A5001652121- Gestational Diabetes Research and Management
- Pregnancy and preeclampsia studies
- Birth, Development, and Health
- Obesity, Physical Activity, Diet
- Bariatric Surgery and Outcomes
- Maternal Mental Health During Pregnancy and Postpartum
- Effects and risks of endocrine disrupting chemicals
- Diabetes Management and Education
- Diabetes Treatment and Management
- Uterine Myomas and Treatments
- Pregnancy-related medical research
- Cardiovascular Health and Risk Factors
- Metabolism, Diabetes, and Cancer
- Nutritional Studies and Diet
- Maternal and fetal healthcare
- Breastfeeding Practices and Influences
- Health disparities and outcomes
- COVID-19 Impact on Reproduction
- Physical Activity and Health
- Obesity and Health Practices
- Maternal and Perinatal Health Interventions
- Per- and polyfluoroalkyl substances research
- Mobile Health and mHealth Applications
- COVID-19 and Mental Health
- Endometriosis Research and Treatment
Kaiser Permanente
2016-2025
Community Link
2019-2024
Cohort (United Kingdom)
2024
Kaiser Permanente Oakland Medical Center
2020-2024
Colorado Permanente Medical Group
2023
University of California, San Francisco
2019-2022
Canandaigua VA Medical Center
2022
Oklahoma Medical Research Foundation
2022
Stanford University
2022
Kaiser Permanente Redwood City Medical Center
2022
OBJECTIVE Some preclinical in vivo studies and limited human data suggest a possible increased risk of bladder cancer with pioglitazone therapy. This is an interim report ongoing cohort study examining the association between therapy patients diabetes. RESEARCH DESIGN AND METHODS includes 193,099 Kaiser Permanente Northern California diabetes registry who were ≥40 years age 1997 2002. Those prior excluded. Ever use each medication (defined as two or more prescriptions within 6 months) was...
In Brief OBJECTIVE: To estimate the relationship between rate of gestational weight gain before 50-g, 1-hour oral glucose challenge test screening for diabetes mellitus (GDM) and subsequent risk GDM. METHODS: We conducted a nested case–control study (345 women with GDM 800 in control group) within multiethnic cohort delivering 1996 1998 who were screened at 24–28 weeks gestation. was diagnosed according to National Diabetes Data Group plasma cut-offs 100-g, 3-hour tolerance test. Women's...
In Brief OBJECTIVE: Women with gestational diabetes mellitus (GDM) and their offspring are at increased risk of developing diabetes. Although increases in prevalence have been reported the United States, it is unknown whether this trend also occurring for GDM. We examined trends yearly cumulative incidence GDM between years 1991 2000. METHODS: A cohort study 267,051 pregnancies screened that occurred among members Northern California Kaiser Permanente Medical Care Program, representing 86.8%...
<h3>Importance</h3> Studies suggest pioglitazone use may increase risk of cancers. <h3>Objective</h3> To examine whether for diabetes is associated with bladder and 10 additional <h3>Design, Setting, Participants</h3> Cohort nested case-control analyses among persons diabetes. A cancer cohort followed 193 099 aged 40 years or older in 1997-2002 until December 2012; 464 case patients matched controls were surveyed about confounders. analysis cancers included 236 507 1997-2005 June 2012....
To examine whether the association between gestational diabetes mellitus (GDM) and BMI category varies by racial/ethnic group.In a cohort of 123,040 women without recognized pregravid who delivered babies 1995 2006 at Kaiser Permanente Northern California, we examined disparities in prevalence GDM population-attributable risk (PAR) associated with overweight/obesity.Among all groups, age-adjusted increased increasing (kg/m(2)) category. However, Asian Filipina had 9.9 8.5%, respectively,...
Importance The COVID-19 pandemic led to widespread lockdowns and school closures that may have affected screen time among children. Although restrictions were strongest early in the pandemic, it is unclear how changed as progressed. Objective To evaluate change children’s from before during July 2019 through August 2021. Design, Setting, Participants This a longitudinal cohort study with repeated measures of collected 2 periods. Children aged 4 12 years their parent enrolled 3 pediatric...
To investigate whether different degrees of maternal glucose intolerance are associated with the risk spontaneous preterm birth. We performed a cohort study 46,230 pregnancies screened by 50-g, 1-hour oral tolerance test between 24 and 28 gestation weeks at Northern California Kaiser Permanente Medical Care Program. Spontaneous birth was defined as an infant born less than 37 least one following: labor, premature rupture membranes, or incompetent cervix. Glucose status categorized normal...
To pilot, among women with gestational diabetes mellitus (GDM), the feasibility of a prenatal/postpartum intervention to modify diet and physical activity similar Diabetes Prevention Program. The was delivered by telephone, support for breastfeeding addressed.The goal help return their prepregnancy weight, if it normal, or achieve 5% reduction from weight overweight. Eligible participants were identified shortly after GDM diagnosis; 83.8% consented be randomly assigned usual medical care (96...
Objective: Assess predictors and costs of various types alternative medicine used by adult patients with cancer. Design, location, subjects: Telephone survey 356 colon, breast, or prostate cancer identified from the population-based Cancer Surveillance System western Washington. Results: Overall, 70.2% at least one type medicine, 16.6% seeing providers, 19.1% using mental/other therapy, 64.6% taking dietary supplements. Compared to males, females were five times more likely see an provider...
Hedderson MM, Darbinian JA, Ferrara A. Disparities in the risk of gestational diabetes by race-ethnicity and country birth. Paediatric Perinatal Epidemiology 2010. Little information exists on association between maternal birth (GDM). We examined within each group whether GDM differs women born inside outside US. The study was a cohort 216 089 who delivered an infant 1995 2004 with plasma glucose data from screening 50-g challenge test diagnostic 100-g, 3-h oral tolerance test. age-adjusted...
OBJECTIVE—In 2000, the American Diabetes Association proposed adoption of Carpenter and Coustan criteria for diagnosis gestational diabetes mellitus (GDM). The cutoffs are lower than previously recommended National Data Group (NDDG) values would result in higher prevalence GDM. Our aim is to estimate magnitude change GDM using thresholds as compared with NDDG by age ethnicity. RESEARCH DESIGN AND METHODS—Cross-sectional study 28,330 women aged 14–49 years who gave birth 1996 were members...
To examine whether pregnancy weight gains outside the Institute of Medicine (IOM) recommendations and rates maternal gain are associated with neonatal complications.In a cohort 45,245 women who delivered singletons at Kaiser Permanente Medical Care Program Northern California in 1996-1998 did not have gestational diabetes as 24-28 weeks gestation, we conducted nested case-control study three case groups: macrosomia (birth more than 4,500 g, n=391), hypoglycemia (plasma glucose less 40 mg/dL,...
OBJECTIVE To examine the association between breastfeeding intensity in relation to maternal blood glucose and insulin intolerance based on postpartum 2-h 75-g oral tolerance test (OGTT) results at 6–9 weeks after a pregnancy with gestational diabetes mellitus (GDM). RESEARCH DESIGN AND METHODS We selected 522 participants enrolled into Study of Women, Infant Feeding, Type 2 Diabetes (SWIFT), prospective observational cohort study Kaiser Permanente Northern California members diagnosed GDM...
To compare the effectiveness of diabetes prevention strategies addressing postpartum weight retention for women with gestational mellitus (GDM) delivered at health system level: mailed recommendations (usual care) versus usual care plus a Diabetes Prevention Program (DPP)-derived lifestyle intervention.This study was cluster randomized controlled trial 44 medical facilities (including 2,280 GDM) to intervention or care. The included gain 13 telephone sessions between 6 weeks and months...
In Brief OBJECTIVE: To estimate the association between interpregnancy change in body mass index (BMI) and risk of gestational diabetes mellitus (GDM) a second pregnancy. METHODS: retrospective cohort analysis 22,351 women, logistic regression models provided adjusted estimates GDM women gaining 3.0 or more 2.0–2.9, 1.0–1.9 BMI units, losing 1.0–2.0 than 2.0 units pregnancies (one unit corresponds to 5.9 pounds for average height [5 feet 4 inches] study population). Women with stable BMIs...
The Multigroup Ethnic Identity Measure-Revised (MEIM-R), a brief instrument assessing affiliation with one's ethnic group, is promising advance in the identity literature. However, equivalency of its measurement properties across specific racial and groups should be confirmed before using it diverse samples. We examined (a) psychometric MEIM-R, including factor structure, invariance, internal consistency reliability, (b) levels differences multiple subgroups. Asian (n = 630), Black/African...
To evaluate implementation of an enhanced recovery after surgery (ERAS) program for patients undergoing elective cesarean delivery by comparing opioid exposure, multimodal analgesia use, and other process outcome measures before implementation.An ERAS was implemented among in a large integrated health care system. We conducted pre-post study to compare changes during the 12 months implementation.The included 4,689 who underwent (pilot sites: March 1, 2015-February 29, 2016, all October...
<h3>Importance</h3> Additional research from population-based studies is needed to inform the treatment of SARS-CoV-2 infection during pregnancy and provide health risk information pregnant individuals. <h3>Objective</h3> To assess perinatal complications associated with describe factors hospitalizations. <h3>Design, Setting, Participants</h3> This cohort study included 43 886 individuals longitudinal electronic record data preconception delivery who delivered at Kaiser Permanente Northern...
Experts hypothesized increased weight gain in children associated with the coronavirus disease 2019 (COVID-19) pandemic. Our objective was to evaluate whether rate of change child body mass index (BMI) during COVID-19 pandemic compared prepandemic years. The study population 1996 ages 2 19 years at least 1 BMI measure before and drawn from 38 pediatric cohorts across United States participating Environmental Influences on Child Health Outcomes-wide cohort study. We modeled using linear mixed...