Abstract
The article reviews the basic problems of orthostatic tolerance and new impedance methods for evaluation of orthostatic tests during spaceflight and in simulated microgravity. The results indicate that orthostatic tolerance requires adequate body hydration and function of volume-regulating hormones. New pharmacological compensators of orthostatic intolerance were tested in model experiments. It was shown that desmopressin and water-salt supplements aid in retention of body fluids and electrolytes during bed rest and improve tolerance during orthostatic test. Therefore, a simultaneous control of hydration status and orthostatic tolerance can be best provided through physiologically reasonable prescription of synthetic antidiuretic hormone analogs.
Similar content being viewed by others
References
At’kov, O.J. and Bednenko, V.S., Gipokineziya, nevesomost’: klinicheskie i fiziologicheskie aspekty (Hypokinesia and Weightlessness: Clinical and Physiological Aspects), Moscow, 1989.
Afonin, B.V., Condition of the digestive system in long space flights and hypokinesia, Ros. Zh. Gastroenterol. Gepatol. Koloproktol., 1999, vol. 9, p. 5.
Afonin, B.V., Noskov, V.B., and Polyakov, V.V., The state of the digestive organs during long spaceflight, Hum. Physiol., 2003, vol. 29, no. 5, p. 561.
Afonin, B.V., Noskov, V.B., Nichiporuk, I.A., et al., Condition of organs and vessels in the abdominal cavity during simulation of venous plethora in the splanchnic region, Aviakosm. Ekol. Med., 2007, vol. 41, no. 5, p. 24.
Baranov, V.M., Demin, H.E., Kotov, A.H., et al., Comparative evaluation of selected methodologies for prevention of orthostatic disorders in modeling the final stage of spaceflight, Aviakosm. Ekol. Med., 2003, vol. 37, no. 4, p. 17.
Gleser, G.A., Bukina, T.N., Vasilyev, L.A., et al., The use of orthostatic test in practical medical-flight expertise in civil aviation, Aviakosm. Ekol. Med., 1993, vol. 27, no. 2, p. 31.
Grigoriev, A.I., Noskov, V.B., Polyakov, V.V., et al., Dynamics of the reactive system of endocrine regulation during LBNP sessions in long space flight, Aviakosm. Ekol. Med., 1998, vol. 32, no. 3, p. 18.
Grigoryev, A.I., Buravkova, L.B., Larina, I.M., and Natochin, Yu.N., Water-electrolyte metabolism in human during substitution of vasopressin by desmopressin, Ros. Fiziol. Zh. im. I.M. Sechenova, 2004, vol. 90, no. 8, p. 60.
Grigoryev, A.I. and Egorov, A.D., Long-term space flights, in Kosmicheskaya biologiya i meditsina (Space Biology and Medicine), Gazenko, O.G., Grigoryev, A.I., Nikogosyan, A.E., and Moller, S.R., Eds., Moscow, 1994–2009, vol. 3, book 2, ch. 23, p. 368.
Grigoryev, A.I. and Noskov, V.B., Evaluation of the effectiveness of water-salt supplements during long space flights on the Mir orbital complex, Aviakosm. Ekol. Med., 2001, vol. 35, no. 5, p. 11.
Grigoryev, A.I. and Noskov, V.B., Hormonal control of subject’s hydration status during space flight, Ros. Fiziol. Zh. im. I.M. Sechenova, 2009, vol. 95, no. 3, p. 225.
Egorov, A.D., Mechanisms of decrease of the orthostatic stability under the conditions of long space flights, Aviakosm. Ekol. Med., 2001, vol. 35, no. 6. p. 3.
Zhidkov, V.V., Abrosimov, S.V., Endeka, D.K., et al., Effect of space flight factors on hydration homeostasis in monkeys, Kosm. Biol. Aviakosm. Med., 1987, vol. 21, no. 5, p. 19.
Kalinichenko, V.V. and Zhernavkov, A.F., Postural responses in cosmonauts after long-duration missions on the orbital station Salyut-6, Kosm. Biol. Aviakosm. Med., 1984, vol. 19, no. 5, p. 7.
Katkov, V.E., Chestukhin, V.V., Nikolaenko, E.M., et al., Effects of negative pressure on the lower half of the body (Chibis suit) and local negative pressure in the systemic circuit in a healthy subject, Kosm. Biol. Aviakosm. Med., 1981, vol. 15, no. 4, p. 13.
Kotovskaya, A.R. and Vartbaronov, R.A., Long-term linear accelerations, in Kosmicheskaya biologiya i meditsina (Space Biology and Medicine), Gazenko, O.G., Grigoryev, A.I., Nikogosyan, A.E., and Moller, S.R., Eds., Moscow, 1997, vol. 3, book 2, p. 10.
Kotovskaya, A.R., Fomina, G.A., Characteristics of adaptation and maladaptation of human cardiovascular system under space flight conditions, Hum. Physiol., 2010, vol. 36, no. 2, p. 190.
Kuchinskaya, E.A., Pevzner, A.V., Vershuta, E.V., et al., Comparative efficacy and tolerability of atenolol and midodrine in patients with vasovagal blackouts, Ter. Arkh., 2006, no. 4, p. 64.
Larina, I.M., Noskov, V.B., Nichiporuk, I.A., et al., Effect of desmopressin on water-salt homeostasis and orthostatic tolerance under the conditions of antiorthostasis, Aviakosm. Ekol. Med., 2009, vol. 43, no. 1, p. 68.
Lebedeva, I.A. and Lapin, V.V., Diagnostics of voluminal disorders at the early stage of tilt-test by means of regional bioimpedance, in Diagnosis and Treatment of Disorders in Regulation of the Cardiovascular System (Proc. 10th Workshop), Moscow, 2008, p. 235.
Lobachik, V.I., Korsunskiy, V.N., Popov, V.I., et al., Isotopic and other methods for estimating the distribution and displacement of blood in the body, Kosm. Biol. Aviakosm. Med., 1987, vol. 21, no 5, p. 65.
Mikhailov, V.M., Pometov, Yu.D., and Itzekhovskiy, O.G., Application of LBNP-workouts in cosmonauts during long flights, in Fiziologicheskie issledovaniya v nevesomosti (Physiological Studies in Weightlessness), Simonov, P.V. and Kasyan, I.I., Eds., Moscow, 1983, p. 257.
Nikolaev, D.V., Smirnov, A.V., Bobrinskaya, I.G., and Rudnev, S.G., Bioimpedansnyi analiz sostava tela cheloveka (Bioimpedance Analysis of Human, Body Composition), Moscow, 2009.
Noskov, V.B., Redistribution of bodily fluids under conditions of weightlessness and in microgravity models, Hum. Physiol., 2013, vol. 39, no. 7, p. 698.
Noskov, V.B., Afonin, B.V., Nichiporuk, I.A., et al., Correction of venous congestion in abdominal organs under antiorthostatic conditions, Hum. Physiol., 2007, vol. 33, no. 5, p. 614.
Noskov, V.B., Kotov, A.N., Volkov, M.Yu., et al., Orthostatic stability of a healthy subject during hypohydration, Fiziol. Chel., 1990, vol. 16, no. 1, p. 112.
Noskov, V.B., Kotov, A.N., Volkov, M.Yu., and Sukhanov, Yu.V., Influence of different ways of hypohydration on orthostatic tolerance in healthy man, Hum. Physiol., 1996, vol. 22, no. 6, p. 660.
Noskov, V.B., Larina, I.M., Nichiporuk, I.A., et al., Assessment of synthetic antidiuretic hormone as means of correction after antiorthostatic hypokinesia, Aviakosm. Ekol. Med., 2010, vol. 44, no. 3, p. 32.
Noskov, V.B., Lobachik, V.I., Abrosimov, S.V., et al., Effect of degree of hydration on redistribution of circulating blood in response to changes in human posture, Hum. Physiol., 1991, vol. 17, no. 4, p. 252.
Noskov, V.B. and Lukyaniuk, V.Y., Effect of pharmacological hypohydration on the tolerance of overload, Aviakosm. Ekol. Med., 2003, vol. 37, no. 6, p. 30.
Noskov, V.B., Nichiporuk, I.A., and Grigoryev, A.I., Dynamics of liquid media and body composition under the conditions of extended space flight (bioimpedance analysis), Aviakosm. Ekol. Med., 2007, vol. 41, no. 3, p. 3.
Pestov, I.D. and Asyamolov, B.F., Negative pressure on the lower part of the body as a method of preventing shifts associated with changes in the hydrostatic pressure of the blood, Kosm. Biol. Aviakosm. Med., 1972, vol. 6, no. 4, p. 59.
Rukovodstvo po vrachebno-letnoi ekspertize v grazhdanskoi aviatsii (Guide to the Medical Flight Examination in Civil Aviation), Moscow, 1986.
Sobolevskiy, V.I. and Pravosudov, V.P., Changes in circulation in orthostatic position during hyperthermia of the body, Aviakosm. Ekol. Med., 1984, vol. 18, no. 3, p. 23.
Talavrinov, V.A., Noskov, V.B., Alferova, I.V., et al., Anthropometric research, in Orbital’naya stantsiya “Mir” (Mir Space Station), Moscow, 2001, vol. 1, p. 258.
Fomina, G.A., Kotovskaya, A.R., Polyakov, V.V., et al., The influence of weightlessness on the central and peripheral hemodynamics of a subject based on studies with ultrasonic methods, in Orbital’naya stantsiya “Mir” (Mir Space Station), Moscow, 2002, vol. 2, p. 529.
Fomina, G.A., Kotovskaya, A.R., Pochuev, V.I., and Zhernavkov, A.F., Changes in hemodynamic mechanisms, providing for human postural stability during long space flights, Aviakosm. Ekol. Med., 2005, vol. 39, no. 6, p. 9.
Fomina, G.A. and Kotovskaya, A.R., Changing in human hemodynamics under the conditions of prolonged weightlessness, and the significance of hypovolemia, Aviakosm. Ekol. Med., 2008, vol. 42, no. 2, p. 21.
Shashkov, V.S., Modin, A.Yu., and Serebrennikov, M.I., Hemodynamic effects of dihydroergotamine in tests with orthostatic load and LBPN (negative pressure on the lower part of the body), Aviakosm. Ekol. Med., 1994, vol. 28, no., 5, p. 24.
Arbeille, Ph., Fomina, G., Alferova I., et al., Cerebral and femoral flow response to LBPN during 6 month MIR spaceflights, Acta Astronaut., 1996, vol. 36, p. 6.
Brignole, M., Croci, F., Menozzi, C., et al. Guideline on management (diagnosis and treatment) of syncope, Eur. Heart J., 2001, vol. 22, p. 1256.
Buckey, J.C., Lane, L.D., Levine, B.D., et al., Orthostatic intolerance after spaceflight, Appl. Physiol., 1996, vol. 81, p. 7.
Convertino, V.A., Mechanisms of microgravity induced orthostatic intolerance: implications for effective countermeasures, J. Grav. Physiol., 2002, vol. 9, no. 2, p. 1.
Fritsch, J.M., Charles, J.B., Bennett, B.S., et al., Short duration spaceflight impairs human arterial baroreflex function, J. Appl. Physiol., 1992, vol. 73, p. 664.
Goetz, K.L., Bond, G.C., and Bloxham, D.D., Atrial receptors and renal function, Physiol. Rev., 1975, vol. 55, no. 2, P. 157.
Greenleaf, J.E., Brock, P.J., Haines, R.F., et al., Effect of hypovolemia, infusion and oral rehydration on plasma electrolytes, ADH, renin activity and +Gz tolerance, Aviat. Space Environ. Med., 1977, vol. 48, no. 8, p. 693.
Harrison, M., Hill, L., Spaul, W., and Greenleaf, J., Effect of hydration on some orthostatic and haematological responses to head-up tilt, Eur. J. Appl. Physiol., 1986, vol. 55, no. 2, p. 187.
Hinghofer-Szalkay, H., Noskov, V.B., Schmied, J., et al., Changes in blood and plasma composition with LBNP on the ground and in space in one subject, Aviat. Space Environ. Med., 1994, vol. 65, no. 3, p. 214.
Hyatt, K.H., Jacobson, L., and Schneider, V., Comparison of 70° tilt, lower body negative pressure and passive standing as measures of orthostatic tolerance, Aviat. Space Environ. Med., 1975, vol. 46, no. 6, p. 801.
Kenny, R.A., Ingram, A., and Bayliss, J., Head up tilt: a useful test for investigating unexplained syncope, Lancet, 1989, vol. 1, p. 1352.
Kozlovskaya, I.B. and Grigoriev, A.I., Russian system of countermeasures on board of the International Space Station (ISS): the first results, Acta Astronaut., 2004, vol. 55, p. 233.
Leach-Huntoon, C.S., Grigoryev, A.I., and Natochin, Yu.V., Fluid and electrolyte regulation in spaceflight, AASP San Diego, California, USA, 1998, vol. 94.
Ludwig, D.A. and Convertino, V.A., Predicting orthostatic intolerance: physics or physiology?, Aviat. Space Environ. Med., 1994, vol. 65, p. 404.
Perhonen, M., Franco, F., Lane, L., et al., Cardiac atrophy after bed rest and spaceflight, Appl. Physiol., 2001, vol. 91, p. 645.
Ramsdell, C.D., Mullen, T.J., Sundby, G.H., et al., Midodrine prevents orthostatic intolerance associated with simulated spaceflight, Appl. Physiol., vol. 90, p. 2245.
Spodick, D.L. and Lance, V.Q., Comparative orthostatic responses: standing and head-up tilt, Aviat. Space Environ. Med., 1977, vol. 48, no. 5, p. 432.
Thornton, W.E., Moore, T.P., and Pool, S.L., Fluid shifts in weightlessness, Aviat. Space Environ. Med. 1987, vol. 58,suppl. 9, p. A86.
Vernikos, J. and Convertino, V., Advantages and disadvantages of fludrocortisone or saline loading in preventing post-space flight orthostatic hypotension, Acta Astronaut., 1994, vol. 33, p. 259.
Weiling, W., Halliwill, J., and Karemaker, J., Orthostatic intolerance after space flight, J. Physiol., 2002, vol. 538, no. 1, p. 1.
Wotton, M.J., Thomas, B.J., Cornish, B.H., and Ward, L.C., Comparison of whole body and segmental bioimpedance methodologies for estimating total body water, Ann. N.Y. Acad. Sci., 2000, vol. 904, p. 181.
Author information
Authors and Affiliations
Corresponding author
Additional information
Original Russian Text © V.B. Noskov, 2011, published in Aviakosmicheskaya i Ekologicheskaya Meditsina, 2011, Vol. 45, No. 2, pp. 16–25.
Rights and permissions
About this article
Cite this article
Noskov, V.B. Orthostatic tolerance after space flight and model experiments: new approaches to evaluation and prevention. Hum Physiol 40, 704–712 (2014). https://doi.org/10.1134/S0362119714070160
Received:
Published:
Issue Date:
DOI: https://doi.org/10.1134/S0362119714070160