II.A Linking the general and specific external Exposome to Cardiometabolic Disease

This research project aims to overcome current challenges in linking the general and specific external exposome to human health using Cardiometabolic Disease (CMD) as example. We aim to explain the risk of CMD unaccounted for by other established risk factors.

Based on research line 1 (measuring the exposome) we will validate and use novel measures of the general external exposome in relation to CMD, accounting for the time and space specific relation between measures of the external exposome and CMD.

Next, we will use the specific external exposome to explain the relation of the general external exposome with CMD via causation (e.g., influence of an unhealthy food environment on CMH via dietary intake) or selection (e.g. wealthier, active individuals being able to afford a house in a wealthy neighbourhood that enables physical activity).

Publications

Time-varying exposure to food retailers and cardiovascular disease hospitalization and mortality in the netherlands: a nationwide prospective cohort study

Maria Gabriela M. Pinho, Yvonne Koop, Joreintje D. Mackenbach, Jeroen Lakerveld, Mariana Simões, Roel Vermeulen, Alfred J. Wagtendonk, Ilonca Vaartjes and Joline W. J. Beulens
BMC Medicine (2024)

Associations between dimensions of the social environment and cardiometabolic health outcomes: a systematic review and meta-analysis

Taymara C Abreu, Joline WJ Beulens, Fleur Heuvelman, Linda J Schoonmade, Joreintje D Mackenbach
BMJ open (2024)

Associations between dimensions of the social environment and cardiometabolic health outcomes: a systematic review and meta-analysis

Taymara C Abreu, Joline WJ Beulens, Fleur Heuvelman, Linda J Schoonmade, Joreintje D Mackenbach
SSM-population Health (2024)

Impact of green space exposure on blood pressure in Guangzhou, China: Mediation by air pollution, mental health, physical activity, and weight status

Mingwei Liu, Erik J. Timmermans, Dan Zou, Diederick E. Grobbee, Suhong Zhou, Ilonca Vaartjes
Environmental Pollution, 356 (2024)

The neighourhood obesogenic built environment characteristics (OBCT) index: Practice versus theory

Thao Minh Lam, Nicolette den Braver, Haykanush Ohanyan, Ilonca Vaartjes, Joline WJ. Beulens, Jeroen Lakerveld, Alfred Wagtendonk
Environmental Research Volume 251, Part 1 (2024)

Global positioning system-based food environment exposures, diet-related, and cardiometabolic health outcomes: a systematic review and research agenda

Noreen Z. Siddiqui, Lai Wei, Joreintje D. Mackenbach, Marco Helbich, Joline W. J. Beulens
International Journal of Health Geographics volume 23, Article number: 3 (2024)

Ethnic and socioeconomic inequalities in air pollution exposure: a cross-sectional analysis of nationwide individual-level data from the Netherlands

Lieke van den Brekel, Virissa Lenters, Joreintje D. Mackenbach, Gerard Hoek, Alfred Wagtendonk, Jeroen Lakerveld, Diederick E. Grobbee, Ilonca Vaartjes
The Lancet

The built environment and cardiovascular disease: an umbrella review and meta-meta-analysis

Mingwei Liu, Paul Meijer, Thao Minh Lam, Erik J Timmermans, Diederick E Grobbee, Joline W J Beulens, Ilonca Vaartjes, Jeroen Lakerveld
European Journal of Preventive Cardiology

Higher Neighborhood Drivability Is Associated With a Higher Diabetes Risk in Younger Adults: A Population-Based Cohort Study in Toronto, Canada

Nicolette R. den Braver; Joline W.J. Beulens; C. Fangyun Wu; Ghazal S. Fazli; Peter Gozdyra; Nicholas A. Howell; Jeroen Lakerveld; John S. Moin; Femke Rutters; Johannes Brug; Rahim Moineddin; Gillian L. Booth
Diabetes Care, dc221549

Development of a neighborhood obesogenic built environment characteristics index for the Netherlands

Thao Minh Lam, Alfred J. Wagtendonk, Nicolette R. den Braver, Derek Karssenberg, Ilonca Vaartjes, Erik J. Timmermans, Joline W. J. Beulens, Jeroen Lakerveld
Obesity, volume 31, issue 1

Machine learning approaches to characterize the obesogenic urban exposome

Haykanush Ohanyan, Lützen Portengren, Anke Huss, Eugenio Traini, Joline W.J. Beulens, Gerard Hoek, Jeroen Lakerveld, Roel Vermeulen
Environment International (158), Jan 2022

Ultra-processed food consumption patterns among older adults in the Netherlands and the role of the food environment

Pinho MGM, Lakerveld J, Harbers MC, Sluijs I, Vermeulen R, Huss A, Boer JMA, Verschuren WMM, Brug J, Beulens JWJ, Mackenbach JD.
European Journal of Nutrition. 60 (2021).

Decoding the exposome

Decoding the exposome

The environment we live in has a dominant impact on our health. It explains an estimated seventy percent of the chronic disease burden. Where we live, what we eat, how much we exercise, the air we breathe and whom we associate with; all of these environmental factors play a role. The combination of these factors over the life course is called the exposome. There is general (scientific) consensus that understanding more about the exposome will help explain the current burden of disease and that it provides entry points for prevention and ...

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