Evidence map›Paper›PMID 40452696›Full record

ArticleCureus2025

Supplemental Vitamin D3 for the Prevention of Bone Stress Injuries in Collegiate Athletes.

Kevin Williams, Christian Askew, Daniel Hughes, Jeffrey A Guy, J Benjamin Jackson Iii, Chase Gauthier

Abstract read
In one paragraph

Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Review
  2. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Kevin WilliamsDepartment of Orthopaedic Surgery, University of Alabama at Birmingham School of Medicine, Birmingham, USA.
Christian AskewDepartment of Orthopaedic Surgery, Prisma Health Midlands, Columbia, USA.
Daniel HughesDepartment of Orthopaedic Surgery, University of Tennessee College of Medicine Chattanooga, Chattanooga, USA.
Jeffrey A GuyDepartment of Orthopaedic Surgery, Prisma Health Midlands, Columbia, USA.
J Benjamin Jackson IiiDepartment of Orthopaedic Surgery, Prisma Health Midlands, Columbia, USA.
Chase GauthierDepartment of Orthopaedic Surgery, Prisma Health Midlands, Columbia, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundVitamin D is vital for bone mineralization and turnover. Athletes are prone to bone stress injuries (BSIs) when repetitive forces exceed the bone's remodeling capacity. Our study aims to determine if providing supplemental vitamin D to collegiate athletes reduces the incidence of BSIs in this population. HYPOTHESIS: Providing supplemental vitamin D to collegiate athletes will reduce the incidence of BSIs in this population. STUDY

designThis is a prospective cohort study, with a level of evidence of II, which means a lesser-quality prospective cohort with a retrospective comparative cohort.

methodsTwo hundred and forty-five collegiate athletes were enrolled from a single institution. Serum 25-hydroxycholecalciferol (25(OH)D) status was measured twice: once in August and once in February. All athletes were provided and subsequently supplemented with 50,000 IU vitamin D3 taken orally once per week for eight weeks. Athletes were monitored during the school year for BSIs. These data were then compared to retrospective stress fracture reports from 2010 to 2015, during which athletes' vitamin D was not screened nor supplemented.

resultsThe athletes tested showed seasonal decreases in 25(OH)D levels, but these were consistent across variations in sex and sport. The overall incidence rate of fractures during the season receiving vitamin D supplementation (one of 245, 0.41%) was lower than the cumulative incidence rate of fractures during the five seasons with no supplementation (41 of 1974, 2.08%) with an absolute difference of 1.67%; however, the incidence rate difference was not statistically significant (p=0.073).

conclusionThis study shows that vitamin D supplementation reduces the incidence of BSI in collegiate athletes, although not significantly so.Further studies are needed to characterize whether vitamin D supplementation can reduce fractures in collegiate athletes. CLINICAL RELEVANCE: Vitamin D supplementation in collegiate athletes may reduce the overall incidence of BSIs in this cohort.

Indexed as

athletesncaa athletesstress fracturevitamin dvitamin supplementation

Identifiers

PMID40452696
PMCPMC12126936

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.