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FOOD AND NUTRITION IN SPACE Robert W. Phillips LEARNING OBJECTIVES To understand the differences between providing food to people on Earth and those in space both from the standpoint of diet and available foods as well as nutritional requirements and utilization. To understand how space foods have developed and changed since the beginning of space flight and what may occur in the future as the space program becomes more mature. To understand some of the limitations associated with providing food for astronauts on both short and long term missions. INTRODUCTION An adequate food supply and proper nutrition will be an increasingly important aspect of space flight as journeys away from the Earth’s surface increase in duration. From a nutritional perspective it is a relatively trivial matter to go on a two-week low earth orbit mission on the Space Shuttle. Conversely a 3-6 month stay on a space station or even more extended journey to Mars or a moon base will require more significant nutritional input. Such input must not only consider the actual nutrients required during spaceflight but also be designed to satisfy the esthetic components of our diets here on Earth, so that the crews will be able, at least to an extent, to look forward to an interesting and varied cuisine while they are away from the Earth’s surface. This will have the added benefit of increasing food consumption. Decreased food intake and consequent body weight loss has been a problem since the inception of space flight. Some generalizations can be made with regard to space diets. In general they have decreased fat and increased carbohydrate. Most diets have a decrease in fiber, which sometimes leads to constipation. On earlier short missions with inadequate or absent toilet facilities and no privacy this was not a serious problem. Protein content of diets has for the most part been similar to Earth diets. Our understanding of eating and drinking has greatly increased since the “pre-spaceflight” days when one of the serious considerations was whether people could effectively swallow in space. That particular concern was rapidly alleviated. Today, knowledge of specific nutritional differences between Earth and space are fragmentary. Yet the provision of an adequate diet will be an essential component of human space exploration. On short term missions or missions with frequent resupply the Space Shuttle, The Russian MIR space station or the new International Space Station (ISS) currently being constructed in low Earth orbit, food will be prepared on Earth and shipped up ready to eat or requiring only minimal preparation As space flight becomes a more mature endeavor and long duration missions are planned there will be a gradual shift from ready to eat to food supplied from Earth to production, processing, preparation and recycling of nutrients in a closed loop environment. This process is currently designated as Advanced Life Support (ALS) in NASAese as it involves not just the production of food materials but regeneration of oxygen and potable water by biological instead of physical-chemical systems. BACKGROUND In the very early days of short duration flights nutrition was of minimal concern. As the space program evolved into longer missions food became a more central element. There are a number of ancillary effects on the human body and environmental changes that relate directly or indirectly to food intake and needs. From an environmental perspective there may be limited storage, no refrigeration and scant facilities for meal preparation. Imagine in today’s culture spending several weeks or longer without access to refrigeration and completely dependent on prepackaged or dehydrated food. Sounds like an extended camping trip. Other aspects of the environment include microgravity (ug) which has significant effects on the body, a greatly increased level of carbon dioxide in the atmosphere up from a normal 0.03-0.04% to anywhere from 0.3-1.0% or higher under certain circumstances. Radiation exposure is increased, particularly on missions away from Earth’s protective magnetosphere. Normal circadian or diurnal rhythms may be disrupted due to changes in light dark cycles. A number of psychological factors may also effect food intake, for instance: isolation, small group interactions inability to acquire personal space or time in tight living quarters, work overload. All of the above may contribute to psychological stress and may modify food desire or acceptance. From a physiological perspective there are number of body changes that may have a role in modifying food intake. Early ug induced fluid shifts and changes in blood and total body water volume are well documented. Gastrointestinal function may be altered due to changes in microflora and lack of gas separation in stomach and intestine. Decreased gastrointestinal content transit time has been noted and there may be changes in blood flow to the intestinal cells. Whether these effects modify nutrient absorption is not documented at this time. Space motions sickness is often present in the first several days of space exposure which acts to decrease food consumption. There are several postulated causes of this malady. The fluid shifts to the upper body may effect the central nervous system receptors that control gastric unease and vomiting. A more likely explanation is the changes in vestibular receptors in the inner ear due to lack of a gravitational vector. Input to the hair cells are dependent on gravity for normal identification of the down vector. Lack of this normal otolith stimulation coupled with varying visual input may create mixed and misleading sensory stimuli resulting in a condition very analogous to motion sickness here on Earth. It is often termed sensory conflict because different senses are stimulated in a non-coherent fashion. All in all there are a number of physical and biological influences that may effect nutrient intake and nutritional needs, ranging from intensive work schedules relatively limited and repetitive diets and major physical, psychological and physiological changes FOODS PAST AND PRESENT The development of space foods have come a long way since the early Mercury flights when it was not even clear that humans could swallow while in spaceflight. Some of the criteria established for space foods are listed on slide 18. Of course it is not enough just to provide food for astronauts the food must be appetizing, and the crew must have time to consume the food. Early Mercury capsule food did not require any preparation, It was launched as bite sized energy dense units. Or stored in toothpaste like tubes i.e. applesauce which was the first food consumed in space by John Glenn. As the program continued with the advent of the two person Gemini spacecraft and longer missions, food was still completely prepared and ready to eat. It provided 2500 kcal/person/day. In the Apollo program missions were even longer and there was a marked change in the food system. One basis for this was that water no longer had to be carried into space as drinking water but instead was produced in the fuel cells that provided energy for the spacecraft. Because potable drinking water was generated while in space there was little rationale for sending up water in the food. Instead a switch was made to prepackaged dehydrated foods. On these longer missions some irradiated and canned foods were provided. This also brought the addition of utensils to eat with and spoonbowl packaging so that eating a meal was somewhat more normal. On the lunar surface food bars were provided inside the space suits. The next really major improvement in space foods came with Skylab. The lab was boosted into low Earth orbit using the Saturn V rocket which was used to launch the Apollo Astronauts to the moon. Over a two year period there were three, 3 man crews present on Skylab for varying times. Some of the very different factors with Skylab food were that there were both refrigerators and freezers as well as food warmers present on the Lab. All planned food and water was sent into space with the initial launch, it included canned food as well as specialty items like steak, lobster and ice cream. In the same era Russia was developing its first space stations they had a parallel increase in food types. There was a break in American spaceflight until the Space Shuttle was developed and began to be used in the early 1980’s. The Space Shuttle again used fuel cells to provide energy and potable water was produced as a byproduct. There are no refrigerators and freezers on the shuttle so that most of the food is either canned or dehydrated. Some irradiated food is used as well as semi-moist and natural foods. In the middeck of the shuttle there is a galley which has a convection oven as well as a rehydration station using either hot or cold water depending on the food or drink to be rehydrated. The total menu choices were greatly increased and individual crew members could choose their own menu within the limits of a balanced diet. Free choice condiments were also available. Flour tortillas largely replaced bread due to the lack of crumbs generated which are hard to manage in ug. As foreign astronauts have traveled on the Space Shuttle they have made some of their thermostabilized foods available to the program. Some of the more interesting choices are French. Shuttle-MIR was a special program planned as a prelude to the International Space Station to give American Astronauts more experience with long term missions. The six Shuttle-MIR missions ranged from 111-184 days. The MIR space station does not have refrigerators or freezers so that most food is dehydrated, thermostabilized, intermediate moisture, natural or snacks. There is a galley that contains a heating and rehydration station. The food provided 3000 kcal/crew member/day and had increased variety because it included both American and Russian food items. Most of the potable water was recycled on MIR. Some fresh foods were available at intervals when resupply occurred with the arrival of the unmanned Russian Progress space ship or the shuttle. The next step in space food will come with the completion of the International Space Station (ISS), currently planned for the year 2004, although the first portions of the ISS are already in orbit. It will be completed, at least from the perspective of crew size and habitability when the United States Habitat module is launched and outfitted. The habitat will contain the galley and eating area as well as an exercise station. Slide 39. Once again there will be refrigerators and freezers available as well as ambient temperature storage for foods. There will be a microwave/convection oven. Frozen items will include entrees, vegetables, baked goods and desserts. The refrigerator will include fresh and fresh treated fruits and vegetables. Some dairy products will be available as well as extended shelf life produce. There will be a 30-day repeating menu with individual choice of menu within the constraints of nutritional sufficiency. The food will be identified with bar codes which will include food type, quantity remaining in storage and identify the consumer. Although all menu items have not been developed there will undoubtedly be a greater variety due to the broad international flavor of the crew, including American, Russian, European, (multiple countries) Japanese, Canadian and Brazilian members. The basic plan for ISS food is to make it as Earth-like as possible with a great deal of variety and ability to choose specific foods. One significant difference between food to be consumed in space and Earth food is the more common and generalized use of irradiation on a variety of space foods to ensure that they have increased shelf life regardless of storage temperature. This is an effective means for sterilizing without the changes in taste and flavor that are associated with heat treatment. A negative aspect of radiation sterilization for space foods is that the process will destroy some B vitamins, and decrease the content of antioxidants which would be of particular concern for long term missions away from Earth’s magnetosphere. Here in the United States irradiation is commonly used to sterilize spices from foreign countries, but the process is not in wide use yet for meats or other products, due principally to consumer concerns regarding residual effects of radiation in the food. Interestingly people are not concerned with having contact with companions that have been x-rayed, or eating food that has been heated or cooked by microwave radiation. The first irradiated foods were used in the Apollo program and continued through Skylab and the Shuttle program. It is anticipated that radiation sterilization will also be used on the ISS to extend shelf life and for longer lunar and interplanetary missions. PHYSIOLOGICAL CHANGES IN SPACE FLIGHT With the possible exception of the immune system body changes that occur after entering microgravity represent normal homeostatic responses to a new environment. The body’s control systems recognize the lack of gravity and begin to adapt to this unique situation, not realizing that the ultimate plan is to return to 1G after a transient visit to microgravity. In terms of speed and duration of change, fluids are one of the most rapid. The shift moves fluids to the upper body from the dependent (leg) portions of the body and they collect at or above the heart. A swollen face, congested sinuses, skinny legs are obvious signs. From a nutritional perspective the body recognizes this shift as an indication of excess and there is a decrease in fluid intake with continued urine excretion resulting in a net fluid loss, that is not reversed until a gravitational field is once again experienced. After a few days a new steady state is reached in which there is a decreased blood and extracellular volume. Intracellular volume seems to increase as there appears to be little or no change in total body water. Most of the electrolyte loss is extracellular (2-1) sodium over potassium. Replacing sodium dietarily provides no long-term benefit and may actually increase calcium loss. The rapid decrease in blood volume is not a problem, but there is no longer a residual pool of blood in the lower legs. Because of the loss of fluid and blood volume there is an increase in the % or erythrocytes in the blood. The increase is recognized by the body which increases red blood cell destruction and decreases red blood cell production. This results in an increase in storage iron (ferritin) in the body, so that less iron is needed in the diet while in space. Iron may need to be supplemented post flight. Calcium is mobilized from the bones and muscle mass tends to be decreased. Both of these effects are most noticeable in the antigravity components of the body. i.e. long bones of the leg and antigravity muscles. These changes also relate to nutritional and dietary concerns. In most space missions crew members have lost weight while in space that is over and above the loss of fluids. This is due at least in part to a significant decrease in caloric consumption. Although it is not possible to directly measure weight while in space the problem has been effectively solved by use of the Body Mass Measuring Device (BMMD). It has been used on the Space Shuttle and is to be incorporated into the International Space Station to aid Astronauts in keeping track of changes in mass while weightless in space. It reads out in kilograms and is accurate to about 0.1 kg. It functions based on the principle that when a mass is released by a spring setting up an oscillation the momentum of that movement is inversely proportional to the mass that is accelerated. In this picture the handle in the left foreground is cocked putting tension on a spring, which is then released and the BMMD calculates the periodicity of movement. If the chair is empty the period is very rapid. The greater the mass in the chair the longer the period of time to complete an oscillation. Although not directly a physiological change the increase in radiation exposure while in space is of concern. The magnitude of the problem will increase as longer missions are planned outside of the Earth’s magnetosphere. The oxidizing radiation will increase the need for nutritional antioxidants as a countermeasure. NUTRITION IN SPACE The basic goal of space nutrition is to provide a diet that is tailored to the space environment. Historically they have had decreased percentage of fat with increased carbohydrates. There is a tendency towards decreased fiber compared to Earth diets. Protein content is similar. There are a number of factors which play a role in food intake while in space. On Space Shuttle flights the busy schedule often limits the time available to consume a regular meal. Space motion sickness may result in loss of appetite, particularly in the first few days of flight. Disruptions in circadian rhythms may also alter food intake. Other factors include changed perception of taste in that food that tasted good on the ground may not be as appetizing while in space. Repetitive food choices, with a limited selection may result in “boredom” and result in decreased intake. Total caloric consumption has been reduced in most space flights throughout the program. In spite of increasing availability and planning on increased intake it has rarely occurred. Resting metabolic rate is not changed from Earth normal while EVA results in an increased energy output in space compared to control exercise on the ground. Probably due to increased resistance to movement in the vacuum of space. Energy output in space is less for exercise tasks that involve working against gravity on Earth. Total energy expenditure has increased with increasing spaceship size and greater mobility. There has been a consistent loss of muscle protein in American and Russian space travelers, although the rate of loss tends to decrease on long missions. Exercise is of some benefit but does not completely correct the deficit. These changes are in spite of diets that provide a modest excess of protein over anticipated requirements. There is some indication that post flight protein supplementation speeds the process of reestablishing a preflight protein status. The factors that affect protein loss are multiple and include inadequate energy intake and skeletal muscle “remodeling” in microgravity. Another factor which maybe important is generalized metabolic stress which increases protein turnover rate and decreases protein synthesis. Vitamin D availability may be significantly decreased in space due to the absence of ultraviolet light activation of cutaneous precursors. Therefore diet represents essentially the sole source of Vitamin D. On Earth the preponderance of dietary Vitamin D is from dairy products and they currently represent a minimal component of the diet. Additional dairy products may become available when the ISS is completed but some non-dairy supplementation of the active form may be necessary. Alternatively the use of ultraviolet lights could enhance Vitamin D status. Multiple factors may be responsible for the bone calcium loss seen in space. Skeletal unloading occurs due to both decreased muscle strength and decreased weight bearing. Under these conditions bone resorption exceeds bone formation and there is increased urinary calcium excretion. Currently there are no effective chemical or physical countermeasures to bone loss. From a nutritional perspective increased calcium in the diet may cause renal stones or the likelihood that they will form. Conversely decreased dietary calcium may increase the rate of body calcium loss. There is not a clear solution at this time. Currently there is little evidence of changes needed in micronutrients because of space flight. One potential problem could be zinc that is stored primarily in muscle and bone. As these tissues decrease in mass there will be a concomitant decrease in zinc stores. However, this does not appear to be a problem at this time. Iodine is added to drinking water on the Space Shuttle and will be used on ISS; iodine toxicity would be more likely than deficiency, but to date there are no reported occurrences of overload. There is no evidence that B-vitamin requirements are different in space than on Earth. The potential exists for radiation destruction of some of the B-vitamins and this could become a problem on long term missions away from low Earth orbit. In addition to microgravity one environmental factor that will be greatly changed while in space is radiation. This will be particularly true for missions that move out of the protection afforded by the Earth’s magnetosphere. Ionizing radiation will form reactive oxygen species in the body. These oxidants can cause lipid peroxidation and thus alter cellular membranes. Proteins can be rendered dysfunctional and DNA may have changes that cause mutations. Dietary antioxidants represent our principle biological mechanism for countering radiation damage. The most effective are vitamin A and beta carotene, vitamin C (ascorbic acid) and vitamin E (the tocopherols). Several of the trace elements also have an antioxidant effect these include copper, iron, manganese, selenium and zinc. Although not directly associated with space radiation, the use of ionizing radiation to sterilize foods and extend their shelf life also can destroy B-vitamins and natural antioxidants. Radiation has been, and will continue to be, used for preserving foods for space flight without the energy costs of freezers and refrigerators. Pretreatment with antioxidants can reduce radiation damage, so that the availability and use of antioxidants may be important on long term missions. One benefit of their us in this manner is that in general they have minimal toxicity. To date there has not been an opportunity to study the effects of space radiation on foods and antioxidants. This will have to be accomplished prior to launching a human Mars mission. FUTURE FOODS IN SPACE There are several scenarios for long term human space missions that will be well beyond Low Earth Orbit where the Space Shuttle and ISS go. One of the first will be an extended mission to Mars that will take two and one half to three years. It is likely that most of the food will be prepared on Earth prior to the mission and carried in storage. Such a mission will require more shelf stable foods than are currently available. Dietary variety will be a very important aspect of foods to be chosen for such a mission. Boredom with the available foods will have a detrimental effect on the crews emotional well being and interaction with their fellow crew members. A great deal of overall mission success will depend on the physical and emotional state of the crew as they explore a new planet. This will necessitate their consumption of sufficient nutrients to maintain a high level of body function. In addition there is an esthetic and morale benefit in growing some vegetable crops on the long flights. Candidate plants include lettuce, tomatoes, sprouts which provide the value of seeing and tending the “green growing things” and providing a fresh salad on occasion the so-called Salad Machine. Preservation and use of antioxidants will be a necessary component to ensure crew health. As humans move permanently to other planetary surfaces such as establishing a base or colony on the moon or Mars, provision of a nutritious diet will become more complex. It will no longer be possible to carry only prepared foods, instead foods must be produced on site. This will mean that an effective Advanced Life Support facility will need to be developed to grow foods, replenish oxygen from carbon dioxide and utilize water transpired by the plants. This facility will be a closed loop system that is capable of recycling carbon, hydrogen, oxygen nitrogen and water. It will grow food crops that can sustain the colony inhabitants for an indefinite period with only minimal resupply from Earth once it has been established. Some factors that will need to be considered in establishing such a facility are using crops that provide a dependable yield, have a high edible biomass yield, are of small size, will provide dietary variety and can be combined to form a nutritionally complete diet. It may well be that some of the plants will be genetically modified to increase levels of certain micronutrients, essential lipids or amino acids. An additional factor is that very intensive agriculture will be practiced to grow a maximum quantity of usable raw food in as small an area as possible. One facet of an advanced life support system that has been given less rigorous attention so far is the mechanisms that will be utilized to produce attractive, nutritionally complete, varied and esthetically appetizing final dietary products from a only a few raw products. It is likely that the major raw products will include wheat, rice, soybeans and perhaps sweet and white potatoes and peanuts. These would be the major crops that would need to be processed in order to be used. Complex processing is particularly necessary for the cereal grains and soybeans. Some considerations for such a food processing facility will be to use crops that can be easily processed into numerous edible products. One additional aspect of the overall facility will be to effectively utilize the cellulose and lignin that are not digestible by humans. There are a number of single cell organisms that can break down these polymers, but algae and yeast are not esthetically attractive as significant components of our diets. It is likely that there will be heavy reliance on prepackaged spices, flavors. antioxidants and trace nutrients that will be sent at intervals to the colony from Earth. BIOGRAPHY Robert W. Phillips (Bob) DVM, Ph.D. received a BS degree in animal nutrition, followed by a Doctorate in Veterinary Medicine at Colorado State University. He subsequently received a Ph.D. in Physiology/Nutrition at the University of California. Following that degree he was active on the faculty of the Department of Physiology at Colorado State University for over 20 years teaching and conducting research focused in metabolism and nutrition. In 1984 he joined NASA as a Payload Specialist training for the Space Shuttle flight Space Laboratory Life Sciences 1, (STS 40) which ultimately launched in June of 1991. Shortly before that mission he was removed from flight status by flight medicine and served as alternate Payload Specialist for the mission at the Payload Operations Control Center. Following that shuttle flight he spent three years at NASA Headquarters in Washington DC, principally as Space Station Chief Scientist. He is currently working in Outreach and Education, part time, for NASA Life Sciences through a Cooperative Agreement with Colorado State University. Bob is a Professor Emeritus in the Department of Physiology at Colorado State University and an emeritus member of the American Institute of Nutrition and the American Physiological Society. He is a charter Diplomate of the American College of Veterinary Nutrition and a Distinguished Scholar of the National Academy of Practices. REFERENCES FOR FURTHER READING Nutrition in Spaceflight and Weightless Models. Lane, H. W. and Schoeller, D. A. Ed. 1999, CRC Press, Boca Raton, Florida. Food and Nutrition During Spaceflight. Phillips, R. W. In Fundamentals of Space Life Sciences, Churchill, S. E. Ed. 1997, Krieger Publishing Co. Malabar Florida.