Increased core body temperature in astronauts during long-duration space missions
Open accessAbstract
Humans’ core body temperature (CBT) is strictly controlled within a narrow range. Various studies dealt with the impact of physical activity, clothing, and environmental factors on CBT regulation under terrestrial conditions. However, the effects of weightlessness on human thermoregulation are not well understood. Specifically, studies, investigating the effects of long-duration spaceflight on CBT at rest and during exercise are clearly lacking. We here show that during exercise CBT rises higher and faster in space than on Earth. Moreover, we observed for the first time a sustained increased astronauts’ CBT also under resting conditions. This increase of about 1 °C developed gradually over 2.5 months and was associated with augmented concentrations of interleukin-1 receptor antagonist, a key anti-inflammatory protein. Since even minor increases in CBT can impair physical and cognitive performance, both findings have a considerable impact on astronauts’ health and well-being during future long-term spaceflights. Moreover, our findings also pinpoint crucial physiological challenges for spacefaring civilizations, and raise questions about the assumption of a thermoregulatory set point in humans, and our evolutionary ability to adapt to climate changes on Earth.
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Written from the paper’s full text.
TL;DR
In astronauts during six-month International Space Station missions, core body temperature rose during rest and exercise compared with preflight baseline, and the rise was accompanied by increased interleukin-1 receptor antagonist (IL-1ra). The authors interpret this as evidence of impaired thermoregulation in long-duration spaceflight with potential health and performance implications.
Key findings
- Resting core body temperature increased by about 1.01 °C on the ISS compared with baseline (F(9,81) = 5.59, p < 0.001), reached a plateau after 75 days of spaceflight, and returned only slowly during recovery.
- Maximal core body temperature during exercise increased significantly in space by an average of 1.39 °C (F(9,81) = 6.03, p < 0.001) and exceeded 40 °C in some individuals; the rate of increase during exercise rose from 0.1 °C min⁻¹ on ground to 0.15 °C min⁻¹ inflight.
- IL-1ra showed a nearly identical time course to core body temperature (F(7,47) = 4.06, p = 0.001), with significant increases after 15, 75, and 165 days of spaceflight, and was moderately positively correlated with resting core body temperature (r(49) = 0.32, p = 0.024) and maximal exercise core body temperature (r(49) = 0.41, p = 0.003).
- The study included 11 astronauts (7 men, 4 women), with preflight age 50 ± 4 years, height 1.77 ± 0.07 m, body weight 78.5 ± 15.7 kg, and body mass index 24.8 ± 3.5 kg/m².
Methods
- Eleven astronauts were assessed before, during, and after six-month ISS missions. Core body temperature was measured at rest and during a standardized submaximal exercise protocol at L-90 days, flight days 15, 45, 75, 105, 135, and 165, and recovery days +1, +10, and +30.
- Core body temperature was estimated using a non-invasive forehead heat flux sensor called the “Double Sensor,” with data recorded at 0.5 Hz and summarized as pre-exercise, exercise, and post-exercise phases; slope during exercise was obtained by linear regression.
- IL-1ra was measured from venous blood samples collected at L-180, L-45, L-10, flight days 15, 30, 60, 120, and 180, and recovery days +0 and +30. Mixed-model analyses with subject as a random factor and time as a fixed factor were used, along with within-subject correlations for repeated measures.
Limitations
- Stated: the small number of women (n = 4 for core body temperature and n = 2 for biochemical data) meant sex was not considered as a fixed factor.
- Stated: the authors conclude that, “within the limits of a spaceflight experiment,” the increases might be related to persistent low-grade pro-inflammatory responses, strenuous exercise, radiation, psychological stress-induced hyperthermia, or a combination thereof; the cause is not isolated.
- Evident from the text: the study is small (n = 11), the IL-1ra–core body temperature relationship is correlational and cannot establish causality, and ground versus ISS testing occurred under different environmental conditions (e.g., ambient temperature, humidity, pressure, O₂, and CO₂), which may confound comparisons.
Model-written summary. Check it against the paper before relying on it.
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Cites
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Claims the paper makes
0 of 41 cited sources checked · 0 supported · 0 flagged
- Findingown data
Maximal core body temperature during exercise increased significantly in space on average by 1.39 °C.
“Similarly, maximal CBT during exercise increased significantly in space on average by 1.39 °C (F (9,81) = 6.03, p < 0.001 for main effect), and even exceeded 40 °C in some individuals during the expedition.”
Quote in the paperSubstantial claim - Findingown data
Resting core body temperature is increased by about 1.01 °C on the ISS during long-duration spaceflight compared to baseline.
“At rest CBT was increased by about 1.01 °C on the ISS compared to baseline (F (9,81) = 5.59, p < 0.001 for main effect).”
- Also stated in: § Abstract · plain
“Moreover, we observed for the first time a sustained increased astronauts’ CBT also under resting conditions.”
Quote in the paperSubstantial claim - Also stated in: § Abstract · plain
- Findingown data
Maximal core body temperature during exercise exceeded 40 °C in some individuals during the expedition.
“and even exceeded 40 °C in some individuals during the expedition.”
Quote in the paperNot a substantial claim - Findingown data
During exercise, core body temperature rises higher and faster in space than on Earth.
“We here show that during exercise CBT rises higher and faster in space than on Earth.”
Quote in the paperSubstantial claim - Findingown data
Core body temperature was significantly increased throughout the space mission at each time point.
“The parameter estimates of the mixed models revealed that CBT was significantly increased throughout the space mission at each time point, reaching a plateau after 75 days of spaceflight, and only returned slowly to baseline during the recovery (Fig. 1a and b).”
Quote in the paperSubstantial claim
- Findingown data
Core body temperature reached a plateau after 75 days of spaceflight.
“reaching a plateau after 75 days of spaceflight”
Quote in the paperNot a substantial claim - Findingown data
IL-1ra was significantly increased after 15, 75, and 165 days of spaceflight compared to baseline.
“IL-1ra was significantly increased after 15, 75, and 165 days of spaceflight compared to baseline (p = 0.042, p < 0.001, and p = 0.044, respectively)”
Quote in the paperSubstantial claim - Findingown data
The pattern of core body temperature change was a gradual increase followed by a decelerated decline.
“The linear, quadratic and cubic components confirmed the pattern of a gradual increase, followed by a decelerated decline in CBT (Fig. 1c and d).”
Quote in the paperNot a substantial claim - Findingown data
Core body temperature only returned slowly to baseline during recovery.
“and only returned slowly to baseline during the recovery”
Quote in the paperNot a substantial claim - Findingown data
After 30 days of spaceflight, the slope of core body temperature remained significantly elevated throughout the mission compared to baseline.
“parameter estimates of the model indicated that after 30 days of spaceflight, the slope of CBT remained significantly elevated throughout the mission compared to baseline (Fig. 2a).”
Quote in the paperSubstantial claim - Findingown data
IL-1ra showed a nearly identical time course as core body temperature.
“IL-1ra showed a nearly identical time course as CBT (F (7,47) = 4.06, p = 0.001).”
Quote in the paperSubstantial claim - Findingown data
The slope of core body temperature during exercise increased from 0.1 °C min−1 on ground to 0.15 °C min−1 inflight.
“The slope of CBT during exercise, i.e. the rate of increaes in CBT during exercise, also increased from 0.1 °C min−1 on ground to 0.15 °C min−1 inflight (Fig. 2a).”
Quote in the paperSubstantial claim - Findingown data
The increase in resting core body temperature of about 1 °C developed gradually over 2.5 months.
“This increase of about 1 °C developed gradually over 2.5 months and was associated with augmented concentrations of interleukin-1 receptor antagonist, a key anti-inflammatory protein.”
Quote in the paperSubstantial claim - Findingown data
IL-1ra followed a negative quadratic trend during spaceflight.
“and also followed a negative quadratic trend (F (1,53) = 18.7, p < 0.001).”
Quote in the paperNot a substantial claim - Interpretationown data
Cytokine dysregulation is associated with increased core body temperature in spaceflight.
“we also found a moderate relationship between IL-1ra and CBT, suggesting that cytokine dysregulation is associated with increased CBT in spaceflight.”
Quote in the paperSubstantial claim - Interpretationown data
The safety margins for heavy exercise in space seem to be smaller because crew members reached core body temperature > 40 °C during short submaximal exercise.
“Since we have shown that our crew members reached CBT > 40 °C during short submaximal exercise, the safety margins for heavy exercise in space seem to be smaller.”
Quote in the paperSubstantial claim - Premisecitation
The sensor probe applied to the forehead is a highly accurate surrogate compared to nasopharyngeal, esophageal and artery temperatures.
“Importantly, the sensor probe can be applied to the forehead, and has been shown to be highly accurate surrogate compared to nasopharyngeal20, esophageal23–27 and artery temperatures24.”
Quote in the paperSubstantial claim0 of 6 sources checked- cites [20] Gunga, H.-C., Sandsund, M., Reinertsen, R. E., Sattler, F. & Koch, J. A non-invasive device to continuously determine heat strain in humans. Journal of Thermal Biology 33, 297–307 (2008). source
Not checked in the free run.
- cites [23] Opatz, O. et al. Temporal and spatial dispersion of human body temperature during deep hypothermia. Br J Anaesth 111, 768–775 (2013). source
Not checked in the free run.
- cites [24] Dahyot-Fizelier, C. et al. Accuracy of Zero-Heat-Flux Cutaneous Temperature in Intensive Care Adults. Crit Care Med 45, e715–e717 (2017). source
Not checked in the free run.
- cites [25] Evron, S. et al. Evaluation of the Temple Touch Pro, a Novel Noninvasive Core-Temperature Monitoring System. Anesth Analg 125, 103–109 (2017). source
Not checked in the free run.
- cites [26] Kimberger, O. et al. The accuracy of a disposable noninvasive core thermometer. Can J Anaesth 60, 1190–1196 (2013). source
Not checked in the free run.
- cites [27] Mäkinen, M. T. et al. Novel Zero-Heat-Flux Deep Body Temperature Measurement in Lower Extremity Vascular and Cardiac Surgery. J Cardiothorac Vasc Anesth 30, 973–978 (2016). source
Not checked in the free run.
- Premisecitation
Spaceflight induces a pro-inflammatory response, as indicated by increases in IL-1ra.
“recent research suggests that spaceflight induces a pro-inflammatory response, as indicated by increases in interleukin-1 receptor antagonist (IL-1ra)13”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [13] Crucian, B. E. et al. Plasma cytokine concentrations indicate that in vivo hormonal regulation of immunity is altered during long-duration spaceflight. J Interferon Cytokine Res 34, 778–786 (2014). source
Not checked in the free run.
- Premisecitation
Earlier studies on core body temperature in space were short-term missions, spanning a maximum of 8-16 days of spaceflight.
“However, these studies were short-term missions, spanning a maximum of 8–16 days of spaceflight.”
Quote in the paperSubstantial claim0 of 3 sources checked- cites [15] Dijk, D. J. et al. Sleep, performance, circadian rhythms, and light-dark cycles during two space shuttle flights. Am J Physiol Regul Integr Comp Physiol 281, R1647–64 (2001). source
Not checked in the free run.
- cites [16] Gundel, A., Nalishiti, V., Reucher, E., Vejvoda, M. & Zulley, J. Sleep and circadian rhythm during a short space mission. Clin Investig 71, 718–724 (1993). source
Not checked in the free run.
- cites [17] Gundel, A., Polyakov, V. V. & Zulley, J. The alteration of human sleep and circadian rhythms during spaceflight. J Sleep Res 6, 1–8 (1997). source
Not checked in the free run.
- Premisecitation
IL-1ra is particularly sensitive during spaceflight with 300- to 600-fold higher increases compared to IL-1α or IL-1β.
“IL-1ra was specifically targeted as it has been shown to be particularly sensitive during spaceflight with 300- to 600-fold higher increases during spaceflight compared to IL-1α or IL-1β13.”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [13] Crucian, B. E. et al. Plasma cytokine concentrations indicate that in vivo hormonal regulation of immunity is altered during long-duration spaceflight. J Interferon Cytokine Res 34, 778–786 (2014). source
Not checked in the free run.
- Premisecitation
Elevated core body temperature in space was earlier observed by Gundel et al. using 24-hours core body temperature recordings, but to a much lower extent (0.06-0.16 °C).
“Elevated CBT in space has been earlier observed by Gundel et al.16,17, using 24-hours CBT recordings, however to much lower extent (0.06–0.16 °C).”
Quote in the paperNot a substantial claim0 of 2 sources checked- cites [16] Gundel, A., Nalishiti, V., Reucher, E., Vejvoda, M. & Zulley, J. Sleep and circadian rhythm during a short space mission. Clin Investig 71, 718–724 (1993). source
Not checked in the free run.
- cites [17] Gundel, A., Polyakov, V. V. & Zulley, J. The alteration of human sleep and circadian rhythms during spaceflight. J Sleep Res 6, 1–8 (1997). source
Not checked in the free run.
- May combine two claims. 14
- Classified as probably not a substantial claim. 12
May combine two claims.
Findingown dataIL-1ra concentration is moderately positively correlated with core body temperature at rest and with maximal core body temperature during exercise during long-duration spaceflight.
“Both CBT at rest and maximal CBT during exercise were moderately positively correlated to IL-1ra (r(49) = 0.32, p = 0.024 and r(49) = 0.41, p = 0.003 for CBT at rest and during exercise, respectively).”
- Also stated in: § Abstract · plain
“and was associated with augmented concentrations of interleukin-1 receptor antagonist, a key anti-inflammatory protein.”
Quote in the paperSubstantial claim- Also stated in: § Abstract · plain
Probably not a substantial claim: may not pass S3 (load-bearing).
PremisecitationSevere core body temperature deviations (<33 °C or >40 °C) can have life-threatening consequences.
“Severe CBT deviations (<33 °C or >40 °C) can even have life-threatening consequences3.”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [3] Bouchama, A. & Knochel, J. P. Heat stroke. N Engl J Med 346, 1978–1988 (2002). source
Not checked in the free run.
May combine two claims.
Interpretationown dataImpairments in thermoregulation are still prevalent after return to Earth, and recovery occurs only very gradually.
“our data indicate that the impairments in thermoregulation are still prevalent after return to Earth, and recovery occurs only very gradually.”
Quote in the paperSubstantial claimMay combine two claims.
Interpretationown dataThe shift in core body temperature seems to be a slow, gradual phenomenon that reaches its peak only after months of spaceflight.
“Our data suggest that the shift in CBT seems to be a slow, gradual phenomenon that reaches its peak only after months of spaceflight.”
Quote in the paperSubstantial claimMay combine two claims.
PremisecitationDuring spaceflight, reduced gravity impairs convective heat transfer and the efficiency of evaporation.
“During spaceflight these processes can be considerably challenged as reduced gravity impairs convective heat transfer and the efficiency of evaporation10,11.”
Quote in the paperSubstantial claim0 of 2 sources checked- cites [10] Fortney, S. M. et al. Body temperature and thermoregulation during submaximal exercise after 115-day spaceflight. Aviation, space, and environmental medicine 69, 137–141 (1998).
Not checked in the free run.
- cites [11] Polyakov, V. V., Lacota, N. G. & Gundel, A. Human thermohomeostasis onboard “Mir” and in simulated microgravity studies. Acta astronautica 49, 137–143 (2001). source
Not checked in the free run.
Probably not a substantial claim: may not pass S2 (checkable).
InterpretationreasoningThis space fever has potential implications for long-term spaceflights in terms of astronauts' health, well-being, and support, including energy, nutrient, and fluid requirements as well as physical and cognitive performance.
“Irrespective of its underlying causes, this space fever, as we may call it, has potential implications for long-term spaceflights in terms of astronauts’ health, well-being, and support, including energy, nutrient, and fluid requirements as well as physical and cognitive performance.”
Quote in the paperNot a substantial claimClassified as probably not a substantial claim.
PremisecitationTight control of core body temperature is a prerequisite for maintaining physical and mental performance.
“It is well known that the tight control of CBT is a prerequisite for maintaining physical1 and mental2 performance.”
Quote in the paperSubstantial claim0 of 2 sources checked- cites [1] Hancock, P. A., Ross, J. M. & Szalma, J. L. A meta-analysis of performance response under thermal stressors. Hum Factors 49, 851–877 (2007). source
Not checked in the free run.
- cites [2] Taylor, L., Watkins, S. L., Marshall, H., Dascombe, B. J. & Foster, J. The Impact of Different Environmental Conditions on Cognitive Function: A Focused Review. Front Physiol 6, 372 (2015).
Not checked in the free run.
Probably not a substantial claim: may not pass S3 (load-bearing).
PremisecitationIL-1ra plays a crucial role in downregulating core body temperature.
“which has also been shown to play a crucial role in downregulating CBT14.”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [14] Luheshi, G. N., Gardner, J. D., Rushforth, D. A., Loudon, A. S. & Rothwell, N. J. Leptin actions on food intake and body temperature are mediated by IL-1. Proc Natl Acad Sci USA 96, 7047–7052 (1999). source
Not checked in the free run.
May combine two claims.
Interpretationown dataThe increases in core body temperature might be related to persistent low-grade pro-inflammatory responses to weightlessness, strenuous exercise protocols, radiation, psychological stress-induced hyperthermia or a combination thereof.
“We concluded that, within the limits of a spaceflight experiment, these increases might be related to persistent low-grade pro-inflammatory responses to weightlessness, strenuous exercise protocols, radiation, psychological stress-induced hyperthermia or a combination thereof.”
Quote in the paperSubstantial claimMay combine two claims.
PremisecitationPrevious research has noted increases in core body temperature during spaceflight and impaired thermoregulation during space analogs, but these studies were limited to short missions and did not investigate the effect of acute physical exercise on core body temperature.
“While previous research has noted increases in CBT during spaceflight15–17 and impaired thermoregulation during space analogs, i.e. head-down tilt bed rest18, these studies were limited to short missions and did not investigate the effect of acute physical exercise on CBT.”
Quote in the paperSubstantial claim0 of 4 sources checked- cites [15] Dijk, D. J. et al. Sleep, performance, circadian rhythms, and light-dark cycles during two space shuttle flights. Am J Physiol Regul Integr Comp Physiol 281, R1647–64 (2001). source
Not checked in the free run.
- cites [16] Gundel, A., Nalishiti, V., Reucher, E., Vejvoda, M. & Zulley, J. Sleep and circadian rhythm during a short space mission. Clin Investig 71, 718–724 (1993). source
Not checked in the free run.
- cites [17] Gundel, A., Polyakov, V. V. & Zulley, J. The alteration of human sleep and circadian rhythms during spaceflight. J Sleep Res 6, 1–8 (1997). source
Not checked in the free run.
- cites [18] Crandall, C. G., Johnson, J. M., Convertino, V. A., Raven, P. B. & Engelke, K. A. Altered thermoregulatory responses after 15 days of head-down tilt. J Appl Physiol (1985) 77, 1863–1867 (1994). source
Not checked in the free run.
May combine two claims.
PremisecitationThe Double Sensor provides a reliable and valid estimate of core body temperature.
“This approach has been tested in various space analogs and clinical settings and has been found to provide a reliable and valid estimate of CBT20–23.”
- Also stated in: § Instrumentation and measurements · plain
“A detailed description of the sensor design and its precision, accuracy, and validity is described elsewhere20–23,25,26.”
Quote in the paperSubstantial claim0 of 6 sources checked- cites [20] Gunga, H.-C., Sandsund, M., Reinertsen, R. E., Sattler, F. & Koch, J. A non-invasive device to continuously determine heat strain in humans. Journal of Thermal Biology 33, 297–307 (2008). source
Not checked in the free run.
- cites [21] Gunga, H. C. et al. The Double Sensor-A non-invasive device to continuously monitor core temperature in humans on earth and in space. Respir Physiol Neurobiol 169(Suppl 1), S63–8 (2009). source
Not checked in the free run.
- cites [22] Mendt, S. et al. Circadian rhythms in bed rest: Monitoring core body temperature via heat-flux approach is superior to skin surface temperature. Chronobiol Int 34, 666–676 (2017). source
Not checked in the free run.
- cites [23] Opatz, O. et al. Temporal and spatial dispersion of human body temperature during deep hypothermia. Br J Anaesth 111, 768–775 (2013). source
Not checked in the free run.
- cites [25] Evron, S. et al. Evaluation of the Temple Touch Pro, a Novel Noninvasive Core-Temperature Monitoring System. Anesth Analg 125, 103–109 (2017). source
Not checked in the free run.
- cites [26] Kimberger, O. et al. The accuracy of a disposable noninvasive core thermometer. Can J Anaesth 60, 1190–1196 (2013). source
Not checked in the free run.
- Also stated in: § Instrumentation and measurements · plain
Probably not a substantial claim: may not pass S3 (load-bearing).
PremisecitationDeep brain temperature is slightly higher than central blood temperature in the pulmonary artery (~0.2 °C) or in the esophagus (~0.3 °C) under resting conditions on Earth.
“Due to high metabolic activity, deep brain temperature is slightly higher than central blood temperature in the pulmonary artery (~0.2 °C) or in the esophagus (~0.3 °C) under resting conditions on Earth33.”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [33] Sessler, D. I. Temperature monitoring and perioperative thermoregulation. Anesthesiology 109, 318–338 (2008). source
Not checked in the free run.
Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.
Study design and conductnone givenThe study was approved by the local Ethics Committee of the Charité Universitätsmedizin Berlin and by the Institutional Review Boards of the space agencies involved.
“It was approved by the local Ethics Committee of the Charité Universitätsmedizin Berlin and by the Institutional Review Boards of the space agencies involved.”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
Study design and conductown dataAll participants provided written informed consent to participate in the study.
“all participants provided written informed consent to particpate in the study.”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
PremisecitationDaily radiation exposure rates on board the ISS are 100 times higher than exposure rates on Earth.
“According to recent measurements, the daily exposure rates measured on board the ISS have been described to be 100 times higher that exposure rates on the Earth42.”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [42] Reitz, G. et al. Astronaut’s organ doses inferred from measurements in a human phantom outside the International Space Station. Radiation research 171, 225–235 (2009). source
Not checked in the free run.
Probably not a substantial claim: may not pass S3 (load-bearing).
Study design and conductnone givenNormality and homogeneity were checked by visual inspections of plots of residuals against fitted values.
“Normality and homogeneity were checked by visual inspections of plots of residuals against fitted values.”
Quote in the paperNot a substantial claimMay combine two claims.
PremisecitationIL-1ra plays a key role in local inflammatory processes and is more sensitive than other cytokines such as IL-1β to peripheral changes in the blood.
“In fact, IL-1ra appears to play a key role in local inflammatory processes37 and has been shown to be more sensitive than other cytokines such as IL-1β to peripheral changes in the blood compared to alterations of specific local tissues concentrations38.”
Quote in the paperSubstantial claim0 of 2 sources checked- cites [37] Arend, W. P., Malyak, M., Guthridge, C. J. & Gabay, C. Interleukin-1 receptor antagonist: role in biology. Annual review of immunology 16, 27–55 (1998). source
Not checked in the free run.
- cites [38] Cartmell, T., Luheshi, G. N., Hopkins, S. J., Rothwell, N. J. & Poole, S. Role of endogenous interleukin‐1 receptor antagonist in regulating fever induced by localised inflammation in the rat. The Journal of physiology 531, 171–180 (2001). source
Not checked in the free run.
Probably not a substantial claim: may not pass S3 (load-bearing).
Study design and conductown dataSex was not considered as a fixed factor in the analyses due to the small number of women.
“Due to the small number of women (n = 4 for core body temperature and n = 2 for biochemical data), sex was not considered as a fixed factor.”
Quote in the paperNot a substantial claimMay combine two claims.
PremisecitationAfter long-term spaceflight, the sensitivity of heat-loss responses is reduced, resulting in a faster rise in core body temperature.
“These findings are very much in line with earlier studies, stating that after long-term spaceflight the sensitivity of the heat-loss responses is reduced, resulting in a faster rise in CBT10.”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [10] Fortney, S. M. et al. Body temperature and thermoregulation during submaximal exercise after 115-day spaceflight. Aviation, space, and environmental medicine 69, 137–141 (1998).
Not checked in the free run.
May combine two claims.
PremisecitationIn earlier studies, higher resting core body temperature remained elevated throughout the stay on the ISS and returned to baseline 10 days after landing.
“In this case the higher resting CBT remained elevated throughout the stay on the ISS and finally returned to baseline 10 days after landing; these findings are also in line with observations of Dijk et al.15.”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [15] Dijk, D. J. et al. Sleep, performance, circadian rhythms, and light-dark cycles during two space shuttle flights. Am J Physiol Regul Integr Comp Physiol 281, R1647–64 (2001). source
Not checked in the free run.
Probably not a substantial claim: may not pass S3 (load-bearing).
PremisecitationVigorous physical exercise combined with extremely high regional neuronal activity further increases cerebral metabolic rate and aggravates heat strain on the brain.
“However, vigorous physical exercise combined with extremely high regional neuronal activity (motor and supplementary motor areas), further increases cerebral metabolic rate and as such aggravate the heat strain on the brain35.”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [35] Nybo, L. & Secher, N. H. Cerebral perturbations provoked by prolonged exercise. Progress in neurobiology 72, 223–261 (2004). source
Not checked in the free run.
Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.
PremisecitationThe limit of brain temperature is 44 °C for a short period of time, or 40 to 60 minutes when in the range of 42 to 42.5 °C.
“Caputa reports that the limit of brain temperature is 44 °C for a short period of time, or 40 to 60 minutes when in the range of 42 to 42.5 °C36.”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [36] Caputa, M. Selective brain cooling: a multiple regulatory mechanism. Journal of Thermal Biology 29, 691–702 (2004). source
Not checked in the free run.
May combine two claims.
PremisecitationThe immune system is already affected by spaceflight per se, and vigorous exercise induces a marked impairment of the immune system.
“While the immune system is already affected by spaceflight per se39–41, vigorous exercise induces a marked impairment of the immune system39.”
Quote in the paperSubstantial claim0 of 3 sources checked- cites [39] Chouker, A. Stress challenges and immunity in space: from mechanisms to monitoring and preventive strategies (Springer Science & Business Media, 2011). source
Not checked in the free run.
- cites [40] Cogoli, A., Tschopp, A. & Fuchs-Bislin, P. Cell sensitivity to gravity. Science 225, 228–231 (1984). source
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- cites [41] Crucian, B. et al. Immune system dysregulation occurs during short duration spaceflight on board the space shuttle. J Clin Immunol 33, 456–465 (2013). source
Not checked in the free run.
May combine two claims.
PremisecitationNovelty stress, such as exposure to unfamiliar environments, can increase core body temperature by as much as 2 °C and chronic stress can lead to stress induced hyperthermia.
“These data indicate that novelty stress, such as exposure to unfamiliar environments, can increase CBT by as much as 2 °C and chronic stress can lead to the so-called stress induced hyperthermia43.”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [43] Oka, T. Psychogenic fever: how psychological stress affects body temperature in the clinical population. Temperature 2, 368–378 (2015). source
Not checked in the free run.
The paper relies on this without support.
Exercise will be one of the key countermeasures of future long-duration space missions.
“Given that exercise will be one of the key countermeasures of future long-duration space missions (LDSM), studies investigating the effects of thermoregulation during spaceflight are critically needed.”
The paper relies on this without support.
More than 80% of energy expenditure is converted to heat during exercise.
“Such deficiencies could be particularly prominent during exercise, where >80% of energy expenditure is converted to heat.”
The paper relies on this without support.
Studies investigating the effects of long-duration spaceflight on core body temperature at rest and during exercise are lacking.
“Specifically, studies, investigating the effects of long-duration spaceflight on CBT at rest and during exercise are clearly lacking.”
The paper relies on this without support.
The effects of weightlessness on human thermoregulation are not well understood.
“However, the effects of weightlessness on human thermoregulation are not well understood.”
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
The double heat-flux sensor technology has been successfully tested during hypothermia, bedrest, and exercise on Earth and in space.
“The double heat-flux sensor technology has been successfully tested during hypothermia, bedrest, and exercise on Earth and in space [44–48].”
The Tcore heat-flux sensor is a validated device.
“a validated heat-flux sensor (Tcore, Dräger, Germany), connected to a miniaturized data logger (HFUM, KORA Industrie Elektronik, Germany) [44–48]”
Statistics recomputed
Every reported test result, recomputed from its test statistic and degrees of freedom. A result shows as not adding up only once an independent check has confirmed it.
- ConsistentF(9, 81) = 5.59reported p < .001 · recomputed p < .001
“F (9,81) = 5.59, p < .001”
- ConsistentF(9, 81) = 6.03reported p < .001 · recomputed p < .001
“F (9,81) = 6.03, p < .001”
- ConsistentF(9, 81) = 1.45reported p = .18 · recomputed p = .181
“F (9,81) = 1.45, p = .18”
- ConsistentF(7, 47) = 4.06reported p = .001 · recomputed p = .001
“F (7,47) = 4.06, p = .001”
- ConsistentF(1, 53) = 18.7reported p < .001 · recomputed p < .001
“F (1,53) = 18.7, p < .001”
- Consistentr(49) = 0.32reported p = .024 · recomputed p = .022
“r(49) = 0.32, p = .024”
- Consistentr(49) = 0.41reported p = .003 · recomputed p = .003
“r(49) = 0.41, p = .003”
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
Each contradiction between two passages listed here was confirmed by an independent check.
IL-1ra results name flight days without blood samples
MajorThe results report significant IL-1ra increases on flight days 75 and 165, but the methods list blood collections on days 15, 30, 60, 120, and 180. No IL-1ra samples are described for days 75 or 165.
“IL-1ra was significantly increased after 15, 75, and 165 days of spaceflight compared to baseline (p = 0.042, p < 0.001, and p = 0.044, respectively)”
“blood samples were collected 180, 45 and 10 days before launch (L-180, L-45, and L-10), after 15, 30, 60, 120 and 180 days of spaceflight (FD15, FD30, FD60, FD120, and FD180)”
IL-1ra time-course result cites the correlation figure
MinorThe results cite Figure 3 for IL-1ra changes over time, but the Figure 3 caption identifies it as a plot of correlations between IL-1ra and CBT, not an IL-1ra time course.
“As indicated in Figure 3, IL-1ra was significantly increased after 15, 75, and 165 days of spaceflight compared to baseline”
“Figure: Figure 3 Repeated measures correlation between IL-1ra and core body temperature46 at rest (a) and after exercise (b) during long-duration spaceflight”
Exercise-slope growth curve cites the wrong panel
MinorThe results cite Figure 2b for the growth curve of the exercise CBT slope. The Figure 2 caption assigns the CBT increase trajectory to panel c; panel b shows IL-1ra.
“In line with that, growth curve analysis showed a significant linear and quadratic component (Fig. 2b).”
“Panel c and d show marginal means and 95% CI as well as individual (dotted lines) and overall trajectories (solid lines) for changes of increases in CBT and IL-1ra over time, respectively”
Cites
R: A Language and Environment for Statistical Computing
R Core Team (2000) · doi:10.32614/r.manuals · Cited by 355,706 · see citing works
Fitting Linear Mixed-Effects Models Using <b>lme4</b>
Bates, D., Mächler, M., Bolker, B., & Walker, S. (2015) · Journal of Statistical Software · doi:10.18637/jss.v067.i01 · Cited by 86,835 · see citing works
Bakdash, J. Z., & Marusich, L. R. (2017) · Frontiers in Psychology · doi:10.3389/fpsyg.2017.00456 · Cited by 2,067 · see citing works
Bouchama, A., & Knochel, J. P. (2002) · New England Journal of Medicine · doi:10.1056/nejmra011089 · Cited by 1,898 · see citing works
The Effects of Climate Change on Cardiac Health
De Blois, J., Kjellstrom, T., Agewall, S., Ezekowitz, J. A., Armstrong, P. W., & Atar, D. (2015) · Cardiology · doi:10.1159/000398787 · Cited by 1,697 · see citing works
Contrast Analysis: Focused Comparisons in the Analysis of Variance.
Levin, J. R., Rosenthal, R., & Rosnow, R. L. (1987) · Journal of the American Statistical Association · doi:10.2307/2289419 · Cited by 1,252 · see citing works
Aviation, Space, and Environmental Medicine
(2011) · Wilderness and Environmental Medicine · doi:10.1016/j.wem.2010.11.006 · Cited by 1,200 · see citing works
Calculating correlation coefficients with repeated observations: Part 2—correlation between subjects
Bland, J. M., & Altman, D. G. (1995) · BMJ · doi:10.1136/bmj.310.6980.633 · Cited by 1,083 · see citing works
INTERLEUKIN-1 RECEPTOR ANTAGONIST: Role in Biology
Arend, W. P., Malyak, M., Guthridge, C. J., & Gabay, C. (1998) · Annual Review of Immunology · doi:10.1146/annurev.immunol.16.1.27 · Cited by 1,071 · see citing works
Bland, J. M., & Altman, D. G. (1995) · BMJ · doi:10.1136/bmj.310.6977.446 · Cited by 1,036 · see citing works
Thermoregulation: some concepts have changed. Functional architecture of the thermoregulatory system
Romanovsky, A. A. (2007) · American Journal of Physiology-Regulatory, Integrative and Comparative Physiology · doi:10.1152/ajpregu.00668.2006 · Cited by 786 · see citing works
Temperature Monitoring and Perioperative Thermoregulation
Sessler, D. I., Warner, D. S., & Warner, M. A. (2008) · Anesthesiology · doi:10.1097/aln.0b013e31817f6d76 · Cited by 758 · see citing works
Kjellstrom, T., Briggs, D., Freyberg, C., Lemke, B., Otto, M., & Hyatt, O. (2016) · Annual Review of Public Health · doi:10.1146/annurev-publhealth-032315-021740 · Cited by 617 · see citing works
Considerations for the measurement of core, skin and mean body temperatures
Taylor, N. A. S., Tipton, M. J., & Kenny, G. P. (2014) · Journal of Thermal Biology · doi:10.1016/j.jtherbio.2014.10.006 · Cited by 420 · see citing works
A Meta-Analysis of Performance Response Under Thermal Stressors
Hancock, P. A., Ross, J. M., & Szalma, J. L. (2007) · Human Factors: The Journal of the Human Factors and Ergonomics Society · doi:10.1518/001872007x230226 · Cited by 410 · see citing works
Cerebral perturbations provoked by prolonged exercise
Nybo, L., & Secher, N. H. (2004) · Progress in Neurobiology · doi:10.1016/j.pneurobio.2004.03.005 · Cited by 398 · see citing works
The Impact of Different Environmental Conditions on Cognitive Function: A Focused Review
Taylor, L. K., Watkins, S. L., Marshall, H. L., Dascombe, B. J., & Foster, J. (2016) · Frontiers in Physiology · doi:10.3389/fphys.2015.00372 · Cited by 383 · see citing works
Leptin actions on food intake and body temperature are mediated by IL-1
Luheshi, G. N., Gardner, J. D., Rushforth, D. A., Loudon, A. S., & Rothwell, N. J. (1999) · Proceedings of the National Academy of Sciences · doi:10.1073/pnas.96.12.7047 · Cited by 362 · see citing works
Thermometry, Calorimetry, and Mean Body Temperature during Heat Stress
Kenny, G. P., & Jay, O. (2013) · Comprehensive physiology · doi:10.1002/cphy.c130011 · Cited by 314 · see citing works
Cogoli, A., Tschopp, A., & Fuchs-Bislin, P. (1984) · Science · doi:10.1126/science.6729481 · Cited by 314 · see citing works
Sleep, performance, circadian rhythms, and light-dark cycles during two space shuttle flights
Dijk, D.-J., Neri, D. F., Wyatt, J. K., Ronda, J. M., Riel, E., Ritz-De Cecco, A., Hughes, R. J., Elliott, A. R., Prisk, G. K., West, J. B., et al. (2001) · American Journal of Physiology-Regulatory, Integrative and Comparative Physiology · doi:10.1152/ajpregu.2001.281.5.r1647 · Cited by 268 · see citing works
Stone, G. J., Young, W. L., Smith, C. R., Solomon, R. A., Wald, A., Ostapkovich, N. D., & Shrebnick, D. B. (1995) · Anesthesiology · doi:10.1097/00000542-199502000-00004 · Cited by 261 · see citing works
Human behavioral thermoregulation during exercise in the heat
Flouris, A. D., & Schlader, Z. J. (2015) · Scandinavian Journal of Medicine & Science in Sports · doi:10.1111/sms.12349 · Cited by 249 · see citing works
Norsk, P., Asmar, A., Damgaard, M., & Christensen, N. J. (2015) · The Journal of Physiology · doi:10.1113/jphysiol.2014.284869 · Cited by 230 · see citing works
Central control of body temperature
Morrison, S. F. (2016) · F1000Research · doi:10.12688/f1000research.7958.1 · Cited by 208 · see citing works
Immune System Dysregulation Occurs During Short Duration Spaceflight On Board the Space Shuttle
Crucian, B., Stowe, R., Mehta, S., Uchakin, P., Quiriarte, H., Pierson, D., & Sams, C. (2013) · Journal of Clinical Immunology · doi:10.1007/s10875-012-9824-7 · Cited by 196 · see citing works
Self-citationCrucian, B. E., Zwart, S. R., Mehta, S., Uchakin, P., Quiriarte, H. D., Pierson, D., Sams, C. F., & Smith, S. M. (2014) · Journal of Interferon & Cytokine Research · doi:10.1089/jir.2013.0129 · Cited by 195 · see citing works
Self-citationContribution of thermal and nonthermal factors to the regulation of body temperature in humans
Mekjavić, I. B., & Eiken, O. (2006) · Journal of Applied Physiology · doi:10.1152/japplphysiol.01118.2005 · Cited by 178 · see citing works
The alteration of human sleep and circadian rhythms during spaceflight
GUNDEL, A., POLYAKOV, V. V., & ZULLEY, J. (1997) · Journal of Sleep Research · doi:10.1046/j.1365-2869.1997.00028.x · Cited by 170 · see citing works
Peak exercise oxygen uptake during and following long-duration spaceflight
Moore, A. D., Downs, M. E., Lee, S. M. C., Feiveson, A. H., Knudsen, P., & Ploutz-Snyder, L. (2014) · Journal of Applied Physiology · doi:10.1152/japplphysiol.01251.2013 · Cited by 133 · see citing works
Self-citationA non-invasive device to continuously determine heat strain in humans
Gunga, H.-C., Sandsund, M., Reinertsen, R. E., Sattler, F., & Koch, J. (2008) · Journal of Thermal Biology · doi:10.1016/j.jtherbio.2008.03.004 · Cited by 129 · see citing works
Self-citationReitz, G., Berger, T., Bilski, P., Facius, R., Hajek, M., Petrov, V., Puchalska, M., Zhou, D., Bossler, J., Akatov, Y., et al. (2009) · Radiation Research · doi:10.1667/rr1559.1 · Cited by 128 · see citing works
Self-citationPsychogenic fever: how psychological stress affects body temperature in the clinical population
Oka, T. (2015) · Temperature · doi:10.1080/23328940.2015.1056907 · Cited by 127 · see citing works
(2009) · Wiley eBooks · doi:10.1002/9780470742433 · Cited by 126 · see citing works
Gunga, H.-C., Werner, A., Stahn, A., Steinach, M., Schlabs, T., Koralewski, E., Kunz, D., Belavý, D. L., Felsenberg, D., Sattler, F., et al. (2009) · Respiratory Physiology & Neurobiology · doi:10.1016/j.resp.2009.04.005 · Cited by 122 · see citing works
Self-citationLey, W., Wittmann, K., & Hallmann, W. (2009) · American Institute of Aeronautics and Astronautics eBooks · doi:10.2514/4.867019 · Cited by 90 · see citing works
Mäkinen, M.-T., Pesonen, A., Jousela, I., Päivärinta, J., Poikajärvi, S., Albäck, A., Salminen, U.-S., & Pesonen, E. (2016) · Journal of Cardiothoracic and Vascular Anesthesia · doi:10.1053/j.jvca.2016.03.141 · Cited by 69 · see citing works
Selective brain cooling: a multiple regulatory mechanism
Caputa, M. (2004) · Journal of Thermal Biology · doi:10.1016/j.jtherbio.2004.08.079 · Cited by 65 · see citing works
Sleep and circadian rhythm during a short space mission
Gundel, A., Nalishiti, V., Reucher, E., Vejvoda, M., & Zulley, J. (1993) · The Clinical Investigator · doi:10.1007/bf00209726 · Cited by 65 · see citing works
Cartmell, T., Luheshi, G. N., Hopkins, S. J., Rothwell, N. J., & Poole, S. (2001) · The Journal of Physiology · doi:10.1111/j.1469-7793.2001.0171j.x · Cited by 62 · see citing works
Mendt, S., Maggioni, M. A., Nordine, M., Steinach, M., Opatz, O., Belavý, D., Felsenberg, D., Koch, J., Shang, P., Gunga, H.-C., et al. (2017) · Chronobiology International · doi:10.1080/07420528.2016.1224241 · Cited by 60 · see citing works
Self-citationBody temperature and thermoregulation during submaximal exercise after 115-day spaceflight.
FORTNEY, S. M., Mikhaylov, V., Lee, S. M. C., Kobzev, Y., Gonzalez, R. R., & Greenleaf, J. E. (1998) · PubMed · Cited by 54 · see citing works
Altered thermoregulatory responses after 15 days of head-down tilt
Crandall, C. G., Johnson, J. M., Convertino, V. A., Raven, P. B., & Engelke, K. A. (1994) · Journal of Applied Physiology · doi:10.1152/jappl.1994.77.4.1863 · Cited by 54 · see citing works
Stress Challenges and Immunity in Space: From Mechanisms to Monitoring and Preventive Strategies
(2012) · doi:10.1007/978-3-642-22272-6 · Cited by 54 · see citing works
Self-citationEvaluation of the Temple Touch Pro, a Novel Noninvasive Core-Temperature Monitoring System
Evron, S., Weissman, A., Toivis, V., Shahaf, D. B., You, J., Sessler, D. I., & Ezri, T. (2017) · Anesthesia & Analgesia · doi:10.1213/ane.0000000000001695 · Cited by 38 · see citing works
Accuracy of Zero-Heat-Flux Cutaneous Temperature in Intensive Care Adults
Dahyot-Fizelier, C., Lamarche, S., Kerforne, T., Bénard, T., Giraud, B., Bellier, R., Carise, E., Frasca, D., & Mimoz, O. (2017) · Critical Care Medicine · doi:10.1097/ccm.0000000000002317 · Cited by 34 · see citing works
The accuracy of a disposable noninvasive core thermometer
Kimberger, O., Saager, L., Egan, C., Sanchez, I. P., Dizili, S., Koch, J., & Kurz, A. (2013) · Canadian Journal of Anesthesia/Journal canadien d'anesthésie · doi:10.1007/s12630-013-0047-z · Cited by 30 · see citing works
Self-citationTemporal and spatial dispersion of human body temperature during deep hypothermia
Opatz, O., Trippel, T., Lochner, A., Werner, A., Stahn, A., Steinach, M., Lenk, J., Kuppe, H., & Gunga, H. C. (2013) · British Journal of Anaesthesia · doi:10.1093/bja/aet217 · Cited by 22 · see citing works
Self-citationHuman thermohomeostasis onboard “Mir” and in simulated microgravity studies
Polyakov, V. V., Lacota, N. G., & Gundel, A. (2001) · Acta Astronautica · doi:10.1016/s0094-5765(01)00091-1 · Cited by 21 · see citing works
Paradigm shift in sensory system—Animals do not have sensors
Kobayashi, S., Okazawa, M., Hori, A., Matsumura, K., & Hosokawa, H. (2006) · Journal of Thermal Biology · doi:10.1016/j.jtherbio.2005.11.011 · Cited by 18 · see citing works
Flagged first, then by citations
1 of the 51 references couldn’t be matched to a known paper.
Cited by
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Crucian, B. E., Choukèr, A., Simpson, R. J., Mehta, S., Marshall, G., Smith, S. M., Zwart, S. R., Heer, M., Ponomarev, S., Whitmire, A., et al. (2018) · Frontiers in Immunology · doi:10.3389/fimmu.2018.01437 · Cited by 421 · see citing works
Self-citationDry Immersion as a Ground-Based Model of Microgravity Physiological Effects
Tomilovskaya, E., Shigueva, T. A., Sayenko, D. G., Rukavishnikov, I. V., & Kozlovskaya, I. B. (2019) · Frontiers in Physiology · doi:10.3389/fphys.2019.00284 · Cited by 188 · see citing works
Human Health during Space Travel: State-of-the-Art Review
Krittanawong, C., Singh, N. K., Scheuring, R. A., Urquieta, E., Bershad, E. M., Macaulay, T. R., Kaplin, S. L., Dunn, C., Kry, S. F., Russomano, T., et al. (2022) · Cells · doi:10.3390/cells12010040 · Cited by 178 · see citing works
Self-citationNorsk, P. (2019) · Acta Physiologica · doi:10.1111/apha.13434 · Cited by 133 · see citing works
Long-Term Space Nutrition: A Scoping Review
Tang, H., Rising, H. H., Majji, M., & Brown, R. D. (2021) · Nutrients · doi:10.3390/nu14010194 · Cited by 110 · see citing works
Long-term human spaceflight and inflammaging: Does it promote aging?
Capri, M., Conte, M., Ciurca, E., Pirazzini, C., Garagnani, P., Santoro, A., Longo, F., Salvioli, S., Lau, P., Moeller, R., et al. (2023) · Ageing Research Reviews · doi:10.1016/j.arr.2023.101909 · Cited by 85 · see citing works
Jackson, T. C., & Kochanek, P. M. (2019) · Therapeutic Hypothermia and Temperature Management · doi:10.1089/ther.2019.0001 · Cited by 77 · see citing works
Advanced sensor technologies and the future of work
Howard, J., Murashov, V. V., Cauda, E. G., & SNAWDER, J. E. (2021) · American Journal of Industrial Medicine · doi:10.1002/ajim.23300 · Cited by 53 · see citing works
Richardson, R. B., & Mailloux, R. J. (2023) · Antioxidants · doi:10.3390/antiox12030674 · Cited by 55 · see citing works
Wu, F., Du, H., Overbey, E. G., Kim, J., Makhijani, P., Martin, N., Lerner, C. A., Nguyen, K., Baechle, J. J., Valentino, T. R., et al. (2024) · Nature Communications · doi:10.1038/s41467-023-42013-y · Cited by 56 · see citing works
Laurens, C., Simon, C., Vernikos-Danellis, J., Gauquelin‐Koch, G., Blanc, S., & Bergouignan, A. (2019) · Frontiers in Physiology · doi:10.3389/fphys.2019.00321 · Cited by 53 · see citing works
Choukèr, A., & Stahn, A. C. (2020) · npj Microgravity · doi:10.1038/s41526-020-00122-8 · Cited by 52 · see citing works
Self-citationBarteit, S., Boudo, V., Ouedraogo, A., Zabré, P., Ouremi, L., Sié, A., Munga, S., Obor, D., Kwaro, D., Huhn, S., et al. (2021) · PLOS ONE · doi:10.1371/journal.pone.0257170 · Cited by 51 · see citing works
Self-citationEffects of spaceflight on the brain
Seidler, R. D., Mao, X. W., Tays, G. D., Wang, T., & zu Eulenburg, P. (2024) · The Lancet Neurology · doi:10.1016/s1474-4422(24)00224-2 · Cited by 53 · see citing works
Overbey, E. G., Ryon, K. A., Kim, J., Tierney, B. T., Klotz, R. V., Ortiz, V., Mullane, S., Schmidt, J. C., MacKay, M. J., Damle, N., et al. (2024) · Nature Communications · doi:10.1038/s41467-024-48806-z · Cited by 49 · see citing works
Limper, U., Tank, J., Ahnert, T., Maegele, M., Grottke, O., Hein, M., & Jordan, J. (2020) · European Heart Journal · doi:10.1093/eurheartj/ehaa359 · Cited by 40 · see citing works
Neurophysiological adaptations to spaceflight and simulated microgravity
Stella, A. B., Ajčević, M., Furlanis, G., & Manganotti, P. (2020) · Clinical Neurophysiology · doi:10.1016/j.clinph.2020.11.033 · Cited by 39 · see citing works
Be cool to be far: Exploiting hibernation for space exploration
Cerri, M., Hitrec, T., Luppi, M., & Amici, R. (2021) · Neuroscience & Biobehavioral Reviews · doi:10.1016/j.neubiorev.2021.03.037 · Cited by 38 · see citing works
Capri, M., Morsiani, C., Santoro, A., Moriggi, M., Conte, M., Martucci, M., Bellavista, E., Fabbri, C., Giampieri, E., Albracht, K., et al. (2019) · The FASEB Journal · doi:10.1096/fj.201801625r · Cited by 36 · see citing works
Prospective Use of Probiotics to Maintain Astronaut Health during Spaceflight
Bharindwal, S., Goswami, N., Jha, P., Pandey, S., & Jobby, R. (2023) · Life · doi:10.3390/life13030727 · Cited by 35 · see citing works
Robin, A., Ombergen, A. V., Laurens, C., Bergouignan, A., Vico, L., Linossier, M., Traon, A. P., Kermorgant, M., Chopard, A., Py, G., et al. (2023) · Nature Communications · doi:10.1038/s41467-023-41990-4 · Cited by 34 · see citing works
Self-citationSkeletal muscle gene expression dysregulation in long-term spaceflights and aging is clock-dependent
Malhan, D., Yalçın, M., Schoenrock, B., Blottner, D., & Relógio, A. (2023) · npj Microgravity · doi:10.1038/s41526-023-00273-4 · Cited by 27 · see citing works
Circadian regulation in aging: Implications for spaceflight and life on earth
Malhan, D., Schoenrock, B., Yalçın, M., Blottner, D., & Relógio, A. (2023) · Aging Cell · doi:10.1111/acel.13935 · Cited by 24 · see citing works
Spaceflight alters reaction time and duration judgment of astronauts
Kuldavletova, O., Morales, D. C. N., Quarck, G., Denise, P., & Clement, G. R. (2023) · Frontiers in Physiology · doi:10.3389/fphys.2023.1141078 · Cited by 24 · see citing works
Hibernation as a Tool for Radiation Protection in Space Exploration
Puspitasari, A., Cerri, M., Takahashi, A., Yoshida, Y., Hanamura, K., & Tinganelli, W. (2021) · Life · doi:10.3390/life11010054 · Cited by 24 · see citing works
Palacios, P., Castillo, W. A., Rivera, M. V., & Cornejo, J. (2020) · IEEE Engineering International Research Conference (EIRCON) · doi:10.1109/eircon51178.2020.9254027 · Cited by 23 · see citing works
Hoffmann, B., Dehkordi, P., Khosrow-Khavar, F., Goswami, N., Blaber, A. P., & Tavakolian, K. (2022) · npj Microgravity · doi:10.1038/s41526-022-00206-7 · Cited by 22 · see citing works
Seidler, R. D., Stern, C., Basner, M., Stahn, A. C., Wuyts, F. L., & zu Eulenburg, P. (2022) · Frontiers in Neural Circuits · doi:10.3389/fncir.2022.876789 · Cited by 22 · see citing works
Self-citationMcEwen, B. S., & Karatsoreos, I. N. (2019) · Springer eBooks · doi:10.1007/978-3-030-16996-1_4 · Cited by 23 · see citing works
Gravity, Microgravity and Artificial Gravity: Physiological Effects, Implementation and Applications
Goswami, N., Blaber, A. P., Valenti, G., Hinghofer-Szalkay, H., Evans, J., Bailey, D. M., Vernikos, J., Choukér, A., Green, D. A., White, O., et al. (2026) · Physiological Reviews · doi:10.1152/physrev.00055.2024 · Cited by 25 · see citing works
Self-citationHuman Response to Space Flight
Baker, E., Barratt, M. R., Sams, C. F., & Wear, M. L. (2019) · Springer eBooks · doi:10.1007/978-1-4939-9889-0_12 · Cited by 21 · see citing works
Zaccaria, T., de Jonge, M. I., Domínguez‐Andrés, J., Netea, M. G., Beblo‐Vranesevic, K., & Rettberg, P. (2024) · Astrobiology · doi:10.1089/ast.2023.0057 · Cited by 19 · see citing works
A theory for why the spaceflight-associated neuro-ocular syndrome develops
Buckey, J. C., Lan, M., Phillips, S., Archambault‐Léger, V., & Fellows, A. M. (2022) · Journal of Applied Physiology · doi:10.1152/japplphysiol.00854.2021 · Cited by 18 · see citing works
Palacios, P., Cornejo, J., Castillo, W. A., Rivera, M. V., Tristan, S., Lezama, J., & Chavez, J. C. (2021) · IEEE URUCON · doi:10.1109/urucon53396.2021.9647144 · Cited by 16 · see citing works
Stroud, J. E., Gale, M. S., Zwart, S. R., Heer, M. A., Smith, S. M., Montina, T., & Metz, G. A. S. (2022) · Cellular and Molecular Life Sciences · doi:10.1007/s00018-022-04566-x · Cited by 16 · see citing works
Self-citationGravity Deprivation: Is It Ethical for Optimal Physiology?
van Loon, J. J. W. A., Cras, P. P., Bouwens, W. H. A. C. M., Roozendaal, W. L., & Vernikos-Danellis, J. (2020) · Frontiers in Physiology · doi:10.3389/fphys.2020.00470 · Cited by 16 · see citing works
Correlation Radiometry for Subcutaneous Temperature Measurements
Streeter, R., Santamaría-Botello, G., Hall, K. L., & Popovic, Z. B. (2021) · IEEE Journal of Electromagnetics RF and Microwaves in Medicine and Biology · doi:10.1109/jerm.2021.3120320 · Cited by 15 · see citing works
Klos, B., Kaul, A., Straube, E., Steinhauser, V., Gödel, C., Schäfer, F., Lambert, C., Enck, P., & Mack, I. (2025) · Frontiers in Immunology · doi:10.3389/fimmu.2025.1532103 · Cited by 14 · see citing works
Risk assessment for heat stress during work and leisure
Ioannou, L. G., Gkikas, G., Mantzios, K., Tsoutsoubi, L., & Flouris, A. D. (2021) · Elsevier eBooks · doi:10.1016/b978-0-323-85215-9.00004-0 · Cited by 14 · see citing works
Human Adaptations to Multiday Saturation on NASA NEEMO
Koutnik, A. P., Favre, M., Noboa, K., Sanchez‐Gonzalez, M. A., Moss, S. E., Goubran, B., Ari, C., Poff, A. M., Rogers, C. Q., DeBlasi, J. M., et al. (2021) · Frontiers in Physiology · doi:10.3389/fphys.2020.610000 · Cited by 13 · see citing works
Long-Term Bed Rest Delays the Circadian Phase of Core Body Temperature
Mendt, S., Brauns, K., Friedl-Werner, A., Belavý, D. L., Steinach, M., Schlabs, T., Werner, A. T., Gunga, H., & Stahn, A. C. (2021) · Frontiers in Physiology · doi:10.3389/fphys.2021.658707 · Cited by 14 · see citing works
Self-citationThe Astronaut Center of China 90-d Head-Down Bed Rest: Overview, Countermeasures, and Effects
Wang, L., Li, Z., Liu, S., Zhang, J., Dai, X., Dai, Z., Xu, C. B., Wang, Y., Zang, P., Guo, Z., et al. (2023) · Space Science & Technology · doi:10.34133/space.0023 · Cited by 12 · see citing works
Circadian regulation of physiology: Relevance for space medicine
Astaburuaga-García, R., Basti, A., Li, Y., Herms, D., & Relógio, A. (2019) · REACH · doi:10.1016/j.reach.2019.100029 · Cited by 12 · see citing works
Neuropeptide Y – Its role in human performance and extreme environments
Kienast, C., Gunga, H., & Steinach, M. (2019) · REACH · doi:10.1016/j.reach.2019.100032 · Cited by 12 · see citing works
Self-citationMa, Y., Liu, N., Shao, X., Shi, T., Lin, J., Liu, B., Shen, T., Guo, B., & Jiang, Q. Y. (2024) · Journal of Orthopaedic Translation · doi:10.1016/j.jot.2024.06.012 · Cited by 11 · see citing works
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Werner, A. T., & Gunga, H. (2019) · Springer eBooks · doi:10.1007/978-3-030-16996-1_26 · Cited by 10 · see citing works
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Smith, S. M., & Zwart, S. R. (2021) · Physiology · doi:10.1152/physiol.00011.2021 · Cited by 10 · see citing works
Self-citationTowards a Flexible Wrist-Worn Thermotherapy and Thermoregulation Device
Kassanos, P., Florent Seichepine, A., Keshavarz, M., & Yang, G. (2019) · IEEE International Conference on Bioinformatics and Bioengineering (BIBE) · doi:10.1109/bibe.2019.00121 · Cited by 9 · see citing works
Siems, K., Runzheimer, K., Rehm, A., Schwengers, O., von Heilborn, D. H., Kaser, L., Arndt, F., Neidhöfer, C., Mengel, J. P., Parčina, M., et al. (2022) · Frontiers in Microbiology · doi:10.3389/fmicb.2022.1007143 · Cited by 8 · see citing works
Integrated simulations of Mars flights on the ISS
Narici, L., Reitz, G., & Lobascio, C. (2018) · Advances in Space Research · doi:10.1016/j.asr.2018.06.020 · Cited by 7 · see citing works
Self-citationKunitskaya, A., Piret, J. M., Buckley, N. D., & Low‐Décarie, É. (2022) · Acta Astronautica · doi:10.1016/j.actaastro.2022.09.019 · Cited by 7 · see citing works
Sleep and Core Body Temperature Alterations Induced by Space Radiation in Rats
Sanford, L. D., Adkins, A. M., Boden, A. F., Gotthold, J. D., Harris, R. D., Shuboni‐Mulligan, D. D., Wellman, L. L., & Britten, R. A. (2023) · Life · doi:10.3390/life13041002 · Cited by 7 · see citing works
Nutritional Countermeasures for Spaceflight-Related Stress
Heer, M. A., Baecker, N., Smith, S. M., & Zwart, S. R. (2019) · Springer eBooks · doi:10.1007/978-3-030-16996-1_33 · Cited by 6 · see citing works
Self-citationCholesterol: An Important Determinant of Muscle Atrophy in Astronauts
Le, H., Rai, V., & Agrawal, D. K. (2023) · Journal of Biotechnology and Biomedicine · doi:10.26502/jbb.2642-91280072 · Cited by 6 · see citing works
Magni, P., Ricci, G., Narici, M. V., & Ferranti, F. (2025) · BMC Biology · doi:10.1186/s12915-025-02471-w · Cited by 4 · see citing works
Low Ambient Temperature Exposition Impairs the Accuracy of a Non-invasive Heat-Flux Thermometer
Masè, M., Werner, A. T., Putzer, G., Avancini, G., Falla, M., Brugger, H., Micarelli, A., & Strapazzon, G. (2022) · Frontiers in Physiology · doi:10.3389/fphys.2022.830059 · Cited by 4 · see citing works
Self-citationGervasoni, E., Bertoni, R., Anastasi, D., Solaro, C. M., Giovanni, R. D., Grange, E., Gunga, H., Rovaris, M., Cattaneo, D., Maggioni, M. A., et al. (2022) · Frontiers in Immunology · doi:10.3389/fimmu.2022.842269 · Cited by 4 · see citing works
Self-citationSpacesuits for protection and thermal comfort
Tadesse, M. G., & Abate, M. T. (2022) · Elsevier eBooks · doi:10.1016/b978-0-323-90477-3.00008-0 · Cited by 4 · see citing works
Hypoxia, Hypercarbia, and Atmospheric Control
Beck, G., Law, J., Bacal, K., & Barratt, M. R. (2019) · Springer eBooks · doi:10.1007/978-1-4939-9889-0_3 · Cited by 4 · see citing works
Hélissen, O., Kermorgant, M., Dejean, S., Mercadié, A., Gonidec, S. L., Zahreddine, R., Calise, D., Nasr, N., Galès, C., Arvanitis, D. N., et al. (2023) · Life · doi:10.3390/life13030844 · Cited by 3 · see citing works
Friedrich, U., & Stang, K. M. (2018) · Flugmedizin · Tropenmedizin · Reisemedizin - FTR · doi:10.1055/s-0044-101118 · Cited by 3 · see citing works
Steinach, M., & Gunga, H. (2019) · Springer eBooks · doi:10.1007/978-3-030-16996-1_9 · Cited by 3 · see citing works
Self-citationContinuous palm cooling’s effect on heat transfer and physiology
Patel, N., Quesada, P. M., Wellwood, J., Skutnik, B. C., Daily, J. P., & Caruso, J. F. (2023) · Isokinetics and Exercise Science · doi:10.3233/ies-230077 · Cited by 3 · see citing works
Abating Heat Accrual During Exercise in Microgravity and Implications for Future Long-Term Missions
Maguire, K., Wydotis, M. M., Bollinger, L. M., & Caruso, J. F. (2025) · Aerospace Medicine and Human Performance · doi:10.3357/amhp.6536.2024 · Cited by 3 · see citing works
Schmidt, D., Mahapatro, A., Loflin, B. E., & Cluff, K. (2021) · Materials Technology · doi:10.1080/10667857.2021.1978637 · Cited by 3 · see citing works
Relativistic aspects of physiology: Expanding our understanding of conventional control loops
Bothe, T. L., Gunga, H., Pilz, N., Heinz, V., & Opatz, O. S. (2023) · Acta Physiologica · doi:10.1111/apha.14064 · Cited by 2 · see citing works
Self-citationPettinau, F., & Orrù, A. (2026) · Applied Sciences · doi:10.3390/app16041860 · Cited by 3 · see citing works
Understanding Spaceflight-Induced Oxidative Stress and the Critical Role of Diet and Microbiome
Kim, G., Park, Y., Lim, Y. K., Lee, J. W., Kang, D., Lee, D. H., Lee, J. H., Song, M. S., & Lee, B. H. (2026) · Antioxidants · doi:10.3390/antiox15050534 · Cited by 2 · see citing works
Thermal Comfort Under Weightlessness Exposure: A Discriminant Analysis
Zhu, H., Hu, M., Huang, L., Liu, Z., & Su, H. (2021) · Microgravity Science and Technology · doi:10.1007/s12217-021-09891-7 · Cited by 2 · see citing works
Estimating Core Body Temperature Under Extreme Environments Using Kalman Filtering
Garcia, E. J., Ferguson, D. P., & Napoli, N. J. (2022) · AIAA SciTech Forum · doi:10.2514/6.2022-1271 · Cited by 2 · see citing works
Evetts, S. N. (2023) · Elsevier eBooks · doi:10.1016/b978-0-323-95654-3.00032-8 · Cited by 2 · see citing works
Success Stories: Incremental Progress and Scientific Breakthroughs in Life Science Research
Ruyters, G., Braun, M., & Stang, K. M. (2021) · SpringerBriefs in space life sciences · doi:10.1007/978-3-030-74022-1_3 · Cited by 2 · see citing works
Richardson, R. B., & Mailloux, R. J. (2022) · Free Radical Biology and Medicine · doi:10.1016/j.freeradbiomed.2022.11.036 · Cited by 2 · see citing works
RetractedNimpal, M., Winter, P., Schnell, S., & zu Eulenburg, P. (2025) · Journal of Cerebral Blood Flow & Metabolism · doi:10.1177/0271678x251400470 · Cited by 1 · see citing works
Innate Immunity Under the Exposome of Space Flight
Buchheim, J., Feuerecker, M., & Choukèr, A. (2019) · Springer eBooks · doi:10.1007/978-3-030-16996-1_12 · Cited by 1 · see citing works
Self-citationHincapié, D. L. M. (2022) · Ciencia y Poder Aéreo · doi:10.18667/cienciaypoderaereo.753 · Cited by 1 · see citing works
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Yücel, Y. H., & Gupta, N. (2022) · Springer eBooks · doi:10.1007/978-3-031-18440-6_7 · Cited by 1 · see citing works
Exploring outer space biophysical phenomena via SpaceLID
Wang, S., Wang, T., Zeng, X. L., Chu, X., Dongzhi, Z., Zhao, Y., & Chen, Y. (2023) · Scientific Reports · doi:10.1038/s41598-023-44729-9 · Cited by 1 · see citing works
Clement, G. R. (2025) · Space technology library · doi:10.1007/978-1-0716-4422-5_6 · Cited by 1 · see citing works
Human thermoregulation in microgravity environments: Insights from a computational model
Chithramol, M. K., & Shine, S. R. (2025) · Life Sciences in Space Research · doi:10.1016/j.lssr.2025.03.008 · Cited by 1 · see citing works
Onlinemonitoring der Vitalparameter bei Personen im Einsatz in extremen Umwelten
Werner, A. T. (2019) · Flugmedizin · Tropenmedizin · Reisemedizin - FTR · doi:10.1055/a-0983-2144 · Cited by 1 · see citing works
Self-citationSurface Engineering in Wearable Sensors for Medical Diagnostic Applications
Schmidt, D., Mahapatro, A., & Cluff, K. (2020) · Springer eBooks · doi:10.1007/978-981-15-4790-4_5 · Cited by 1 · see citing works
zu Eulenburg, P., Ombergen, A. V., Tomilovskaya, E., & Wuyts, F. L. (2019) · Proceedings of the National Academy of Sciences · doi:10.1073/pnas.1913041116 · Cited by 1 · see citing works
Werner, A. T., Gunga, H., & Küpper, T. (2023) · Preprints.org · doi:10.20944/preprints202308.0097.v1 · Cited by 1 · see citing works
Self-citationWerner, A. T., Gunga, H., & Küpper, T. (2024) · Preprints.org · doi:10.20944/preprints202308.0097.v2 · Cited by 1 · see citing works
Self-citationQian, J. (2019) · American Journal of Civil Engineering · doi:10.11648/j.ajce.20190701.15
Schmidt, D. (2019) · Holmes Museum Of Anthropology (Wichita State University)
A meta-analysis of Microarray Data is Effective for Identifying Gravity-Sensitive GenesPreprint
Liang, Y. T., Wang, M., Liu, Y., Wang, C., Takahashi, K., & Naruse, K. (2021) · bioRxiv (Cold Spring Harbor Laboratory) · doi:10.1101/2021.03.31.437982
Prysyazhnyuk, A. (2020) · e-scholar@UOIT (University of Ontario Institute of Technology)
Die ISS am Anfang einer neuen Ära der Raumfahrtmedizin
Ngo‐Anh, T. J., & Ullrich, O. (2021) · Flugmedizin · Tropenmedizin · Reisemedizin - FTR · doi:10.1055/a-1686-8318
Spaceflight precision nutrition
Brawley, H. N., Smith, S. M., & Zwart, S. R. (2024) · Elsevier eBooks · doi:10.1016/b978-0-443-22259-7.00035-7
Self-citationMedical Aspects of Long-Term Settlements on Other Planets
Szabó, S. A. (2024) · Ludovika Egyetemi Kiadó eBooks · doi:10.36250/01209_02
A theory for why jugular vein thromboses develop in space
Buckey, J. C., Lan, M., Phillips, S., & Archambault‐Léger, V. (2026) · Journal of Applied Physiology · doi:10.1152/japplphysiol.01070.2025
The link between body heat accrual and cognition: future considerations for in-flight exercise
Wydotis, M. M., Stocke, S., Rapp, L., Bradley, K., Bollinger, L. M., & Caruso, J. F. (2026) · American Journal of Physiology-Regulatory, Integrative and Comparative Physiology · doi:10.1152/ajpregu.00035.2026
Leal, M. A., Tovar, D., Hernández, M. Á. D. P., Bonilla, M. A., Sánchez, J., Goyanes, G., Molina, A., Leal, M., Manjarrés, I., Ríos, I., et al. (2026) · Acta Astronautica · doi:10.1016/j.actaastro.2026.05.065
Seol, J. E., Hargens, A., & Han, J. (2026) · Life Sciences in Space Research · doi:10.1016/j.lssr.2026.07.002
Tang, J., Shi, B., Liu, T., Sun, H., Liu, J., & Zhu, R. (2026) · Physics of Fluids · doi:10.1063/5.0342455
Sedation and general anesthesia
Formanek, A. R., Goettel, N., Girgla, T., Ahmed, Y., Berenson, D. F., Hunt, M., & El-Tayeb, K. (2026) · Elsevier eBooks · doi:10.1016/b978-0-443-27552-4.00036-1
Chen, Y., Zhang, B., Zhang, J., Wong, S. H.-S., & Poon, E. T. (2026) · Journal of sport and health science/Journal of Sport and Health Science · doi:10.1016/j.jshs.2026.101168
- Authors
- Stahn, A. C., Werner, A., Opatz, O., Maggioni, M. A., Steinach, M., von Ahlefeld, V. W., Moore, A., Crucian, B. E., Smith, S. M., Zwart, S. R., Schlabs, T., Mendt, S., Trippel, T., Koralewski, E., Koch, J., Choukèr, A., Reitz, G., Shang, P., Röcker, L., Kirsch, K. A., & Gunga, H.-C.
- Affiliations
- Humboldt-Universität zu Berlin (DE)
- University of Milan (IT)
- Lamar University (US)
- National Aeronautics and Space Administration (US)
- The University of Texas Medical Branch at Galveston (US)
- Charité – Universitätsmedizin Berlin (DE)
- Dräger (Germany) (DE)
- Ludwig-Maximilians-Universität München (DE)
- Deutsches Zentrum für Luft- und Raumfahrt e. V. (DLR) (DE)
- Northwestern Polytechnical University (CN)
- Corresponding author
- Gunga, Hanns-Christian
- ORCID
- Venue
- Scientific Reports
- Published
- 2017-11-23
- Volume
- 7
- Issue
- 1
- Pages
- 16180-16180
- ISSN
- 2045-2322 (ISSN-L)
- PMC
- PMC5701078
- OpenAlex
- W2770453166
- Semantic Scholar
- 428a3e2fd32b78b8440fd8337e4d6e1706fac08c
- Cited by
- 100
- References
- 51
- Citations by year
- 2026: 9 · 2025: 7 · 2024: 8 · 2023: 17 · 2022: 14 · 2021: 16 · 2020: 7 · 2019: 19 · 2018: 3
- FWCI
- 5.87
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Locations
- Scientific Reports (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- elib (German Aerospace Center) (acceptedVersion)
- Archivio Istituzionale della Ricerca (Universita Degli Studi Di Milano) (submittedVersion, other-oa)
- ASEP (submittedVersion, public-domain)
- Open access LMU (Ludwid Maxmilian's Universitat Munchen) (submittedVersion, cc-by)
- Funders
- National Aeronautics and Space Administration
- Topics
- Health Sciences › Medicine › Physiology › Spaceflight effects on biology
- Health Sciences › Medicine › Physiology › Thermoregulation and physiological responses
- Physical Sciences › Engineering › Aerospace Engineering › Space Exploration and Technology
- Keywords
- core body temperature, astronauts, long-duration spaceflight, microgravity, thermoregulation, exercise thermoregulation, interleukin-1 receptor antagonist, anti-inflammatory proteins, thermoregulatory set point, cognitive performance, astronaut health
- MeSH terms
- Body Temperature, Humans, Space Flight, Time Factors, Weightlessness, Astronauts
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Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
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