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. 2023 Jul 14;14:1219221. doi: 10.3389/fphys.2023.1219221

TABLE 2.

Aggregated measurements across astronauts.

Measurement (fluid) a Count b F,R, PR trends c,d Physiological aspects
Pyridinium (PYD) Cr 21 ↑ ↑ ↑ Bone resorption (Caillot-Augusseau et al., 1998; Smith et al., 1998; Smith et al., 2015)
Sodium (urine) 20 −− (↑ ↓ −) Saline ingestion pre-landing
Zinc (serum) 19 ↑ ↓ ↓ (↓ ↓ ↓) Nausea; bone resorption (Cann and Adachi, 1983); immune response, wound healing (National Institutes of Health, Office of Dietary Supplements., 2022)
Urine volume 24 h 19 ↓ ↓ ↓ (↓ ↑ −) Inadequate fluid intake; fluid redistribution; renal stones (Smith et al., 2015)
Potassium (urine) 19 ↓ ↓ ↓ (↑ ↓ ↓) Retention - renal stones; muscle disuse (Lane et al., 2000)
Iron (serum) 19 ↑ ↓ ↓ (−↓ ↓) Iron metabolism; immune response (Dallman, 1987; Alfrey et al., 1997)
Blood pressure diastolic 19 ↓ ↑ Hypotension; conditioning (Fu et al., 2019)
25-OH Vitamin D 19 ↓ ↓ ↓ Bone mass resorption (Smith et al., 2005b)
3-methylhistidine (urine) Cr 19 ↓ ↓ ↑ (− −) Skeletal muscle maintenance (Young and Munro, 1978)
Sodium 18 − − () Fluid imbalance; diet
Creatinine (serum) 18 ↓ ↓ ↓ ( − −) Muscle mass; diet (Wyss and Kaddurah-Daouk, 2000; Delanaye et al., 2017)
Chloride (urine) 18 ↓ ↓ (↑ ↓ −) Dietary salt; saline ingestion (end of mission); intravenous saline at landing
Blood pressure systolic 18 ↓ ↑ Hypotension; conditioning (Fu et al., 2019)
Vitamin B12 17 ↓ ↓ ↓ (↑ ↑ −) Food absorption, neurological manifestation, ocular health (Chu and Scanlon, 2011; Green et al., 2017; Smith et al., 2021)
Transferrin receptors 17 ↓ ↓ ↑ Iron metabolism shifts (Smith et al., 2005b)
Sulfate (urine) 17 ↓ ↓ ↓ (↑ ↑ ↑) Urinary supersaturation; diet
pH (urine) 17 ↓ ↓ ↓ (↑ ↑ −) Kidney issues; renal stones (Smith et al., 2015)
Monocytes % 17 ↓ ↓ Immunity; viral reactivation
Magnesium (serum) 17 ↑ ↓ − (↓ ↓ −) Decreased intake; renal stones (Smith et al., 2005b)
CD8+ true naïve % 17 ↓ ↓ ↓ T cell maturation dysregulation (Crucian et al., 2015)
Phosphorus (urine) 16 ↓ ↓ ↓ (↑ ↓ −) Renal; skeletal (Smith et al., 2005b; National Institutes of Health, Office of Dietary Supplements, 2021; Smith et al., 2021)
γ-carboxyglutamic acid Cr 16 −↑ ↑ (↓ ↓ ↑) Vitamin K status (Furie et al., 1999; Caillot-Augusseau et al., 2000; Zwart et al., 2011)
Calcium (serum) 16 ↓ ↓ ↓ (↓ ↑ −) Bone metabolism; renal stone risk (Smith et al., 2015)

a Cr: normalized using creatinine.

b Count of individuals for which measurement has a statistically significant trend.

c The majority signal intensity trend is summarized with respect to preflight for: Flight (F), Return date (R), Post-return (PR) sequentially. If a secondary trend is observed it is listed in the parenthesis.

d The intensity trends are: same as preflight (−), higher intensity (), or lower intensity ().