Spaceflight and sport science: Physiological monitoring and countermeasures for the astronaut-athlete on Mars exploration missions.

Long-duration spaceflight impacts essentially every system in the human body, resulting in multisystem deconditioning that might impair the health and performance of crewmembers, particularly on long-duration exploration missions to Mars. In this review, we apply the sport science model of athlete monitoring, testing and training to astronauts; tactical athletes, whose occupation includes physically demanding tasks. We discuss exploration-specific physiological monitoring modalities and provide a brief historical overview of physiological countermeasures to spaceflight. Finally, we suggest countermeasures to protect exploration crew health and performance, including targeted preflight and in-flight exercise training, in-flight exercise hardware and adjunct individualized nutrition and sleep considerations. Mars exploration missions will be exemplars of the astronaut-athlete paradigm. An integrated approach to physiological monitoring and countermeasures will maximize the likelihood of exploration mission success.