Evidence map›Paper›PMID 28649630›Full record

ArticleNPJ microgravity2017

Towards human exploration of space: the THESEUS review series on muscle and bone research priorities.

Thomas Lang, Jack J W A Van Loon, Susan Bloomfield, Laurence Vico, Angele Chopard, Joern Rittweger, Antonios Kyparos, Dieter Blottner, Ilkka Vuori, Rupert Gerzer and 1 more

Open access · goldAbstract read
In one paragraph

Article in NPJ microgravity, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 73 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
73citing papers in PubMed, 2 pooled it
7.3field-weighted citation impact, top 2% 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

73 citing papers in PubMed, 2 syntheses or guidelines pooled it, 136 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. A Resistive Soft Robotic Exosuit for Dynamic Body Loading in Hypogravity.Advanced science (Weinheim, Baden-Wurttemberg, Germany) · 2025
    Trial
  4. Article
  5. Review
  6. Article
  7. Article
  8. Review
  9. Adverse Outcome Pathways Applied to Space Radiation Research.Environmental and molecular mutagenesis · 2025
    Review
  10. Resistance and Aerobic Preconditioning Delays Unloading-Induced Multisystemic Physiological Changes: The NEBULA Project.FASEB journal : official publication of the Federation of American Societies for Experimental Biology · 2025
    Article
  11. Article
  12. Review
  13. Article
  14. Article
  15. Article
  16. Review
  17. Article
  18. Article
  19. Article
  20. Article

13 more citing papers are in PubMed but not listed here.

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 11 institutions in 7 countries.

Thomas LangDepartment of Radiology and Biomedical Imaging Box 0946, University of California, CA San Francisco, USA.ORCID 0000-0002-3720-8038
Jack J W A Van LoonDESC (Dutch Experiment Support Center) & 3D InnovationLab, Dept. Oral and Maxillofacial Surgery/Oral Pathology, Dept. Oral Cell BiologyAcademic Centre for Dentistry Amsterdam (ACTA), VU University Medical Center, Amsterdam, Netherlands.
Susan BloomfieldDepartment of Health & Kinesiology, Texas A&M University, College Station, TX USA.
Laurence VicoLaboratoire de Biologie Intégrée du Tissu Osseux, LBTO INSERM U1059, University of St. Etienne, St. Etienne, France.
Angele ChopardDynamique musculaire et métabolisme (DMEM) UMR 866 INRA, University of Montpellier 1, Montpellier, France.
Joern RittwegerInstitute of Aerospace Medicine, DLR and Department of Pediatric and Adolescent Medicine, University of Cologne, Cologne, Germany.
Antonios KyparosDepartment of Physical Education and Sports Science, Laboratory of Exercise Physiology and Biochemistry, Aristotle University of Thessaloniki, Thessaloniki, Greece.
Dieter BlottnerCharite Hospital, Berline, Germany.
Ilkka VuoriUKK Institute for Health Promotion Research, Tampere, Finland.ORCID 0000-0002-1105-1060
Rupert GerzerSkoltech University, Moscow, Russia.
Peter R CavanaghDepartment of Orthopedics and Sports Medicine, University of Washington Medical Center, Seattle, WA USA.
Academic Center for Dentistry Amsterdam · NLAristotle University of Thessaloniki · GRCharité - Universitätsmedizin Berlin · DEInserm · FRLaboratoire Montpelliérain d’Economie Théorique et Appliquée · FRSkolkovo Institute of Science and Technology · RUTexas A&M University · USUniversity of California, San Francisco · USUniversity of Cologne · DEUniversity of Washington Medical Center · USUrho Kaleva Kekkonen Institute · FI

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Without effective countermeasures, the musculoskeletal system is altered by the microgravity environment of long-duration spaceflight, resulting in atrophy of bone and muscle tissue, as well as in deficits in the function of cartilage, tendons, and vertebral disks. While inflight countermeasures implemented on the International Space Station have evidenced reduction of bone and muscle loss on low-Earth orbit missions of several months in length, important knowledge gaps must be addressed in order to develop effective strategies for managing human musculoskeletal health on exploration class missions well beyond Earth orbit. Analog environments, such as bed rest and/or isolation environments, may be employed in conjunction with large sample sizes to understand sex differences in countermeasure effectiveness, as well as interaction of exercise with pharmacologic, nutritional, immune system, sleep and psychological countermeasures. Studies of musculoskeletal biomechanics, involving both human subject and computer simulation studies, are essential to developing strategies to avoid bone fractures or other injuries to connective tissue during exercise and extravehicular activities. Animal models may be employed to understand effects of the space environment that cannot be modeled using human analog studies. These include studies of radiation effects on bone and muscle, unraveling the effects of genetics on bone and muscle loss, and characterizing the process of fracture healing in the mechanically unloaded and immuno-compromised spaceflight environment. In addition to setting the stage for evidence-based management of musculoskeletal health in long-duration space missions, the body of knowledge acquired in the process of addressing this array of scientific problems will lend insight into the understanding of terrestrial health conditions such as age-related osteoporosis and sarcopenia.

Identifiers

PMID28649630
PMCPMC5445590
OpenAlexW2588015198

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.