Beyond radiation and microgravity, what systemic health effects are noted after long-duration space flights?

Answer

Immunodeficiency and impaired wound healing due to less efficient collagen production

The harsh space environment imposes multiple stresses beyond skeletal or cardiovascular issues. Isolation, confinement, and environmental stressors like radiation compromise the body's defense systems, leading to a state of immunodeficiency, which increases crew susceptibility to infections and can reactivate dormant viruses. Furthermore, the physical healing process is compromised. The production of essential components for clotting, specifically collagen by fibroblasts, functions less efficiently in microgravity. This results in minor injuries, such as cuts, healing much more slowly and less effectively than they would on Earth, significantly elevating the inherent danger of any mission far from immediate medical support.

Beyond radiation and microgravity, what systemic health effects are noted after long-duration space flights?
costRiskdisadvantagesspace exploration