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Red Bulletin UK 5/21

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VENTURE<br />

Fitness<br />

Before becoming the<br />

leading expert on<br />

astronaut health and<br />

fitness at the German<br />

Aerospace Center in Cologne<br />

in 2009, Professor Jörn<br />

Rittweger conducted research<br />

into a seemingly unconnected<br />

subject. “Bed-rest studies,”<br />

says the scientist. “Subjects<br />

lay in bed for 60 days or<br />

longer and we’d test training,<br />

nutrition and electrical<br />

stimulation. It simulates a lot<br />

of what happens to astronauts<br />

in space, and ultimately it led<br />

to me getting this job.”<br />

Going into space is<br />

extremely hazardous to health.<br />

With no protective atmosphere<br />

or magnetic field, exposure to<br />

radiation is increased. “On the<br />

ISS, [radiation is] 300 times<br />

higher than on Earth. On the<br />

Moon, it’s 600 times higher.”<br />

But the biggest factor – one<br />

that relates most closely to<br />

the professor’s bed studies<br />

– is gravity, or the lack of it.<br />

“Gravity is perhaps the<br />

strongest environmental<br />

stimulus since the start of<br />

our evolutionary journey.<br />

Our bodies have developed<br />

mechanisms to ensure our<br />

brains receive enough blood<br />

when we’re upright.”<br />

In zero gravity, however, up<br />

and down don’t exist. “Within<br />

hours, astronauts discharge<br />

about a litre of urine to get rid<br />

of the blood they’re no longer<br />

storing in their legs,” Rittweger<br />

says. “Low gravity also knocks<br />

the ear’s balance system off,<br />

causing nausea. It takes days<br />

for the body to suppress this<br />

‘space adaptation syndrome’;<br />

astronauts learn to keep their<br />

head still and not turn quickly.”<br />

As the head of the centre’s<br />

muscle and bone metabolism<br />

department, Rittweger’s<br />

prime focus is clear. “Of the<br />

almost 500 muscles in our<br />

body, almost half support<br />

standing, walking or running,<br />

and muscles only grow and<br />

develop strength when they<br />

meet resistance,” he explains.<br />

With the lack of gravity on the<br />

ISS, astronauts aren’t pulled<br />

to the ground; there’s no<br />

HONE<br />

Striving for a celestial body<br />

How does an astronaut maintain an out-of-this-world physique? Here’s the rocket science…<br />

resistance, and muscle<br />

atrophy sets in.” The human<br />

body, he says, renews around<br />

one to two per cent of its<br />

muscle mass per day, but in<br />

space (or long periods of bed<br />

rest) it’s shed rather than<br />

gained. And the same happens<br />

to your bones: “Leg bones<br />

lose about one per cent of<br />

their mass per month.”<br />

The solution isn’t simply<br />

sending astronauts into orbit<br />

bulked up. “We channel<br />

calcium through our kidneys.<br />

If an astronaut increases bone<br />

mass before a trip, they’ll lose<br />

more [calcium], which can lead<br />

to kidney stones. You don’t<br />

want that to happen in space.”<br />

There’s also the effect on<br />

metabolism: astronauts have<br />

higher rates of adult-onset<br />

diabetes, meaning an increase<br />

in their blood sugar. Blood-fat<br />

levels increase, too, and there<br />

is a danger of atherosclerosis<br />

Above: Professor Jörn<br />

Rittweger of the German<br />

Aerospace Center; top:<br />

European Space Agency<br />

astronaut Samantha<br />

Cristoforetti in training<br />

“Nowadays,<br />

astronauts return<br />

to Earth in much<br />

better shape”<br />

[plaque build-up on artery<br />

walls that can cause blood<br />

clots, strokes or heart failure].”<br />

These changes may not<br />

cause immediate problems<br />

while the astronaut is in<br />

space, but they become a real<br />

issue once back on Earth.<br />

“There are doctors for that,”<br />

says Rittweger, “but it would<br />

make Mars missions tricky.<br />

They could last up to two-anda-half<br />

years, and medical care<br />

is hard to come by on Mars.”<br />

This is why Rittweger and<br />

his team have created a<br />

comprehensive workout that<br />

can be done in space.<br />

The right stuff<br />

“It’s not easy to recreate the<br />

important stimulus for our<br />

three largest muscle groups<br />

– the back extensors, glutes<br />

and leg muscles – which<br />

account for a third of our body<br />

mass,” says Rittweger. This<br />

THE RED BULLETIN 89

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