Kristine Madsen
· Professor, Food, Nutrition and Population Health; Community Health SciencesVerifiedUniversity of California, Berkeley · Community Health Sciences
Active 1962–2026
About
Dr. Kristine Madsen is a Professor at UC Berkeley’s School of Public Health and the Faculty Director for the Berkeley Food Institute. She is a pediatrician and research scientist with expertise in the design and evaluation of interventions related to pediatric obesity, cardiovascular risk, and health disparities. She has partnered with schools, health departments, and cities to expand the reach of school and community programs that promote health. Her research interests include health disparities, policy approaches to reducing cardiovascular disease, physical activity, school health, and community-based participatory research.
Research topics
- Medicine
- Environmental health
- Sociology
- Demography
- Economics
- Internal medicine
- Family medicine
- Psychology
- Social Science
- Business
- Gerontology
- Political Science
- Agricultural economics
- Finance
- Agricultural science
- Immunology
- Biology
- Nursing
- Oncology
- Pedagogy
- Toxicology
- Public economics
- Pediatrics
- Engineering
Selected publications
Food serviceware and packaging waste: Results from a lunch waste audit in California public schools
Cleaner Food Systems · 2026-04-06
article2025-12-17
articleOpen access<p>Sample output from parametric g-computation algorithm calculating 5-year risks of all-cause mortality when hypothetically intervening on different levels of the healthy plant-based diet score (hPDI)</p>
Journal for Healthcare Quality · 2025-04-01
articleABSTRACT: Smoking is a preventable cause of death and morbidity. A department-wide quality improvement initiative was implemented to increase smoking cessation counseling and referral rates as part of a composite metric, which was tied to a faculty incentive. Eligible individuals were current smokers seen in any of 52 internal medicine clinics for a 12-month period. An infographic, a quality improvement newsletter, and outreach to leadership were used to increase awareness about the metric to stakeholders and to provide example workflows. To satisfy the metric, clinic staff offered a nicotine cessation clinic referral to tobacco users at the time of rooming in. If patients agreed, a referral order was pended for the provider to sign. If patients did not agree, literature on smoking cessation was appended to a patient's after-visit summary. Smoking cessation counseling was then documented in the electronic medical record. Rates were serially monitored at the individual clinic and health system level on a centralized, cloud-based dashboard. For a 12-month period, the composite of smoking cessation counseling and referral rates rose from a baseline of 8.6% to 25.6%. Referrals to nicotine cessation clinics increased during the first half of the period but did not during the second half.
2025-12-17
articleOpen access<p>Steps for estimating risks of all-cause mortality under hypothetical interventions using parametric g-computation</p>
Journal of Nutrition Education and Behavior · 2025-08-28 · 1 citations
articleOpen access2025-12-17
articleOpen access<p>Immediate cause of death among Pathways participants who died during the study period (n=734)</p>
Respirology Case Reports · 2025-05-01 · 1 citations
articleOpen accessLung biopsy in patients with pulmonary arterial hypertension (PH) poses a diagnostic challenge due to potential increased procedure-related risks. This case series describes a single institution's experience using shape-sensing robotic-assisted bronchoscopy (ssRAB) with multi-modality imaging to biopsy eight pulmonary lesions in eight patients with haemodynamically confirmed PH receiving pulmonary vasodilator therapy. A specific diagnosis was obtained for seven pulmonary lesions. No complications, including pneumothorax, bleeding, respiratory failure or escalation of care, were observed, and all patients were safely discharged on the day of the procedure. This study highlights that ssRAB, when conducted with advanced imaging techniques and supported by a multidisciplinary team, appears to be a safe and effective diagnostic approach for PH patients on pulmonary vasodilator therapy when evaluating suspicious lung lesions. Patient selection should be individualized, and procedures should be performed at specialized centres equipped with expertise in the peri-procedural management of PH as well as complex bronchoscopy.
2025-12-17
articleOpen access<p>Left column: comparisons of the observed (solid line) vs the natural course (dotted line) estimates by 4-month time intervals from baseline. Right column: differences between observed and natural course estimates (solid line) and 95% pointwise confidence intervals (dotted lines) by 4-month time intervals from baseline.</p>
2025-12-17
articleOpen access<p>Baseline characteristics comparing Pathways Study enrolled participants with eligible, unenrolled Kaiser Permanente members</p>
Preventive Medicine Reports · 2025-03-20
articleOpen accessSenior authorCompliance with elementary school physical education law is low. School district-led PE audit, feedback, and coaching (PEAFC), along with funding credentialed teachers, demonstrated the potential for improving compliance with law in New York City public schools. However, the likely scalable approach of PEAFC, alone, has not been rigorously tested in other districts. Two-year pilot cluster-RCT in 10 Bay Area, California elementary schools (mean enrollment 421; 66 % Latino; 92 % free or reduced-price meal eligible). Five schools were randomized to receive PEAFC. Physical education lessons ( n = 168) were observed using the System for Observing Fitness Instruction Time in Fall 2022, Spring 2023, and Spring 2024. Linear mixed effects models examined the impact of PEAFC on between-group changes in law compliance (using scheduled and estimated physical education minutes) and lesson time in moderate-to-vigorous physical activity (MVPA). There were no statistically significant differences in changes in scheduled or estimated minutes between times between groups. Students in both intervention (10 % increase; 95 % CI: 2.17 %, 17.41 %) and control (9 % increase; 95 % CI: 2.61 %, 14.42 %) schools increased lesson time in MVPA, but there was not a statistically significant difference in change between groups. PEAFC did not impact physical education law compliance or lesson time spent in MVPA. In the absence of credentialed physical education teachers to provide mandated minutes, PEAFC may be limited in its potential to increase compliance with state mandates. Hiring credentialed physical education teachers in elementary schools may be the most effective way to support compliance with state physical education laws. • Compliance with state-level elementary school physical education law is low. • We tested physical education audit, feedback, and coaching on law compliance. • In this randomized trial, the intervention did not impact law compliance. • Without credentialed physical education teachers, the intervention was limited. • Funding credentialed teachers may be most effective for increasing law compliance.
Recent grants
NIH · $621k · 2013
RCT of BMI screening: Effects on obesity, disparities, and body satisfaction
NIH · $3.7M · 2013–2019
Frequent coauthors
- 164 shared
Hannah R. Thompson
University of California, Berkeley
- 64 shared
Wendi Gosliner
University of California, Berkeley
- 61 shared
Stephanie S. Machado
California State University, Chico
- 52 shared
Marisa Neelon
- 50 shared
Ana Ibarra Castro
University of California, Berkeley
- 50 shared
Lorrene D. Ritchie
University of California Division of Agriculture and Natural Resources
- 49 shared
Jennifer Linchey
University of California, Berkeley
- 40 shared
Jennifer Falbe
University of California, Davis
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