Evidence map›Paper›PMID 41316901›Full record

Trial reportExperimental physiology2026

Limited musculoskeletal benefits of artificial gravity combined with cycling during bed rest: Results from the BRACE study.

Mirko Mandić, Tommy R Lundberg, Jean-Pol Frippiat, Adam C McDonnell, Igor B Mekjavić, Marie-Pierre Bareille, Rebecca Billette de Villemeur, Rodrigo Fernandez-Gonzalo

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Experimental physiology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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

2 citing papers in PubMed.

  1. Trial
  2. Trial
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

8 authors.

Mirko MandićDepartment of Laboratory Medicine, Division of Clinical Physiology, Karolinska Institutet, Stockholm, Sweden.ORCID https://orcid.org/0000-0002-7414-482X
Tommy R LundbergDepartment of Laboratory Medicine, Division of Clinical Physiology, Karolinska Institutet, Stockholm, Sweden.
Jean-Pol FrippiatStress, Immunity, Pathogens Laboratory, SIMPA, Université de Lorraine, Vandœuvre-lès-Nancy, France.
Adam C McDonnellAerospace Medicine and Rehabilitation Laboratory, School of Sport, Exercise and Rehabilitation, Faculty of Health and Wellbeing, Northumbria University, Newcastle upon Tyne, UK.ORCID https://orcid.org/0000-0003-3898-1759
Igor B MekjavićDepartment of Automatics, Biocybernetics and Robotics, Jožef Stefan Institute, Ljubljana, Slovenia.ORCID https://orcid.org/0000-0001-5930-2159
Marie-Pierre BareilleInstitute for Space Medicine and Physiology (MEDES), Toulouse, France.
Rebecca Billette de VillemeurInstitute for Space Medicine and Physiology (MEDES), Toulouse, France.
Rodrigo Fernandez-GonzaloDepartment of Laboratory Medicine, Division of Clinical Physiology, Karolinska Institutet, Stockholm, Sweden.ORCID https://orcid.org/0000-0003-2816-9855

Funding

European Space Agency (ESA) AO-2020-BedRestFrench Space Agency (CNES) 4500083 037French Space Agency (CNES) DAR 4800001204Swedish National Space Agency (SNSA) 2020-00141Swedish National Space Agency (SNSA) 2021-00159Swedish National Space Agency (SNSA) 2023-00205
6 · The paper itself

Abstract

Prolonged exposure to microgravity, simulated via 6° head-down tilt bed rest (HDT), induces musculoskeletal deconditioning and negatively impacts body composition. This study evaluated whether a combination of aerobic exercise with artificial gravity (AG) offers superior protection in comparison to exercise alone. Twenty-four healthy male participants completed 60 days of HDT, randomized into control (C), exercise-only (EX) and exercise with AG (EX-AG) groups. Muscle volume, intramuscular fat, body composition and isokinetic strength were assessed via whole-body MRI and isokinetic dynamometry. All groups experienced thigh fat-free muscle volume loss: C (10.5% ± 2.6%), EX (6.9% ± 2.4%) and EX-AG (4.3% ± 2.4%), with EX-AG showing significantly less atrophy than C (p < 0.001). Compared with C, EX-AG preserved more muscle in both anterior (p  <  0.001) and posterior (p < 0.05) compartments, whilst EX preserved more muscle only anteriorly (p < 0.05). The fat ratio increased more in C (8.9% ± 6.0%) compared with EX-AG (-0.8% ± 3.8%; p < 0.05) but not EX (6.5% ± 9.8%). Muscle fat infiltration increased across all groups (C, 7.0% ± 3.7%; EX, 6.2% ± 4.3%; EX-AG, 3.1% ± 4.7%) but was not different between groups (p > 0.05). Maximal isokinetic torque decreased in all groups over all measured angular velocities but was not different between groups (p > 0.05). This is the first study to investigate the combination of AG and exercise as a countermeasure to body composition changes induced by long-term bed rest. We showed that EX-AG provided partial protection against muscle atrophy and fat accumulation but did not outperform exercise alone in preserving muscle quality, strength or overall body composition.

Indexed as

Bed RestBicyclingExerciseGravity, AlteredMuscle, SkeletalAdipose TissueAdultBody CompositionHead-Down TiltHumansMagnetic Resonance ImagingMaleMuscle StrengthMuscular AtrophyWeightlessness SimulationYoung AdultcountermeasuresEuropean Space Agencyfat infiltrationhead‐down tilt bed restskeletal muscle

Identifiers

PMID41316901
PMCPMC12949100

What OpenQuestion holds

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Registered trials

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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.