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NASA NTRS1987

The effect of exercise on venous gas emboli and decompression sickness in human subjects at 4.3 psia

The contribution of upper body exercise to altitude decompression sickness while at 4.3 psia after 3.5 or 4.0 hours of 100% oxygen prebreathing at 14.7 psia was determined by comparing the incidence and patterns of venous gas emboli (VGE), and the incidence of Type 1 decompression sickness (DCS) in 43 exercising male subjects and 9 less active male Doppler Technicians (DT's). Each subject exercised for 4 minutes at each of 3 exercise stations while at 4.3 psia. An additional 4 minutes were spent monitoring for VGE by the DT while the subject was supine on an examination cot. In the combined 3.5 and 4.0 hour oxygen prebreathe data, 13 subjects complained of Type 1 DCS compared to 9 complaints from DT's. VGE were detected in 28 subjects compared to 14 detections from DT's. A chi-square analysis of proportions showed no statistically significantly difference in the incidence of Type 1 DCS or VGE between the two groups; however, the average time to detect VGE and to report Tyep 1 DCS symptoms were statistically different. It was concluded that 4 to 6 hours of upper body exercise at metabolic rates simulating EVA metabolic rates hastens the initial detection of VGE and the time to report Type 1 DCS symptoms as compared to DT's.

Conkin, Johnny↗

NASA NTRS2012

CO2 Washout Testing of the REI and EM-ACES Space Suits

When a space suit is used during ground testing, adequate carbon dioxide (CO2) washout must be provided for the suited subject. Symptoms of acute CO2 exposure depend on partial pressure of CO2 (ppCO2), metabolic rate of the subject, and other factors. This test was done to characterize inspired oronasal ppCO2 in the Rear Entry I-Suit (REI) and the Enhanced Mobility Advanced Crew Escape Suit (EM-ACES) for a range of workloads and flow rates for which ground testing is nominally performed. Three subjects were tested in each suit. In all but one case, each subject performed the test twice. Suit pressure was maintained at 4.3 psid. Subjects wore the suit while resting, performing arm ergometry, and walking on a treadmill to generate metabolic workloads of about 500 to 3000 BTU/hr. Supply airflow was varied between 6, 5, and 4 actual cubic feet per minute (ACFM) at each workload. Subjects wore an oronasal mask with an open port in front of the mouth and were allowed to breathe freely. Oronasal ppCO2 was monitored in real time by gas analyzers with sampling tubes connected to the mask. Metabolic rate was calculated from the total CO2 production measured by an additional gas analyzer at the suit air outlet. Real-time metabolic rate was used to adjust the arm ergometer or treadmill workload to meet target metabolic rates. In both suits, inspired CO2 was affected mainly by the metabolic rate of the subject: increased metabolic rate significantly (P < 0.05) increased inspired ppCO2. Decreased air flow caused small increases in inspired ppCO2. The effect of flow was more evident at metabolic rates . 2000 BTU/hr. CO2 washout values of the EM-ACES were slightly but not significantly better than those of the REI suit. Regression equations were developed for each suit to predict the mean inspired ppCO2 as a function of metabolic rate and suit flow rate. This paper provides detailed descriptions of the test hardware, methodology, and results as well as implications for future ground testing in the REI-suit and EM-ACES.

Mitchell, Kathryn C.↗

NASA NTRS2011

CO2 Washout Testing of the REI and EM-ACES Space Suits

Requirements for using a space suit during ground testing include providing adequate carbon dioxide (CO2) washout for the suited subject. Acute CO2 exposure can lead to symptoms including headache, dyspnea, lethargy and eventually unconsciousness or even death. Symptoms depend on several factors including partial pressure of CO2 (ppCO2), duration of exposure, metabolic rate of the subject and physiological differences between subjects. The objective of this test was to characterize inspired oronasal ppCO2 in the Rear Entry I-Suit (REI) and the Enhanced Mobility Advanced Crew Escape Suit (EM-ACES) across a range of workloads and flow rates for which ground testing is nominally performed. Three subjects were tested in each suit. In all but one case, each subject performed the test twice to allow for comparison between tests. Suit pressure was maintained at 4.3 psid. Subjects wore the suit while resting, performing arm ergometry, and walking on a treadmill to generate metabolic workloads of approximately 500 to 3000 BTU/hr. Supply airflow was varied at 6, 5 and 4 actual cubic feet per minute (ACFM) at each workload. Subjects wore an oronasal mask with an open port in front of the mouth and were allowed to breathe freely. Oronasal ppCO2 was monitored real-time via gas analyzers with sampling tubes connected to the oronasal mask. Metabolic rate was calculated from the total CO2 production measured by an additional gas analyzer at the air outlet from the suit. Real-time metabolic rate was used to adjust the arm ergometer or treadmill workload to meet target metabolic rates. In both suits, inspired CO2 was primarily affected by the metabolic rate of the subject, with increased metabolic rate resulting in increased inspired ppCO2. Suit flow rate also affected inspired ppCO2, with decreased flow causing small increases in inspired ppCO2. The effect of flow was more evident at metabolic rates greater than or equal to 2000 BTU/hr. Results were consistent between suits, with the EM-ACES demonstrating slightly better CO2 washout than the REI suit, but not statistically significant. Regression equations were developed for each suit to predict the mean inspired ppCO2 as a function of metabolic rate and suit flow rate. This paper provides detailed descriptions of the test hardware, methodology and results, as well as implications for future ground testing in the REI and EM-ACES.

Mitchell, Kate↗

NASA NTRS1974

Metabolic cost of extravehicular activities

The data on metabolic rates during Skylab extravehicular activities are presented and compared with prior experience during Gemini and Apollo. Difficulties experienced with Gemini extravehicular activities are reviewed. The effect of a pressure suit on metabolic rate is discussed and the life support equipment capabilities of each life support system are reviewed. The methods used to measure metabolic rate, utilizing bioinstrumentation and operational data on the life support system, are described. Metabolic rates are correlated with different activities. Metabolic rates in Skylab were found to be within the capacities of the life support systems and to be similar to the metabolic rates experienced during Apollo lunar 1/6-g extravehicular activities. They were found to range from 100 kcal/h to 500 kcal/h, during both 1/6-g and zero-g extravehicular activities. The average metabolic rates measured during long extravehicular activities were remarkably consistent and appeared to be a function of crew pacing of activity rather than to the effort involved in individual tasks.

Waligora, J. M.↗

NASA NTRS2010

Biosensors for EVA: Improved Instrumentation for Ground-based Studies

During lunar excursions in the EVA suit, real-time measurement of metabolic rate is required to manage consumables and guide activities to ensure safe return to the base. Metabolic rate, or oxygen consumption (VO2), is normally measured from pulmonary parameters but cannot be determined with standard techniques in the oxygen-rich environment of a spacesuit. Our group has developed novel near infrared spectroscopic (NIRS) methods to calculate muscle oxygen saturation (SmO 2), hematocrit, and pH, and we recently demonstrated that we can use our NIRS sensor to measure VO 2 on the leg during cycling. Our NSBRI project has 4 objectives: (1) increase the accuracy of the metabolic rate calculation through improved prediction of stroke volume; (2) investigate the relative contributions of calf and thigh oxygen consumption to metabolic rate calculation for walking and running; (3) demonstrate that the NIRS-based noninvasive metabolic rate methodology is sensitive enough to detect decrement in VO 2 in a space analog; and (4) improve instrumentation to allow testing within a spacesuit. Over the past year we have made progress on all four objectives, but the most significant progress was made in improving the instrumentation. The NIRS system currently in use at JSC is based on fiber optics technology. Optical fiber bundles are used to deliver light from a light source in the monitor to the patient, and light reflected back from the patient s muscle to the monitor for spectroscopic analysis. The fiber optic cables are large and fragile, and there is no way to get them in and out of the test spacesuit used for ground-based studies. With complimentary funding from the US Army, we undertook a complete redesign of the sensor and control electronics to build a novel system small enough to be used within the spacesuit and portable enough to be used by a combat medic. In the new system the filament lamp used in the fiber optic system was replaced with a novel broadband near infrared LED light source. The compact grating spectrometer was replaced with a chip-scale spectrometer. With this new design, the sensor is 4 in 2 in 0.5 in, weighs 60 g, and no fiber optic cables are needed. The sensor, which contains the light source and the spectrometer, is adhered directly to the skin with medical grade adhesive. The sensor can be powered via the USB port of the laptop computer that controls the sensor operation. Alternatively, for studies in the spacesuit, the sensor can be powered by a small battery pack and operated by an ultra-portable hand-held computer. Both the handheld computer and battery pack will easily fit within the PLSS of the test spacesuit. System automation was significantly improved, to add features suggested by our colleagues in the Cardiovascular Laboratory and the NASA JSC Exercise Physiology and Countermeasures Project. The functionality and portability of this system were demonstrated in our UMass laboratory.

Soller, B.↗

NASA NTRS2023

Developing a Hybrid Spacesuit Simulator as a Research Tool for Assessing Extravehicular Activity Relevant Workload

Conducting human tests in a pressurized spacesuit is limited by availability, cost, and manpower; however, pressurized spacesuits are not always needed depending on the objectives of testing, including the development and testing of new informatics capabilities. The Human Physiology, Performance, Protection & Operations Laboratory (H-3PO) at NASA is developing a Hybrid Spacesuit Simulator (HS3) to support testing and characterization of human performance during analog planetary exploration extravehicular activities (EVAs). The goal of HS3 is to create a low-cost, modular, and unpressurized spacesuit simulator as a research tool that provides relevant physical and cognitive workload approximations with EVA-like immersion. HS3 consists of a soft outer suit, thermal control, gloves, boots, helmet, and integrated bioinformatics and communications. Baseline HS3 assessments were performed during 3-hour EVA simulations in two different subjects (DEMO1 and DEMO2) that included traverses at variable resistances and geological sampling activities. Liquid cooling garment (LCG) temperature, mean skin temperature, heart rate, motion capture, and metabolic rate were collected during each 3-hour simulated EVA. During DEMO1 and DEMO2, baseline metabolic rates at rest were 836 ± 327 BTU/hr and 869 ± 207 BTU/hr and increased to 2124 ± 548 BTU/hr and 2269 ± 559 BTU/hr, respectively, during 500m traverse. Average inlet LCG temperatures were 29.57 ± 6.62 °C and 25.63 ± 6.48 °C for DEMO1 and DEMO2 with increased outlet LCG temperatures of 33.53 ± 6.62 °C and 29.21 ± 4.79 °C, respectively. Overall, HS3 will enable future studies to characterize EVA tasks, human performance, and test future EVA capabilities in analog test environments without the need for pressurized suited environments.

Monica Hew↗

NASA NTRSDate not supplied

Developing A Hybrid Spacesuit Simulator as A Research Tool for Assessing Extravehicular Activity Relevant Workload

Suit simulator↗

DOE OSTI2024

Metabolic Costs of Walking with Weighted Vests

ABSTRACT Introduction The US Army Load Carriage Decision Aid (LCDA) metabolic model is used by militaries across the globe and is intended to predict physiological responses, specifically metabolic costs, in a wide range of dismounted warfighter operations. However, the LCDA has yet to be adapted for vest-borne load carriage, which is commonplace in tactical populations, and differs in energetic costs to backpacking and other forms of load carriage. Purpose The purpose of this study is to develop and validate a metabolic model term that accurately estimates the effect of weighted vest loads on standing and walking metabolic rate for military mission-planning and general applications. Methods Twenty healthy, physically active military-age adults (4 women, 16 men; age, 26 ± 8 yr old; height, 1.74 ± 0.09 m; body mass, 81 ± 16 kg) walked for 6 to 21 min with four levels of weighted vest loading (0 to 66% body mass) at up to 11 treadmill speeds (0.45 to 1.97 m·s −1 ). Using indirect calorimetry measurements, we derived a new model term for estimating metabolic rate when carrying vest-borne loads. Model estimates were evaluated internally byk-fold cross-validation and externally against 12 reference datasets (264 total participants). We tested if the 90% confidence interval of the mean paired difference was within equivalence limits equal to 10% of the measured walking metabolic rate. Estimation accuracy, precision, and level of agreement were also evaluated by the bias, standard deviation of paired differences, and concordance correlation coefficient (CCC), respectively. Results Metabolic rate estimates using the new weighted vest term were statistically equivalent (P< 0.01) to measured values in the current study (bias, −0.01 ± 0.54 W·kg −1 ; CCC, 0.973) as well as from the 12 reference datasets (bias, −0.16 ± 0.59 W·kg −1 ; CCC, 0.963). Conclusions The updated LCDA metabolic model calculates accurate predictions of metabolic rate when carrying heavy backpack and vest-borne loads. Tactical populations and recreational athletes that train with weighted vests can confidently use the simplified LCDA metabolic calculator provided as Supplemental Digital Content to estimate metabolic rates for work/rest guidance, training periodization, and nutritional interventions.

Sport Sciences↗

NASA NTRS1972

Simulation of a steady-state integrated human thermal system.

The mathematical model of an integrated human thermal system is formulated. The system consists of an external thermal regulation device on the human body. The purpose of the device (a network of cooling tubes held in contact with the surface of the skin) is to maintain the human body in a state of thermoneutrality. The device is controlled by varying the inlet coolant temperature and coolant mass flow rate. The differential equations of the model are approximated by a set of algebraic equations which result from the application of the explicit forward finite difference method to the differential equations. The integrated human thermal system is simulated for a variety of combinations of the inlet coolant temperature, coolant mass flow rate, and metabolic rates. Two specific cases are considered: (1) the external thermal regulation device is placed only on the head and (2) the devices are placed on the head and the torso. The results of the simulation indicate that when the human body is exposed to hot environment, thermoneutrality can be attained by localized cooling if the operating variables of the external regulation device(s) are properly controlled.

Hsu, F. T.↗

NASA NTRS1972

Simulation of a steady-state integrated human thermal system.

Hsu, F. T.↗

NASA NTRS2011

Selecting Tasks for Evaluating Human Performance as a Function of Gravity

A challenge in understanding human performance as a function of gravity is determining which tasks to research. Initial studies began with treadmill walking, which was easy to quantify and control. However, with the development of pressurized rovers, it is less important to optimize human performance for ambulation as pressurized rovers will likely perform gross translation for them. Future crews are likely to spend much of their extravehicular activity (EVA) performing geology, construction,a nd maintenance type tasks. With these types of tasks, people have different performance strategies, and it is often difficult to quantify the task and measure steady-state metabolic rates or perform biomechanical analysis. For many of these types of tasks, subjective feedback may be the only data that can be collected. However, subjective data may not fully support a rigorous scientific comparison of human performance across different gravity levels and suit factors. NASA would benefit from having a wide variety of quantifiable tasks that allow human performance comparison across different conditions. In order to determine which tasks will effectively support scientific studies, many different tasks and data analysis techniques will need to be employed. Many of these tasks and techniques will not be effective, but some will produce quantifiable results that are sensitive enough to show performance differences. One of the primary concerns related to EVA performance is metabolic rate. The higher the metabolic rate, the faster the astronaut will exhaust consumables. The focus of this poster will be on how different tasks affect metabolic rate across different gravity levels.

Norcross, Jason R.↗

NASA NTRSDate not supplied

Assessments of Physiology And Cognition in Hybrid-reality Environments (APACHE) – Physical Workload Approximation

The Human Physiology, Performance, Protection & Operations Laboratory (H-3PO) at NASA Johnson Space Center (JSC) is developing a hybrid reality exploration surface analog, “Assessments of Physiology and Cognition in Hybrid-reality Environments” (APACHE). The goal of APACHE is to create a planetary extravehicular activity (EVA) simulation environment that provides a representative physical and cognitive workload approximation using a combination of virtual reality (VR), physical reality, and hybrid reality (HR) techniques. To develop and characterize the physical workload approximation within the APACHE environment, a two-part approach was implemented. In part 1, baseline physical work load during ambulation within APACHE was evaluated and compared with that in other planetary EVA analog environments and with existing data sets from Apollo planetary EVAs and reduced gravity testing of prototype planetary spacesuits. For this evaluation, 10 subjects were asked to ambulate in three surface analog environments: a passive treadmill in APACHE, natural terrain in an outdoor field environment, and a standard motorized treadmill. Subjects’ heart rate and metabolic rate (VO2/VCO2) were measured and compared among the different test conditions and existing data sets. Gait parameters were also collected to compare with suited mechanics and to understand the role of gait kinematics in physical workload. In part 2, the aim is to evaluate the addition of a custom weighted body suit to the aforementioned surface analog environments and the ability to titrate the suit configuration to provide the best possible physical workload approximation for simulation of lunar and Martian EVAs.

Alex Baughman↗

NASA NTRSDate not supplied

Assessments of Physiology And Cognition in Hybrid-reality Environments (APACHE) – Physical Workload Approximation

The Human Physiology, Performance, Protection & Operations Laboratory (H-3PO) at NASA Johnson Space Center (JSC) is developing a hybrid reality exploration surface analog, “Assessments of Physiology And Cognition in Hybrid-reality Environments” (APACHE). The goal of APACHE is to create a planetary extravehicular activity (EVA) simulation environment that provides a representative physical and cognitive workload approximation using a combination of virtual reality (VR), physical reality, and hybrid reality (HR) techniques. To develop and characterize the physical workload approximation within the APACHE environment, a two-part approach was implemented. In part 1, baseline physical workload during ambulation within APACHE was evaluated and compared with that in other planetary EVA analog environments and with existing data sets from Apollo planetary EVAs and reduced gravity testing of prototype planetary spacesuits. For this evaluation, 10 subjects were asked to ambulate in three surface analog environments: a passive treadmill in APACHE, natural terrain in an outdoor field environment, and a standard motorized treadmill. Subjects’ heart rate and metabolic rate (VO2/VCO2)were measured and compared among the different test conditions and existing data sets. Gait parameters were also collected to compare with suited mechanics and to understand the role of gait kinematics in physical workload. In part 2, the aim is to evaluate the addition of a custom weighted body suit to the aforementioned surface analog environments and the ability to titrate the suit configuration to provide the best possible physical workload approximation for simulation of lunar and Martian EVAs.

Alexander J Baughman↗

NASA NTRS2013

Using Analogs for Performance Testing of Humans in Spacesuits in Simulated Reduced Gravity

In general metabolic rates tend to be higher in NBL than in flight: a) Restraint method dependant; b) Significant differences between the NBL and flight for BRT and APFR (buoyancy effects). c) No significant difference between NBL and flight for free float and SRMS/SSRMS operations. The total metabolic energy expenditure for a given task and for the EVA as a whole are similar between NBL and flight: a) NBL metabolic rates are higher, but training EVAs are constrained to 5 1/2 hours. b) Flight metabolic rates are lower, but the EVAs are typically an hour or more longer in duration. NBL metabolic rates provide a useful operational tool for flight planning. Quantifying differences and similarities between training and flight improves knowledge for preparation of safe and efficient EVAs.

Norcross, Jason R.↗

NASA NTRS2008

Metabolic Expenditures During Extravehicular Activity: Spaceflight versus Ground-based Simulation

In general metabolic rates tend to be higher in NBL than in flight: a) Restraint method dependent; b) Significant differences between the NBL and flight for BRT and APFR (buoyancy effects); and c) No significant difference between NBL and flight for free float and SRMS/SSRMS operations. The total metabolic energy expenditure for a given task and for the EVA as a whole are similar between NBL and flight: a) NBL metabolic rates are higher, but training EVAs are constrained to 5 hours; and b) Flight metabolic rates are lower, but the EVAs are typically an hour or more longer in duration. NBL metabolic rates provide a useful operational tool for flight planning. Quantifying differences and similarities between training and flight improves knowledge for preparation of safe and efficient EVAs.

Klein, Jill↗

NASA NTRSDate not supplied

Evaluation of Aerobic Capacity in Relation to Simulated Lunar Surface Extravehicular Activities

INTRODUCTION Astronauts will need to be physically prepared to successfully execute strenuous Extravehicular Activities (EVA)on the Lunar surface. Compared to Apollo missions, Artemis missions will include EVAs of increased physical demand, frequency, and duration, thus requiring adequate fitness to successfully and safely complete mission objectives and potential contingency scenarios. Currently, aerobic fitness standards for partial gravity (g)surface EVAs are not well supported by high-fidelity EVA analog data. This investigation aims to characterize metabolic demands from Lunar analog EVA simulations in relation to the current NASA standards for celestial partial-g aerobic fitness(aerobic capacity (VO2pk) ≥36.5ml/kg/min). METHODS To evaluate current Lunar EVA aerobic fitness requirements, a pilot study was performed to characterize metabolic ratesduring6 hour simulated EVAs. The EVAs were performed in pressurized MKIII (n=2male) and xEMU (n=3 female) spacesuits offloaded to 1/6 g in the NASA Active Response Gravity Offload System. VO2pk was assessed via graded exercise testing on acycle ergometer and physical workload was quantified as percent ofVO2pk. RESULTS Four out of five subjects did not meet the current NASA celestial surface EVA aerobic standard (3 xEMU, 1MKIII;35.1±0.9 ml/kg/min). During simulated EVAs, subjects (xEMU: 35±1ml/kg/min; MKIII: 44±10ml/kg/min) worked at an average 36%VO2pk(xEMU) and 31% VO2pk(MKIII). For xEMU subjects, the tasks with the greatest average metabolic rates were 2km treadmill traverse(0% grade: 47.2%VO2pk[max 69.1%]), object relocation (45.2%VO2pk[max 60.5%]), and 1.5km traverse (0% grade: 45%VO2pk[max 59.7%]). For MKIII subjects, the tasks with the greatest average metabolic rates were 0.5km treadmill traverse (30% grade: 35.4% VO2pk[max 45.5%]), object relocation(31% VO2pk[max 40.8%]), and treadmill traverse (0% grade: 29.9%VO2pk[max 45.9%]). CONCLUSIONS While average metabolic rates for simulated Lunar EVA fall within sustainable work ranges of30–40% VO2pkand life support system limitations, task-specific metabolic rates exceed this range and may indicate that greater fitness is necessary for more strenuous tasks expected to be performed on the Lunar surface. As few subjects met the standard, more data is needed to adequately evaluate the NASA 3001 standard.

N C Strock↗

NASA NTRS1972

Apollo 16 time and motion study

A time and motion study is presented of astronaut lunar surface activity on Apollo 16 which consists of five distinct analyses: an evaluation of lunar mobility, a comparison of task performance in 1-g training and lunar EVA, a study of metabolic costs and adaptation, a discussion of falls, and retrieval of fallen objects. Two basic mobility patterns, the hop or canter and the traditional walking gait, were consistently utilized in longer traverses. The metabolic rates associated with these two mobility types, each used by a different astronaut, were relatively equivalent. The time to perform tasks on the lunar surface was significantly longer (on the order of 70%) than the time to perform the same tasks during the last 1-g training session. These results corroborated the findings on Apollo 15 and were not significantly different from them. There was general improvement in lunar EVA performance upon repetition of tasks. Metabolic rate (BTU/hr.) and metabolic cost (BTU) decreased over successive EVAs. Specifically, the metabolic rate associated with riding the lunar roving vehicle (LRV) decreased by approximately 18% from EVA 1 to EVA 2 and by 15% from EVA 2 to EVA 3.

Kubis, J. F.↗

DOE OSTI2021

Modeling the Metabolic Costs of Heavy Military Backpacking

Existing predictive equations underestimate the metabolic costs of heavy military load carriage. Metabolic costs are specific to each type of military equipment, and backpack loads often impose the most sustained burden on the dismounted warfighter. This study aimed to develop and validate an equation for estimating metabolic rates during heavy backpacking for the US Army Load Carriage Decision Aid (LCDA), an integrated software mission planning tool. Thirty healthy, active military-age adults (3 women, 27 men; age, 25 ± 7 yr; height, 1.74 ± 0.07 m; body mass, 77 ± 15 kg) walked for 6–21 min while carrying backpacks loaded up to 66% body mass at speeds between 0.45 and 1.97 m·s -1 . A new predictive model, the LCDA backpacking equation, was developed on metabolic rate data calculated from indirect calorimetry. Model estimation performance was evaluated internally by k-fold cross-validation and externally against seven historical reference data sets. We tested if the 90% confidence interval of the mean paired difference was within equivalence limits equal to 10% of the measured metabolic rate. Estimation accuracy and level of agreement were also evaluated by the bias and concordance correlation coefficient (CCC), respectively. Estimates from the LCDA backpacking equation were statistically equivalent ( P < 0.01) to metabolic rates measured in the current study (bias, -0.01 ± 0.62 W·kg -1 ; CCC, 0.965) and from the seven independent data sets (bias, -0.08 ± 0.59 W·kg -1 ; CCC, 0.926). The newly derived LCDA backpacking equation provides close estimates of steady-state metabolic energy expenditure during heavy load carriage. These advances enable further optimization of thermal-work strain monitoring, sports nutrition, and hydration strategies.

59 BASIC BIOLOGICAL SCIENCES↗