2021
DOI: 10.1038/s41526-021-00158-4
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Update on the effects of microgravity on the musculoskeletal system

Abstract: With the reignited push for manned spaceflight and the development of companies focused on commercializing spaceflight, increased human ventures into space are inevitable. However, this venture would not be without risk. The lower gravitational force, known as microgravity, that would be experienced during spaceflight significantly disrupts many physiological systems. One of the most notably affected systems is the musculoskeletal system, where exposure to microgravity causes both bone and skeletal muscle loss… Show more

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Cited by 80 publications
(65 citation statements)
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References 220 publications
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“…Previous work with ground-based and spaceflight models in both rodents and humans have demonstrated that the postural soleus undergoes a fiber type shift towards a faster phenotype and that the muscle displays significant atrophy and weakness [ 3 , 5 , 7 , 10 , 12 , 17 , 31 , 32 , 33 , 34 , 35 ]. Furthermore, previous work has suggested a potential role for Ca 2+ dysregulation [ 11 , 12 ] in the ensuing muscle atrophy and remodeling.…”
Section: Discussionmentioning
confidence: 99%
See 1 more Smart Citation
“…Previous work with ground-based and spaceflight models in both rodents and humans have demonstrated that the postural soleus undergoes a fiber type shift towards a faster phenotype and that the muscle displays significant atrophy and weakness [ 3 , 5 , 7 , 10 , 12 , 17 , 31 , 32 , 33 , 34 , 35 ]. Furthermore, previous work has suggested a potential role for Ca 2+ dysregulation [ 11 , 12 ] in the ensuing muscle atrophy and remodeling.…”
Section: Discussionmentioning
confidence: 99%
“…It is well established that microgravity exposure during spaceflight comes with a great deal of physiological and psychosocial challenges that can compromise astronaut health [ 1 , 2 , 3 ]. Loss of muscle mass and strength is an important factor that can impede the astronaut’s ability to perform mission-related duties during space travel and upon return to Earth or partial gravity (i.e., Moon or Mars).…”
Section: Introductionmentioning
confidence: 99%
“…whether atrophy and osteoporosis can be alleviated by exercise and whether timing has an influence on exercise effects, as the physiology and function of muscle and bone metabolism are under circadian control (Lefta et al, 2011;Zhang et al, 2020;Mayeuf-Louchart et al, 2015;Song et al, 2018;Swanson et al, 2018). Exercise affects circadian phase and amplitude with a roughly reversed PRC pattern to light entrainment (Lewis et al, 2018;Juhl et al, 2021;Moosavi et al, 2021;Refinetti 2016). However, the effects of these factors also require further assessment.…”
Section: Countermeasures To Improve Circadian Rhythms Under Martian C...mentioning
confidence: 99%
“…(2016), Juhl et al (2021) and Vico & Hargens (2018). The effect of μG on muscle and bone is strongly influenced by nutrition (S. M. Smith et al, 2012), and bone remodelling has associated effects on an individual's biochemistry and renal system (Pietrzyk et al, 2007).…”
Section: Physiology Of and Protection From µGmentioning
confidence: 99%