Goswami · Physiological reviews 2026 · narrative review · n=?

Gravity, microgravity, and artificial gravity: physiological effects, implementation, and applications.

Level 5 - mechanism / opinion, no new human data

Narrative review synthesizing physiological mechanisms, spaceflight effects, and terrestrial analogs without primary experimental data or systematic search methodology.

PubMed 41021767 · doi:10.1152/physrev.00055.2024 · record verified 2026-08-26

What was done

This narrative review synthesizes literature examining the physiological impacts of gravity, microgravity, and artificial gravity across human organ systems. It describes graviception through distributed vestibular networks, headward fluid shifts, cardiovascular deconditioning, musculoskeletal decline during spaceflight, and Earth-based analogs such as head-down bed rest, dry immersion, and parabolic flight.

What was found

The abstract reports no quantitative data or specific numerical effect sizes. It qualitatively describes how gravitational unloading leads to headward fluid distribution, visual impairment, heightened thrombosis risk, muscle atrophy, bone demineralization, and post-flight orthostatic intolerance. It also highlights parallels between microgravity-induced deconditioning and terrestrial frailty or aging, discussing potential countermeasures including targeted exercise, fluid management, and hypergravity.

Why it matters

Framing microgravity deconditioning as a physiological model of accelerated aging helps bridge space medicine and geriatric care, offering shared mechanistic pathways to develop interventions for frailty, immobility, and fall risk in older adults.

Limits

The abstract provides no sample size, search strategy, or systematic evaluation criteria. As a narrative review, it reflects broad mechanistic concepts rather than controlled empirical trials, and it does not report quantitative outcomes or effect estimates.

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