Incomplete Bone Recovery at the Distal Tibia in Astronauts with Elevated Markers of Bone Turnover

Determining whether bone recovers after prolonged spaceflight is important for understanding the risks to astronaut long-term skeletal health and the limits of bone adaptation. The primary aim of this study was to use second-generation HR-pQCT to examine recovery of bone microarchitecture, density, and strength after long-duration spaceflight. Secondary aims included examining the effect of mission duration and biochemical measures of bone turnover on bone recovery.