Evidence map›Paper›PMID 37165157›Full record

ReviewNature reviews. Cardiology2023

The contribution of the exposome to the burden of cardiovascular disease.

Thomas Münzel, Mette Sørensen, Omar Hahad, Mark Nieuwenhuijsen, Andreas Daiber

Registry-linked trialOpen access · hybridAbstract readReview
PubMed Publisher
In one paragraph

Review in Nature reviews. Cardiology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07207603 (Observational Cohort Pilot Study on Cardiovascular Prevention in Citizens Living in Milano-Bicocca District), which is not on this map. Cited by 102 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
102citing papers in PubMed, 1 pooled it
23.7field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT07207603 enrolling by invitationnot on this mapstarted 2024, after this paper: background citation

Observational Cohort Pilot Study on Cardiovascular Prevention in Citizens Living in Milano-Bicocca District

TypeobservationalSponsorUniversity of Milano BicoccaRan2024 to 2025Enrolled1,000ConditionsCardiovascular Risk Factors (e.g., Hypertension)ArmsNo intervention
3 · Its place in the literature

Who cites it

102 citing papers in PubMed, 1 synthesis or guideline pooled it, 151 citations in OpenAlex.

  1. Guideline
  2. Review
  3. Review
  4. Modeling the Exposome in Murine Cardiovascular Disease.JACC. Basic to translational science · 2026
    Review
  5. Review
  6. Review
  7. Article
  8. Article
  9. Review
  10. Review
  11. The impact of PMScientific reports · 2026
    Article
  12. Review
  13. Review
  14. Article
  15. Review
  16. Article
  17. Observational
  18. Article
  19. Article
  20. Article

42 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 3 institutions in 3 countries.

Thomas MünzelDepartment of Cardiology, Cardiology I, University Medical Center of the Johannes Gutenberg-University, Mainz, Germany. tmuenzel@uni-mainz.de.ORCID http://orcid.org/0000-0001-5503-4150
Mette SørensenDanish Cancer Society, Copenhagen, Denmark.ORCID http://orcid.org/0000-0002-7302-4789
Omar HahadDepartment of Cardiology, Cardiology I, University Medical Center of the Johannes Gutenberg-University, Mainz, Germany.ORCID http://orcid.org/0000-0001-7823-7671
Mark NieuwenhuijsenInstitute for Global Health (ISGlobal), Barcelona Biomedical Research Park (PRBB), Barcelona, Spain.
Andreas DaiberDepartment of Cardiology, Cardiology I, University Medical Center of the Johannes Gutenberg-University, Mainz, Germany.ORCID http://orcid.org/0000-0002-2769-0094
Johannes Gutenberg University Mainz · DERoskilde University · DKUniversitat Pompeu Fabra · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Large epidemiological and health impact assessment studies at the global scale, such as the Global Burden of Disease project, indicate that chronic non-communicable diseases, such as atherosclerosis and diabetes mellitus, caused almost two-thirds of the annual global deaths in 2020. By 2030, 77% of all deaths are expected to be caused by non-communicable diseases. Although this increase is mainly due to the ageing of the general population in Western societies, other reasons include the increasing effects of soil, water, air and noise pollution on health, together with the effects of other environmental risk factors such as climate change, unhealthy city designs (including lack of green spaces), unhealthy lifestyle habits and psychosocial stress. The exposome concept was established in 2005 as a new strategy to study the effect of the environment on health. The exposome describes the harmful biochemical and metabolic changes that occur in our body owing to the totality of different environmental exposures throughout the life course, which ultimately lead to adverse health effects and premature deaths. In this Review, we describe the exposome concept with a focus on environmental physical and chemical exposures and their effects on the burden of cardiovascular disease. We discuss selected exposome studies and highlight the relevance of the exposome concept for future health research as well as preventive medicine. We also discuss the challenges and limitations of exposome studies.

Indexed as

Cardiovascular DiseasesExposomeNoncommunicable DiseasesEnvironmental ExposureHumansLife Style

Identifiers

PMID37165157
OpenAlexW4376107328

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.