Long Duration Bed Rest Modifies Cardiovagal Baroreflex Control but not Baroreflex Control of Muscle Sympathetic Action Potential Activity in Humans
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Tyler Vermeulen↗
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Head-down tilt bed rest with or without artificial gravity is not associated with motor unit remodeling
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Julia Attias↗
+Gz tolerance after 14 days bed rest and the effects of rehydration.
Measurement of the reduction in centrifugation tolerance after two weeks of bedrest with moderate daily exercise, with an attempt to determine if rehydration improves +Gz tolerance. There were significant reductions in +Gz tolerance during bedrest periods at three acceleration levels. Rehydration resulted in a significant increase in tolerance at 2.1G but it did not restore tolerance to control levels. Rehydration did not affect tolerance at 3.2G and 3.8G.
Greenleaf, J. E.↗
Body water compartments during bed rest: Evaluation of analytical methods
Nine healthy young men were studied to determine the reproducibility and interchangeability of the use of radio-iodinated human serum albumin and Evans Blue dye for estimating plasma volume, sodium bromide for extracellular fluid volume, and deuterium oxide for total body water volume. All subjects were tested in a semibasal condition and allowed to rest for at least 30 min. after arriving at the laboratory. The results indicate that there was uniform distribution of I131 and Evans Blue dye 10 min. after injection and of NaBr and D2O 3 hours after oral ingestion; the buildup of residual tracer did not interfere appreciably with the measurement of either or Evans Blue spaces when they are administered at equal intervals, and the buildup of background tracer after ingestion of NaBr and D2O once per week for three consecutive weeks did not affect the accuracy of the measurement. It was found that I131 and Evans Blue may be used interchangeably for estimating plasma volume; for estimating bromide and D2O spaces, one 3-hour equilibrium blood sample gives results similar to the extrapolation of multiple samples.
Young, H. L.↗
Body composition changes in men and women after 2-3 weeks of bed rest
Several parameters of body composition were measured in eight men before and after 14 days of continuous recumbency, and in eight women before and after 17 days of recumbency. The parameters measured included body weight, body water, body potassium, plasma volume, and plasma protein concentrations. From these, values were derived for body fat content, lean body mass, body mass, and circulating plasma proteins. In general, the men and women responded similarly to continuous recumbency. Characteristically, there was significant reduction of plasma volume and body potassium in both groups. The women showed a significant reduction in circulating plasma protein, entirely in the albumin fraction; a similar change was observed in the men. The women, but not the men, showed a significant increase in circulating fibrinogen. Both men and women lost body cell mass, while body fat content remained the same or tended to increase slightly. It is expected that similar changes would occur in weightlessness. It is further concluded that women should tolerate the weightlessness of space flight physiologically as well as men.
Pace, N.↗
Effects of isometric and isotonic exercise during 14 days bed rest on +G sub z tolerance
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Sandler, H.↗
Effects of isometric and isotonic exercise on body water compartments during 14 days bed rest
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Greenleaf, J. R.↗
Development of an hypothesis for simulating anti-orthostatic bed rest
The Guyton model, modified by the addition of leg compartments and the effect of the gravity vector, was used to evaluate hypotheses describing leg dehydration and fluid shifts. While the study is not complete, the basic approach was shown to be useful by identifying important mechanisms, identifying systems which need further experimental description and by assisting in the development of a general hypothesis.
Leonard, J. I.↗
Mechanisms for negative water balance during weightlessness Immersion or bed rest?
Results of bedrest and water immersion studies are of interest when formulating an hypothesis to explain inflight changes in water and electrolyte metabolism. A comparison of the two techniques is made, and it is found that the time course of fluid-electrolyte responses with bedrest occur more slowly than during weightlessness and faster with immersion. Hence, the head-down bedrest is the more appropriate model for simulation studies. The facts lead to the following hypothesis: Because of the head-ward shift of fluid , there is a transient elevation of central venous pressure upon reaching weightlessness that is not sufficiently intense to significantly activate the vasopressin-diuresis mechanism. But the increased pressure is of significant intensity to release atrial natriuretic peptides. A hypotonic fluid moving into the cells contributes to edema and inhibits thirst. In this manner, astronauts gradually lose body water as a result of slightly increased urinary sodium coupled with decreased fluid intake. These responses continue until a new fluid-electrolyte steady state is attained at a reduced level of total body water.
Greenleaf, J. E.↗
Isotonic And Isokinetic Exercise During Bed Rest
Brief, intense activity prevents deterioration of peak oxygen uptake, a measure of work capacity. Study intended to explore effectiveness of exercise in maintaining fitness during long missions in microgravity so crewmembers able to keep up arduous work of building and expanding Space Station. Showed that intermittent, intense exercise of short duration more effective than similar exercise at lower intensity for longer times measured in previous studies. Intense short-term exercise seems to maintain volumes of plasma and red blood cells at normal levels.
Greenleaf, J. E.↗
Spectral components of human cardiovascular responses to step changes in Lower Body Negative Pressure (LBNP) before and after 22 hour of 6 deg head down bed rest
Changes in autonomic outflow to peripheral organs during the development of bedrest induced orthostatic intolerance have not been determined. Recent studies have indicated that spectral analysis provides an indirect assessment of these changes. Eight male subjects were studied before and after 22 hours of 6 degree head down bedrest plus Lasix (40 mg. P.P.). Cardiovascular spectra (using an autoregressive technique) were determined for heart rate (HR, ECG), arterial pressure (AP, Finapres), radial artery flow (RF, Hokansen) and respiration rate (RR, BoMed). Spectra were obtained from 2.5 minute segments during control, lower body negative pressure (minus 10, 20, 30, 40, 50 mmHg) and recovery. Bedrest increased HR spectra power in the low frequency (.001 to .041 Hz) range, increased RF power in the low and mid (.04 to .18 Hz) range and increased AP power in the high (.18 to .50 Hz) frequency range. Increasing levels of lower body negative pressure decreased HR power and increased RF power in the high frequency range and decreased AP power in the low frequency range. Since spectral power of HR in the high frequency range has been shown to indicate parasympathetically mediated regulation and power in the low and mid frequency ranges indicates a sympathetic / parasympathetic mixture, then both bedrest and lower body negative pressure appeared to shift sympathetic / parasympathetic balance toward sympathetic regulation of HR. The interpretation of the spectral content of AP and RF with respect to their autonomic origins remains unclear.
Knapp, C. F.↗
Acceleration Tolerance: Effect of Exercise, Acceleration Training; Bed Rest and Weightlessness Deconditioning. A Compendium of Research (1950-1996)
This compendium includes abstracts and annotations of clinical observations and of more basic studies involving physiological mechanisms concerning interaction of acceleration, training and deconditioning. If the author's abstract or summary was appropriate, it was included. In other cases a more detailed annotation of the paper was prepared under the subheadings Purpose, Methods, Results, and Conclusions. Author and keyword indices are provided, plus an additional selected bibliography of related work and of those papers received after the volume was prepared for publication. This volume includes material published from 1950-1996.
Chou, J. L.↗
Changes in Body Inertia During Bed Rest Studies
Development of effective exercise countermeasures is crucial for long duration human space flight. To analyze the mechanical effects of a particular exercise on the musculoskeletal system, the inertial properties of segments of the body must be quantified. Since bone mineral density loss is related to the lack of mechanical stress and strain on the skeletal system, physical analysis can be very useful for countermeasure evaluation.
Todd, Beth A.↗
Dietary Sodium Effects on Bone Loss and Calcium Metabolism During Bed Rest
The acceleration of age-related bone loss is one of the most detrimental effects of space flight. The ability to understand and counteract this loss will be critical for crew health and safety during and after long-duration missions. Studies in healthy ambulatory individuals have linked high salt (sodium) diets, hypercalciuria, and increased renal stone risk. Dietary salt may modulate bone loss through changes in calcium metabolism and the calcium endocrine system. The research proposed here will determine the role of dietary salt in the loss of bone during simulated space flight. Calcium metabolism will be determined through calcium kinetics studies, endocrine and biochemical measurements; and estimates of the mass, distribution and mechanical properties of bone, in subjects fed low (100 mmol sodium/day) or high (250 mmol sodium/day) levels of dietary salt during 28 days of headdown tilt bedrest. This research addresses the role of dietary salt in the loss of bone and calcium in space flight, and integrates the changes in calcium metabolism with those occurring in other physiologic systems. These data will be critical for both countermeasure development, and in determination of nutritional requirements for extended-duration space flight. The potential countermeasures resulting from this research will reduce health risks due to acceleration of age-related osteoporosis and increased risk of renal stone formation..
Smith, Scott M.↗
Bed Rest and Orthostatic-Hypotensive Intolerance
Orthostatic tolerance may be defined as the ability of humans to maintain cerebral perfusion and consciousness upon movement from a supine or sitting position to the upright posture; for example, subjects can stand suddenly or be tilted to the head-up body position. Similar but not identical physiological responses can be induced by positive G(sub Z) (head to foot) acceleration or exposure to lower body negative pressure (LBNP). The objective is to suddenly shift blood to the lower body to determine how effectively cardiovascular and neural-hormonal compensatory responses react to maintain blood pressure. In the most precise method for measuring tolerance, individuals would be stressed until they faint (syncope). However, the potential consequences and discomforts of such a test usually prohibit such a procedure so that few investigators actually induce syncope. In a more common approach, subjects are exposed to a given level of stress, for example, head-up tilt for 15 min, and any increases in heart rate or decreases in blood pressure are interpreted as indicators of progress toward syncope. Presumably, the greater the perturbation of heart rate and blood pressure, the closer to "tolerance," i.e., point of unconsciousness. Another more appropriate approach is to induce a progressively increasing hypotensive stress until pre-determined physiological responses or pre-syncopal symptoms appear. The physiological criteria may include a sudden drop in systolic blood pressure (greater than 25 mm/min), a sudden drop in heart rate (greater than 15 beats/min), or a systolic blood pressure less than 70 mmHg. The most common pre-syncopal symptoms include lightheadedness, stomach awareness or distress, feelings of warmth, tingly skin, and light to profuse sweating. Usually a combination of physiological responses and symptoms occurs such that, on different days, the tolerance time to the same orthostatic protocol is reproducible for a given individual. The assumption is that by taking subjects to near fainting, one can determine their tolerance. This latter pre-syncopal approach is better for estimating orthostatic or hypotensive tolerance than the former measurement of heart rate and blood pressure responses to a given stress. There is considerable variability in individual responses to orthostasis. For example, some subjects are "heart-rate responders" and have a pronounced cardiovascular response similar to that when performing moderately hard aerobic exercise, whereas others may experience pre-syncopal symptoms with very little increase in heart rate. Some individuals have a slow, gradual fall in blood pressure to orthostasis, and others have little change in blood pressure until a sudden precipitous fall in pressure occurs just prior to fainting. With both tilt and LBNP tests there is a low correlation between heart-rate or blood-pressure responses to a sub-tolerance stress as a measure of pre-syncopal limited orthostatic-hypotensive tolerance.
Schneider, Suzanne M.↗
Pharmacokinetics of Intranasal Scopolamine Gel Formulation During Antiorthostatic Bed Rest, a Microgravity Analog
Statement of Purpose, Innovation or Hypothesis: Space Motion sickness (SMS) is a long-standing problem for astronauts on both short and long duration space flights. Scopolamine (SCOP) is frequently used for the treatment of motion sickness (MS), and is available as transdermal patch and tablet dosage forms. These formulations of SCOP are ineffective for the treatment of SMS. Intranasal dosage forms are noninvasive with rapid absorption and enhanced bioavailability, thus allowing precise and reduced dosing in addition to offering rescue and treatment options. An intranasal gel dosage formulation of scopolamine (INSCOP) was developed and pharmacokinetics (PK) and bioavailability were determined in clinical trials with human subjects under IND guidelines.Description of Methods and Materials: The present clinical trial compares PK and bioavailability of INSCOP in 12 normal, healthy subjects (6 male/ 6 female) during ambulation (AMB) and antiorthostaticbed rest (ABR) used as a ground-based microgravity analog. Subjects received 0.2 mg and 0.4 mg doses of INSCOP during AMB and ABR in a 4-way crossover design.Data and Results: Results indicated no difference between AMB and ABR in PK parameters after 0.2 mg dose, Clearance (Cls) decreased with a concomitant increase in maximum concentration and area under concentration-versus-time curve (AUC) during ABR after the 0.4 mg dose.Interpretation, Conclusion or Significance: The difference in AUC and Cls at the higher (0.4 mg) but not the lower dose (0.2 mg) during ABR suggests that ABR may affect metabolism and/or clearance of INSCOP at higher doses . These results indicate that dosing adjustment may be required for treatment of SMS with INSCOP in space.
Singh, Rajendra P.↗