Scott Kelly’s Year in Space

You think gravity wears you down? Try 12 months without it.

Kelly last lived on the space station—for a mere five months—in 2010-11. (NASA)
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A year is a long time to spend as a human satellite circling Earth in zero gravity. But if astronauts didn’t like it, they wouldn’t sign up, right? “Don’t get the idea that there was a shortage of candidates,” says Scott Kelly, a short guy with a shaved head and a stocky build. “A lot of people wanted to do it.”

And Kelly won the prize. In late March, he and cosmonaut Mikhail Kornienko will fly to the International Space Station, orbiting 230 miles above Earth, and remain aboard for a full year. Four Russians have already spent an uninterrupted year in space, but none since Mir in 1999. Kelly will be the first American to do it. Having logged a cumulative six months in space on three prior missions, he will return to Earth with more than 500 days in orbit.

That fame may come with a price. Backaches, bone loss, lousy sleep, loss of balance, headaches, muscle atrophy, nausea, radiation exposure, rashes: There is already a well-thumbed compendium of woes that have plagued visitors to space. Says Kelly, “You feel bad for a month, and I’ve never felt completely normal.” For astronauts, physical discomfort is an occupational hazard scarcely worth mentioning when set alongside the unparalleled high of being in space. But when does that discomfort become too much?

NASA, its Russian counterpart Roscosmos, and the other station partners want to know what would happen to your body and mind if you were to travel to Mars—a round trip expected to take nearly three years. (That’s an estimated six months’ transit time in each direction, plus 18 to 20 months on Mars or orbiting it while waiting for it to realign with Earth.) A full year in space does a better job imitating the effects of so long a journey than the current six-month station sojourns. The idea is to see if people who stay in space longer get beat up worse, or if the harm occurs mainly in the early part of the mission.

Like all International Space Station residents, Scott Kelly strove to fight the effects of micro-G. (NASA )
When Kelly stays up for a year, NASA will study those effects, using Kelly’s twin Mark (above, at left) as a control. (Peter Kramer/NBC)
During his 2010 command of Expedition 26, Kelly found time to hang out in the ISS cupola. His return for a full year is planned as the first of six 12-month missions designed to help NASA better understand the health risks astronauts will face on a three-year Mars mission. (NASA )
Alexander Gerst peers into the Optical Coherence Tomography Camera in the station’s Harmony node in 2014. NASA needs to know more about how and why astronauts’ vision degenerates in space. (NASA )
Mikhail Kornienko (left) will accompany Kelly on his year-long mission. Last July, the two spacemen ran through an emergency drill at Houston’s Johnson Space Center. (NASA/James Blair)
Mark Shelhamer conducts a reduced-gravity sensorimotor study aboard G-Force One in 2012. (NASA )
After a stay in weightlessness, even walking is a tremendous effort. ISS Expedition 31 Commander Oleg Kononenko is carried to safety with his crewmates after their Soyuz capsule landed in Kazakhstan in July 2012. (NASA/Bill Ingalls )

Sticks and Kidney Stones

NASA has deemed some of the usual suspects to be under control, at least for six-month International Space Station missions. Two and a half hours of exercise per day appears to halt the bone loss and muscle atrophy. Drugs control nausea, and ointment helps the rashes. There are sleeping pills and pain pills.

But for a Mars mission, NASA has identified 32 “major” risks to human health and performance. These include everything from radiation poisoning, which will take a lot more than a series of year-long ISS visits to understand, to onboard fires or loss of cabin pressure, which are mostly about bad luck.

NASA’s Human Research Program, based at Houston’s Johnson Space Center, studies the other stuff: “Are there troubling trends out there?” asks Mark Shelhamer, the Research Program’s chief scientist. (There are.) “Is there a smoking gun?” he asks. (Maybe.) NASA scientists hope Kelly’s year-long ISS mission—and another five after that—will help them to find out.

First are the “pernicious” things, Shelhamer says. Some astronauts get post-flight kidney stones, and “the prevalence is troubling.” The incidence was higher after six-month ISS missions than after two-week Space Shuttle deployments. Kidney stones, as anyone who has ever had one knows, are no fun.

High concentrations of calcium oxalate in the bloodstream cause stones to form in the kidneys. Bone loss might be the culprit, but NASA’s current best guess is that the high level of carbon dioxide in the ISS air supply is to blame: It’s 10 to 20 times what we breathe on Earth.

“CO2 is acidic,” Shelhamer says. “One way your body deals with it is by buffering your bloodstream with calcium.” If a limited time in space causes kidney stones, more time might make them more likely.

Also on scientists’ to-do list are what Shelhamer calls “proving negatives.” Have the problems of bone loss, difficulty with balance, and muscular atrophy truly been solved? Longer flights offer researchers the chance to find out.

Most important, however, are the potentially dangerous imponderables—“The things we don’t feel good about,” as Shelhamer puts it—whose causes and effects remain unclear. In particular, pathogens and the human immune system interact differently in microgravity. “Some pathogens increase in virulence, and some don’t,” Shelhamer says. “Some aspects of the immune system deteriorate, some don’t.” The great fear is that at some point the “lines cross”: A pathogen becomes stronger as an immune response grows weaker. “We haven’t seen it yet, but will we see it after eight months?”

The Vision Thing

The highest-priority problem, however, is impaired vision, a condition that returning crew members have reported with increasing frequency. One U.S. astronaut discovered during reentry that he couldn’t read the checklist for landing. (Fortunately, crew members know the procedures virtually by heart.)

For years, researchers have regarded the vision problems and other microgravity effects as minor and usually reversible. On Earth, gravity pulls fluids to a person’s lower body. In space, fluids float upward with a number of unpleasant effects. Anyone who has seen astronauts on TV notices their swollen faces. Fluid migration is also a likely cause of headaches. Eyesight is so often impaired that the station stocks a supply of drugstore glasses with different magnifications.

Understanding the effects of space travel is complicated by the patient population being studied. Most astronauts are between 35 and 55 years old, clustering in their early to mid-40s, the age when a person’s eyesight usually heads south. For a long time, any ocular discomfort astronauts reported in orbit seemed to vanish once they came home.

And then it didn’t. “Right now we have circumstantial information” from astronauts reporting vision impairment, usually farsightedness, “that has lingered,” Shelhamer says. “You have it after [a stay of] six months. Maybe it’s no worse after a year, but we don’t know that.”

Vision, in part, is what got Kelly the coveted position as America’s first year-round astronaut. The candidate had to have completed a previous space station mission, had to have served as a mission commander, had to be a qualified spacewalker, and had to have been free of serious vision problems. “That cut it down to three or four people,” Kelly says. “And one of them is my backup.”

Kelly acknowledges that he, like most astronauts, has had “vision issues” on all three of his flights. In 1999 he was 35 and had “bad middle vision” for a while. Eight years later, when he commanded STS 118, he was already wearing reading glasses. And in 2010-2011, his eyesight “generally changed in a negative way” while he was aboard the space station, but corrected three months after his return. At present, Kelly, who turns 51 on February 21, wears glasses for distance.

Kornienko, 54, is also a space station veteran and a spacewalker with only four fewer days in orbit than his crewmate. Drafted out of high school into the Soviet army, he became a paratrooper, then served as a Moscow policeman while he went to engineering school. He joined the cosmonaut corps in 1998, the same year Kelly became an astronaut. He does not wear glasses, Kelly says, but may use contact lenses.

Since vision impairment came to the attention of researchers, scientists have floated several theories as to its cause: Bloodstream toxins might put pressure on the eye. Improper technique during exercise sessions might increase fluid pressure in the brain. And as always, radiation remains a suspect.

But NASA’s working hypothesis is that when weightlessness displaces fluid surrounding the brain, some of the excess migrates down the optic nerve sheath until it presses into the back of the eye. This can have grim implications: “The bogeyman is whether [a prolonged increase in cranial pressure] is going to cause other neural impacts—to fine motor coordination, headaches, memory,” Shelhamer says. If it does, “you’ve got a serious, serious problem.”

About Guy Gugliotta

Guy Gugliotta, a former national reporter for the Washington Post, is a freelance science writer based in New York.

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