Key research priorities in methodological approaches for measuring the exposome and studying its role in the development of dementia

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Publicado en:Alzheimer's & Dementia vol. 21, no. 11 (Nov 1, 2025)
Autor principal: Nichols, Emma
Otros Autores: Keller, Kayleigh P., Chang, Howard, Chiang, Yao‐Yi, Gross, Alden L., Hayes‐Larson, Eleanor, Claus Henn, Birgit, Kezios, Katrina L., Meijer, Erik, Shih, Regina A., Szpiro, Adam A., Weiss, Jordan, Weuve, Jennifer, Adar, Sara D., Lee, Jinkook
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John Wiley & Sons, Inc.
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024 7 |a 10.1002/alz.70928  |2 doi 
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100 1 |a Nichols, Emma  |u Center for Economic and Social Research, University of Southern California, Los Angeles, California, USA 
245 1 |a Key research priorities in methodological approaches for measuring the exposome and studying its role in the development of dementia 
260 |b John Wiley & Sons, Inc.  |c Nov 1, 2025 
513 |a Journal Article 
520 3 |a There is growing recognition regarding the importance of the exposome, or the totality of exposures one experiences across the life course, in research on Alzheimer's disease and related dementias. However, the measurement of numerous exposures at once and over time, as well as modeling their effects on dementia risk, presents significant methodological challenges. Through community engagement and consensus‐building processes integrating input from multidisciplinary panels of experts, we identified critical priority topics for methods used in studying links between the exposome and dementia risk, along with advances needed to address those priorities. We identified nine priority topics: high‐dimensional and multimodal data, measurement error, harmonization across studies, mixtures of exposures, effect heterogeneity, exposure timing, cumulative exposures, reverse causation, and sample composition. This paper describes these priority topics and highlights areas where future research or the dissemination of existing methods could advance the state of existing science. Highlights Inherent complexities central to the measurement and modeling of the exposome and its relationship to dementia pose methodological challenges. We identified nine priority topics, such as measurement error, mixtures of exposures, and cumulative exposures. Modeling approaches should consider complexity but provide useful simplifications when possible. Investments in the development and dissemination of innovative approaches and methodological guidance are needed. 
653 |a Causality 
653 |a Mixtures 
653 |a Measurement errors 
653 |a Research 
653 |a Dementia 
653 |a Methodological problems 
653 |a Harmonization 
653 |a Information dissemination 
653 |a Methodological approaches 
653 |a Measurement 
653 |a Dissemination 
653 |a Research methodology 
653 |a Topics 
653 |a Interdisciplinary aspects 
653 |a Alzheimer's disease 
653 |a Life course 
700 1 |a Keller, Kayleigh P.  |u Department of Statistics, Colorado State University, Fort Collins, Colorado, USA 
700 1 |a Chang, Howard  |u Department of Biostatistics, Rollins School of Public Health, Emory University, Atlanta, Georgia, USA 
700 1 |a Chiang, Yao‐Yi  |u Department of Computer Science and Engineering, University of Minnesota, Minneapolis, Minnesota, USA 
700 1 |a Gross, Alden L.  |u Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA 
700 1 |a Hayes‐Larson, Eleanor  |u Leonard Davis School of Gerontology, University of Southern California, Los Angeles, California, USA 
700 1 |a Claus Henn, Birgit  |u Department of Environmental Health, Boston University School of Public Health, Boston, Massachusetts, USA 
700 1 |a Kezios, Katrina L.  |u Department of Epidemiology, Boston University, Boston, Massachusetts, USA 
700 1 |a Meijer, Erik  |u Center for Economic and Social Research, University of Southern California, Los Angeles, California, USA 
700 1 |a Shih, Regina A.  |u Department of Epidemiology, Emory Rollins School of Public Health, Atlanta, Georgia, USA 
700 1 |a Szpiro, Adam A.  |u Department of Biostatistics, University of Washington, Seattle, Washington, USA 
700 1 |a Weiss, Jordan  |u Optimal Aging Institute and Department of Medicine, New York University Grossman School of Medicine, New York, New York, USA 
700 1 |a Weuve, Jennifer  |u Department of Epidemiology, Boston University, Boston, Massachusetts, USA 
700 1 |a Adar, Sara D.  |u Department of Epidemiology, University of Michigan School of Public Health, Ann Arbor, Michigan, USA 
700 1 |a Lee, Jinkook  |u Center for Economic and Social Research, University of Southern California, Los Angeles, California, USA 
773 0 |t Alzheimer's & Dementia  |g vol. 21, no. 11 (Nov 1, 2025) 
786 0 |d ProQuest  |t Consumer Health Database 
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