Use of the "Exposome" in the Practice of Epidemiology: A Primer on -Omic Technologies.

Use of the "Exposome" in the Practice of Epidemiology: A Primer on -Omic Technologies.
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DOI:
10.1093/aje/kwv325
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发表时间:
2016-08-15
影响因子:
5
通讯作者:
Schulte PA
Schulte PA
中科院分区:
医学2区
文献类型:
--
作者:
DeBord DG;Carreón T;Lentz TJ;Middendorf PJ;Hoover MD;Schulte PA

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The exposome has been defined as the totality of exposure individuals experience over their lives and how those exposures affect health. Three domains of the exposome have been identified: internal, specific external and general external. Internal factors are those that are unique to the individual; and specific external factors include occupational exposures and lifestyle factors. The general external domain includes factors such as education level and financial status. Eliciting the exposome is daunting and at present not feasible and may never be fully realized. A variety of tools has been identified to measure the exposome. Biomarker measurements will be one of the major tools in exposomic studies. However, exposure data can also be obtained from other sources such as sensors, geographic information systems and conventional tools such as survey instruments. Proof of concept studies are being conducted that show the promise of the exposomic investigation and the integration of different kinds of data. The inherent value of exposomic data in epidemiologic studies is that they can provide greater understanding of the relationships among a broad range of chemical and other risk factors and diseases and ultimately lead to more effective and efficient prevention and control.
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