Duration versus response to space-flight exposure

The duration of human expeditions into space has been as short as a few hours and as long as a year, and although we still need much more information, we can identify some trends indicating effects of flight duration on the physiologic response to space flight. Evidence suggests that after a period of dynamic change that varies for each physiologic system, some physiologic variable stabilize at levels that may differ from those at 1 G. Other variables appear to undergo change from time to time even after months in space, and others have not been observed to reach a plateau. Effects on the neurovestibular system begin very early and certain ones diminish rapidly. Effects of weightlessness on fluid and electrolyte physiology appear to reach a peak after that of neurophysiologic effects. It is possible that the initial responses of these two systems follow a more similar time course than is now apparent. Responses of the cardiovascular system reach a peak that approaches clinical significance after about 3 weeks. The mass of red blood cells is maximally altered after about a month. Bone mineral and lean body mass are lost gradually for at least 6 months, perhaps longer.