Evidence map›Paper›PMID 40161277›Full record

ReviewAmerican journal of lifestyle medicine2025

Exposure-Informed Care Following Toxic Environmental Exposures: A Lifestyle Medicine Approach.

Pamela K Ginex, Paul Barach, Paolo Boffetta, Jedidah T Poole, Janeen H Trembley, Julie Tomấška, Mark A Klein, Tammy A Butterick

Abstract readReview
In one paragraph

Review in American journal of lifestyle medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
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

8 authors.

Pamela K GinexSchool of Nursing, State University of New York at Stony Brook, Stony Brook, NY, USA (PKG).ORCID https://orcid.org/0000-0003-3878-4835
Paul BarachCollege of Population Health, Thomas Jefferson University, Philadelphia, PA, USA (PRB).
Paolo BoffettaStony Brook Cancer Center, Stony Brook University, Stony Brook, NY, USA (PB).
Jedidah T PooleSocial, Behavioral, and Population Sciences, School of Public Health and Tropical Medicine, Tulane University, New Orleans, LA, USA (JP).
Janeen H TrembleyResearch Service, Minneapolis Veterans Affairs Health Care Center (MVAHCS), Minneapolis, MN, USA (JHT, TAB).
Julie TomấškaAmie Muller Research Program, Burn Pits 360 Veterans Organization, Robstown, TX, USA (JP, JT, TB).
Mark A KleinHematology/Oncology Section, Minneapolis VA Healthcare System, Minneapolis, MN, USA (MAK).
Tammy A ButterickResearch Service, Minneapolis Veterans Affairs Health Care Center (MVAHCS), Minneapolis, MN, USA (JHT, TAB).

Funding

BLRD VA I01 BX004146
6 · The paper itself

Abstract

Exposure to environmental toxins presents substantial health risks, particularly for individuals facing heightened exposure due to occupational hazards. This analytic review highlights the critical need to address these risks through a lifestyle medicine approach, advocating for integrated care strategies to mitigate the long-term health impacts of toxic environmental exposures. We explore exposures to environmental toxins in 2 at-risk populations, military service members exposed to airborne hazards and burn pits during overseas deployments and first responders to the World Trade Center terrorist attack. The review highlights the immediate and long-term chronic health effects of toxic environmental exposures, emphasizing the variable symptoms, long latency, and long-term complex outcomes that necessitate an exposure-informed health care model. Exposure-informed care can enhance overall well-being and reduce the risks of chronic illnesses by incorporating lifestyle medicine principles supported by a learning community system. The proposed model makes recommendations for a shift to exposure-informed preventative care. This enhanced approach aims to promote a longer and healthier life for those at increased risks following toxic environmental exposures. Understanding the context of military burn pit and World Trade Center environmental exposures and the possibilities of exposure-informed care is paramount in shifting from a traditional disease-centered model to a holistic, person-centered approach.

Indexed as

environmental toxic exposurefirst respondershealth outcomeslifestyle medicinemedical monitoringveteransworld trade center

Identifiers

PMID40161277
PMCPMC11948230

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.