Evidence map›Paper›PMID 26055239›Full record

Trial reportDigestive diseases and sciences2015

Microgravity Simulated by the 6° Head-Down Tilt Bed Rest Test Increases Intestinal Motility but Fails to Induce Gastrointestinal Symptoms of Space Motion Sickness.

Meher Prakash, Ron Fried, Oliver Götze, Francisca May, Petra Frings-Meuthen, Edwin Mulder, Judit Valentini, Mark Fox, Michael Fried, Werner Schwizer and 1 more

Abstract readRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in Digestive diseases and sciences, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.2field-weighted citation impact, top 44% 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

5 citing papers in PubMed, 10 citations in OpenAlex.

  1. Review
  2. Review
  3. Effects ofWorld journal of gastroenterology · 2025
    Article
  4. Article
  5. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 5 institutions in 2 countries.

Meher PrakashDivision of Gastroenterology and Hepatology, University Hospital Zurich and Zurich University, Rämistr. 100, 8091, Zurich, Switzerland.
Ron FriedDivision of Gastroenterology and Hepatology, University Hospital Zurich and Zurich University, Rämistr. 100, 8091, Zurich, Switzerland.
Oliver GötzeDivision of Hepatology, Department of Medicine II, University Hospital Würzburg, Würzburg, Germany.
Francisca MayInstitute of Aerospace Medicine, German Aerospace Center (DLR), Cologne, Germany.
Petra Frings-MeuthenInstitute of Aerospace Medicine, German Aerospace Center (DLR), Cologne, Germany.
Edwin MulderInstitute of Aerospace Medicine, German Aerospace Center (DLR), Cologne, Germany.
Judit ValentiniSwiss Center of Excellence for Agricultural Research (Agroscope), Bern, Switzerland.
Mark FoxDivision of Gastroenterology and Hepatology, University Hospital Zurich and Zurich University, Rämistr. 100, 8091, Zurich, Switzerland.
Michael FriedDivision of Gastroenterology and Hepatology, University Hospital Zurich and Zurich University, Rämistr. 100, 8091, Zurich, Switzerland.
Werner SchwizerDivision of Gastroenterology and Hepatology, University Hospital Zurich and Zurich University, Rämistr. 100, 8091, Zurich, Switzerland.
Benjamin MisselwitzDivision of Gastroenterology and Hepatology, University Hospital Zurich and Zurich University, Rämistr. 100, 8091, Zurich, Switzerland. benjamin.misselwitz@usz.ch.
Deutsches Zentrum für Luft- und Raumfahrt e. V. (DLR) · DEUniversity Hospital of Zurich · CHUniversity of Zurich · CHAgroscope · CHUniversitätsklinikum Würzburg · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSpace motion sickness (SMS) is the most relevant medical problem during the first days in microgravity. Studies addressing pathophysiology in space face severe technical challenges and microgravity is frequently simulated using the 6° head-down tilt bed rest test (HDT).

aimWe were aiming to test whether SMS could be simulated by HDT, identify related changes in gastrointestinal physiology and test for beneficial effects of exercise interventions.

methodsHDT was performed in ten healthy individuals. Each individual was tested in three study campaigns varying by a 30-min daily exercise intervention of either standing, an upright exercise regimen, or no intervention. Gastrointestinal symptoms, stool characteristics, gastric emptying time, and small intestinal transit were assessed using standardized questionnaires, (13)C octanoate breath test, and H2 lactulose breath test, respectively, before and at day 2 and 5 of HDT.

resultsIndividuals described no or minimal gastrointestinal symptoms during HDT. Gastric emptying remained unchanged relative to baseline data collection (BDC). At day 2 of HDT the H₂ peak of the lactulose test appeared earlier (mean ± standard error for BDC-1, HDT2, HDT5: 198 ± 7, 139 ± 18, 183 ± 10 min; p: 0.040), indicating accelerated small intestinal transit. Furthermore, during HDT, stool was softer and stool mass increased (BDC: 47 ± 6, HDT: 91 ± 12, recovery: 53 ± 8 g/day; p: 0.014), indicating accelerated colonic transit. Exercise interventions had no effect.

conclusionHDT did not induce symptoms of SMS. During HDT, gastric emptying remained unchanged, but small and large intestinal transit was accelerated.

Indexed as

Head-Down TiltAdultBed RestCross-Over StudiesFemaleGastric EmptyingGastrointestinal TransitHealthy VolunteersHumansMaleMiddle AgedPostureSpace Motion SicknessWeightlessness SimulationYoung AdultBreath testGastric emptyingHead-down tiltMicrogravity simulationSpace motion sickness

Identifiers

PMID26055239
OpenAlexW651642432

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.