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Leach, C. S.

Publications and source records attributed to Leach, C. S..

At least 37 records · Page 2

Current concepts of space flight induced changes in hormonal control of fluid and electrolyte metabolism

A systematic analysis of body fluid and renal dynamics during simulated space flight (head-down bedrest) was undertaken to increase understanding of the physiologic effects of acute cephalad fluid shifts. The earliest effects were increases in central venous pressure and decreases in plasma aldosterone, epinephrine and norepinephrine and glomerular filtration rate, 2 h after the beginning of bedrest. Decreases in plasma angiotensin I at 6 h may have resulted from the increased effective pressure and decreased sympathetic activity seen earlier in bedrest. The early decrease in aldosterone and ADH is thought to contribute to an increase, by 6 h, in urinary excretion of salt and water. Fluid and electrolyte losses occur during space flight, and analysis of body fluids from Space Shuttle crewmembers has indicated that conservation of these substances is begun almost immediately upon cessation of weightlessness. Operational medicine measures to counteract dehydration and electrolyte loss resulted in a less extreme physiologic response to the flight.

Leach, C. S.↗

Quantitation of tissue loss during prolonged space flight

An analysis of data from the three Skylab missions was performed to assess the lean body mass (LBM) and fat components of inflight body weight loss. Six methods for determining LBM were employed based on changes in total body water, total body potassium, nitrogen balance, potassium balance, and stereophotometric-body density. Those based solely on body potassium, and potassium and nitrogen balances (when expressed as shifts from preflight control), consistently overestimated LBM loss unless appropriate corrections were made. The average results from the various methods indicated that of a mean inflight total body weight loss of 2.7 + or - 0.3 kg (SD) for all nine crewmembers, more than half (1.5 + or - 0.3 kg) can be attributed to loss of LBM (including 1.1 kg body water), the remainder (1.2 + or - 0.3 kg) being derived from fat stores. The reduction of LBM appeared to be complete after the first month of flight and thereafter was largely independent of mission duration, diet, and exercise.

Leonard, J. I.↗

Fluid shifts and erythropoiesis - Relevance to the 'anemia' of space flight

To model the fluid shifts thought to occur in man during space flight, cephalic fluid shifts have been induced in man subjected to horizontal or headdown bedrest, in squirrel monkeys exposed to lower body positive pressure, and in rats subjected to antiorthostatic hypokinesia. The influence on erythropoiesis of such fluid redistribution has been studied. Only in man did a cephalic fluid shift consistently and significantly lead to a plasma volume reduction and an increased hematocrit. Although there was evidence for erythrosuppression and the subjects were 'anemic' at the end of the study, serum erythropoietin titers remained normal throughout bedrest. The erythrosuppression probably did not arise due to the increased hematocrit but may have been related to P50 shifts or the loss of body weight. Each model appeared to reproduce different parts of man's physiological response to weightlessness and promises to be useful in unraveling the etiology of the 'anemia' of space flight.

Dunn, C. D. R.↗

Metabolic experiments on Spacelab-4

Studies of human metabolism are being considered in five experiments. These investigations address physiological effects of zero gravity which have become evident in previous manned space flights, namely, negative Na, Ca and N balances, the resorption of bone, loss of red cell mass, cephalad migration of body fluids, and a shift in water balance. Although these effects have been fairly well established by pre- and postflight measurements, details of the mechanism by which they occur remain largely unknown. Moreover, the data collected inflight, particularly during the first few hours of weightlessness, have been severely limited both in the amount of quantitative information obtained and with respect to the relative simplicity of the experimental techniques employed. During the Spacelab 4 mission, the acute stage of the response to zero gravity will be the main focus of attention of several experiments. Measurements conducted later in the mission will center on the adaptive phase of metabolic responses.

Leach, C. S.↗

Fluid and electrolyte homeostasis in space - A primate model to look at mechanisms

To elucidate the physiological mechanisms involved in the cardiovascular and renal responses to spaceflight, a ground-based primate model has been developed which uses lower body positive pressure (LBPP) to simulate the chronic central vascular expansion associated with weightlessnes. Four male squirrel monkeys with chronically implanted arterial and venous catheters and the capacity for continuous urine collection were subjected to LBPP for 4 days. Onset of LBPP resulted in an immediate diuresis, natriuresis and kaliuresis and a significant fall in plasma aldosterone and potassium levels. By day 2 the level of natriuresis had decreased by half, while potassium excretion and plasma aldosterone values had returned to control levels despite the persistence of a significantly reduced plasma potassium concentration. It is concluded that the low plasma potassium level appears not to stimulate a compensatory fall in plasma aldosterone because of the simultaneous presence of body volume contraction acting to raise aldosterone levels.

Moore-Ede, M. C.↗

Computer simulations of postural change, water immersion and bedrest - An integrative approach for understanding the spaceflight response

Mathematical modeling techniques were used to simulate the fluid electrolyte (F-E) responses during gravity unloading. It is shown that the response to weightlessness can best be understood by separately examining the acute (hours to days) and chronic (days to weeks) phases, and assuming the presence of normal, although complex, feedback regulatory processes. Headward shifts of fluid are shown to be primarily responsible for acute body losses of extracellular F-E. Losses of body water are closely related to the volume of fluid shifts from the legs. A diuresis is predicted within the first several hours of hypogravity, and this may be obscured by a reduced F-E intake; on Skylab, early F-E losses occurred primarily by deficit intake.

Leonard, J. I.↗

Dynamics of weight loss during prolonged spaceflight

Data from three Skylab flights lasting 28, 59, and 84 days are used to study changes in body composition occurring during extended spaceflight. The analysis includes pre- and postflight measurements used to compute lean body mass and body fat losses for an entire mission using previously accepted methods based on total body water, potassium, and density, and also includes the daily metabolic balances in order to provide an estimate of the time course of the changes in water, protein, and fat. The analytical approach is explained and the results presented, including a summary of changes in lean body mass and changes in weight loss and tissue components. It is concluded that little more than half of the weight loss observed during the missions can be attributed to loss in lean body mass, the remainder being derived from fat stores.

Leach, C. S.↗

The influence of space flight on erythrokinetics in man

An experiment is described the purpose of which is to measure specific factors relative to the control of erythrokinetics in man which might be altered during the first seven days of exposure to the weightless environment of space flight. It is anticipated that these data will provide information relative to the mechanism by which the red cell mass is reduced during space flight. Specifically, the experiment is designed to establish: (1) if there is a significant change in red cell mass and plasma volume during the initial period of exposure to weightlessness; (2) if the plasma concentration of erythropoietin is reduced; (3) if there is an increase in the plasma concentration of erythropoietin inhibitors; (4) if there is a change in the effectiveness of erythropoiesis; and (5) if the number and age distribution of reticulocytes are altered.

Leach, C. S.↗

An overview of the endocrine and metabolic changes in manned space flight

Analyses of endocrinological and metabolic data from humans during spaceflight, particularly the Skylab crews, are summarized to define the levels of knowledge of these processes and the techniques for studying them. The glomerular filtration rate was tested by urine and blood samples, yielding indications of a creatinine clearance increase. The mechanisms for an increase of free water clearance, implying an increase of antidiuretic hormone, are uncertain, and tests are also under way to evaluate the role of prostaglandins in-flight, to account for decreases in catecholamine excretion. Bone mineral losses of 7.9% were observed at the end of 84 days, and processes are suggested for the calcium metabolism. Finally, the observation of almost universal weight loss among space crewmembers is examined, and a loss of muscle tone due to decreased metabolic efficiency is cited as a feature of long duration spaceflight.

Leach, C. S.↗

Is the weight loss of hyperbaric habitation a disorder of osmoregulation

To examine the weight loss of hyperbaric helium-oxygen habitation, the exchange of liquids and calories was measured in six men who lived in this atmosphere for 32 d. The maximum pressure was 49.5 ATA. The men lost 3.7-10.1 kg, in spite of warm ambient (31-32 C) temperatures and adequate calories (2,737 kcal/d) provided for the sedentary ways of chamber living. Weight loss and a calculated fluid deficit were accompanied by significant hemoconcentration, shown by increases in serum proteins. These changes were followed by a rise in urinary aldosterone and vasopressin, but not thirst. Weight loss in hyperbaric atmospheres is probably multifactorial, but the data suggests an uncoupling of normal osmoregulation may have occured in the present set of subjects. This may have been due to altered lung mechanics, increased catecholamines, or effects of high pressure on cellular responses to vasopressin.

Raymond, L. W.↗

A study of metabolic balance in crewmembers of Skylab IV

A metabolic balance study was conducted on the three crewmembers of the 84-day Skylab IV earth orbital mission. Dietary intake was controlled, monitored, and kept very nearly constant for a period commencing 21 days prior to flight, throughout flight, and for a period of 18 days postflight. Within the first 30 days of flight urine calcium rose to a level approx. 100% above preflight levels and remained elevated for the remainder of the flight. Fecal calcium excretion increased more slowly but continued to accelerate throughout the flight and did not return to baseline levels during the postflight period. Urinary nitrogen increased to 25-30% above preflight levels within one month following launch and thereafter gradually subsided toward control values. The overall losses of calcium averaged approx. 200 mg per day throughout the mission while nitrogen losses averaged 590 mg. Various other indices of musculoskeletal deterioration are discussed and correlated. The parallelism between the effects of weightlessness and bed rest is reviewed. It is noted, that no evidence is yet available as to the identity of the initial biological response to the absence of gravity.

Rambaut, P. C.↗

Amino aciduria in weightlessness

Urinary excretion of amino acids by the 9 Skylab crewmen was studied as an indicator of the metabolic effects caused by exposure to the space flight environment. Intake was consistent in quality and quantity throughout the 28, 59 and 84-day flights for each of the crewmen and complete collections were accomplished. The results indicated an increased excretion in most amino acids during the first month of flight which remained elevated in the second and third months but to a lesser extent. Additional indications of change in muscle and skeletal metabolism were observed. These results point to the desirability of obtaining additional indices of alterations in protein synthetic processes in conjunction with future space flights.

Leach, C. S.↗

A review of the consequences of fluid and electrolyte shifts in weightlessness

This review describes the renal-endocrine mechanisms related to the early losses of fluid-electrolytes from the body during weightlessness as well as their contribution to longer term adaptation of fluid-electrolyte balance. The hypotheses presented were generated by a systematic analysis of body fluid and renal dynamics observed under conditions of actual and simulated spaceflight. These have increased our understanding of the effects of acute headward fluid shifts on renal excretion, the factors promoting excess sodium excretion and the regulation of extracellular fluid composition.

Review↗

A review of the consequences of fluid and electrolyte shifts in weightlessness

This review describes the renal-endocrine mechanisms related to the early losses of fluid-electrolytes from the body during weightlessness as well as their contribution to longer term adaptation of fluid-electrolyte balance. The hypotheses presented were generated by a systematic analysis of body fluid and renal dynamics observed under conditions of actual and simulated spaceflight. These have increased our understanding of the effects of acute headward fluid shifts on renal excretion, the factors promoting excess sodium excretion and the regulation of extracellular fluid composition.

Leach, C. S.↗

Evaporative water loss in man in a gravity-free environment

Daily evaporative water losses (EWL) during the three Skylab missions were measured indirectly using mass and water-balance techniques. The mean daily values of EWL for the nine crew members who averaged 1 hr of daily exercise were: preflight 1,750 + or - 37 (SE) ml or 970 + or - 20 ml/sq m and inflight 1,560 + or - 26 ml or 860 + or - 14 ml/sq m. Although it was expected the EWL would increase in the hypobaric environment of Skylab, an average decrease from preflight sea-level conditions of 11% was measured. The results suggest that weightlessness decreased sweat losses during exercise and possibly reduced insensible skin losses. The weightlessness environment apparently promotes the formation of an observed sweat film on the skin surface during exercise by reducing convective flow and sweat drippage, resulting in high levels of skin wettedness that favor sweat suppression.

Leach, C. S.↗

Hormonal indices of tolerance to +Gz acceleration in female subjects

As a possible predictive test for screening Space Shuttle passengers, the secretions of the pituitary adrenal system and the adrenal medulla have been studied in conjunction with exposure to gravitational acceleration three times the normal level. The 12 female subjects in the test were divided into ambulatory and bedrest groups. Before bedrest, a high tolerance to centrifugation appeared to be linked to increases in plasma ACTH and cortisol. This relationship did not hold after bedrest. The correlation between tolerance to centrifugation and 24-hour urinary epinephrine-to-norepinephrine ratios was not significant.

Vernikos-Danellis, J.↗

Observations in energy balance in man during spaceflight

An investigation was undertaken of the changes in metabolic energy balance which occur in weightlessness. Daily energy intake was determined each day throughout the 28-, 59-, and 84-day flights for each of the nine Skylab astronauts. The energy content of the urine and feces was also measured. Changes in body composition were inferred from measurements of weight, volume, water, and total exchangeable potassium before and after flight. During flight, changes were followed by a daily measurement of body mass and by metabolic balance. Examination of the data reveal losses in body weight during the 1st and 2nd months of flight, a loss in body water and protein during the 1st month and a loss of fat during the 1st, 2nd, and 3rd months of flight. The energy input was about 41.7 kcal/kg per day on the ground, and 43.7 kcal/kg per day after 3 months in space. The increase in net energy input of about 1.6% per month is significant (P less than 0.05). When the net energy input is expressed on the basis of total body potassium, the increase in the resulting normalized net energy input of about 3.7% per month is also significant (P less than 0.05).

Rambaut, P. C.↗

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.↗