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Biological Monitoring

Public Health and Nutrition · NLM MeSH · updated 2026-11-04 · version 1

Citations verified against PubMedNot yet clinician-reviewed10 referencesApproximately 5 min read

Monitoring of the level of toxins, chemical pollutants, microbial contaminants, or other harmful substances in the bodies of living organisms, by diagnostic imaging or by analyzing blood; urine; breast milk; saliva, etc.

Table of Contents

1. Definition2. Research landscape3. Reading the evidence4. Open-access studies5. Key reviews6. Full-text reviews7. References8. About this article

Definition and research guide

This page combines a MeSH definition, publication statistics and selected research abstracts. It is a starting point for reading the literature, not a medical textbook or a systematic evidence review.

Content available: 4 complete abstracts (906 words), 10 references. Full article text is not stored or reproduced here; follow the PMID, DOI or PMC links to read the original sources and their access terms.

Definition

Monitoring of the level of toxins, chemical pollutants, microbial contaminants, or other harmful substances in the bodies of living organisms, by diagnostic imaging or by analyzing blood; urine; breast milk; saliva, etc.

Definition: NLM Medical Subject Headings (MeSH) scope note (Public domain (U.S. National Library of Medicine); attribution requested). View the MeSH record.

Also known as: Biologic Monitoring; Monitoring, Biologic; Monitoring, Biological; Biomonitoring; Bio-Monitoring; Bio Monitoring.

Where it fits in the MeSH classification

Broader topics
Environmental Monitoring

Related concepts

  • Diagnostic Imaging
  • Blood
  • Urine
  • Breast Milk
  • Saliva

Research landscape

PubMed indexes 2,024 records tagged with the MeSH heading “Biological Monitoring” (counts retrieved 2026-10-31). 1,828 of them (90.3%) were published from 2020 onward, and the busiest period so far is 2020 onward with 1,828 records.

Reviews account for 272 records (13.4%) and meta-analyses for 18. Randomized controlled trials number 7 (0.3%) as a share of all records on the topic. Randomized trials make up only a small share of this literature, so much of what is known comes from laboratory, observational or descriptive work.

PubMed records by publication periodthrough 1999: 0 records; 2000-2009: 0 records; 2010-2019: 258 records; 2020 onward: 1,828 records0through 199902000-20092582010-20191,8282020 onward
Records in PubMed indexed with this heading, by publication period. Real counts from NCBI E-utilities; the final period covers only part of the current year. Volume reflects how much has been published, not how strong the evidence is.
Show the data
PeriodRecords
through 19990
2000-20090
2010-2019258
2020 onward1,828
Share of records by publication typeReviews: 13.4 percent; Meta-analyses: 0.9 percent; Randomized controlled trials: 0.3 percentReviews13.4% (272)Meta-analyses0.9% (18)Randomized controlled trials0.3% (7)
Share of all PubMed records on this heading that carry each publication type. Types overlap with other records, so the shares do not sum to 100%.
Publication-type chart data
Publication types among 2,024 PubMed records
TypeRecordsShare
Reviews27213.4%
Meta-analyses180.9%
Randomized controlled trials70.3%

Method: PubMed query "Biological Monitoring"[MeSH Terms] with publication-type and date filters, retrieved 2026-10-31.

Reading the evidence in public health and nutrition

Population and nutrition studies mostly observe what people eat, breathe or are exposed to and then look for links with health, which shows association and not proof of cause. Self-reported diet is imprecise, people who eat or live differently also differ in other ways, and effects measured across a population may not apply to one person. Check the study design, how exposure was measured, what else was accounted for and the size of the effect, not only whether it was statistically significant.

Evidence from open-access studies

These open-access studies come from PubMed’s best-match results for this heading (papers whose main topic it is), ranked here by citation count, with one recent addition. Each abstract is reproduced in full under its recorded open licence so that you can read the authors’ own words. They illustrate the literature; they are not a systematic summary of it. Citation counts measure attention, not reliability or clinical benefit.

Study comparison — selected abstracts, not a systematic review
Study / authorsYearSource label / designEurope PMC citationsLicence / source
Association of Trajectory of Cardiovascular Health Score and Incident Cardiovascular Disease
Wu S, An S, Li W, Lichtenstein AH, Gao J, Kris-Etherton PM, et al.
2019Research article
Design not recorded in structured metadata
225cc by
PMID 31150075 · DOI · PMC6547110
eDNA metabarcoding as a biomonitoring tool for marine protected areas
Gold Z, Sprague J, Kushner DJ, Zerecero Marin E, Barber PH
2021Research article
Design not recorded in structured metadata
69cc0
PMID 33626067 · DOI · PMC7904164
Finger sweat analysis enables short interval metabolic biomonitoring in humans
Brunmair J, Gotsmy M, Niederstaetter L, Neuditschko B, Bileck A, Slany A, et al.
2021Research article
Design not recorded in structured metadata
57cc by
PMID 34645808 · DOI · PMC8514494
Ti-Doping Activates Adjacent Zr Sites in Bimetallic MOFs for Cooperative Phospholipid Removals in Human Biomonitoring
Liang Y, Ma H, Bai F, Zhang J, Qi Y, Shao B
2026Research article
Design not recorded in structured metadata
0cc by
PMID 42439483 · DOI · PMC13360115

Association of Trajectory of Cardiovascular Health Score and Incident Cardiovascular Disease [1]

Research article Wu S, An S, Li W, Lichtenstein AH, Gao J, Kris-Etherton PM, et al. · · 2019 · cited 225 times (Europe PMC)

Abstract reading summary — source excerpts
Opening excerpt
ImportanceThe American Heart Association 2020 Strategic Impact Goals target an improvement in overall cardiovascular health, as assessed by 7 health metrics (smoking, body weight, physical activity, diet, plasma glucose level, plasma cholesterol level, and blood pressure).
Closing excerpt
Conclusions and relevanceCardiovascular health trajectories may be associated with subsequent CVD risk.
Interpretation limits
Verbatim excerpts from the authors’ abstract; the closing excerpt may describe a finding, limitation or recommendation. Design, population, effect size and uncertainty have not been independently extracted or appraised. Read the complete abstract and linked paper before interpreting the findings.
Read complete abstract (355 words)

ImportanceThe American Heart Association 2020 Strategic Impact Goals target an improvement in overall cardiovascular health, as assessed by 7 health metrics (smoking, body weight, physical activity, diet, plasma glucose level, plasma cholesterol level, and blood pressure).ObjectiveTo examine whether trajectories of overall cardiovascular health over time, as assessed by the cardiovascular health score (CHS) in 2006, 2008, and 2010, are associated with subsequent risk of CVD.Design, setting, and participantsThe Kailuan study is a prospective, population-based study that began in 2006. The cohort included 74 701 Chinese adults free of myocardial infarction, stroke, and cancer in or before 2010. In the present study, CHS trajectories were developed from 2006 to 2010 to predict CVD risk from 2010 to 2015. Data analysis was performed from January 1, 2006, to December 31, 2015.ExposuresThe CHS trajectories during 2006-2010 were identified using latent mixture models.Main outcomes and measuresIncident CVD events (myocardial infarction and stroke) during 2010-2015 were confirmed by review of medical records. The CHS trajectories were determined using 7 cardiovascular health metrics scored as poor (0 points), intermediate (1 point), and ideal (2 points); total score ranges from 0 (worst) to 14 (best). Based on the baseline CHS and patterns over time, 5 trajectories were categorized (low-stable, moderate-increasing, moderate-decreasing, high-stable I, and high-stable II).ResultsOf the 74 701 adults included in the study (mean [SD] age at baseline, 49.6 [11.8] years), 58 216 (77.9%) were men and 16 485 (22.1%) were women. Five CHS trajectories were identified from 2006 to 2010: low-stable (n = 4393; range, 4.6-5.2), moderate-increasing (n = 4643; mean increase from 5.4 to 7.8), moderate-decreasing (n = 14 853; mean decrease from 7.4 to 6.3), high-stable I (n = 36 352; range, 8.8-9.0), and high-stable II (n = 14 461; range, 10.9-11.0). During 5 years of follow-up, 1852 incident CVD cases were identified. Relative to the low-stable trajectory, the high-stable II trajectory was associated with a lower subsequent risk of CVD (adjusted hazard ratio, 0.21; 95% CI, 0.16-0.26, after adjusting for age, sex, educational level, income, occupation, alcohol intake, and serum high-sensitivity C-reactive protein concentration at baseline).Conclusions and relevanceCardiovascular health trajectories may be associated with subsequent CVD risk.

Abstract reproduced from the open-access article under the recorded cc by licence; © the authors. PMID 31150075 · DOI · PMC6547110

eDNA metabarcoding as a biomonitoring tool for marine protected areas [2]

Research article Gold Z, Sprague J, Kushner DJ, Zerecero Marin E, Barber PH · · 2021 · cited 69 times (Europe PMC)

Abstract reading summary — source excerpts
Opening excerpt
Monitoring of marine protected areas (MPAs) is critical for marine ecosystem management, yet current protocols rely on SCUBA-based visual surveys that are costly and time consuming, limiting their scope and effectiveness.
Closing excerpt
Results demonstrate the utility of eDNA metabarcoding for monitoring marine ecosystems, providing an important complementary tool to visual methods.
Interpretation limits
Verbatim excerpts from the authors’ abstract; the closing excerpt may describe a finding, limitation or recommendation. Design, population, effect size and uncertainty have not been independently extracted or appraised. Read the complete abstract and linked paper before interpreting the findings.
Read complete abstract (214 words)

Monitoring of marine protected areas (MPAs) is critical for marine ecosystem management, yet current protocols rely on SCUBA-based visual surveys that are costly and time consuming, limiting their scope and effectiveness. Environmental DNA (eDNA) metabarcoding is a promising alternative for marine ecosystem monitoring, but more direct comparisons to visual surveys are needed to understand the strengths and limitations of each approach. This study compares fish communities inside and outside the Scorpion State Marine Reserve off Santa Cruz Island, CA using eDNA metabarcoding and underwater visual census surveys. Results from eDNA captured 76% (19/25) of fish species and 95% (19/20) of fish genera observed during pairwise underwater visual census. Species missed by eDNA were due to the inability of MiFish 12S barcodes to differentiate species of rockfishes (Sebastes, n = 4) or low site occupancy rates of crevice-dwelling Lythrypnus gobies. However, eDNA detected an additional 23 fish species not recorded in paired visual surveys, but previously reported from prior visual surveys, highlighting the sensitivity of eDNA. Significant variation in eDNA signatures by location (50 m) and site (~1000 m) demonstrates the sensitivity of eDNA to address key questions such as community composition inside and outside MPAs. Results demonstrate the utility of eDNA metabarcoding for monitoring marine ecosystems, providing an important complementary tool to visual methods.

Abstract reproduced from the open-access article under the recorded cc0 licence; © the authors. PMID 33626067 · DOI · PMC7904164

Finger sweat analysis enables short interval metabolic biomonitoring in humans [3]

Research article Brunmair J, Gotsmy M, Niederstaetter L, Neuditschko B, Bileck A, Slany A, et al. · · 2021 · cited 57 times (Europe PMC)

Abstract reading summary — source excerpts
Opening excerpt
Metabolic biomonitoring in humans is typically based on the sampling of blood, plasma or urine.
Closing excerpt
To conclude, metabotyping using sweat from fingertips combined with mathematical network modelling shows promise for broad applications in precision medicine by enabling the assessment of dynamic metabolic patterns, which may overcome the limitations of purely compositional biomarkers.
Interpretation limits
Verbatim excerpts from the authors’ abstract; the closing excerpt may describe a finding, limitation or recommendation. Design, population, effect size and uncertainty have not been independently extracted or appraised. Read the complete abstract and linked paper before interpreting the findings.
Read complete abstract (189 words)

Metabolic biomonitoring in humans is typically based on the sampling of blood, plasma or urine. Although established in the clinical routine, these sampling procedures are often associated with a variety of compliance issues, which are impeding time-course studies. Here, we show that the metabolic profiling of the minute amounts of sweat sampled from fingertips addresses this challenge. Sweat sampling from fingertips is non-invasive, robust and can be accomplished repeatedly by untrained personnel. The sweat matrix represents a rich source for metabolic phenotyping. We confirm the feasibility of short interval sampling of sweat from the fingertips in time-course studies involving the consumption of coffee or the ingestion of a caffeine capsule after a fasting interval, in which we successfully monitor all known caffeine metabolites as well as endogenous metabolic responses. Fluctuations in the rate of sweat production are accounted for by mathematical modelling to reveal individual rates of caffeine uptake, metabolism and clearance. To conclude, metabotyping using sweat from fingertips combined with mathematical network modelling shows promise for broad applications in precision medicine by enabling the assessment of dynamic metabolic patterns, which may overcome the limitations of purely compositional biomarkers.

Abstract reproduced from the open-access article under the recorded cc by licence; © the authors. PMID 34645808 · DOI · PMC8514494

Ti-Doping Activates Adjacent Zr Sites in Bimetallic MOFs for Cooperative Phospholipid Removals in Human Biomonitoring [4]

Research article Liang Y, Ma H, Bai F, Zhang J, Qi Y, Shao B · · 2026

Abstract reading summary — source excerpts
Opening excerpt
The interference of phospholipids in serum poses a critical bottleneck for nontargeted human biomonitoring of chemical hazards.
Closing excerpt
This work establishes bimetallic node engineering as a powerful strategy to overcome matrix interference in exposomics and precision biomonitoring.
Interpretation limits
Verbatim excerpts from the authors’ abstract; the closing excerpt may describe a finding, limitation or recommendation. Design, population, effect size and uncertainty have not been independently extracted or appraised. Read the complete abstract and linked paper before interpreting the findings.
Read complete abstract (148 words)

The interference of phospholipids in serum poses a critical bottleneck for nontargeted human biomonitoring of chemical hazards. Here, we report a Ti-doping strategy to activate adjacent Zr sites in a bimetallic Zr/Ti metal-organic framework (B-Zr/Ti MOF) for cooperative and efficient phospholipid removal. By precisely engineering the Ti content, the optimal B-Zr/Ti MOF achieves near-complete removal of major phospholipid subclasses while maintaining high recoveries (>50%) for over 500 diverse chemical hazards, even at trace levels (10 ng mL- 1). Combined XPS, FT-IR, and DFT calculations reveal that Ti incorporation modulates the local electronic environment, converting adjacent Zr sites into highly active Lewis acid centers that synergistically anchor phosphate headgroups via inner-sphere coordination. When integrated into a nontargeted LC-HRMS workflow, this material dramatically reduces matrix effects and expands detectable feature coverage. This work establishes bimetallic node engineering as a powerful strategy to overcome matrix interference in exposomics and precision biomonitoring.

Abstract reproduced from the open-access article under the recorded cc by licence; © the authors. PMID 42439483 · DOI · PMC13360115

Key reviews and meta-analyses

The most cited review-type papers among PubMed’s best-match results for this heading, listed with bibliographic details only. Follow the links for the full text and access terms.

  • Research article Bisphenol A and its analogues: A comprehensive review to identify and prioritize effect biomarkers for human biomonitoring [5]
    Mustieles V, D'Cruz SC, Couderq S, Rodríguez-Carrillo A, Fini JB, Hofer T, et al. · Environ Int · 2020 · cited 180 times (Europe PMC)
  • Research article Biomonitoring of occupational exposure to bisphenol A, bisphenol S and bisphenol F: A systematic review [6]
    Bousoumah R, Leso V, Iavicoli I, Huuskonen P, Viegas S, Porras SP, et al. · Sci Total Environ · 2021 · cited 126 times (Europe PMC)
  • Research article Human biomonitoring in health risk assessment in Europe: Current practices and recommendations for the future [7]
    Louro H, Heinälä M, Bessems J, Buekers J, Vermeire T, Woutersen M, et al. · Int J Hyg Environ Health · 2019 · cited 126 times (Europe PMC)
  • Research article Expanding ecological assessment by integrating microorganisms into routine freshwater biomonitoring [8]
    Sagova-Mareckova M, Boenigk J, Bouchez A, Cermakova K, Chonova T, Cordier T, et al. · Water Res · 2021 · cited 120 times (Europe PMC)
  • Research article Application of the comet assay in human biomonitoring: An hCOMET perspective [9]
    Azqueta A, Ladeira C, Giovannelli L, Boutet-Robinet E, Bonassi S, Neri M, et al. · Mutat Res Rev Mutat Res · 2020 · cited 111 times (Europe PMC)
  • Research article Human Biomonitoring of Mycotoxins in Blood, Plasma and Serum in Recent Years: A Review [10]
    Arce-López B, Lizarraga E, Vettorazzi A, González-Peñas E · Toxins (Basel) · 2020 · cited 81 times (Europe PMC)

Full-text reviews on EvidenceLib

Open-access review articles about this topic, reproduced in full with authors, licence and references.

  • Exposure to Perflouroalkyl acids and foetal and maternal thyroid status: a review

    Sophie A. H. Boesen, Manhai Long, Maria Wielsøe et al. · Environmental Health 2020 · CC BY 4.0

References

  1. Wu S, An S, Li W, Lichtenstein AH, Gao J, Kris-Etherton PM, et al.. Association of Trajectory of Cardiovascular Health Score and Incident Cardiovascular Disease. . 2019. PMID 31150075 · DOI · PMC6547110
  2. Gold Z, Sprague J, Kushner DJ, Zerecero Marin E, Barber PH. eDNA metabarcoding as a biomonitoring tool for marine protected areas. . 2021. PMID 33626067 · DOI · PMC7904164
  3. Brunmair J, Gotsmy M, Niederstaetter L, Neuditschko B, Bileck A, Slany A, et al.. Finger sweat analysis enables short interval metabolic biomonitoring in humans. . 2021. PMID 34645808 · DOI · PMC8514494
  4. Liang Y, Ma H, Bai F, Zhang J, Qi Y, Shao B. Ti-Doping Activates Adjacent Zr Sites in Bimetallic MOFs for Cooperative Phospholipid Removals in Human Biomonitoring. . 2026. PMID 42439483 · DOI · PMC13360115
  5. Mustieles V, D'Cruz SC, Couderq S, Rodríguez-Carrillo A, Fini JB, Hofer T, et al.. Bisphenol A and its analogues: A comprehensive review to identify and prioritize effect biomarkers for human biomonitoring. Environ Int. 2020. PMID 32866736 · DOI
  6. Bousoumah R, Leso V, Iavicoli I, Huuskonen P, Viegas S, Porras SP, et al.. Biomonitoring of occupational exposure to bisphenol A, bisphenol S and bisphenol F: A systematic review. Sci Total Environ. 2021. PMID 33865140 · DOI
  7. Louro H, Heinälä M, Bessems J, Buekers J, Vermeire T, Woutersen M, et al.. Human biomonitoring in health risk assessment in Europe: Current practices and recommendations for the future. Int J Hyg Environ Health. 2019. PMID 31176761 · DOI
  8. Sagova-Mareckova M, Boenigk J, Bouchez A, Cermakova K, Chonova T, Cordier T, et al.. Expanding ecological assessment by integrating microorganisms into routine freshwater biomonitoring. Water Res. 2021. PMID 33418487 · DOI
  9. Azqueta A, Ladeira C, Giovannelli L, Boutet-Robinet E, Bonassi S, Neri M, et al.. Application of the comet assay in human biomonitoring: An hCOMET perspective. Mutat Res Rev Mutat Res. 2020. PMID 32192646 · DOI
  10. Arce-López B, Lizarraga E, Vettorazzi A, González-Peñas E. Human Biomonitoring of Mycotoxins in Blood, Plasma and Serum in Recent Years: A Review. Toxins (Basel). 2020. PMID 32121036 · DOI · PMC7150965

About this article

Sources
NLM Medical Subject Headings (definition, synonyms); NCBI PubMed (counts, identifiers); Europe PMC (open-access abstracts and citation counts).
Verification
Every reference was resolved against PubMed on 2026-11-04; title, year and DOI matched.
Review state
automated source verified; no human expert review has been recorded yet.
Version
1, last updated 2026-11-04.

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EvidenceHelix's computed view of the study designs behind this topic: how common meta-analyses, randomized trials and reviews are, how recent the literature is, and a plain-language reading. It describes the design mix of the literature. It is not a quality appraisal of any study, and it is not medical advice.

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All 114 articles in Public Health and Nutrition →

At a glance

2,024
PubMed records on this heading
90%
published since 2020
272
review articles
7
randomized trials
10
verified references below

Counts come from PubMed on 2026-10-31; they show how much has been written, not how strong the evidence is.

Related topics See all →

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  • BiofoulingPublic Health and Nutrition
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