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October 30, 2025npj Microgravity14 citationsOpen Access

Review of microgravity’s impact on cardiovascular and nervous systems in space exploration

AAAsma A AlzaabiFAFatema M AlzaabiRSRaqshan Wajih Siddiqui

Key Result

Microgravity exposure induces significant cardiovascular and nervous system adaptations across acute, subacute, and chronic phases, including fluid shifts, cardiac remodeling, and autonomic changes.

Structured PICO

P
Population
A review of human studies conducted in microgravity or simulated microgravity environments assessing spaceflight-induced cardiovascular and nervous system changes.

Microgravity induces significant acute and chronic cardiovascular and neurovascular adaptations, highlighting the need for targeted countermeasures during long-duration space exploration.

Limitations

  • Small sample sizes in spaceflight studies due to logistical constraints.
  • Most studies rely on short-duration missions, whereas long-term effects remain less understood.
  • Extrapolation of animal model findings to human physiology requires careful interpretation.
  • Technological limitations in space-based imaging and monitoring constrain the ability to obtain real-time, high-resolution data.

Abstract

Microgravity induces cardiovascular adaptations, including fluid shifts, cardiac remodeling, and autonomic changes. Acute responses involve increased preload and stroke volume, while chronic adaptations include cardiac atrophy, vascular remodeling, and autonomic impairment, contributing to post-flight orthostatic intolerance. These changes raise concerns for long-term astronaut health. Understanding these adaptations is crucial for developing countermeasures to mitigate spaceflight-related cardiovascular risks and may offer insights applicable to terrestrial medicine.

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Cite This Study

Alzaabi et al. (2025) conducted a review in Microgravity-induced cardiovascular and nervous system adaptations. Microgravity vs. Normal gravity was evaluated. Microgravity exposure induces significant cardiovascular and nervous system adaptations across acute, subacute, and chronic phases, including fluid shifts, cardiac remodeling, and autonomic changes.

synapsesocial.com/papers/6a9cd9d3a2aa65bfe097ad6ehttps://doi.org/10.1038/s41526-025-00534-4
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