Assessing the Exposome with External Measures: Commentary on the State of the Science and Research Recommendations

Posted: 19 Apr 2017

See all articles by Michelle C. Turner

Michelle C. Turner

University of Ottawa

Mark Nieuwenhuijsen

Barcelona Institute for Global Health (ISGlobal); Universitat Pompeu Fabra; Instituto de Salud Carlos III - CIBER de Epidemiología y Salud Pública (CIBERESP)

David Balshaw

Government of the United States of America - National Institutes of Health (NIH)

Yuxia Cui

Government of the United States of America - National Institutes of Health (NIH)

Genevieve Dunton

University of Southern California

Jane A. Hoppin

North Carolina State University

Petros Koutrakis

Harvard University - Department of Environmental Health

Michael Jerrett

University of California, Berkeley

Date Written: March 2017

Abstract

The exposome comprises all environmental exposures that a person experiences from conception throughout the life course. Here we review the state of the science for assessing external exposures within the exposome. This article reviews (a) categories of exposures that can be assessed externally, (b) the current state of the science in external exposure assessment, (c) current tools available for external exposure assessment, and (d) priority research needs. We describe major scientific and technological advances that inform external assessment of the exposome, including geographic information systems; remote sensing; global positioning system and geolocation technologies; portable and personal sensing, including smartphone-based sensors and assessments; and self-reported questionnaire assessments, which increasingly rely on Internet-based platforms. We also discuss priority research needs related to methodological and technological improvement, data analysis and interpretation, data sharing, and other practical considerations, including improved assessment of exposure variability as well as exposure in multiple, critical life stages.

Suggested Citation

Turner, Michelle C. and Nieuwenhuijsen, Mark and Balshaw, David and Cui, Yuxia and Dunton, Genevieve and Hoppin, Jane A. and Koutrakis, Petros and Jerrett, Michael, Assessing the Exposome with External Measures: Commentary on the State of the Science and Research Recommendations (March 2017). Annual Review of Public Health, Vol. 38, pp. 215-239, 2017. Available at SSRN: https://ssrn.com/abstract=2953271 or http://dx.doi.org/10.1146/annurev-publhealth-082516-012802

Michelle C. Turner (Contact Author)

University of Ottawa ( email )

2292 Edwin Crescent
Ottawa, Ontario K2C 1H7
Canada

Mark Nieuwenhuijsen

Barcelona Institute for Global Health (ISGlobal) ( email )

Barcelona, 08003
Spain

Universitat Pompeu Fabra ( email )

Ramon Trias Fargas, 25-27
Barcelona, E-08005
Spain

Instituto de Salud Carlos III - CIBER de Epidemiología y Salud Pública (CIBERESP) ( email )

Monforte de Lemos 5
Madrid
Spain

David Balshaw

Government of the United States of America - National Institutes of Health (NIH) ( email )

9000 Rockville Pike
Bethesda, MD 20892
United States

Yuxia Cui

Government of the United States of America - National Institutes of Health (NIH)

9000 Rockville Pike
Bethesda, MD 20892
United States

Genevieve Dunton

University of Southern California ( email )

2250 Alcazar Street
Los Angeles, CA 90089
United States

Jane A. Hoppin

North Carolina State University ( email )

Hillsborough Street
Raleigh, NC 27695
United States

Petros Koutrakis

Harvard University - Department of Environmental Health ( email )

401 Park Dr
Boston, MA 02215
United States

Michael Jerrett

University of California, Berkeley ( email )

310 Barrows Hall
Berkeley, CA 94720
United States

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