Current concepts of space flight induced changes in hormonal control of fluid and electrolyte metabolism

A systematic analysis of body fluid and renal dynamics during simulated space flight (head-down bedrest) was undertaken to increase understanding of the physiologic effects of acute cephalad fluid shifts. The earliest effects were increases in central venous pressure and decreases in plasma aldosterone, epinephrine and norepinephrine and glomerular filtration rate, 2 h after the beginning of bedrest. Decreases in plasma angiotensin I at 6 h may have resulted from the increased effective pressure and decreased sympathetic activity seen earlier in bedrest. The early decrease in aldosterone and ADH is thought to contribute to an increase, by 6 h, in urinary excretion of salt and water. Fluid and electrolyte losses occur during space flight, and analysis of body fluids from Space Shuttle crewmembers has indicated that conservation of these substances is begun almost immediately upon cessation of weightlessness. Operational medicine measures to counteract dehydration and electrolyte loss resulted in a less extreme physiologic response to the flight.