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Understanding the Exposome

The Physical Domain of the Exposome

In the context of Equal-Life, the physical exposome refers to the physical context to which an individual is exposed. It includes outdoor and indoor environmental quality (e.g., air and noise pollution), the built environment (e.g., building density, mobility network structure, surrounding industries), the natural environment (e.g., green and blue spaces), and lifestyle factors (e.g. nutrition, mobility, media exposure). The impact of the physical exposome on child mental health and cognition varies depending on the child’s developmental stage due to changing activities (e.g., home exposures during pregnancy and infancy compared to playground and school exposures in childhood) and changing vulnerabilities (e.g., specific brain regions mature at different age and are more susceptible for environmental impacts during the developmental period). In addition, children’s movement patterns (e.g., biking route), leisure activities (e.g., football, gaming) and lifestyle habits (e.g., diet) expose them to different physical exposures independent from their residential location. Therefore, different domains of the physical exposome require specific measures and indicators. Early exposure can impact sensitivity to environmental factors and the child’s resilience.

 

What are relevant domains and indicators for the physical exposome?
 

  • The outdoor environmental quality: e.g. noise and sound quality, air quality, housing practices.

  • The indoor environmental quality: e.g. mother smoking during pregnancy, child passive smoking, crowding, indoor air quality, indoor sound quality, household chemicals, prenatal chemicals.

  • The built environment: e.g. level of urbanization, type of neighbourhood, street connectivity, junctions’ density, road types, land‐use, building quality (housing quality, age of building), crowding, physical safety, walkability, access to facilities such as playground, sportsground, parks, culture and relevant moderators such as length of residency.

  • The natural environment: e.g. green space, blue space, access to green and blue space (residential/school/on the move), playability, biodiversity, safety, activities in green and blue spaces.

  • Lifestyle factors: e.g. sleep (duration/quality/rhythm), substance use, healthy food intake, activity patterns, mobility/mode of commuting, leisure time, sports, sunlight exposure, playtime online

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