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When we think of human spaceflight, it’s easy to focus on rockets, spacecraft and mission timelines. Less visible, but just as critical, is the quiet disruption of the body’s natural rhythms. On board the International Space Station, astronauts witness multiple sunrises and sunsets every day, challenging circadian systems that have evolved under a single 24-hour light–dark cycle. Sleep, hormonal regulation, cognition and overall wellbeing all depend on rhythm. The below article written by Dr Maria Helena Itaqui Lopes, originally published in the journal Zero Hora and website GZH, explores rhythm from a clinical and musical perspective, and reminds us that the language of the body matters deeply, whether on Earth or in orbit.
One day, while studying the biography of Herbert von Karajan, the legendary conductor regarded as one of the greatest in the history of conducting and often referred to as the “conductor of conductors”, I was struck by his reflections on rhythm. He stated that “if no one teaches students the basic disciplines of rhythm, things become impossible”. Although this statement, coming from a musician, may at first seem to relate exclusively to music, in reality rhythm goes far beyond this. It encompasses a sense of balance in physical movement, mental processes, learning, self-care, daily activities and vital energy. Our bodies function rhythmically. We need only recall cardiac rhythm, breathing, sleep, digestive function and circadian rhythms, among many others. Of the biological rhythms that regulate bodily function, the circadian rhythm stands out as a central example, as it organises hormonal release in a time-dependent manner. The secretion of cortisol, melatonin, growth hormone and insulin follows patterns that influence metabolism, immune response, cognitive performance and tissue repair. In preventive medicine, recognising these rhythms allows functional variations to be interpreted, the timing of assessments to be guided, and interventions to be individualised.  24-hour overview of the human circadian rhythm, showing key physiological peaks, alertness levels, and hormonal changes throughout the day and night. Still within the scope of preventive medicine, the starting point for a health review is not defined by age-related calendars nor by the presence of symptoms, but rather by the early recognition of functional changes, taking family history and genetics into account. Beginning an assessment at this stage means respecting an individual’s biological timing, interpreting subtle functional signals and anticipating risks before disease becomes established. In this way, the clinical review becomes a strategy of continuous, personalised care, aimed at preserving autonomy and health over time. These notions of the body’s own language interact with our daily activities. Returning to music, we know that a large proportion of Baroque works were written at a tempo of 75 to 80 beats per minute, measured by a metronome (a device used by musicians to regulate tempo by setting beats per minute), which corresponds closely to the average resting heart rate considered normal. It could be said that this synergy is pleasing to most people.  A medical consultation also has its own rhythm, which is sometimes forgotten or even never learned. A consultation has a beginning, a development, a moment of climax and a conclusion. Expressing empathy either too early or at an inappropriate moment disrupts this balance, and the doctor–patient relationship becomes misaligned. Entering the correct frequency to properly understand a patient is a skill that requires a basic sense of rhythm. An andante tempo (a musical term referring to tempos between 72 and 84 beats per minute) closely resembles our heart rate and therefore feels comfortable to us. In other words, at the start of a consultation or during a visit to a patient in a hospital bed, the encounter should follow a rhythm that conveys safety and support from the doctor. This is a skill that should be better recognised and valued by professionals. From the patient’s perspective, the choice of when to undertake a clinical review should be carefully considered and planned for the new year that is beginning. Another, rather striking, story related to rhythm concerns three conductors who died while conducting the third act of Wagner’s opera Tristan and Isolde. The pauses in this passage are intermittent and irregular, creating tension that can affect both mind and body. Karajan, aware of this and seeking to protect himself, would dissipate this intense tension by using breathing movements to distance himself from the musical strain. In life, as in music, it is essential to find the right rhythm for each challenge, especially when it comes to caring for one’s own health.  Comments are closed.
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