People walking in a crowded crosswalk between urban buildings.

Exposome Research

The Exposome: How Multiple Environmental Exposures Shape Health Across Our Lifetimes

The exposome is the story of how our environments—from the air we breathe to the noise around us—shape our health. At the UC Davis Center for Occupational and Environmental Health (COEH), we study everything from greenspace to noise pollution to uncover these connections. Dive in to learn what the exposome is, why it matters, and how it affects our everyday lives.

What is the Exposome?

The exposome encompasses the totality of environmental exposures across a person’s lifetime — including chemical, physical, and social factors — and examines how these environmental mixtures interact to influence health outcomes. Exposome research integrates tools from environmental health science, occupational health, and related fields to better understand the complex links between environment and human health. 

For decades, genetics has helped us understand the blueprint of human health, revealing how our DNA shapes risk for disease. But genes tell only part of the story. Many chronic illnesses can’t be explained by inherited factors alone, leaving a large gap often called the “missing heritability” of disease.

This is where exposomics steps in. While the genome is fixed from birth, the exposome captures the full range of environmental exposures—from air pollution and workplace hazards to diet, stress, and social conditions—that influence health across the lifespan. Exposures are dynamic and often modifiable, making them powerful targets for prevention and policy interventions.

Exposomics also takes a real-world, systems-level approach by studying environmental mixtures and their combined effects, rather than single factors in isolation. This complexity reflects the way people actually experience the world, helping researchers uncover how multiple exposures interact with each other—and with our genes—to shape disease risk.

By complementing the genome with the exposome, researchers can move beyond static risk prediction toward actionable insights that can reduce environmental and occupational health risks for entire populations. 

Collage featuring a busy street with people walking, a brain scan, a heart illustration, and a lung X-ray.

 

If we want to influence human health, we have to develop a bold vision and think creatively about how we can work together to study the complex interplay of different environmental exposures. Dr. Rick Woychik, NIEHS

Defining the Next Generation of Research

Opening Career Pathways

  • Cutting-edge research opportunities: Exposome science lies at the intersection of disciplines — epidemiology, toxicology, data science, bioinformatics, social science, and more. Engaging in exposomics allows students to work with wearable sensors, smartphone applications, high-throughput “-omics” technologies, AI, and big data. The NIH has recently launched a global exposome initiative, bringing together AI, biospecimens, geospatial tools, and ethical frameworks to chart a career in emerging, collaborative science.
  • A growing, interdisciplinary field: As exposome research expands, so do the roles for early-career scientists — from exposure scientists, environmental epidemiologists, exposure bioinformaticians, to policy-focused public health professionals. The Yale School of Public Health’s symposium has emphasized how student and early-career researchers can help shift paradigms away from single-exposure models toward holistic lifelong exposure monitoring.
  • Meaningful impact: Students entering this field have the opportunity to influence research that could reshape disease prevention and public health policy. Their contributions may help identify environmental risks long before they become widely acknowledged, giving them a direct role in scientific discovery that benefits society.

New Opportunities & Collaboration

  • Novel discoveries through systems-level science: Exposome research encourages thinking in mixtures and complex interactions, rather than isolating single toxins. This systems-level lens enables researchers to uncover synergistic effects of chemical, social, and physical exposures — potentially revealing mechanisms of disease that traditional studies miss.
  • Cross-disciplinary collaboration: The field demands multi-domain cooperation. As evidenced by the Exposome Moonshot Forum, scientists from over 30 countries and a range of disciplines have joined to build a shared research framework.
  • Data infrastructure and innovation: Researchers can leverage emerging data platforms, AI, and shared infrastructures to harmonize diverse exposure datasets. For example, the EU’s Human Exposome Initiatives (via the European Human Exposome Network) connect science with civil society and policy, enabling joint projects.
  • Bridging exposure and burdens on vulnerable populations: Exposome research can integrate environmental, social, and policy data to study how exposures contribute to health disparities. The “public health exposome” framework explicitly maps exposures across natural, built, social, and policy environments.

Public Health & Prevention 

Informs smarter, preventive policies: Exposomics can guide policy by revealing which environmental and social exposures most strongly drive disease, especially chronic illnesses like cardiovascular disease. The LongITools policy brief argues for making the exposome central to health policy, prioritizing life-course approaches, and targeting interventions.

Advances access to health care: By identifying how social and environmental factors disproportionately affect vulnerable communities, exposome science provides evidence for policies that reduce disproportionate exposure burdens. 

Global and cross-sector collaboration: The recent global exposome forum (coordinated by NIH and others) brought together research and policy leaders to align science with regulation, public health priorities, and ethical frameworks.

Regulatory relevance & risk assessment: The European Parliament’s recent STOA (Science and Technology Options Assessment) report highlights how exposomics can improve chemical safety regulation, urban planning, workplace health, and climate adaptation.

Public communication & empowerment: Better understanding of the exposome helps media and the public appreciate how day-to-day environments — from green spaces to food to social stressors — shape health. Framing exposomics in public discourse can support policies that mitigate risk before illness arises. 

Collage of eight black and white portraits of UC Davis exposome researchers, smiling at the camera.

The People Behind the Exposome

UC Davis researchers are asking bold questions about how everyday exposures affect lifelong health.

COEH Exposome Projects & Labs

Using improved systems for data analysis, artificial intelligence, and machine learning allows us to bring all of these datasets together to study the exposome at a level we couldn’t just a few years ago. Gary Miller, Ph.D., co-lead of the Network for Exposomics in the U.S.

 

Across UC Davis, interdisciplinary teams are redefining how we measure and understand environmental exposures. These projects and labs are pushing exposome science into the future.

Environmental Exposure and Brain Health Study

Three brain scans displayed side by side in grayscale, showing different angles.

 

UC Davis COEH researchers are leading a new multi-cohort study to uncover how environmental exposures across the lifespan influence both day-to-day cognitive performance and long-term dementia risk. This project integrates cutting-edge exposure science with two of the most influential aging and women’s health cohorts in the nation: the Nurses’ Health Study II and the Rush University cohorts.

By linking smartphone GPS data and repeated cognitive tests with high-resolution models of temperature, air pollution, greenspace, and neighborhood walkability, investigators will be able to evaluate how short-term environmental conditions affect thinking and memory in real time.

Longitudinal residential histories coupled with cognitive testing, dementia incidence data, and brain-autopsy information will further reveal whether chronic exposures shape cognitive decline, dementia onset, and dementia-related neuropathology. Findings will identify environmental risk and resilience factors that can be improved through community design, climate adaptation, and environmental health policy — helping protect brain health across aging populations.

Built Environment Assessment through Computer visiON (BEACON)

Colorful wave of lights in shades of blue, purple, and orange against a dark background.

 

The BEACON research project uses deep-learning analysis of street-level and satellite imagery to systematically characterize the built environment (streets, green spaces, walkability, urban form) across U.S. communities and examine how variation in built environments contributes to cardiovascular disease (CVD) risk.

By combining environmental exposures, spatial data, and health outcomes, BEACON aims to clarify how neighborhood design and urban infrastructure influence disease. With more than 80% of the U.S. population living in urban areas, the findings could inform urban planning, public health, and policy strategies to reduce cardiovascular risk at a population scale.

Nationwide Spatial Nature Data Repository

Colorful topographic map with blue, green, and yellow gradients representing elevation.

 

COEH is partnering with REI to accelerate research on the connections between nature and health. Together, we are building a first-of-its-kind, publicly accessible platform that brings together spatial datasets representing nature across the United States. This resource will allow users to easily explore, download, and connect nature-related data with health information — expanding research possibilities and supporting more equitable access to nature’s benefits.

Quantifying Greenspace Benefits for Californians

Three illustrations of biological structures: lungs, a neuron, and a blood vessel.

 

As California faces widening health disparities, growing mental health concerns, and the escalating impacts of climate change, the critical role of greenspaces in shaping health outcomes is becoming increasingly clear.  Working with the California Air Resources Board and local communities, COEH is using large-scale spatial and health datasets to understand how greenspace access and quality influence health across California — especially in underserved areas.

By modeling how changes to trees, parks, and other natural spaces impact health outcomes and related costs, this project will help guide equitable, evidence-based investments that support climate resilience and improve well-being statewide.

Real-World Applications

Evidence That Informs Regulation, Response, and Resilience

Exposome science connects everyday environmental exposures to long-term health — and it’s already shaping real-world decisions. From workplace chemical protections to wildfire smoke guidance and pesticide oversight, research on cumulative exposures informs policies that protect communities. As extreme weather events and industrial complexity intensify environmental risks, understanding the full exposome helps public health leaders move from reaction to prevention. At UC Davis and beyond, this work translates data into action — improving health across lifespans and populations.

Public Health

Workplace Chemicals & Occupational Exposures

Many industries expose workers to hazardous chemicals, solvents, heavy metals, or other toxic substances. Regulatory programs aim to manage these risks through safety standards (e.g., by labeling hazards, limiting airborne concentrations, requiring protective equipment, etc.).

For instance, when chemical exposure poses excessive risk, regulatory agencies require engineering controls, restricted use, or personal protective equipment to reduce harmful exposures. These frameworks exemplify how studying the “occupational exposome” — especially cumulative or repeated exposures — is critical to preventing chronic disease and protecting worker health over time.

Wildfire Smoke

As climate change intensifies wildfires globally, smoke has emerged as a major exposome hazard. Smoke contains fine particulate matter (PM2.5) and a mixture of hazardous air pollutants including volatile organic compounds, heavy metals, and combustion byproducts. Health impacts span respiratory (asthma, COPD, reduced lung function), cardiovascular (heart disease, stroke), immune system strain, and even neurological stress.

Chronic and repeated smoke exposure also shows potential long-term effects, including increased mortality and, in some studies, associations with cognitive decline. Communities thousands of miles downwind of fires — not just those near the blaze — are often affected, making smoke a broad, population-level environmental exposure.

Extreme Weather and Environmental Exposures

Beyond wildfires, weather shapes environmental exposures via heat extremes, shifting pollution patterns, and increased frequency of natural disasters. These exposures affect broad populations and disproportionately impact vulnerable communities — tying together physical, chemical, and social exposures.

Pesticides and Environmental Chemicals

Widespread use of pesticides means many people are exposed to chemical mixtures, whether in agricultural communities, as consumers, or through water/soil contamination. Regulatory review and worker-safety standards attempt to mitigate risk.

Chronic exposures — often through inhalation, ingestion, or skin contact — can accumulate over time, especially in populations living near treated fields or working in agriculture, potentially affecting reproductive, developmental, immune, or neurological health. Efforts to spatially map and monitor pesticide exposure (for example, using parcel-level data tied to crop and application records) are important steps toward quantifying cumulative exposure across communities.

Policy Changes, Protections, and Guidelines

  • Smoke-reduction strategies: In response to mounting evidence about wildfire smoke toxicity, agencies such as U.S. Environmental Protection Agency (EPA) now fund and run studies — like the ASPIRE Study — to evaluate indoor air filtration systems and offer guidance for reducing indoor/outdoor smoke exposure during wildland fire events.
  • Occupational chemical regulation: Under laws such as the Toxic Substances Control Act (TSCA), EPA recently released a compliance guide for the Workplace Chemical Protection Program (WCPP), setting requirements for industries that manufacture, process, or use hazardous chemicals.
  • Worker safety standards: Organizations like Occupational Safety and Health Administration (OSHA) enforce hazard-communication standards, require safety-data sheets (SDS), limit airborne exposures, and mandate engineering controls or personal protective equipment to reduce chemical exposures at work.
  • Pesticide use oversight: Through regulatory review under Federal Insecticide, Fungicide, and Rodenticide Act (FIFRA), EPA periodically evaluates and restricts pesticide uses found harmful to humans or the environment, balancing agricultural needs with public health.
  • Public health guidance & community awareness: Health departments, environmental agencies, and advocacy groups increasingly issue air-quality alerts, smoke-event advisories, and recommendations (e.g., staying indoors, using air filtration, limiting strenuous outdoor activity) — especially during wildfire seasons or high-pollution episodes. 

Labs to Lives Video: Peter James, ScD

Turning Data into Disease Prevention

 

Where you live might matter more than your DNA. Peter James, Sc.D., explains how his federally funded research is uncovering the hidden environmental forces behind our health in this "Labs to Lives" video.

Transcript

Peter James, Sc.D., "Labs to Lives" Video Script

What is your federally funded research focused on?

When we think about diseases like Alzheimer’s or heart disease, we often focus on genetics or individual behaviors. But there’s another powerful driver of health we’re only beginning to fully understand: the exposome — the totality of environmental exposures we experience every day, across our entire lives.

Things like heat, air pollution, the streets we walk on, and the trees we see outside our windows don’t just shape our environment — they shape our biology.

By 2050, more than 12 million Americans are expected to be living with Alzheimer’s disease, at a cost exceeding one trillion dollars. Cardiovascular disease remains the leading cause of death worldwide. If we want to prevent these conditions at scale, we have to understand how everyday environments influence long-term health.

We’re identifying how everyday environmental exposures shape brain and heart health — so disease prevention starts where people live.

What is your breakthrough, innovation, or public impact?

What’s exciting right now is that we finally have the tools for disease prevention. In our brain health research, we’re combining smartphone GPS data, high-resolution environmental models, and cognitive tests to measure how environmental exposures affect cognition — not just over decades, but day by day.

We’re asking: How do heat, air pollution, greenspace, and walkability shape how our brains function in the short term — and how do years of exposure influence cognitive decline, dementia risk, and even biological changes we see in the brain when we die?

This lets us move from abstract risk factors to something concrete: identifying environmental conditions that help protect brain health — and ones we can modify.

That same exposome framework led us to ask a simple but overlooked question: when we say ‘greenspace is good for health,’ what kind of green are we actually talking about?

Using artificial intelligence and 350 million Google Street View images, we measured the greenspace people actually see at street level — trees, grass, and other vegetation — across nearly 90,000 participants in the Nurses’ Health Study.

What we found surprised us. Trees were associated with a lower risk of cardiovascular disease. But grass and other low-lying vegetation were not — and in some cases were associated with higher risk.

This tells us two critical things. First, aggregating all greenspace into a single metric hides what truly matters for health. And second, this is something we can fix.

Urban forestry — planting and preserving trees — may be a far more powerful public health intervention than generic greening efforts. That’s the kind of evidence cities, planners, and policymakers need.

What would happen if federal funding for your project were reduced or eliminated?

Without federal funding, we lose the evidence needed to prevent dementia and heart disease — and end up paying far more to treat them later.

By using cutting-edge exposure science, we can identify environmental changes that protect health at the population level — slowing cognitive decline, reducing heart disease, and ultimately preventing disease before it starts.

That’s the promise of the exposome: turning everyday environments into powerful tools for prevention.

Boy hearing loud noises from a cityscape

How Noise Pollution Quietly Affects Health

Researchers have been sounding the alarm about noise pollution for decades, so why is it still such a big problem?
Topographical map showing blue waters and green land contours of a bay area.

Data for Healthy Communities

Explore these powerful mapping tools that visualize key public health indicators—from pollution burden and cancer rates to access to green space and rural health disparities.

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