Gravity hurts: you can feel it hoisting a loaded backpack or pushing a bike up a hill. But lack of gravity hurts, too: when astronauts return from long-term stints in space, they sometimes need to be carried away in stretchers.
Gravity is not just a force. It's also a signal -- a signal that tells the body how to act. For one thing, it tells muscles and bones how strong they must be. In zero-G, muscles atrophy quickly, because the body perceives it does not need them. The muscles used to fight gravity --like those in the calves and spine, which maintain posture-- can lose around 20 percent of their mass if you don't use them. Muscle mass can vanish at a rate as high as 5 percent a week.
For bones, the loss can be even more extreme. Bones in space atrophy at a rate of about 1 percent a month, and models suggest that the total loss could reach 40 to 60 percent.
Why astronauts look puffy in space
Blood feels gravity, too. On Earth, blood pools in the feet. When people stand, the blood pressure in their feet can be high -- about 200 mmHg (millimeters of mercury). In the brain, though, it's only 60 to 80 mmHg. In space, where the familiar pull of gravity is missing, the head-to-toe gradient vanishes. Blood pressure equalizes and becomes about 100 mmHg throughout the body. That's why astronauts can look odd: their faces, filled with fluid, puff up, and their legs, which can lose about a liter of fluid each, thin out.
But that shift in blood pressure also sends a signal. Our bodies expect a blood pressure gradient. Higher blood pressure in the head raises an alarm: The body has too much blood! Within two to three days of weightlessness, astronauts can lose as much as 22 percent of their blood volume as a result of that errant message. This change affects the heart, too. "If you have less blood," explains Dr. Victor Schneider, research medical officer for NASA headquarters, "then your heart doesn't need to pump as hard. It's going to atrophy."
The question is, do such losses matter?
Thirsty returnees
Perhaps not if you plan to stay in space forever. But eventually astronauts return to Earth -- and the human body has to readjust to the relentless pull of gravity. Most space adaptations appear to be reversible, but the rebuilding process is not necessarily an easy one.
"Each of the parameters have their own normal recovery time," says Schneider. Blood volume, for example, is typically restored within a few days. "Astronauts get thirsty when they come back," Schneider explains, "because their body says, you don't have enough blood in your blood vessels, and that causes the messengers to say, drink more. [Also, the body doesn't] urinate as much."
Muscle, too, can be recouped. Most comes back "within a month or so, "although it might take longer to recover completely. "We normally say that it takes a day [of recovery on Earth] for each day that somebody's in space," says Schneider.
Bone stubborn
Bone recovery, though, has proven problematic. For a three to six month space flight, says Schneider, it might require two to three years to regain lost bone -- if it's going to come back, and some studies have suggested that it doesn't. "You really have to exercise a lot," says Schneider. "You really have to work at it."
According to Dr. Alan Hargens, recently of NASA Ames and now a professor of orthopedics at the University of California San Diego medical school, it is important to keep astronauts in good physical condition. "You want the crew members to function normally when they come back to Earth ... and not have to lie around for long periods of rehabilitation," he says.
And Earth isn't the only planet that astronauts might visit. One day humans will journey to Mars -- a six-month trip in zero-G before they disembark on a planet with 38 percent of Earth's gravity. "[We'll have to maintain] those astronauts at a fairly high level of fitness," explains Hargens. "When they get to Mars, there won't be anyone to help them if they get into trouble." They will need to be able to handle everything themselves.
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