Findings
The nutritional composition of the typical Apollo inflight diet is given in table 2. This diet, which is characteristically high in protein and carbohydrate and low in residue and fat, was not necessarily consumed by all astronauts in its entirety.
A typical Apollo diet was analyzed for vitamins, and results were compared with Recommended Daily Dietary Allowances (NAS, NRC, 1968). The data indicate the Apollo diet provided an excess of some vitamins (A, E, C, B12, B6, and riboflavin) and marginal amounts of others (nicotinate, pantothenate, thiamine, and folic acid).
The average intake of protein, fat, and carbohydrate for the Apollo 7 through 17 crewmen is given in table 3. Fiber intake measurements are given for the Apollo 12, 15, 16, and 17 missions.
The quantity of energy supplied by dehydrated food for the Apollo 15 to 17 missions is given in table 4. The average energy intake of each Apollo crewmember is given in table 5. These energy values were calculated from the composition of the food consumed. Average energy intakes expressed on the basis of body weight are given in table 6. For comparison, the average energy intake of selected Apollo crewmembers during a mission and on the ground is given in table 7.
The average intakes of calcium, phosphorus, sodium, and potassium for each Apollo crewman are given in table 8. Diets for the Apollo 16 and 17 missions were fortified with potassium gluconate. The contribution of supplementary potassium gluconate to the total intake for the Apollo 15, 16, and 17 crewmen is given in table 9.
Inflight fecal samples were analyzed for inorganic constituents using nuclear activation analyses and wet chemistry techniques. The findings were summarized by Brodzinsky and co-workers (1971). Inflight fecal samples were also analyzed for total fat, fatty acids, and conjugated and unconjugated bile acids (table 10 and table11). Data on fat absorption in flight (Apollo 16 and 17) are given in table 12.
Apollo 16 Metabolic Study
The input and output of various elements, particularly potassium, were carefully examined in the Apollo 16 balance study and a detailed assessment of energy metabolism was made (Johnson et at., 1974). The average daily inflight potassium intake for the Commander was 113.6 milliequivalents. During the mission, potassium was lost by the fecal route at a rate of approximately 6.4 mEq/day, whereas approximately 18.8 mEq/day were lost before the flight and 20.5 mEq/day after the flight. During the mission, absorbed potassium levels were 107.2 mEq, whereas preflight and postflight levels were 94.8 and 77.6 mEq, respectively. During the extravehicular and lunar surface periods, the Commander consumed a maximum of 152.4 mEq daily.
The average daily inflight potassium intake for the Lunar Module Pilot was 114.7 mEq, compared with an average daily preflight intake of 110.5 mEq and an average daily postflight intake of 97.5 mEq. During the preflight, inflight, and postflight phases, the average daily fecal losses were 33.5, 11.1, and 31.0 mEq, respectively. The absorbed daily potassium levels for preflight, inflight, and postflight phases were 77.0, 103.6, and 66.5 mEq, respectively. Although these levels were less than the recommended levels of 150 mEq per day, they were adequate for ground-based requirements. A peak level of 148 mEq per day was consumed by the Lunar Module Pilot during lunar surface activities.
For the Command Module Pilot, average daily preflight, inflight, and postflight dietary potassium intakes were 94.3, 79.9, and 82.4 mEq, respectively. Fecal samples for the same periods indicated that potassium levels were 27.6, 6.3, and 26.2 mEq, respectively. Available daily preflight, inflight, and postflight potassium levels were, therefore, 66.7, 73.6, and 56.2 mEq, respectively.
Input and output data on sodium, chloride, and calcium levels for the Apollo 16 crewmembers are summarized in table 13A, table 13B, table 13C, table 13D, and table 13E.
In the analysis of the balance study performed for the Apollo 17 mission, inflight metabolic data were compared with those obtained during the five-day control study conducted approximately two months prior to flight. Rigorous intake and output measurements were accomplished immediately before the flight and after the flight to detect gross changes; however, the duration of these periods was not sufficient to establish reliable metabolic baselines.
For the Apollo 17 Command Module Pilot, water consumption from all sources was considerably lower during the flight than during the control balance study (table 14). Inflight urine outputs were also proportionately lower for all three crewmembers than those established during the control study. When the conditions of temperature and humidity that prevailed during the flight are considered, it is estimated that in insensible water loss of 900 to 1200 cc/day occurred. This loss was equivalent to the preflight loss. Total body water measurements also did not support the tendency toward negative water balance (see Section III, Chapter 2, Clinical Biochemistry).
Based on numbers adjusted for equilibrium during the control phase and insensible losses, all three crewmembers were in negative calcium balance during the inflight period (table 14). The negative balance was particularly pronounced for the Command Module Pilot. For two of the crewmembers, the negative calcium balance persisted after the flight. All crewmembers had exhibited a pronounced positive balance during the five-day control period study possibly because the flight diets contained a higher calcium level than did the customary daily intake of these crewmembers (table 14). As can be expected from the negative calcium balance, phosphorus balance was generally negative during the flight.
All three crewmembers demonstrated a sustained negative nitrogen balance during the flight (table 14). Occasional negative nitrogen balances of small magnitude were also detected before the flight. Diminished nitrogen retention is supportive evidence for the general musculoskeletal deterioration note on previous flights and during ground-based hypokinetic simulations of flight-type conditions.
Sodium intakes during the flight were all less than 250 mEq/day. Intake and output measurements for sodium indicated positive balances for this element during the flight for all three crewmembers (table 14). However, sodium output in sweat was not measured and this route of excretion could have accounted for all the apparent "positive balance" and even have resulted in a slight negative balance for sodium. Sodium balance was positive during the flight for all three crewmembers (table 15) if insensible losses are neglected.
In compliance with previous recommendations based on observed inflight potassium deficits, inflight potassium intakes were maintained above normal ground-based intakes (73 to 97 mEq/day) (table 15). Potassium retention during the flight was significantly less than that established during the control study. A summary of overall metabolic balance for Apollo 17 crewmembers with all numbers adjusted to reflect equilibrium during the control period is presented in table 15.
Anthropometric Measurements
A summary of body weight changes based on the mean of the weights on 30, 15, and 5 days before lift-off compared to those obtained immediately after recovery is presented in table 16. The weight changes during the 24-hour period immediately following recovery are also given.
Body volume was measured before and after the Apollo 16 mission by stereophotogrammetry. An analysis of densitometric data is presented in table 17.
Discussion
Most of the Apollo crewmembers did not eat all the food available. Among the reasons for reduced appetite were decreased hunger, a feeling of fullness in the abdomen, nausea (Berry & Homick, 1973), and preoccupation with the critical mission tasks. Dislike of the food and inadequate rest during the mission were minor problems (Berry, 1970). The evidence suggests that either weightlessness or some other aspect of the mission environment caused the crewmen to restrict their food intake below quantities available and below quantities necessary to maintain body weight.
A reasonable estimate of the energy requirement during a flight can be obtained by correlating careful measurements of food intake with losses or gains in body tissue. The data reveal a mean energy intake of 7854 ± 1735 kJ/day for astronauts during the Apollo missions. If this intake is compared to the NAS, NBC Recommended Daily Dietary Allowance of about 12 000 kJ/day, it is apparent that an average energy deficit was incurred by each Apollo astronaut.
To quantitate the metabolic energy demands throughout the mission and to help define body composition changes, efforts were made during the Apollo 16 mission to control nutrient intake at a constant level throughout the preflight, inflight, and postflight periods. It was believed that stabilizing dietary intake would afford maximum opportunity for detecting body composition changes caused by adaptation to weightlessness.
The mean loss in body weight between the day of the preflight total body water determination and the day of recovery was 3.9 kg. Measurements of total body water loss by tritiated water dilution indicated a mean decrease of 1.77 liters.
When body water loss was converted into lean body mass lost, it was determined that the three crewmembers lost fat in addition to lean body mass because the lean body mass loss does not equal the recorded weight loss. The daily caloric expenditure of the Apollo 16 crewmen can be calculated from the known caloric value of metabolized fat (37.6 kJ/gm and of lean body mass (16.7 kJ/gm). For the three crewmembers, the mean daily caloric expenditure was 17 347 kJ.
Changes in total body potassium measured both by radioactive (potassium 42) dilution and by balance techniques did not reveal a significant loss of lean body mass, an indication that a fat and fluid loss occurred rather than a lean body mass loss. If only body fat were lost, the energy requirement for the three Apollo 16 crewmen would 21 556, 12 043, and 14 291 kJ/day, with a mean of 15 963 kJ (Johnson et al., 1970).
In an alternate method of summarizing the data, each crewman’s body mass loss was calculated from the differences between his mean body weight obtained 30, 15, and 5 days before flight and his weight immediately after flight.
Total body water lost was defined as the mass regained by each astronaut during the 24-hour period following recovery. In this instance, it was assumed that the mean weight loss that was not due to either water or protein loss was due to loss of fat. By this method, a larger loss in body fat was calculated to have occurred in all crewmembers.
Because of difficulties in controlling the respiratory cycle during body volume measurement (Peterson & Herron, 1971), the calculated changes in body composition included the effect of respiration as a random variable; thus, the data have too large a variance for calculation of individual changes in body fat.
During the Apollo 17 mission, a complete collection of urine and feces samples was added to a record of dietary intake so that metabolic balance measurements could be made. By using the results of this study, the energy balance of each crewmember during the Apollo 17 mission was estimated. Each crewmember decreased his intramission energy intake. During the mission, this intake decreased from a mean of 141.3 kJ/kg body weight to 109.1 kJ/kg and represented a 23 percent decrease in the caloric intake of the crewmen. This decrease would result in a net mean deficit in caloric intake of 30 129 kJ throughout the mission (Johnson et al., 1974).
The mean weight loss of the Apollo 17 crewmen was 3.3 kg. Nitrogen balance data reveal a loss of approximately 1 kg of protein, and the remaining loss can be attributed to fat. A mean caloric deficit of approximately 104 500 kJ is, therefore, assumed to have occurred (Johnson et al., 1974; Leach et al., 1974).
Body tissue losses were first calculated for each astronaut by averaging successive body weights obtained before the mission and subtracting the body weights measured 24 hours after recovery (Rambaut et al., 1973). It had been assumed that any decrease in body mass between the preflight weight and the weight recorded 24 hours after recovery represented water lost. An average of 1.5 kg weight was not renamed during this 24-hour period. If this loss was composed entirely of fat, it would represent an additional inflight expenditure of approximately 5643 kJ/day. Commencing with Apollo 16, food and fluid intake, urinary and fecal output, and total body water were measured for each crewman before, during and after the flight. From these measurements were derived estimates of protein loss, lean body mass, and total body fat. Body volume was estimated by stereophotogrammetry, and body density was calculated. From all these data, it became apparent that crewmembers had lost fat in addition to losing lean body mass.
Losses of musculoskeletal constituents (Rambaut et al., 1973; Vogel et al., 1974) and a variety of fluid and electrolyte anomalies have been detected by biochemical investigations associated with the Gemini, Apollo, Voskhod, and Soyuz flights. The electrolyte anomalies were particularly pronounced during the Apollo 15 mission and may have been associated with inflight cardiac arrhythmias and postflight changes in exercise performance and cardiovascular responses.
Certain therapeutic measures including the elevation of dietary potassium intake were partly responsible for the lack of significant metabolic disturbances following the Apollo 16 mission. Similar elevations in dietary potassium were effected for the Apollo 17 crewmembers.
The negative nitrogen and potassium balances that were observed during the Apollo 17 mission are indicative of a loss in the body mass.