Open research questions in Health, Environment, Cognitive Aging
100 unresolved questions extracted from the limitations and future-work sections of 390 Health, Environment, Cognitive Aging papers in our library. Each links back to the study that raised it.
What the literature leaves open
The paper identifies the challenge of obtaining large, high-quality datasets for machine learning model training. It also mentions the challenge of class imbalance, where outcomes are rare. The paper notes the risk of overfitting if data are limited or poorly curated.
The Utility of Machine Learning-Enhanced Developmental Cascade Models in Prevention Science · 2026 · DOIML approaches present notable challenges, - They require large, high-quality datasets for optimal performance, - ML models may also struggle with class imbalance, - ML models may overfit if data are limited or poorly curated
The Utility of Machine Learning-Enhanced Developmental Cascade Models in Prevention Science · 2026 · DOIInvestigating the unique nature of some exposures, - Examining the links between specific environmental factors and mental health conditions, - Conducting further research on the exposome-wide approach
Mapping the exposome of mental health: exposome-wide association study of mental health outcomes among UK Biobank participants · 2025 · DOICurrent approaches often focus on single candidate exposures, overlooking the interconnected nature of exposures. The complexity of mental health phenotypes and the multiplicity of exposures pose a challenge that requires data-driven approaches. There is a need for a comprehensive mapping of the exposome of mental health to identify potentially modifiable targets to improve mental well-being.
Mapping the exposome of mental health: exposome-wide association study of mental health outcomes among UK Biobank participants · 2025 · DOIFurther studies could examine the causal mechanisms of the association between adolescent depressive symptoms and NEET status, - Research could investigate the effectiveness of interventions aimed at supporting mental health during adolescence and early adulthood
Depressive symptoms in adolescence and adult educational and employment outcomes: a structured life course analysis · 2024 · DOIThere is a lack of understanding of the mechanisms by which adolescent depression is associated with later NEET status. Prior studies have not used a structured life course modeling approach to examine the association between adolescent depressive symptoms and NEET status.
Depressive symptoms in adolescence and adult educational and employment outcomes: a structured life course analysis · 2024 · DOIThe common origins of midlife diseases of despair and cardiometabolic risk are unclear. Prior work has described these trends, but the relationship between adolescent psychopathology and midlife diseases is not well understood. The study aims to address this gap by testing adolescent psychopathology as a potential common origin of midlife diseases of despair and cardiometabolic risk.
Midlife diseases of despair and cardiometabolic risk: testing shared origins in adolescent psychopathology · 2024 · DOIThis rise parallels shifts in lifestyle and environmental factors, collectively termed the exposome; however, whether these are causally linked to the development of early-onset CRC (EOCRC) has not been investigated.
Abstract Background Despite many reported imaging markers for bipolar disorder (BD), systematic assessment across diverse brain imaging-derived phenotypes (IDPs) is lacking.
Brain imaging-derived phenotypes influence risk of bipolar disorder: comprehensive exposome-wide association and wide-angled genetic analyses · 2026 · DOIMany existing methods are limited to a narrow range of analyte classes or lack sufficient sensitivity for exposomic analyses, and applicability to large sample cohorts for exposome-wide association studies (ExWAS) remains to be demonstrated.
Quantitative Exposomics Targeting over 200 Toxicants and Key Biomarkers at the Picomolar Level · 2025 · DOIHowever, we stress that these results apply only to climate concern , and may not be generalizable to more extreme manifestations of climate anxiety .
Does concern regarding climate change impact subsequent mental health? A longitudinal analysis using data from the Avon Longitudinal Study of Parents and Children (ALSPAC) · 2025 · DOIHowever, a comprehensive summary of worldwide human exposome research is lacking.
However, observational studies have given conflicting results on the association between smoking and placental weight.
Smoking during pregnancy and its effect on placental weight: a Mendelian randomization study · 2024 · DOIImportance: It is not well understood if and how various social and environmental determinants of health (SEDoH) are associated with mortality rates related to cardio-kidney-metabolic syndrome (CKM) across the US.
Social and Environmental Determinants of Health and Cardio-Kidney-Metabolic Syndrome–Related Mortality · 2024 · DOIThe paper identifies a gap in current governance approaches, which focus primarily on high-risk AI applications. The authors argue that the cumulative effects of low-risk AI applications are not addressed by current governance approaches. The paper proposes a theoretical framework to address this gap.
International cooperation for developing shared standards measuring and governing technological externalities requires specification of which externalities should be prioritized, how measurement standards would account for cultural differences in technology adoption, and enforcement mechanisms to prevent governance races-to-the-bottom.
Several limitations of the current study should be noted. First, despite using a longitudinal data, our mediation analyses remain correlational; causal inference would require experimental or quasi-experimental approaches. Second, all exposome measures used were assessed at baseline, so changes in environmental conditions over the follow-up period were not incorporated; future work incorporating time-varying exposome measures would capture a more dynamic illustration of exposome-brain-cognition relationships. Third, genomic contributions were not examined. Many exposome measures, particularly those related to the family environment such as parental mental health and household socioeconomic status, are known to be partly heritable and subject to intergenerational continuity (Kendler & Baker, 2007; Plomin & Bergeman, 1991).
Separable Brain Maturation Patterns Mediate Exposome Influences on Cognitive Development: A Longitudinal Study · 2026 · DOIThe strongly nonlinear interactions that characterise wearable physiology. The need to transform heterogeneous time series into clinically legible risk structure. The challenge of handling missing data and device artefacts.
Geometric-Topological Quantum-AI for Continuous Wearable Biosensing, Physiological State Mapping, and Early Cardiometabolic Risk Prediction · 2026 · DOITo collect a newly enrolled clinical cohort to validate the results. To explore the application of the geometric-topological Quantum-AI framework to other diseases and conditions. To develop more advanced methods for handling missing data and device artefacts.
Geometric-Topological Quantum-AI for Continuous Wearable Biosensing, Physiological State Mapping, and Early Cardiometabolic Risk Prediction · 2026 · DOIThe heterogeneity of asthma clinical phenotypes, - The incomplete definition of risk factors, - The need for a comprehensive understanding of the exposome and its role in disease development and progression
Further studies are needed to elucidate the molecular mechanisms by which environmental stress drives immune dysregulation. The development of precision environmental medicine and personalized therapies for asthma requires a comprehensive understanding of the exposome and its role in disease development and progression.
Further development of multi-omics ageing clocks and AI-enabled analytics. Investigation of the role of inter-organ signalling pathways and systemic homeostatic imbalances in asynchronous ageing. Exploration of the applicability of the proposed AI-driven health platform to geriatric populations.
From ageing clocks to organ networks: Biological age-driven organ asynchrony and inter-organ interactions shaping mortality risk · 2026 · DOIThe current understanding of ageing is limited, with a need for a more comprehensive approach to understand its complexities. There is a lack of a framework for understanding human ageing and precision anti-ageing interventions.
From ageing clocks to organ networks: Biological age-driven organ asynchrony and inter-organ interactions shaping mortality risk · 2026 · DOIThe alignment between scientific production and population-level indicators remains a methodological challenge in health research evaluation. Prior work has relied on indirect proxies of research performance, such as citation-based metrics, journal impact indicators, or funding volume.
Evaluating longitudinal ecological models linking scientific production to population-level indicators: a global case study in mental health research · 2026 · DOIThe paper identifies a gap in the understanding of the role of exposome in uncontrolled asthma. It highlights the need for further research on the mechanisms by which environmental factors contribute to asthma severity.
Most-cited papers in Health, Environment, Cognitive Aging
- Strategy for Investigating Interactions Between Measured Genes and Measured Environments · Archives of General Psychiatry · 2005 · 591 citations
- Precision Public Health for the Era of Precision Medicine · American Journal of Preventive Medicine · 2015 · 502 citations
- Higher-order factors of the Big Five predict conformity: Are there neuroses of health? · Personality and Individual Differences · 2002 · 485 citations
- Socio‐economic differentials in peripheral biology: Cumulative allostatic load · Annals of the New York Academy of Sciences · 2010 · 483 citations
- The Dahlgren-Whitehead model of health determinants: 30 years on and still chasing rainbows · Public Health · 2021 · 442 citations
- Translating Scientific Opportunity Into Public Health Impact · Archives of General Psychiatry · 2009 · 375 citations
- The Blood Exposome and Its Role in Discovering Causes of Disease · Environmental Health Perspectives · 2014 · 354 citations
- The Environmental “Riskscape” and Social Inequality: Implicationsfor Explaining Maternal and Child Health Disparities · Environmental Health Perspectives · 2006 · 350 citations
- The Human Early-Life Exposome (HELIX): Project Rationale and Design · Environmental Health Perspectives · 2014 · 342 citations
- Psychological Dimensions of Global Environmental Change · Annual Review of Psychology · 1992 · 323 citations
Most recent work
- Global and regional cancer burden attributable to modifiable risk factors to inform prevention · Nature Medicine · 2026
- An atlas of exposome–phenome associations in health and disease risk · Nature Medicine · 2026
- The exposome of brain aging across 34 countries · Nature Medicine · 2026
- Epigenetic fingerprints link early-onset colon and rectal cancer to pesticide exposure · Nature Medicine · 2026
- Environmental risk factors and cardiovascular health · European Heart Journal · 2026
- Mapping the human chemical exposome for public health · Nature Medicine · 2026
- Biological and mechanistic pathways of cardiometabolic multiple long-term conditions · The Lancet · 2026
- AI snake oil? A risk/benefit analysis for toxicology · Frontiers in Artificial Intelligence · 2026
- Linking the exposome to the brain–behaviour phenotype · Nature reviews. Neuroscience · 2026
- Genetic–exposome interactions and aging clocks in dementia: the ReDLat2 initiative · Nature Medicine · 2026
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