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Delivering Discovery Across Generations

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Project Overview 

The ELEMENT study (Early Life Exposures in Mexico to ENvironmental Toxicants) is a multi-institutional and international research effort that has initiated and followed three birth cohorts in Mexico City for more than 30 years. During this period, a vast international research team has participated in the different phases of the project, developed more than ten specific projects, initiated and followed up on three different cohorts of mother / child pairs, competed and obtained various grants from US and Mexican agencies, published the study's findings in journals of high international impact, formed a large number of master's and doctoral students on both sides of the border and, above all, contributed to relevant public policy discussions.

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The ELEMENT Story

The first ELEMENT cohort began in 1994 with support from an inter-institutional collaboration among Harvard University, the Center for Population Health Research of the National Institute of Public Health in Mexico, the American British Cowdray Medical Center and the National Institute of Perinatology of Mexico.

ELEMENT was founded by Dr. Mauricio Hernández Ávila, researcher and current Director of Economic and Social Benefits of the Mexican Social Security Institute (Instituto Mexicano del Seguro Social, IMSS), and Dr. Howard Hu, a physician (internist and occupational/environmental medicine specialist) and environmental epidemiologist.

Study population

The mother–child pairs of study participants were recruited over a series of years:

  • Cohort 1, 1994-1997

  • Cohort 2, 1997-2000

  • Cohort 3, 2001-2005

This first cohort sought to study the effects of lead on maternal and child health. However, since then, the study has expanded its area of ​​study in order to understand the effects on health and neurodevelopment derived from exposure to other environmental toxins, exploring how these effects are modified by nutrition, social environment and genetic susceptibility.

Meet The ELEMENT Team

Principal Investigators 
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Karen E Peterson, DSc 

Co-Principal Investigator 

University of Michigan School of Public Health 

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Martha Maria Téllez-Rojo, MsC, DSc 

Co-Principal Investigator

Instituto Nacional de Salud Pública (INSP)

Co-Investigators
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Erica Jansen, PhD, MPH 

Co-Investigator

University of Michigan School of Public Health 

Research Interests: Sleep, Physical Activity, Metabolic Syndrome, Dietary Patterns, Epigenetics, and Endocrine Disrupting Chemicals (EDCs)

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Peter X. K. Song, PhD 

Co-Investigator

University of Michigan School of Public Health

Research Interests:

Longitudinal cohort study design and analysis, Causal mediation/mechanistic pathway analysis, Supervised, learning of exposure mixtures, Data integration and harmonization, Digital features from wearable devices, High-dimensional omics data analyses 

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Jackie Goodrich, PhD 

Co-Investigator

University of Michigan School of Public Health

Research Interests: Epigenomics/Epigenetics, Developmental Origins of Health and Disease, Maternal and Child Health, Global Health

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Deborah J Watkins, PhD, MPH 

Co-Investigator 

University of Michigan School of Public Health

Research Interests: Environmental Epidemiology, Exposure Assessment, Endocrine Disrupting Chemicals (EDCs), Maternal and Child Health, Bone Health, Reproductive Health, Menopause, Neurodevelopment 

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Olivia Halabicky, M.Sc., PhD, RN 

Co-Investigator 

University of Michigan School of Public Health & School of Nursing

Research Interests: Early Life Environmental Toxicant Exposure, Social Determinants of Health, Cardiometabolic Health, and Allostatic Load

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Sara Stein, PhD, LMSW 

Co-Investigator 

University of Michigan School of Public Health

Research Interests: Effects of Trauma from Mother to Child Prenatally, Postnatally, and in Early Life 

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Elizabeth Roberts, PhD 

Co-Investigator 

University of Michigan Anthropology Department

Research Interests: Environmental Health, Mixed Methods, Food Systems, Anthroposomics, Social Justice and Equity, Chronic illness, Sleep, Water Access, Ethnography

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Dana Dolinoy, PhD, MSc 

Co-Investigator 

University of Michigan School of Public Health

Research Interests: Children's Environmental Health, Cancer and the Environment, Developmental Origins of Disease, Epigenetics, Epigenome Editing, Nutrient-Toxicant Interactions

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John Meeker, ScD, CIH 

Co-Investigator 

University of Michigan School of Public Health

Research Interests: Exposure Assessment and Epidemiology Research Investigating Reproductive and Developmental Impacts of Environmental Exposures such as Pesticides, PFAS, Phthalates, Phenols, PAH, Metals, and Others

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Howard Hu, MD, MPH, ScD 

Co-Investigator 

University of Southern California, Keck School of Medicine

Research Interests: Exposure to Toxic Elements (e.g., Lead and other Metals, Fluoride); impacts on Neurobehavioral Development and Cardiovascular Health; and the role of DNA methylation, genetic polymorphisms, nutrition, etc.

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Marcela Tamayo-Oritz, PhD, MS 

Co-Investigator 

Columbia University, Mailman School of Public Health

Research Interests: Bone Health and Aging, ​Climate Change, Urban Health, Environmental Epidemiology

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E. Angeles Martinez Mier, DDS, MSD, PhD 

Co-Investigator 

Indiana University School of Dentistry

Research Interests: Dental Public Health, Fluoride, Cariology, Oral and Environmental Health

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Lan Luo, PhD 

Co-Investigator 

Rutgers University School of Public Health

Research Interests: Online statistical inference, Epigenetic Clocks, and Transfer learning

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Christine Till, PhD, C. Psych 

Co-Investigator 

York University Department of Psychology

Research Interests: Environmental determinants of health (environmental-gene interactions), Neuropsychology, Child Psychology, Epidemiology

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Hector Lamadrid-Figueroa, MD, ScD 

Co-Investigator

Instituto Nacional de Salud Pública (INSP)

Research Interests: Perinatal Health, Epidemiology, Lead, Fluoride, Neurobehavioral Development, Genomics, Program Impact Evaluation

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Alejandra Cantoral, ScM, ScD 

Co-Investigator 

Universidad Iberoamericana

Research Interests: Environmental Exposures, Maternal and Child Health, Diet and Nutrition Patterns, Adiposity, Cardiometabolic Diseases

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Brisa N. Sánchez, PhD 

Co-Investigator 

Drexel University Dornsife School of Public Health

Research Interests: Statistical Methods Development, Data Integration, Health and Built Environment, Health Disparities, Environmental Exposures 

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Jose Luis Figueroa Oropeza, PhD 

Co-Investigator 

Instituto Nacional de Salud Pública (INSP)

Research Interests: Health economics, environmental exposures, children's health, exposure reduction interventions, and human capital development

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Belem Trejo Valdivia, PhD 

Co-Investigator 

Instituto Nacional de Salud Pública (INSP)

Research Interests: Statistics and Epidemiology

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Abeer A. Aljahdali , PhD

Co-Investigator 

King Abdulaziz University

Research Interests: Dietary patterns, food insecurity, physical activity, sleep, cardiometabolic health, nutrition and lifestyle interventions, metabolic and chronic disease risk, and biological determinants of diet- and lifestyle-related outcomes

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Edward Ruiz-Narvaez, ScD, MS

Co-Investigator 

University of Michigan School of Public Health

Research Interests: Healthy aging and longevity, gene-diet interaction on relation to chronic diseases, and social epigenomics

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Ana Baylin, MD, DrPH, FAHA

Co-Investigator 

University of Michigan School of Public Health

Research Interests:

Nutritional determinants of cardiometabolic risk, including fatty acids, dietary patterns, ultra processed foods, and organic food consumption. Development and evaluation of workplace interventions to prevent cardiometabolic risk.

Staff Members
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Libni Avib Torres-Olascoaga, MD, MS

ELEMENT Fieldwork Manager

Instituto Nacional de Salud Pública (INSP)

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E. Rebeca Trejo Reyes, MSc 

ELEMENT Nutrition Component Lead & Field Work Coordinator

Instituto Nacional de Salud Pública (INSP)

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Cinnya Idalia Robles Valencia (MPH) 

ELEMENT Fieldwork Coordinator

Instituto Nacional de Salud Pública (INSP)

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Adriana Mercado Garcia MHP, M.D. 

ELEMENT Research and Fieldwork Coordinator

Instituto Nacional de Salud Pública (INSP)

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Teresa Verenice Mũnoz-Rocha, M.S 

ELEMENT Biostatistician and Database Manager

Instituto Nacional de Salud Pública (INSP)

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Yanira Huerta Garcia 

ELEMENT Database Management and Programming 

Instituto Nacional de Salud Pública (INSP)

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Luis F. Bautista 

ELEMENT Research Manager

Instituto Nacional de Salud Pública (INSP)

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Jesica Pedroza, MS 

ELEMENT Cohort Manager

University of Michigan School of Public Health

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Claire Roberts, MS 

ELEMENT Research Data Coordinator

University of Michigan School of Public Health 

Trainees
PhD Students 
Post-Doctoral Fellows

Dr. Karen Peterson:

Lindsey English, MPH, RD, CHES

Maria Kofas, MSPH, RDN, LN (co-mentored by Dr. Edward A Ruiz-Narvaez)

Haneen Bou Ghanem, MS, RD

Yanxin (Esther) Zhu, MS

Dev Ram Sunuwar, MS, RD

Junru Pan (co-Mentor Dr. Dana Dolinoy)

Dr. Peter Song:

Canyi Chen, PhD

Menghan Yi, PhD

Zheshi Zheng, PhD

Dr. Jackie Goodrich:

Ariana Haidari, MS, RD

Dr. Erica Jansen:

Michael Kaye, MS, MAcc, CPA

Donghan Su, MS

Afnan Mohy, MS

Dr. Deb Watkins:

Meizhen Yao, MS

Dr. Peter Song:

Rui Nie

​Yahui Zhang

Dr. Angeles Martinez Mier:

Guillermo Tamayo, MS

Our Collaborators 

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