Evidence map›Paper›PMID 11773338›Full record

ArticleThe Journal of physiology2002

Influence of microgravity on astronauts' sympathetic and vagal responses to Valsalva's manoeuvre.

James F Cox, Kari U O Tahvanainen, Tom A Kuusela, Benjamin D Levine, William H Cooke, Tadaaki Mano, Satoshi Iwase, Mitsuru Saito, Yoshiki Sugiyama, Andrew C Ertl and 13 more

Open access · greenAbstract readComparative Study
In one paragraph

Article in The Journal of physiology, 2002. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed
3.4field-weighted citation impact, top 8% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

32 citing papers in PubMed, 95 citations in OpenAlex.

  1. Glycerol-induced fluid shifts attenuate the vestibulosympathetic reflex in humans.American journal of physiology. Regulatory, integrative and comparative physiology · 2011
    Trial
  2. Trial
  3. Article
  4. Review
  5. Article
  6. Article
  7. Cardiovascular autonomic nervous system responses and orthostatic intolerance in astronauts and their relevance in daily medicine.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2022
    Review
  8. Review
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. The function of the autonomic nervous system during spaceflight.Clinical autonomic research : official journal of the Clinical Autonomic Research Society · 2015
    Review
  18. Article
  19. Article
  20. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

23 authors at 12 institutions in 4 countries.

James F CoxDepartment of Medicine and Physiology, Hunter Holmes McGuire Veterans Affairs Medical Center and Medical College of Virginia at Virginia Commonwealth University, Richmond, Virginia, USA 23249.
Kari U O Tahvanainen
Tom A Kuusela
Benjamin D Levine
William H Cooke
Tadaaki Mano
Satoshi Iwase
Mitsuru Saito
Yoshiki Sugiyama
Andrew C Ertl
Italo Biaggioni
André Diedrich
Rose Marie Robertson
Julie H Zuckerman
Lynda D Lane
Chester A Ray
Ronald J White
James A Pawelczyk
Jay C Buckey
Friedhelm J Baisch
C Gunnar Blomqvist
David Robertson
Dwain L Eckberg
Vanderbilt University Medical Center · USNagoya University · JPPennsylvania State University · USThe University of Texas Southwestern Medical Center · USDartmouth College · USFinland University · FIInstitute for Exercise and Environmental Medicine · USMichigan Technological University · USNational Space Biomedical Research Institute · USUniversity of Turku · FIVirginia Commonwealth University · USVirginia Commonwealth University Medical Center · US

Funding

AUTONOMIC NEUROPLASTICITY IN WEIGHTLESSNESSU01HL056417 · NHLBI · VIRGINIA COMMONWEALTH UNIVERSITY · PI ECKBERG, DWAIN L · 1995 to 1997
–
NHLBI NIH HHS UO1HL-56417
6 · The paper itself

Abstract

When astronauts return to Earth and stand, their heart rates may speed inordinately, their blood pressures may fall, and some may experience frank syncope. We studied brief autonomic and haemodynamic transients provoked by graded Valsalva manoeuvres in astronauts on Earth and in space, and tested the hypothesis that exposure to microgravity impairs sympathetic as well as vagal baroreflex responses. We recorded the electrocardiogram, finger photoplethysmographic arterial pressure, respiration and peroneal nerve muscle sympathetic activity in four healthy male astronauts (aged 38-44 years) before, during and after the 16 day Neurolab space shuttle mission. Astronauts performed two 15 s Valsalva manoeuvres at each pressure, 15 and 30 mmHg, in random order. Although no astronaut experienced presyncope after the mission, microgravity provoked major changes. For example, the average systolic pressure reduction during 30 mmHg straining was 27 mmHg pre-flight and 49 mmHg in flight. Increases in muscle sympathetic nerve activity during straining were also much greater in space than on Earth. For example, mean normalized sympathetic activity increased 445% during 30 mmHg straining on earth and 792% in space. However, sympathetic baroreflex gain, taken as the integrated sympathetic response divided by the maximum diastolic pressure reduction during straining, was the same in space and on Earth. In contrast, vagal baroreflex gain, particularly during arterial pressure reductions, was diminished in space. This and earlier research suggest that exposure of healthy humans to microgravity augments arterial pressure and sympathetic responses to Valsalva straining and differentially reduces vagal, but not sympathetic baroreflex gain.

Indexed as

AstronautsWeightlessnessAdultBaroreflexBlood PressureHumansMaleMuscle, SkeletalSympathetic Nervous SystemVagus NerveValsalva ManeuverNASA Discipline CardiopulmonaryNon-NASA Center

Identifiers

PMID11773338
PMCPMC2290008
OpenAlexW2002839358

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.