Anthony L. Lin, MD; Eric Vittinghoff, PhD; Jeffrey E. Olgin, Mark J. Pletcher, MD, MPH; Gregory M. Marcus, MAS

OBJECTIVE To examine racial/ethnic disparities in the prevalence of diabetes and prediabetes by BMI category. RESEARCH DESIGN AND METHODS In a consortium three U.S. integrated health care systems, 4,906,238 individuals aged ≥20 years during 2012–2013 were included. Diabetes ascertained diagnosis laboratory results; antihyperglycemic medications also included for ascertainment. RESULTS The age-standardized estimates 15.9% 33.4%, respectively. but not increased across categories among all...

Background— Although the benefits of physical activity for risk coronary heart disease are well established, less is known about its effects on failure (HF). The prolonged sedentary behavior HF unknown. Methods and Results— study cohort included 82 695 men aged ≥45 years from California Men’s Health Study without prevalent who were followed up 10 years. Physical activity, time, behavioral covariates obtained questionnaires, clinical determined electronic medical records. Incident was...

Rationale: Ecological studies have shown air pollution associations with coronavirus disease (COVID-19) outcomes. However, few cohort been conducted. Objectives: To conduct a study investigating the association between and COVID-19 severity using individual-level data from electronic medical record. Methods: This included all individuals who received diagnoses of Kaiser Permanente Southern California March 1 August 31, 2020. One-year 1-month averaged ambient pollutant (particulate matter...

BACKGROUND AND OBJECTIVES The American Academy of Pediatrics endorses metabolic and bariatric surgery (MBS) as a safe effective treatment severe obesity in children with class 3 or 2 qualifying comorbidities. study objective was to determine eligibility characteristics adolescents who qualify for MBS based on guidelines. METHODS This retrospective cohort analyzed electronic health record data 603 051 aged 13 17 years between January 1, 2018, December 31, 2021. Centers Disease Control...

Stressors associated with COVID-19 pandemic stay-at-home orders are increased depression and anxiety decreased physical activity. Given that activity time spent outdoors in nature improved mental health, we examined the longitudinal association of these variables during pandemic. Over 20,000 adults who participated U.S. Kaiser Permanente Research Bank, did not report symptoms, responded to an online baseline 3 follow-up surveys over approximately months formed cohort. Physical was assessed...

Importance Levying excise taxes on sugar-sweetened beverage (SSB) distributors, which are subsequently passed to consumers, is a policy implemented reduce the high prevalence of cardiometabolic disease and generate public health funding. Taxes associated with lower SSB purchases consumption, but it unknown whether they weight-related outcomes in youth. Objective To determine association youth body mass index (BMI) trajectories. Design, Setting, Participants This cohort study was conducted...

Importance Sugar-sweetened beverage (SSB) excise taxes are popular policy interventions aimed at decreasing SSB purchasing and consumption to improve cardiometabolic health generate revenue for public initiatives. There is limited evidence that these in the US associated with weight-related outcomes adults, a primary contributor health. Objective To determine association between adult body mass index (BMI) proportion of adults overweight or obesity among California cities assess whether...

Patients receiving anticoagulant medications who experience minor head injury are at increased risk of an intracerebral hemorrhage (ICH) developing, even after initial computed tomography (CT) scan the brain yields normal findings. Conflicting evidence exists regarding frequency which delayed bleeding occurs.To identify traumatic ICH in patients warfarin or clopidogrel.We performed a retrospective observational study adult trauma encounters for anticoagulated undergoing CT 1 13 Kaiser...

Air pollution exposure has been associated with increased risk of COVID-19 incidence and mortality by ecological analyses. Few studies have investigated the specific effect traffic-related air on severity.To investigate associations near-roadway (NRAP) severity using individual-level outcome data.The retrospective cohort includes 75,010 individuals (mean age 42.5 years, 54% female, 66% Hispanic) diagnosed at Kaiser Permanente Southern California between 3/1/2020-8/31/2020. NRAP exposures...

Importance Ample evidence links obesity to hypertension in youths. However, the association of high normal body mass index (BMI) with and interaction different weight trajectories are not well understood. Objective To examine risk associated BMI for age Design, Setting, Participants This retrospective cohort study assessed 801 019 youths aged 3 17 years an integrated health care system Southern California from January 1, 2008, February 28, 2015, a maximum follow-up 5 2020. Data analysis was...

Risk factors associated with many chronic diseases can be improved through regular physical activity. This study investigated whether cross-sectional associations between activity, assessed by the Exercise Vital Sign (EVS), and cardiometabolic risk detected in clinical settings.We used electronic records from Kaiser Permanente Southern California members (N = 622,897) to examine association of EVS category blood pressure, fasting glucose, random glycosylated hemoglobin. Adults aged 18 years...

This article investigates the effectiveness of a statewide 6-month early childhood mental health consultation (ECMHC) model on teachers' emotional support children and classroom organization. We provide brief historical theoretical background field ECMHC, present logic for our ECMHC intervention, discuss existing research that supports this model. Research Findings: Participants included 445 teachers from 158 child care centers statewide. The improved quality interactions (e.g.,...

Introduction: Many clinicians perceive that peritoneal dialysis (PD) should be reserved for younger, healthier, more affluent patients.Our aim was to examine outcomes PD patients in a managed care setting and identify predictors of adverse outcomes.♦ Methods: We identified all who initiated at our institution between 1 January 2001 31 December 2010.Predictor variables studied included age, sex, race, modality, cause end-stage renal disease (ESRD), vintage, Charlson comorbidity index (CCI)...

Abstract Early childhood mental health (MH) consultants work closely with childcare teachers onsite to serve as a resource for providers they foster and enhance children's early development. The increase in the quality of care that can be supported through an MH consultation program makes this type optimal tool enhancing environment overall child This article details initial launch centers state Louisiana. Analyses support assertions (a) model implemented successfully at statewide level, (b)...

Intrapartum antibiotic prophylaxis (IAP) reduces a newborn's risk of group B streptococcal infection (GBS) but may lead to an increased childhood body mass index (BMI).

Screening for adverse childhood experiences (ACEs) in primary care settings has been increasing as a response to the overwhelming and consistent evidence of deleterious associations between ACEs later physical mental health. However, there is little empirical guidance on appropriate implementation screening pediatric care.To test use pilot intervention referral receipt behavioral health children adolescents within large integrated delivery system.A retrospective cohort study was conducted...

We examined whether maternal utilization of preventive care and history sexually transmitted infections (STIs) predicted quadrivalent human papillomavirus vaccine (HPV4) uptake among adolescent boys 1 year following the recommendation for permissive use HPV4 males.We linked information with electronic health records 254 489 aged 9 to 17 years who enrolled in Kaiser Permanente Southern California plan from October 21, 2009, through December 2010. used multivariable Poisson regression robust...