This review examines fatigue damage in cement-based materials across the micro-, meso-, and macroscales, with emphasis on how damage initiates, transfers, and becomes structurally observable under cyclic loading. At the microscale, capillary pores, unhydrated cement particles, and the calcium–silicate–hydrate (C-S-H) phase govern local stress concentration, bond rupture, limited healing, and microcrack development. At the mesoscale, the interfacial transition zone (ITZ), cement paste, aggregates, and fiber reinforcement effects control crack initiation, deflection, bridging, and coalescence. At the macroscale, specimen size, boundary conditions, loading regime, and environmental exposure shape stiffness degradation, residual strain accumulation, crack growth, and fatigue life. Beyond summarizing existing studies, this review synthesizes a causal damage transfer interpretation that links microscale deterioration, mesoscale crack interaction, and macroscale response. Current gaps include the limited quantitative link between microstructure-informed models and three-dimensional experimental observations, the still-incomplete validation of multiscale predictive frameworks, and the insufficient treatment of coupled fatigue–environment effects. Addressing these gaps is essential for more reliable fatigue life prediction and for developing durable, resource-efficient concrete infrastructure.
Kuang et al. (Mon,) studied this question.