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Driscoll, T. B.

Publications and source records attributed to Driscoll, T. B..

13 records
All sourcesNASA NTRSDOE OSTI
NASA NTRS2004

Resistance exercise as a countermeasure to disuse-induced bone loss

During spaceflight, skeletal unloading results in loss of bone mineral density (BMD). This occurs primarily in the spine and lower body regions. This loss of skeletal mass could prove hazardous to astronauts on flights of long duration. In this study, intense resistance exercise was used to test whether a training regimen would prevent the loss of BMD that accompanies disuse. Nine subjects (5 men, 4 women) participated in a supine maximal resistance exercise training program during 17 wk of horizontal bed rest. These subjects were compared with 18 control subjects (13 men, 5 women) who followed the same bed rest protocol without exercise. Determination of treatment effect was based on measures of BMD, bone metabolism markers, and calcium balance obtained before, during, and after bed rest. Exercisers and controls had significantly (P < 0.05) different means, represented by the respective following percent changes: lumbar spine BMD, +3% vs. -1%; total hip BMD, +1% vs. -3%; calcaneus BMD, +1% vs. -9%; pelvis BMD, -0.5% vs. -3%; total body BMD, 0% vs. -1%; bone-specific alkaline phosphatase, +64% vs. 0%; alkaline phosphatase, +31% vs. +5%; osteocalcin, +43% vs. +10%; 1,25 dihydroxyvitamin D, +12% vs. -15%; parathyroid hormone intact molecule, +18% vs. -25%; and serum and ionized calcium, -1% vs. +1%. The difference in net calcium balance was also significant (+21 mg/day vs. -199 mg/day, exercise vs. control). The gastrocnemius and soleus muscle volumes decreased significantly in the exercise group, but the loss was significantly less than observed in the control group. The results indicate that resistance exercise had a positive treatment effect and thus might be useful as a countermeasure to prevent the deleterious skeletal changes associated with long-duration spaceflight.

Clinical Trial↗
NASA NTRS1997

Neocytolysis: physiological down-regulator of red-cell mass

It is usually considered that red-cell mass is controlled by erythropoietin-driven bone marrow red-cell production, and no physiological mechanisms can shorten survival of circulating red cells. In adapting to acute plethora in microgravity, astronauts' red-cell mass falls too rapidly to be explained by diminished red-cell production. Ferrokinetics show no early decline in erythropolesis, but red cells radiolabelled 12 days before launch survive normally. Selective destruction of the youngest circulating red cells-a process we call neocytolysis-is the only plausible explanation. A fall in erythropoietin below a threshold is likely to initiate neocytolysis, probably by influencing surface-adhesion molecules. Recognition of neocytolysis will require re-examination of the pathophysiology and treatment of several blood disorders, including the anaemia of renal disease.

Review, Tutorial↗
NASA NTRS1996

Control of red blood cell mass during spaceflight

Data are reviewed from twenty-two astronauts from seven space missions in a study of red blood cell mass. The data show that decreased red cell mass in all astronauts exposed to space for more than nine days, although the actual dynamics of mass changes varies with flight duration. Possible mechanisms for these changes, including alterations in erythropoietin levels, are discussed.

STS Shuttle Project↗
NASA NTRS1977

Prolonged weightlessness effect on postflight plasma thyroid hormones

Blood drawn before and after spaceflight from the nine Skylab astronauts showed a statistically significant increase in mean plasma thyroxine (T-4) of 1.4 micro g/dl and in thyroid-stimulating hormone (TSH) of 4 microunits ml. Concurrent triiodothyronine (T-3) levels decreased 27 ng/dl indicating inhibited conversion of T-4 to T-3. The T-3 decrease is postulated to be a result of the increased cortisol levels noted during and following each mission. These results confirm the thyroidal changes noted after the shorter Apollo flights and show that thyroid hormone levels change during spaceflight.

Leach, C. S.↗
NASA NTRS1977

Blood volume changes

Red cell mass measurements on Skylab crewmembers revealed a statistically significant decrease in circulating red cells. Low reticulocyte counts at crewmember recovery indicated increased splenic removal of reticulum or decreased bone marrow production rates. After the initial loss there is at least a 30-day delay before red cell mass begins to reconstitute itself.

Johnson, P. C.↗
NASA NTRS1975

Postmission plasma volume and red-cell mass changes in the crews of the first two Skylab missions

Red-cell mass determinations were performed before and after the first two Skylab missions. The data showed a 14% mean decrease in red-cell mass after the 28-day mission and a 12% mean decrease after the 59-day mission. The red-cell mass returned to premission levels more slowly after the shorter (28-day) than after the longer mission. Plasma volume decreases were found after each mission, with the crew from the longer mission showing the greater change (13% vs 8.4%). Postmission decreases in red-cell mass and plasma volume have been a general finding in crewmen who return from short or long spaceflight.

Johnson, P. C.↗
NASA NTRS1974

Blood volume changes

Analysis of radionuclide volume determinations made for the crewmembers of selected Gemini and Apollo missions showed that orbital spaceflight has an effect on red cell mass. Because the methods and the protocol developed for earlier flights were used for the crews of the three Skylab missions, direct comparisons are possible. After each Skylab mission, decreases were found in crewmembers' red cell masses. The mean red cell mass decrease of 11 percent or 232 milliliters was approximately equal to the 10 percent mean red cell mass decrease of the Apollo 14 to 17 crewmembers. The red cell mass drop was greatest and the postrecovery reticulocyte response least for crewmembers of the 28-day Skylab 2 mission. Analyses of data from the red cell mass determinations indicate that the red cell mass drops occurred in the first 30 days of flight and that a gradual recovery of the red cell mass deficits began approximately 60 days after launch. The beginning of red cell mass regeneration during the Skylab 4 flight may explain the higher postmission reticulocyte counts.

Johnson, P. C.↗
NASA NTRS1972

The Medical Aspects of Space Flight Seen from the Viewpoint of Nuclear Medicine

Radionuclide volume measurements performed on crews of selected Apollo missions indicate the following: (1) Invariably, there is a small drop in red-cell mass of the returning crewmembers; (2) plasma-volume decreases similar to those experienced during bedrest are found in crewmen of short Gemini missions. After longer missions, the plasma-volume decrease is no longer present; (3) extracellular- and total-body water changes prove that spaceflight weight loss includes actual tissue losses; and (4) the loss of total-body exchangeable potassium after the Apollo 15 mission is evidence of increased aldosterone secretion.

Johnson, P. C.↗
NASA NTRS1972

Effects of bedrest and centrifugation of humans on serum thyroid function tests.

Changes in plasma volume and protein concentration have been reported when normal subjects are bedrested or centrifuged. Since thyroid hormones are transported by specific plasma proteins, each of these procedures could be expected to change plasma levels of these hormones. In this study centrifugation of normal healthy human subjects produced an increased concentration of total protein and albumin. When these same subjects were bedrested for six days, no change in total protein, albumin or thyroxine binding globulin were found although there was an eight per cent decrease in plasma volume. Centrifugation and, to a lesser extent, bedrest produced changes in serum T-4 levels and the T-3 test results. The direction of these changes (decreased % T-3 values and increased T-4 levels) indicate that these two situations produce an increased plasma concentration of thyroxine binding sites.

Leach, C. S.↗
NASA NTRS1972

Passenger fluid volumes measured before and after a prolonged commercial jet flight.

Interstitial and intracellular fluid volumes were calculated from measured plasma volume, extracellular volume and total body water of six subjects before and after a 24-hour commercial overseas flight. No change occurred in these spaces or in peripheral hematocrit or total serum protein concentration. The subjective feeling of dehydration and the actual swelling of the lower extremities characteristically found among passengers at the end of a long trip of this type seems to represent a shift in body fluids to the dependent portions of the body rather than water retention or a decrease in the intravascular water volume.

Johnson, P. C.↗