Engineering topics

Fortney, Suzanne M.

Publications and source records attributed to Fortney, Suzanne M..

17 records

NASA NTRS1996

The Physiology of Bed Rest

Prolonged rest in bed has been utilized by physicians and other health-care workers to immobilize and confine patients for rehabilitation and restoration of health since time immemorial. The sitting or horizontal position is sought by the body to relieve the strain of the upright or vertical postures, for example during syncopal situations, bone fractures, muscle injuries, fatigue, and probably also to reduce energy expenditure. Most health-care personnel are aware that adaptive responses occurring during bed rest proceed concomitantly with the healing process; signs and symptoms associated with the former should be differentiated from those of the latter. Not all illnesses and infirmities benefit from prolonged bed rest. Considerations in prescribing bed rest for patients-including duration, body position, mode and duration of exercise, light-dark cycles, temperature, and humidity-have not been investigated adequately. More recently, adaptive physiological responses have been measured in normal, healthy subjects in the horizontal or slightly head-down postures during prolonged bed rest as analogs for the adaptive responses of astronauts exposed to the microgravity environment of outer and bed-rest research.

Fortney, Suzanne M.↗

NASA NTRS1994

Effects of head-down bed rest on complex heart rate variability: Response to LBNP testing

Head-down bed rest is used to model physiological changes during spaceflight. We postulated that bed rest would decrease the degree of complex physiological heart rate variability. We analyzed continuous heart rate data from digitized Holter recordings in eight healthy female volunteers (age 28-34 yr) who underwent a 13-day 6 deg head-down bed rest study with serial lower body negative pressure (LBNP) trials. Heart rate variability was measured on a 4-min data sets using conventional time and frequency domain measures as well as with a new measure of signal 'complexity' (approximate entropy). Data were obtained pre-bed rest (control), during bed rest (day 4 and day 9 or 11), and 2 days post-bed rest (recovery). Tolerance to LBNP was significantly reduced on both bed rest days vs. pre-bed rest. Heart rate variability was assessed at peak LBNP. Heart rate approximate entropy was significantly decreased at day 4 and day 9 or 11, returning toward normal during recovery. Heart rate standard deviation and the ratio of high- to low-power frequency did not change significantly. We conclude that short-term bed rest is associated with a decrease in the complex variability of heart rate during LBNP testing in healthy young adult women. Measurement of heart rate complexity, using a method derived from nonlinear dynamics ('chaos theory'), may provide a sensitive marker of this loss of physiological variability, complementing conventional time and frequency domain statistical measures.

Goldberger, Ary L.↗

NASA NTRS1994

Fluid-loading solutions and plasma volume: Astro-ade and salt tablets with water

Fluid loading with salt and water is a countermeasure used after space flight to restore body fluids. However, gastrointestinal side effects have been frequently reported in persons taking similar quantities of salt and water in ground-based studies. The effectiveness of the Shuttle fluid-loading countermeasure (8 gms salt, 0.97 liters of water) was compared to Astro-ade (an isotonic electrolyte solution), to maintain plasma volume (PV) during 4.5 hrs of resting fluid restriction. Three groups of healthy men (n=6) were studied: a Control Group (no drinking), an Astro-ade Group, and a Salt Tablet Group. Changes in PV after drinking were calculated from hematocrit and hemoglobin values. Both the Salt Tablet and Astro-ade Groups maintained PV at 2-3 hours after ingestion compared to the Control Group, which had a 6 percent decline. Side effects (thirst, stomach cramping, and diarrhea) were noted in at least one subject in both the Astro-ade and Salt Tablet Groups. Nausea and vomiting were reported in one subject in the Salt Tablet Group. It was concluded that Astro-ade may be offered as an alternate fluid-loading countermeasure but further work is needed to develop a solution that is more palatable and has fewer side effects.

Fortney, Suzanne M.↗

NASA NTRS1993

Metabolic rate measurements comparing supine with upright upper-body exercises

The ground-based study that tested the hypothesis that metabolic rates during supine and upright upper-body exercises are similar (mean value of 200 kcal/h) is presented. Six subjects each performed supine or upright exercise at three exercise stations, a hand-cycle ergometer, a rope-pull device, and a torque wrench. After a baseline measurement of the metabolic rate at rest, the metabolic rate was measured twice at each exercise station. The mean metabolic rates (kcal/h) during supine (n = 6) and upright control (n = 4) exercise stations were not significantly different except for the rope-pull station, 153.5 +/- 16.6 (supine) as compared to 247.0 +/- 21.7 (upright), p is less than 0.05. This difference may be due in part to an increased mechanical efficiency of supine exercises (15.0 +/- 0.7 percent) as compared to that of upright exercises (11.0 +/- 1.08 percent), p is less than 0.05. The net energy input was significantly smaller for the supine rope-pull exercise (64 +/- 18) as compared to upright (176 +/- 20). The relationship between best-rest exercises, metabolic rates, and the incidence of decompression sickness (DCS) should be examined to determine the true risk of DCS in spaceflight extravehicular activities.

Fortney, Suzanne M.↗

NASA NTRS1993

Variability of prediction of maximal oxygen concumption on the cycle ergometer using standard equations

Several investigations within the Exercise Countermeasures Project at the NASA Johnson Space Center focused on the assessment of maximum oxygen consumption (VO2(sub max)) within the Astronaut Corps pre- and postspace flight. Investigations during the Apollo era suggested that there was a significant decrease in postflight VO2(sub max) when compared to preflight values, and current studies have documented that this trend continues in the Space Shuttle era. It is generally accepted and was confirmed in our laboratory that VO2(sub max) can be predicted from submaximal measures taken during graded exercise tests on the cycle ergometer with respect to populations. However, previous work had not examined the effect of day-to-day variations in the physiologic responses that might alter these predictions for individuals. Stability of individual submaximal data over serial tests is important so that predicted changes in VO2(sub max) are reflective of actual VO2(sub max) changes. Therefore, the purpose of this investigation was to determine which of the accepted equations to predict VO2(sub max) would be less affected by normal daily physiologic changes.

Greenisen, Michael C.↗

NASA NTRS1993

Transcapillary fluid responses to lower body negative pressure

The effect of lower body negative pressure (LBNP) on transcapillary fluid balance, with and without saline ingestion, was investigated in normally hydrated human subjects by measuring leg interstitial fluid pressure, leg circumference, plasma volume, and net whole body transcapillary fluid transport during and after supine LBNP in human subjects. The results indicate that prolonged LBNP, especially with saline ingestion, promotes fluid filtration into lower body tissues.

Aratow, Michael↗

NASA NTRS1993

Effect of aerobic capacity on Lower Body Negative Pressure (LBNP) tolerance in females

This investigation determined whether a relationship exists in females between: (1) aerobic capacity and Lower Body Negative Pressure (LBNP); and (2) aerobic capacity and change in LBNP tolerance induced by bed rest. Nine females, age 27-47 (34.6 plus or minus 6.0 (Mean plus or minus SD)), completed a treadmill-graded exercise test to establish aerobic capacity. A presyncopal-limited LBNP test was performed prior to and after 13 days of bed rest at a 6 deg head-down tilt. LBNP tolerance was quantified as: (1) the absolute level of negative pressure (NP) tolerated for greater than or equal to 60 sec; and (2) Luft's Cumulative Stress Index (CSI). Aerobic capacity was 33.3 plus or minus 5.0 mL/kg/min and ranged from 25.7 to 38.7. Bed rest was associated with a decrease in NP tolerance (-9.04 1.6 kPa(-67.8 plus or minus 12.0 mmHg) versus -7.7 1.1 kPa(-57.8 plus or minus 8.33 mmHg); p = 0.028) and in CSI (99.4 27.4 kPa min(745.7 plus or minus 205.4 mmHg min) versus 77.0 16.9 kPa min (577.3 plus or minus mmHg min); p = 0.008). The correlation between aerobic capacity and absolute NP or CSI pre-bed rest did not differ significantly from zero (r = -0.56, p = 0.11 for NP; and r = -0.52, p = 0.16 for CSI). Also, no significant correlation was observed between aerobic and pre- to post-rest change for absolute NP tolerance (r = -0.35, p = 0.35) or CSI (r = -0.32, p = 0.40). Therefore, a significant relationship does not exist between aerobic capacity and orthostatic function or change in orthostatic function induced by bed rest.

Moore, Alan D., Jr.↗

NASA NTRS1993

Orthostatic intolerance during a 13-day bed rest does not result from increased leg compliance

Increased leg compliance (LC) has been proposed as a mechanism for orthostatic intolerance after spaceflight or bed rest. Using venous occlusion plethysmography with mercury-in-Silastic strain gauge, we evaluated LC before, during, and after a 13-day head-down bed rest in 10 men. LC was measured by the relationship between the increased calf areas at thigh cuff occlusions of 20, 30, 50, 70, and 80 mmHg. Orthostatic tolerance was evaluated by a presyncopal-limited lower body negative pressure test before and after bed rest. The 10 subjects were divided into TOL (n= 5) and INT (n=5) groups for which the orthostatic tolerance was similar and lower after bed rest, respectively. For TOL (INT) before bed rest, calf area increases were 2.2 +/- 0.5 (SE) (1.3 +/- 0.4), 3.5 +/- 0.7 (2.3 +/- 0.5), 5.0 +/- 0.9 (3.5 +/- 0.6), 5.6 +/- 0.9 (4.4 +/- 0.6), and 6.4 +/- 1.1 (4.7 +/- 0.6) sq cm for thigh occlusion pressures of 20, 30, 50, 70, and 80 mmHg, respectively. Neither for INT nor for TOL were these results significantly changed by bed rest. These results suggest that other mechanisms than increased LC have to be taken into account to explain the decreased orthostatic tolerance induced by this 13-day bed rest.

Melchior, Francois M.↗

NASA NTRS1992

Responses to graded lower body negative pressure after space flight

Lower body negative pressure tests (0 to -60 mm Hg) were administered 2-3 times preflight and 4 times postflight (L0 to L7), to evaluate the effect of space flight on orthostatic responses. This paper presents preliminary findings from the first 4 crew members who have completed this protocol. Overall the results suggest a greater orthostatic strain lasting approximately two days postflight, that may have been due to enhanced pooling of blood in body regions other than the calf.

Fortney, Suzanne M.↗

NASA NTRS1992

Saline ingestion during lower body negative pressure as an end-of-mission countermeasure to post-space flight orthostatic intolerance

Lower body negative pressure (LBNP) in conjunction with saline ingestion can protect astronauts against post-space flight orthostatic intolerance. LBNP was used for both treatment and testing. The treatment was 4 hours of lower body decompression at 30 mm Hg below ambient pressure. One liter of water and 8 g of salt were ingested during the first hour. The treatment was evaluated by comparing heart rate (HR) and blood pressure (BP) responses to test decompressions on the days before and after treatment. It is concluded that cardiovascular responses to step-wise decompression duplicated Skylab findings. BP was maintained, but HR responses to each step were progressively greater in-flight than preflight. After the 4-hour treatment HR responses were closer to preflight values.

Charles, John B.↗

NASA NTRS1992

Thermoregulation During Spaceflight

The purpose of this flight proposal is to investigate human thermoregulatory parameters during exercise in microgravity. The hypothesis to be tested is that microgravity-adopted astronauts will exhibit accentuated increases in their core temperature (excess hyperthermia) during exercise because of altered heat loss responses due to reduced sweating and/or accentuated vasodilation. The specific aims are (1) to compare core and skin temperature responses during moderate exercise before flight and inflight; (2) to determine whether the hypothesized inflight excessive hyperthermia is due to increased heat production, reduced, sweating, impaired peripheral vasodilation, or to some combination of these factors; and (3) to determine whether heat production at an exercise load of 60 percent of the maximal working capacity is similar preflight and inflight. It is expected that the astronauts will exhibit excessive hyperthermia during exposure to microgravity which will be caused by decreased sweating and decreased skin blood flow.

Greenleaf, John E.↗

NASA NTRS1991

Development of lower body negative pressure as a countermeasure for orthostatic intolerance

Exposure to prolonged (1-4 hr) lower body negative pressure (LBNP) is a countermeasure against postflight orthostatic intolerance which is used in the Soviet space program and planned for use in the American space program. LBNP in combination with fluid-loading is believed to act by promoting a transient positive fluid balance resulting in an increase in vascular, as well as extravascular fluid. Inflight LBNP also may provide beneficial orthostatic effects by restoring baroreceptor reflex functions and/or lower body venous compliance. Current research efforts at the Johnson Space Center are directed toward increasing the effectiveness and efficiency of the LBNP and saline countermeasure. A promising avenue may involve combining pharmacologic agents, such as inhaled anti-diuretic hormone, or mineralocorticoids, with mechanical stimuli such as LBNP.

Fortney, Suzanne M.↗

NASA NTRS1991

Exercise thermoregulation - Possible effects of spaceflight

Changes in thermoregulation during spaceflight could result in an inability to tolerate ambient conditions or exercise tasks that were readily tolerated preflight. Weightlessness may alter heat production by changing metabolic rate, circadian rhythms of heat production, or work efficiency. It may impair heat loss by reducing convective and evaporative heat exchange. In addition, crewmembers may become less fit, less heat acclimated, hypohydrated, or have altered thermal sensitivity. Three scenarios are described: exercise conditioning in the mid deck, EVA, and emergency egress. Each scenario is discussed in terms of potential thermal challenges and possible consequences on crew performance.

Fortney, Suzanne M.↗

NASA NTRS1991

Proceedings of the First Joint NASA Cardiopulmonary Workshop

The topics covered include the following: flight echocardiography, pulmonary function, central hemodynamics, glycerol hyperhydration, spectral analysis, lower body negative pressure countermeasures, orthostatic tolerance, autonomic function, cardiac deconditioning, fluid and renal responses to head-down tilt, local fluid regulation, endocrine regulation during bed rest, autogenic feedback, and chronic cardiovascular measurements. The program ended with a general discussion of weightlessness models and countermeasures.

Fortney, Suzanne M.↗

NASA NTRS1991

Effect of prolonged LBNP and saline ingestion on plasma volume and orthostatic responses during bed rest

Orthostatic intolerance remains a significant problem following space flight despite frequent use of the saline fluid-loading countermeasure and volitional use of an anti-gravity suite during reentry and landing. The purpose of this project is to examine the plasma volume (PV), endocrine, and orthostatic responses of bedrested subjects following 2-hr and 4-hr treatments of lower body negative pressure (LBNP) and saline ingestion. Ten healthy men were randomly assigned into 2 groups. Group A underwent a 4-hr LBNP/saline treatment on best rest day 5 and the 2-hr treatment on day 11. Group B underwent the 2-hr treatment on day 6 and the 4-hr treatment on day 10. Blood volume was determined before and after bed rest using radiolabelling. Changes in PV between measurements were calculated from changes in hematocrit and estimated red cell volume. Urinary excretion of anti-diuretic hormone (ADH) and aldosterone (ALD) were measured each day during the study. Orthostatic responses were measured using a ramp LBNP protocol before bed rest, before each treatment, and 24 hours after each treatment. Both 2-hr and 4-hr treatments resulted in a restoration of PV to pre-bed rest levels which persisted at least 24 hours. This increase in PV was associated with significant increases in urinary excretion of ADH and ALD. Twenty-four hours after the 4-hr treatment, the heart rate and pulse pressure response to LBNP were significantly lower and stroke volumes during LBNP were increased. Twenty-four hours after the 2-hr treatment, there was no evidence of improvement in orthostatic responses. These results suggest that a countermeasure which simply restores PV during space flight may not be sufficient for restoring orthostatic responses.

Fortney, Suzanne M.↗

NASA NTRS1991

Changes in body fluid compartments during a 28-day bed rest

Serial isotope measurements were used to obtain measurements of the body fluid responses of 10 22-29-year-old men during 28 d of simulated microgravity (bed rest). The subjects were maintained on a controlled metabolic diet for 7 d before the study, during 14 d of ambulatory control, 28 d of horizontal bed rest, and 14 d of ambulant recovery. Fluid compartments were measured on control days 1 and 9, bed rest days 2, 14, and 28, and recovery days 7 and 14. By day 2 of bed rest, plasma volume and extracellular volume (ECV) decreased significantly by an average 209 and 533 ml, respectively. Red cell volume and total body water (TBW) decreased more slowly, with average losses of 128 and 1316 ml, respectively, after 28 d of bed rest. Early in the bed rest, TBW loss was mostly from the ECV. Thereafter, the TBW deficit was derived from the intracellular compartment, which decreased an average of 838 ml after 28 d. These results suggest losses from all fluid compartments during bed rest, with no evidence of restoration of ECV after 1-2 weeks.

Fortney, Suzanne M.↗

NASA NTRS1986

Bedrest in healthy women: Effects of menstrual function and oral contraceptives

With the development of the space shuttle program, space flight for the first time is available to individuals who have not been specially selected and trained to be astronauts. In addition, women are being actively recruited into the space program, both as mission specialists and as career astronauts. One purpose of this project was to examine some of the physiological responses of women to a simulated weightlessness program (12 day horizontal bedrest), to compare their responses to those reported in men during similar programs, and to test whether menstrual function might alter some of the physiological changes which occur during bedrest, specifically changes in the plasma volume, exercise tolerance, and venous compliance before and after bedrest.

Fortney, Suzanne M.↗