Department of Occupational and Environmental Medicine, Epidemiology and Hygiene, INAIL Research, Via Fontana Candida 1, Monteporzio Catone, 00078 Rome, Italy.
Int J Environ Res Public Health. 2023 Jan 4;20(2):912. doi: 10.3390/ijerph20020912.
Human health is influenced by various factors; these include genetic inheritance, behavioral lifestyle, socioeconomic and environmental conditions, and public access to care and therapies in case of illness, with the support of the national health system. All these factors represent the starting point for the prevention and promotion of a healthy lifestyle. However, it is not yet clear to what extent these factors may actually affect the health of an entire population. The exposures to environmental and occupational factors are several, most of which might be poorly known, contributing to influencing individual health. Personal habits, including diet, smoking, alcohol, and drug consumption, together with unhealthy behaviors, may inevitably lead people to the development of chronic diseases, contributing to increasing aging and decreasing life expectancy. In this article, we highlight the role of susceptibility biomarkers, i.e., the genetic polymorphisms of individuals of different ethnicities, with particular attention to the risk factors in the response to specific exposures of Europeans. Moreover, we discuss the role of precision medicine which is representing a new way of treating and preventing diseases, taking into account the genetic variability of the individual with each own clinical history and lifestyle.
人类健康受多种因素影响,包括遗传因素、行为生活方式、社会经济和环境条件,以及在患病时获得医疗保健和治疗的机会,这些都得到国家卫生系统的支持。所有这些因素都是预防和促进健康生活方式的起点。然而,这些因素在多大程度上可能会影响整个人口的健康还不清楚。暴露于环境和职业因素有很多种,其中大多数可能不太为人所知,它们会影响个人的健康。个人习惯,包括饮食、吸烟、饮酒和药物使用,以及不健康的行为,不可避免地会导致人们患上慢性疾病,从而导致老龄化加剧和预期寿命缩短。在本文中,我们强调了易感性生物标志物的作用,即不同种族个体的基因多态性,特别关注欧洲人对特定暴露反应的风险因素。此外,我们还讨论了精准医学的作用,它代表了一种治疗和预防疾病的新方法,考虑到个体的遗传变异性,以及每个人的临床病史和生活方式。