuous physical activity.
Good dietary sources include polyunsaturated and monounsaturated vegetable and cereal oils, such as corn, soy, safflower, and olive oils. Green leafy vegetables, nuts, and seeds are also excellent sources.
However, studies on Vitamin E supplementation have shown no improvement in strength or endurance among athletes. For example, one study providing 800 IU/day for two months before a triathlon found that supplementation promoted lipid peroxidation and inflammation during exercise. This demonstrates the principle that “more than enough is not better than enough.” Excessive antioxidant supplementation may inhibit the adaptive response to training by blunting the body’s natural defense systems, such as the upregulation of antioxidant enzymes.
Vitamin K: Blood Clotting and Bone Strength
Vitamin K is a fat-soluble vitamin with several vital roles. Most importantly, it is essential for the formation of prothrombin, a key protein required for blood clotting. Being fat-soluble, it is carried in the fat portion of foods, supporting tissue function and overall health. Additionally, Vitamin K enhances osteocalcin function, which aids in bone strengthening and maintenance.
Vitamin K is primarily found in green leafy vegetables, with dark green varieties like cabbage and spinach being rich in phylloquinone (Vitamin K1). Other cruciferous vegetables such as broccoli, cauliflower, and Brussels sprouts are also good sources. It is also found in vegetable oils, meat, eggs, fish, cereals, and fruits.
Although Vitamin K deficiency is rare, insufficient levels can lead to health problems, including increased bleeding or hemorrhages due to impaired clotting. Inadequate intake has been linked to low bone mineral density (BMD) and a higher risk of fractures. Studies show that women consuming at least 110 mcg/day have a significantly lower risk of hip fractures compared to those with lower intake, highlighting the vitamin’s essential role in both blood health and bone integrity.
In conclusion, vitamins are indispensable nutrients for an athlete’s health and performance. They support vital bodily functions, enhance immunity, maintain bone and muscle strength, and help the body adapt to physical stress from training. From Vitamin D, crucial for bone health, to Vitamin A for vision and growth, Vitamin E as an antioxidant, and Vitamin K for clotting and bone integrity, each vitamin plays a specific and complementary role. Athletes must ensure adequate and balanced intake through diet or supplementation to achieve optimal health and peak performance in the long term.