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A Decision Framework for Selecting Critically Important Nutrients from Aquatic Foods. 从水产食品中选择重要营养素的决策框架。
IF 7.9 2区 医学 Q1 Medicine Pub Date : 2023-06-01 DOI: 10.1007/s40572-023-00397-5
Jessica Zamborain-Mason, Daniel Viana, Khristopher Nicholas, Erin D Jackson, J Zachary Koehn, Simone Passarelli, Seo-Hyun Yoo, Angela W Zhang, Hannah C Davin, Christopher P Duggan, Josef Schmidhuber, Christopher D Golden

Purpose of review: Aquatic foods are increasingly being recognized as a diverse, bioavailable source of nutrients, highlighting the importance of fisheries and aquaculture for human nutrition. However, studies focusing on the nutrient supply of aquatic foods often differ in the nutrients they examine, potentially biasing their contribution to nutrition security and leading to ineffective policies or management decisions.

Recent findings: We create a decision framework to effectively select nutrients in aquatic food research based on three key domains: human physiological importance, nutritional needs of the target population (demand), and nutrient availability in aquatic foods compared to other accessible dietary sources (supply). We highlight 41 nutrients that are physiologically important, exemplify the importance of aquatic foods relative to other food groups in the food system in terms of concentration per 100 g and apparent consumption, and provide future research pathways that we consider of high importance for aquatic food nutrition. Overall, our study provides a framework to select focal nutrients in aquatic food research and ensures a methodical approach to quantifying the importance of aquatic foods for nutrition security and public health.

综述目的:人们越来越认识到水产食品是一种多样化的、生物可利用的营养来源,这凸显了渔业和水产养殖对人类营养的重要性。然而,侧重于水生食品营养供应的研究往往在审查的营养素方面存在差异,这可能会影响其对营养安全的贡献,并导致无效的政策或管理决策。我们基于三个关键领域创建了一个决策框架,以有效地选择水产食品研究中的营养素:人类生理重要性,目标人群的营养需求(需求),以及与其他可获得的膳食来源相比,水产食品中的营养可用性(供应)。我们强调了41种生理上重要的营养物质,举例说明了水生食物相对于食物系统中其他食物组的重要性,就每100克的浓度和表观消耗量而言,并提供了我们认为对水生食物营养具有高度重要性的未来研究途径。总之,我们的研究提供了一个框架,选择重点营养素的水产食品研究,并确保有系统的方法来量化水产食品对营养安全和公众健康的重要性。
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引用次数: 5
The Gut Microbiome and Residential Surrounding Greenness: a Systematic Review of Epidemiological Evidence. 肠道微生物组和居住环境绿化:流行病学证据的系统回顾。
IF 7.9 2区 医学 Q1 Medicine Pub Date : 2023-06-01 DOI: 10.1007/s40572-023-00398-4
Thessa Van Pee, Tim S Nawrot, Romy van Leeuwen, Janneke Hogervorst

Purpose of review: A healthy indigenous intestinal microbiome is essential for human health. Well-established gut microbiome determinants only explain 16% of the inter-individual variation in gut microbiome composition. Recent studies have focused on green space as a potential determinant of the intestinal microbiome. We systematically summarize all evidence concerning the association between green space and intestinal bacterial diversity, evenness, and richness indices, specific bacterial taxa, and potential underlying mechanisms.

Recent findings: Seven epidemiological studies were included in this review. The majority of the included studies (n = 4) reported a positive association between green space and intestinal bacterial diversity, evenness, and richness, while two reported the opposite. There was little overlap between the publications regarding the association between green space and the relative abundance of specific bacterial taxa. Only a decrease in the relative abundance of Bacteroidetes, Bacteroides, and Anaerostipes and an increase in Lachnospiraceae and Ruminococcaceae were reported in multiple studies, predominantly suggesting that green space is positively associated with the intestinal microbiome composition, and subsequently with human health. Lastly, the only examined mechanism was a reduction in perceived psychosocial stress. Mechanisms indicated in blue and white represent tested or hypothesized mechanisms, respectively. The graphical abstract was created with illustrations from BioRender, Noun Project, and Pngtree.

综述目的:健康的本地肠道微生物群对人类健康至关重要。确定的肠道微生物组决定因素只能解释16%的肠道微生物组组成的个体间差异。最近的研究集中在绿色空间作为肠道微生物群的潜在决定因素。我们系统地总结了绿地与肠道细菌多样性、均匀度和丰富度指数、特定细菌分类群及其潜在机制之间的关系。最新发现:本综述纳入了7项流行病学研究。大多数纳入的研究(n = 4)报告了绿地与肠道细菌多样性、均匀性和丰富度之间的正相关,而两项研究报告了相反的结果。关于绿地与特定细菌分类群相对丰度之间关系的出版物之间几乎没有重叠。多项研究仅报道了拟杆菌门、拟杆菌门和厌氧菌门的相对丰度下降,而毛缕菌科和瘤胃球菌科的相对丰度增加,这主要表明绿地与肠道微生物组组成呈正相关,进而与人类健康呈正相关。最后,唯一检查的机制是减少感知到的社会心理压力。蓝色和白色表示的机制分别代表测试或假设的机制。图形摘要是用来自BioRender、名词项目和Pngtree的插图创建的。
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引用次数: 0
Environmental Exposure Disparities and Neurodevelopmental Risk: a Review. 环境暴露差异与神经发育风险:综述。
IF 7.9 2区 医学 Q1 Medicine Pub Date : 2023-06-01 Epub Date: 2023-04-01 DOI: 10.1007/s40572-023-00396-6
Aisha S Dickerson, Seth Frndak, Melissa DeSantiago, Ankita Mohan, Genee S Smith

Purpose of review: Neurotoxicant exposures are of particular concern in historically marginalized communities. Often a consequence of structural racism, low-income minoritized populations experience a disproportionate burden of hazardous exposures through proximity to industrial facilities, high traffic roads, and suboptimal housing. Here, we summarize reports on exposures and neurodevelopment focused on differences by education, income, race/ethnicity, or immigration status from 2015 to 2022, discuss the importance of such investigations in overburdened communities, and recommend areas for future research.

Recent findings: We found 20 studies that investigated exposure disparities and neurodevelopment in children. Most were conducted in the USA, and many focused on air pollution, followed by metal exposures and water contamination. Although several studies showed differences in exposure-outcome associations by income and education, many examining differences by race/ethnicity did not report notable disparities between groups. However, measures of individual race and ethnicity are not reliable measures of discrimination experienced as a consequence of structural racism. Our review supports scientific evidence that the reduction of individual and widespread municipal exposures will improve child development and overall public health. Identified research gaps include the use of better indicators of economic status and structural racism, evaluations of effect modification and attributable fraction of outcomes by these factors, and considerations of multidimensional neighborhood factors that could be protective against environmental insults. Considering that vulnerable populations have disparities in access to and quality of care, greater burden of exposure, and fewer resources to incur associated expenses, such populations should be prioritized.

审查目的:历史上被边缘化的社区对神经毒物的暴露尤为关注。结构性种族主义通常会导致低收入的少数群体因靠近工业设施、交通繁忙的道路和不理想的住房而承受过重的有害物质暴露负担。在此,我们总结了从 2015 年到 2022 年有关暴露和神经发育的报告,重点关注教育、收入、种族/民族或移民身份的差异,讨论了在负担过重的社区开展此类调查的重要性,并就未来的研究领域提出了建议:我们发现了 20 项调查儿童暴露差异和神经发育的研究。大多数研究都是在美国进行的,许多研究侧重于空气污染,其次是金属暴露和水污染。虽然有几项研究显示了不同收入和教育程度的暴露与结果之间的差异,但许多研究在探讨不同种族/族裔的差异时,并没有报告不同群体之间存在明显的差异。然而,对个人种族和族裔的衡量并不能可靠地衡量因结构性种族主义而遭受的歧视。我们的研究支持这样的科学证据,即减少个人和广泛的城市接触将改善儿童发展和整体公共健康。已发现的研究空白包括:使用更好的经济状况和结构性种族主义指标、评估这些因素对结果的影响修正和可归因部分,以及考虑可对环境污染起到保护作用的多维邻里因素。考虑到弱势群体在获得医疗服务和医疗服务质量方面存在差异、暴露于环境的负担更重、可用于支付相关费用的资源更少,因此应优先考虑这些人群。
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引用次数: 0
Interventions to Reduce Exposure to Synthetic Phenols and Phthalates from Dietary Intake and Personal Care Products: a Scoping Review. 减少膳食摄入和个人护理产品中合成酚和邻苯二甲酸盐暴露的干预措施:范围综述。
IF 7.9 2区 医学 Q1 Medicine Pub Date : 2023-06-01 DOI: 10.1007/s40572-023-00394-8
Tiffany C Yang, Nicolas Jovanovic, Felisha Chong, Meegan Worcester, Amrit K Sakhi, Cathrine Thomsen, Ronan Garlantézec, Cécile Chevrier, Génon Jensen, Natacha Cingotti, Maribel Casas, Rosemary Rc McEachan, Martine Vrijheid, Claire Philippat

Purpose of review: A scoping review was conducted to identify interventions that successfully alter biomarker concentrations of phenols, glycol ethers, and phthalates resulting from dietary intake and personal care product (PCPs) use.

Recent findings: Twenty-six interventions in populations ranging from children to older adults were identified; 11 actively removed or replaced products, 9 provided products containing the chemicals being studied, and 6 were education-only based interventions. Twelve interventions manipulated only dietary intake with a focus on bisphenol A (BPA) and phthalates, 8 studies intervened only on PCPs use and focused on a wider range of chemicals including BPA, phthalates, triclosan, parabens, and ultraviolet absorbers, while 6 studies intervened on both diet and PCPs and focused on phthalates, parabens, and BPA and its alternatives. No studies assessed glycol ethers. All but five studies reported results in the expected direction, with interventions removing potential sources of exposures lowering EDC concentrations and interventions providing exposures increasing EDC concentrations. Short interventions lasting a few days were successful. Barriers to intervention success included participant compliance and unintentional contamination of products. The identified interventions were generally successful but illustrated the influence of participant motivation, compliance, ease of intervention adherence, and the difficulty of fully removing exposures due their ubiquity and the difficulties of identifying "safer" replacement products. Policy which reduces or removes EDC in manufacturing and processing across multiple sectors, rather than individual behavior change, may have the greatest impact on population exposure.

综述目的:进行了一项范围综述,以确定成功改变饮食摄入和个人护理产品(pcp)使用导致的酚类、乙二醇醚和邻苯二甲酸盐生物标志物浓度的干预措施。最近的发现:确定了从儿童到老年人的26项干预措施;11个主动移除或替换了产品,9个提供了含有所研究化学物质的产品,6个是仅基于教育的干预措施。其中12项研究仅对饮食摄入进行干预,重点关注双酚a (BPA)和邻苯二甲酸酯;8项研究仅对pcp的使用进行干预,重点关注更广泛的化学物质,包括双酚a、邻苯二甲酸酯、三氯生、对羟基苯甲酸酯和紫外线吸收剂;6项研究同时对饮食和pcp进行干预,重点关注邻苯二甲酸酯、对羟基苯甲酸酯、双酚a及其替代品。没有研究评估乙二醇醚。除5项研究外,其他研究均报告了预期的结果,即消除潜在暴露源的干预措施降低了EDC浓度,而提供暴露的干预措施则增加了EDC浓度。持续几天的短期干预是成功的。干预成功的障碍包括参与者的依从性和产品的无意污染。确定的干预措施总体上是成功的,但也说明了参与者动机、依从性、干预依从性的影响,以及由于无处不在而难以完全消除暴露的困难,以及确定“更安全”的替代产品的困难。在多个部门减少或消除制造业和加工业中的EDC的政策,而不是改变个人行为,可能对人口暴露产生最大影响。
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引用次数: 1
Early Environment and Telomeres: a Long-Term Toxic Relationship. 早期环境与端粒:一种长期毒性关系。
IF 7.9 2区 医学 Q1 Medicine Pub Date : 2023-06-01 Epub Date: 2023-03-22 DOI: 10.1007/s40572-023-00395-7
José Francisco Herrera-Moreno, Diddier Prada, Andrea A Baccarelli

Purpose of review: Telomere length (TL) shortening is a hallmark of biological aging. While studies have extensively focused on the impact of environmental exposures on TL in older populations, consistent evidence indicates that prenatal environmental exposures to air pollutants, polycyclic aromatic hydrocarbons, metals, and endocrine-disrupting chemicals influence TL shortening. Here, we summarize evidence linking prenatal environmental exposures with children's TL and discuss potential long-term effects.

Recent findings: Current evidence shows that prenatal environmental exposures alter TL and identify pregnancy as a critical window of susceptibility for telomere damage in children. However, results vary across studies, possibly depending on the source, exposure time window, and stage evaluated. Additional research is needed to investigate whether early TL alterations mediate long-term health effects of offspring. Prenatal environmental exposures induce early childhood changes in TL. Based on known links between TL and biological aging, these alterations may have long-term impact on individuals' health throughout life.

综述目的:端粒长度缩短是生物衰老的标志。虽然研究广泛关注环境暴露对老年人群TL的影响,但一致的证据表明,产前环境暴露于空气污染物、多环芳烃、金属和内分泌干扰化学物质会影响TL的缩短。在这里,我们总结了将产前环境暴露与儿童TL联系起来的证据,并讨论了潜在的长期影响。最近的发现:目前的证据表明,产前环境暴露会改变TL,并将妊娠确定为儿童端粒损伤易感性的关键窗口。然而,研究结果各不相同,可能取决于来源、暴露时间窗口和评估阶段。需要进行更多的研究来调查早期TL的改变是否会对后代的长期健康产生影响。产前环境暴露会导致儿童早期TL的变化。基于TL与生物衰老之间的已知联系,这些变化可能会对个人一生的健康产生长期影响。
{"title":"Early Environment and Telomeres: a Long-Term Toxic Relationship.","authors":"José Francisco Herrera-Moreno, Diddier Prada, Andrea A Baccarelli","doi":"10.1007/s40572-023-00395-7","DOIUrl":"10.1007/s40572-023-00395-7","url":null,"abstract":"<p><strong>Purpose of review: </strong>Telomere length (TL) shortening is a hallmark of biological aging. While studies have extensively focused on the impact of environmental exposures on TL in older populations, consistent evidence indicates that prenatal environmental exposures to air pollutants, polycyclic aromatic hydrocarbons, metals, and endocrine-disrupting chemicals influence TL shortening. Here, we summarize evidence linking prenatal environmental exposures with children's TL and discuss potential long-term effects.</p><p><strong>Recent findings: </strong>Current evidence shows that prenatal environmental exposures alter TL and identify pregnancy as a critical window of susceptibility for telomere damage in children. However, results vary across studies, possibly depending on the source, exposure time window, and stage evaluated. Additional research is needed to investigate whether early TL alterations mediate long-term health effects of offspring. Prenatal environmental exposures induce early childhood changes in TL. Based on known links between TL and biological aging, these alterations may have long-term impact on individuals' health throughout life.</p>","PeriodicalId":10775,"journal":{"name":"Current Environmental Health Reports","volume":null,"pages":null},"PeriodicalIF":7.9,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10849088/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9705087","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A Systematic Review of the Placental Translocation of Micro- and Nanoplastics. 微纳米塑料胎盘易位的系统综述。
IF 7.9 2区 医学 Q1 Medicine Pub Date : 2023-06-01 DOI: 10.1007/s40572-023-00391-x
Eleanor A Medley, Miranda J Spratlen, Beizhan Yan, Julie B Herbstman, Maya A Deyssenroth

Purpose of review: Despite increasing awareness of the ubiquity of microplastics (MPs) in our environments, little is known about their risk of developmental toxicity. Even less is known about the environmental distribution and associated toxicity of nanoplastics (NPs). Here, we review the current literature on the capacity for MPs and NPs to be transported across the placental barrier and the potential to exert toxicity on the developing fetus.

Recent findings: This review includes 11 research articles covering in vitro, in vivo, and ex vivo models, and observational studies. The current literature confirms the placental translocation of MPs and NPs, depending on physicochemical properties such as size, charge, and chemical modification as well as protein corona formation. Specific transport mechanisms for translocation remain unclear. There is emerging evidence of placental and fetal toxicity due to plastic particles based on animal and in vitro studies. Nine out of eleven studies examined in this review found that plastic particles were capable of placental translocation. In the future, more studies are needed to confirm and quantify the existence of MPs and NPs in human placentas. Additionally, translocation of different plastic particle types and heterogenous mixtures across the placenta, exposure at different periods of gestation, and associations with adverse birth and other developmental outcomes should also be investigated.

综述目的:尽管人们越来越意识到微塑料(MPs)在我们的环境中无处不在,但人们对它们的发育毒性风险知之甚少。人们对纳米塑料的环境分布和相关毒性的了解就更少了。在这里,我们回顾了MPs和NPs通过胎盘屏障运输的能力以及对发育中的胎儿施加毒性的潜力。最新发现:本综述包括11篇研究论文,涵盖体外、体内和离体模型以及观察性研究。目前的文献证实了MPs和NPs的胎盘易位,这取决于物理化学性质,如大小、电荷、化学修饰以及蛋白质冠的形成。易位的具体转运机制尚不清楚。基于动物和体外研究,越来越多的证据表明塑料颗粒对胎盘和胎儿有毒性。在本综述中,11项研究中有9项发现塑料颗粒能够导致胎盘易位。在未来,需要更多的研究来证实和量化人胎盘中MPs和NPs的存在。此外,还应调查不同塑料颗粒类型和异质混合物在胎盘中的易位,妊娠不同时期的暴露,以及与不良出生和其他发育结果的关系。
{"title":"A Systematic Review of the Placental Translocation of Micro- and Nanoplastics.","authors":"Eleanor A Medley,&nbsp;Miranda J Spratlen,&nbsp;Beizhan Yan,&nbsp;Julie B Herbstman,&nbsp;Maya A Deyssenroth","doi":"10.1007/s40572-023-00391-x","DOIUrl":"https://doi.org/10.1007/s40572-023-00391-x","url":null,"abstract":"<p><strong>Purpose of review: </strong>Despite increasing awareness of the ubiquity of microplastics (MPs) in our environments, little is known about their risk of developmental toxicity. Even less is known about the environmental distribution and associated toxicity of nanoplastics (NPs). Here, we review the current literature on the capacity for MPs and NPs to be transported across the placental barrier and the potential to exert toxicity on the developing fetus.</p><p><strong>Recent findings: </strong>This review includes 11 research articles covering in vitro, in vivo, and ex vivo models, and observational studies. The current literature confirms the placental translocation of MPs and NPs, depending on physicochemical properties such as size, charge, and chemical modification as well as protein corona formation. Specific transport mechanisms for translocation remain unclear. There is emerging evidence of placental and fetal toxicity due to plastic particles based on animal and in vitro studies. Nine out of eleven studies examined in this review found that plastic particles were capable of placental translocation. In the future, more studies are needed to confirm and quantify the existence of MPs and NPs in human placentas. Additionally, translocation of different plastic particle types and heterogenous mixtures across the placenta, exposure at different periods of gestation, and associations with adverse birth and other developmental outcomes should also be investigated.</p>","PeriodicalId":10775,"journal":{"name":"Current Environmental Health Reports","volume":null,"pages":null},"PeriodicalIF":7.9,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10300151/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9759085","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 3
What Happens In Utero Does Not Stay In Utero: a Review of Evidence for Prenatal Epigenetic Programming by Per- and Polyfluoroalkyl Substances (PFAS) in Infants, Children, and Adolescents. What Happens In Utero Does Not Stay In Utero: a Review of Evidence for Prenatal Epigenetic Programming by Per- and Polyfluoroalkyl Substances (PFAS) in Infants, Children, and Adolescent.
IF 7.9 2区 医学 Q1 Medicine Pub Date : 2023-03-01 Epub Date: 2022-11-22 DOI: 10.1007/s40572-022-00387-z
Wei Perng, Dorothy Nakiwala, Jaclyn M Goodrich

Purpose of review: Review human literature on the relationship between prenatal exposure to per- and polyfluoroalkyl substances (PFAS) and epigenetic modifications in infants, children, and adolescents < 18 years of age.

Recent findings: Eleven studies were identified, with study populations located in the U.S., Taiwan, Japan, and the Kingdom of Denmark. Many studies (n = 5) were cross-sectional, with PFAS exposure and epigenetic outcomes measured in the same tissue collected at delivery via cord blood or dried newborn blood spots. The other six studies were prospective, with prenatal PFAS measured on maternal blood during pregnancy and DNA methylation (DNAm) assessed in cord blood and childhood peripheral leukocytes (n = 1 study). Epigenetic marks of interest included global DNAm measures (LINE-1, Alu, and an ELISA-based method), candidate genes (IFG2, H19, and MEST), and epigenome-wide DNA methylation via array-based methods (Infinium 450 K and EPIC). Two studies using array-based methods employed discovery and validation paradigms, in which a small subset of loci (n = 6 and n = 4) were replicated in the discovery population. One site (TNXB) was a hit in two independent studies. Collectively, loci associated with PFAS were in regions involved in growth and development, lipid metabolism, and nutrient metabolism. There is moderate human evidence supporting associations of prenatal PFAS exposure on DNAm at birth, with one study suggesting sustained effects into childhood. Future studies are warranted to link PFAS-associated DNAm to health outcomes, as well as to investigate the role of other epigenetic marks such as hydroxymethylation, miRNA expression, and histone modifications.

综述目的:回顾有关产前接触全氟烷基和多氟烷基物质 (PFAS) 与婴儿、儿童和青少年表观遗传学改变之间关系的人类文献 最近的发现:共确定了 11 项研究,研究人群分布在美国、台湾、日本和丹麦王国。许多研究(n = 5)都是横断面研究,通过脐带血或新生儿干血斑采集的相同组织来测量 PFAS 暴露和表观遗传结果。另外六项研究是前瞻性的,在怀孕期间对母体血液中的产前 PFAS 进行测量,并对脐带血和儿童外周白细胞中的 DNA 甲基化(DNAm)进行评估(n = 1 项研究)。受关注的表观遗传标记包括全局 DNAm 测量(LINE-1、Alu 和一种基于 ELISA 的方法)、候选基因(IFG2、H19 和 MEST),以及通过基于阵列的方法(Infinium 450 K 和 EPIC)进行的全表观基因组 DNA 甲基化。使用基于阵列方法的两项研究采用了发现和验证模式,其中一小部分位点(n = 6 和 n = 4)在发现人群中进行了复制。有一个位点(TNXB)在两项独立的研究中都有发现。总的来说,与全氟辛烷磺酸相关的位点位于涉及生长发育、脂质代谢和营养代谢的区域。有适度的人类证据支持产前接触 PFAS 与出生时 DNAm 的关系,其中一项研究表明这种影响会持续到儿童期。今后有必要开展研究,将与 PFAS 相关的 DNAm 与健康结果联系起来,并调查羟甲基化、miRNA 表达和组蛋白修饰等其他表观遗传标记的作用。
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引用次数: 0
The Association Between High Ambient Temperature and Mortality in the Mediterranean Basin: a Systematic Review and Meta-analysis. 地中海盆地高环境温度与死亡率之间的关系:系统回顾和荟萃分析。
IF 7.9 2区 医学 Q1 Medicine Pub Date : 2023-03-01 DOI: 10.1007/s40572-022-00386-0
Talila Perry, Uri Obolski, Chava Peretz

Purpose of review: The Mediterranean basin is highly vulnerable to climate change. This study is aimed at quantifying the risk of mortality associated with exposure to high ambient temperature in the Mediterranean basin in the general population and in vulnerable sub-populations.

Recent findings: We retrieved effect estimates from studies linking temperature and mortality in the Mediterranean basin, between 2000 and 2021. In a meta-analysis of 16 studies, we found an increased risk of all-cause mortality due to ambient heat/high temperature exposure in the Mediterranean basin, with a pooled RR of 1.035 (95%CI 1.028-1.041) per 1 °C increase in temperature above local thresholds (I2 = 79%). Risk was highest for respiratory mortality (RR = 1.063, 95% CI 1.052-1.074) and cardiovascular mortality (RR = 1.046, 95% CI 1.036-1.057). Hot ambient temperatures increase the mortality risk across the Mediterranean basin. Further studies, especially in North African, Asian Mediterranean, and eastern European countries, are needed to bolster regional preparedness against future heat-related health burdens.

审查目的:地中海盆地极易受到气候变化的影响。本研究旨在量化地中海盆地普通人群和脆弱亚人群暴露于高环境温度相关的死亡风险。最近的发现:我们从2000年至2021年期间地中海盆地温度和死亡率之间的研究中检索了影响估计。在对16项研究的荟萃分析中,我们发现地中海盆地因环境热/高温暴露而导致的全因死亡风险增加,高于当地阈值的温度每升高1°C,总RR为1.035 (95%CI 1.028-1.041) (I2 = 79%)。呼吸系统死亡率(RR = 1.063, 95% CI 1.052-1.074)和心血管死亡率(RR = 1.046, 95% CI 1.036-1.057)的风险最高。炎热的环境温度增加了整个地中海盆地的死亡风险。需要进一步研究,特别是在北非、亚洲、地中海和东欧国家,以加强区域防范未来与热有关的健康负担。
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引用次数: 2
Estimating Causal Effects of Interventions on Early-life Environmental Exposures Using Observational Data. 使用观察数据估计干预对早期生活环境暴露的因果影响。
IF 7.9 2区 医学 Q1 Medicine Pub Date : 2023-03-01 DOI: 10.1007/s40572-022-00388-y
Tyler J S Smith, Alexander P Keil, Jessie P Buckley

Purpose of review: We discuss how epidemiologic studies have used observational data to estimate the effects of potential interventions on early-life environmental exposures. We summarize the value of posing questions about interventions, how a group of techniques known as "g-methods" can provide advantages for estimating intervention effects, and how investigators have grappled with the strong assumptions required for causal inference.

Recent findings: We identified nine studies that estimated health effects of hypothetical interventions on early-life environmental exposures. Of these, six examined air pollution. Interventions evaluated by these studies included setting exposure levels at a specific value, shifting exposure distributions, and limiting exposure levels to less than a threshold value. Only one study linked exposure contrasts to a specific intervention on an exposure source, however. There is growing interest in estimating intervention effects of early-life environmental exposures, in part because intervention effects are directly related to possible public health actions. Future studies can build on existing work by linking research questions to specific hypothetical interventions that could reduce exposure levels. We discuss how framing questions around interventions can help overcome some of the barriers to causal inference and how advances related to machine learning may strengthen studies by sidestepping the overly restrictive assumptions of parametric regression models. By leveraging advancements in causal inference and exposure science, an intervention framework for environmental epidemiology can guide actionable solutions to improve children's environmental health.

综述目的:我们讨论流行病学研究如何使用观察数据来估计潜在干预措施对早期生活环境暴露的影响。我们总结了对干预措施提出问题的价值,一组被称为“g方法”的技术如何为估计干预效果提供优势,以及研究人员如何应对因果推理所需的强假设。最近的发现:我们确定了九项研究,这些研究估计了假设的干预措施对早期生活环境暴露的健康影响。其中,有6项研究调查了空气污染。这些研究评估的干预措施包括将暴露水平设定为特定值,改变暴露分布,并将暴露水平限制在低于阈值的范围内。然而,只有一项研究将暴露与针对暴露源的特定干预联系起来。人们对估计生命早期环境暴露的干预效果越来越感兴趣,部分原因是干预效果与可能的公共卫生行动直接相关。未来的研究可以建立在现有工作的基础上,将研究问题与可能降低暴露水平的具体假设干预措施联系起来。我们讨论了围绕干预措施构建问题如何有助于克服因果推理的一些障碍,以及与机器学习相关的进步如何通过回避参数回归模型的过度限制性假设来加强研究。通过利用因果推理和接触科学方面的进展,环境流行病学干预框架可以指导可行的解决方案,以改善儿童的环境健康。
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引用次数: 0
The Utility of Machine Learning Models for Predicting Chemical Contaminants in Drinking Water: Promise, Challenges, and Opportunities. 机器学习模型用于预测饮用水中的化学污染物:前景、挑战和机遇。
IF 7.9 2区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2023-03-01 DOI: 10.1007/s40572-022-00389-x
Xindi C Hu, Mona Dai, Jennifer M Sun, Elsie M Sunderland

Purpose of review: This review aims to better understand the utility of machine learning algorithms for predicting spatial patterns of contaminants in the United States (U.S.) drinking water.

Recent findings: We found 27 U.S. drinking water studies in the past ten years that used machine learning algorithms to predict water quality. Most studies (42%) developed random forest classification models for groundwater. Continuous models show low predictive power, suggesting that larger datasets and additional predictors are needed. Categorical/classification models for arsenic and nitrate that predict exceedances of pollution thresholds are most common in the literature because of good national scale data coverage and priority as environmental health concerns. Most groundwater data used to develop models were obtained from the United States Geological Survey (USGS) National Water Information System (NWIS). Predictors were similar across contaminants but challenges are posed by the lack of a standard methodology for imputation, pre-processing, and differing availability of data across regions. We reviewed 27 articles that focused on seven drinking water contaminants. Good performance metrics were reported for binary models that classified chemical concentrations above a threshold value by finding significant predictors. Classification models are especially useful for assisting in the design of sampling efforts by identifying high-risk areas. Only a few studies have developed continuous models and obtaining good predictive performance for such models is still challenging. Improving continuous models is important for potential future use in epidemiological studies to supplement data gaps in exposure assessments for drinking water contaminants. While significant progress has been made over the past decade, methodological advances are still needed for selecting appropriate model performance metrics and accounting for spatial autocorrelations in data. Finally, improved infrastructure for code and data sharing would spearhead more rapid advances in machine-learning models for drinking water quality.

综述目的:本综述旨在更好地理解机器学习算法在预测美国饮用水中污染物空间格局方面的应用。最近的发现:我们发现,在过去十年中,美国有27项饮用水研究使用机器学习算法来预测水质。大多数研究(42%)建立了地下水随机森林分类模型。连续模型显示出较低的预测能力,这表明需要更大的数据集和额外的预测器。预测超过污染阈值的砷和硝酸盐的分类/分类模型在文献中最为常见,因为它们具有良好的国家规模数据覆盖范围和作为环境健康问题的优先事项。用于开发模型的大多数地下水数据来自美国地质调查局(USGS)的国家水信息系统(NWIS)。不同污染物的预测指标相似,但由于缺乏标准的估算方法、预处理方法以及不同地区数据的可用性存在差异,这些都构成了挑战。我们回顾了27篇关于7种饮用水污染物的文章。通过发现显著的预测因子,二元模型将化学物质浓度分类到阈值以上,报告了良好的性能指标。分类模型对于通过识别高风险区域来协助设计抽样工作特别有用。只有少数研究建立了连续模型,并且对这些模型获得良好的预测性能仍然具有挑战性。改进连续模型对于将来可能在流行病学研究中使用很重要,以补充饮用水污染物暴露评估中的数据空白。虽然在过去十年中取得了重大进展,但仍然需要在方法上取得进展,以选择适当的模型性能指标和计算数据中的空间自相关性。最后,代码和数据共享基础设施的改善将引领饮用水质量机器学习模型的更快发展。
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引用次数: 5
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Current Environmental Health Reports
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