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Recovery of Spaceflight-induced Bone Loss: Bone Mineral Density after Long-Duration Missions as Fitted with an Exponential Function

机译:恢复太空飞行引起的骨丢失:长期任务后的骨矿物质密度与指数函数拟合

摘要

The loss of bone mineral in NASA astronauts during spaceflight has been investigated throughout the more than 40 years of space travel. Consequently, it is a medical requirement at NASA Johnson Space Center (JSC) that changes in bone mass be monitored in crew members by measuring bone mineral density (BMD) with dual-energy x-ray absorptiometry (DXA) before and after flight on astronauts who serve on long-duration missions (4-6 months). We evaluated this repository of medical data to track whether there is recovery of bone mineral that was lost during spaceflight. Our analysis was supplemented by BMD data from cosmonauts ( by convention, a space traveler formally employed by the Russia Aviation and Space Agency or by the previous Soviet Union) who had also flown on long-duration missions. Data from a total of 45 individual crew members -- a small number of whom flew on more than one mission -- were used in this analysis. Changes in BMD (between 56 different sets of pre- and postflight measurements) were plotted as a function of time (days after landing). Plotted BMD changes were fitted to an exponential mathematical function that estimated: i) BMD change on landing day (day 0) and ii) the number of days after landing when 50% of the lost bone would be recovered ("50% recovery time") in the lumbar spine, trochanter, pelvis, femoral neck and calcaneus. In sum, averaged losses of bone mineral after long-duration spaceflight ranged between 2-9% across all sites with our recovery model predicting a 50% restoration of bone loss for all sites to be within 9 months.
机译:在整个太空旅行的40多年中,已经对NASA宇航员在太空飞行过程中骨矿物质的损失进行了调查。因此,美国宇航局约翰逊航天中心(JSC)的一项医学要求是,在宇航员飞行之前和之后,通过双能X射线骨密度仪(DXA)测量骨矿物质密度(BMD)来监控机组人员的骨量变化长期任务(4-6个月)的人员。我们评估了该医学数据存储库,以跟踪是否有恢复在太空飞行中丢失的骨矿物质的记录。我们的分析还得到了宇航员的BMD数据(按照惯例,这是俄罗斯航空航天局或前苏联正式雇用的太空旅行者)的数据,这些数据也曾执行过长期任务。在此分析中,使用了来自总共45名个人机组人员的数据-其中一小部分进行了一次以上的飞行任务。将BMD的变化(在飞行前后的56组不同测量值之间)绘制为时间(着陆后的天数)的函数。将绘制的BMD变化拟合到一个指数数学函数,该函数估算:i)着陆日(第0天)的BMD变化,以及ii)着陆后的天数,此时将恢复50%的丢失骨(“ 50%复原时间” )腰椎,大转子,骨盆,股骨颈和跟骨。总之,长期航天飞行后,所有部位的骨矿物质平均损失在2-9%之间,我们的恢复模型预测,所有部位的骨质损失可在9个月内恢复50%。

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