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Elizabeth C. Feliciano, ScD

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Kaiser Permanente Division of Research
2000 Broadway
Oakland, CA 94612

510-891-5988  (phone)
elizabeth.m.cespedes@kp.org


Elizabeth M. Cespedes Feliciano, ScD, is a Research Scientist I at the Kaiser Permanente Northern California Division of Research. Her research focuses on identifying, understanding, and intervening on modifiable risk factors for obesity and cancer-related metabolic diseases. She holds a Bachelor of Arts from Brown University, a Masters in Social and Behavioral Sciences from the Harvard T.H. Chan School of Public Health, and a doctorate in Epidemiology and Nutrition, also from Harvard University. Dr. Cespedes Feliciano’s dissertation research focused on sleep duration, diet quality, and risk of obesity and diabetes in children and adults. She now applies her expertise in obesity epidemiology to the role of energy balance and body composition in cancer outcomes.

Current Position(s):

  • Research Scientist I, Division of Research, Kaiser Permanente Northern California

Section Affiliations:

Primary Research Interests:

  • Obesity
  • Cancer
  • Ethnic minority health and health disparities
  • Diabetes
  • Behavior change
  • Chronic disease prevention
  • Dietary patterns
  • Sleep

    Beyond Body Mass Index: Bringing Body Composition into Oncology Practice

    This project consists of development of electronic tools to rapidly assess body composition in colorectal cancer and breast cancer patients and present this information to clinicians. It leverages Kaiser Permanente Northern California’s electronic medical records and repository of CT images, including 6,000 images from colorectal cancer and breast cancer patients that were previously manually analyzed for body composition. This project has three major aims: validate software to automatically assess body composition from clinically-acquired imaging (Aim 1); improve the predictive performance of established colorectal cancer risk prediction models through the addition of body composition variables (Aim 2); and develop a prototype of an electronic decision support tool that presents personalized patient risk information to clinicians in an understandable and actionable format (Aim 3).
    Investigator: Feliciano, Elizabeth
    Funder: National Cancer Institute

    Association of Systemic Inflammation and Sarcopenia With Survival in Nonmetastatic Colorectal Cancer: Results From the C SCANS Study

    Author(s): Cespedes Feliciano EM; Kroenke CH; Meyerhardt JA; Prado CM; Bradshaw PT; Kwan ML; Xiao J; Alexeeff S; Corley D; Weltzien E; Castillo AL; Caan BJ

    JAMA Oncol. 2017 Aug 10:e172319.

    PubMed abstract

    Metabolic Dysfunction, Obesity, and Survival Among Patients With Early-Stage Colorectal Cancer

    Author(s): Cespedes Feliciano EM; Kroenke CH; Meyerhardt JA; Prado CM; Bradshaw PT; Dannenberg AJ; Kwan ML; Xiao J; Quesenberry C; Weltzien EK; Castillo AL; Caan BJ

    J Clin Oncol. 2016 Sep 6.

    PubMed abstract

    Multiple Healthful Dietary Patterns and Type 2 Diabetes in the Women's Health Initiative.

    Author(s): Cespedes EM; Hu FB; Tinker L; Rosner B; Redline S; Garcia L; Hingle M; Van Horn L; Howard BV; Levitan EB; Li W; Manson JE; Phillips LS; Rhee JJ; Waring ME; Neuhouser ML

    American journal of epidemiology. 2016 Apr 01;183(7):622-33. Epub 2016-03-02.

    PubMed abstract

    Long-term changes in sleep duration, energy balance and risk of type 2 diabetes

    Author(s): Cespedes EM; Bhupathiraju SN; Li Y; Rosner B; Redline S; Hu FB

    Diabetologia. 2015 Nov 2.

    PubMed abstract

    Identifying Metabolomic Profiles of Insulinemic Dietary Patterns

    Author(s): Tabung FK; Balasubramanian R; Liang L; Clinton SK; Cespedes Feliciano EM; Manson JE; Van Horn L; Wactawski-Wende J; Clish CB; Giovannucci EL; Rexrode KM

    Metabolites. 2019 Jun 24;9(6). Epub 2019-06-24.

    PubMed abstract

    Identifying metabolomic profiles of inflammatory diets in postmenopausal women

    Author(s): Tabung FK; Cespedes Feliciano EM; Rexrode KM; et al.

    Clin Nutr. 2019 Jun 17.

    PubMed abstract

    Body Composition and Cardiovascular Events in Patients With Colorectal Cancer: A Population-Based Retrospective Cohort Study

    Author(s): Brown JC; Caan BJ; Prado CM; Weltzien E; Xiao J; Cespedes Feliciano EM; Kroenke CH; Meyerhardt JA

    JAMA Oncol. 2019 May 16.

    PubMed abstract

    Muscle segmentation in axial computed tomography (CT) images at the lumbar (L3) and thoracic (T4) levels for body composition analysis

    Author(s): Dabiri S; Popuri K; Cespedes Feliciano EM; Caan BJ; Baracos VE; Beg MF

    Comput Med Imaging Graph. 2019 May 09;75:47-55. Epub 2019-05-09.

    PubMed abstract

    Association of Daily Rest-Activity Patterns With Adiposity and Cardiometabolic Risk Measures in Teens

    Author(s): Quante M; Cespedes Feliciano EM; Rifas-Shiman SL; Mariani S; Kaplan ER; Rueschman M; Oken E; Taveras EM; Redline S

    J Adolesc Health. 2019 May 02.

    PubMed abstract

    Adipose Tissue Distribution and Survival Among Women with Nonmetastatic Breast Cancer

    Author(s): Bradshaw PT; Cespedes Feliciano EM; Prado CM; Alexeeff S; Albers KB; Chen WY; Caan BJ

    Obesity (Silver Spring). 2019 Apr 25.

    PubMed abstract

    The association of medical and demographic characteristics with sarcopenia and low muscle radiodensity in patients with nonmetastatic colorectal cancer

    Author(s): Xiao J; Caan BJ; Cespedes Feliciano EM; Meyerhardt JA; Kroenke CH; Baracos VE; Weltzien E; Kwan ML; Alexeeff SE; Castillo AL; Prado CM

    Am J Clin Nutr. 2019 Mar 01;109(3):615-625.

    PubMed abstract

    Associations Between Timing of Meals, Physical Activity, Light Exposure, and Sleep With Body Mass Index in Free-Living Adults

    Author(s): Marinac CR; Quante M; Mariani S; Weng J; Redline S; Cespedes Feliciano EM; Hipp JA; Wang D; Kaplan ER; James P; Mitchell JA

    J Phys Act Health. 2019 Feb 24:1-8.

    PubMed abstract

    The evolution of body composition in oncology-epidemiology, clinical trials, and the future of patient care: facts and numbers

    Author(s): Brown JC; Cespedes Feliciano EM; Caan BJ

    J Cachexia Sarcopenia Muscle. 2018 Dec;9(7):1200-1208. Epub 2019-01-13.

    PubMed abstract

    Non-alcoholic fatty liver disease and colorectal cancer survival

    Author(s): Wu K; Zhai MZ; Weltzien EK; Cespedes Feliciano EM; Meyerhardt JA; Giovannucci E; Caan BJ

    Cancer Causes Control. 2018 Nov 15.

    PubMed abstract

    Screening for low muscularity in colorectal cancer patients: a valid, clinic-friendly approach that predicts mortality

    Author(s): Cespedes Feliciano EM; Avrutin E; Caan BJ; Boroian A; Mourtzakis M

    J Cachexia Sarcopenia Muscle. 2018 Jul 31.

    PubMed abstract

    Change in longitudinal trends in sleep quality and duration following breast cancer diagnosis: results from the Women's Health Initiative

    Author(s): Beverly CM; Feliciano EMC; Paskett ED; et al.

    NPJ Breast Cancer. 2018;4:15. Epub 2018-06-29.

    PubMed abstract

    Objective Sleep Characteristics and Cardiometabolic Health in Young Adolescents

    Author(s): Cespedes Feliciano EM; Quante M; Rifas-Shiman SL; Redline S; Oken E; Taveras EM

    Pediatrics. 2018 Jun 15.

    PubMed abstract

    Clinical implications of low skeletal muscle mass in early-stage breast and colorectal cancer

    Author(s): Cespedes Feliciano E; Chen WY

    Proc Nutr Soc. 2018 Jun 04:1-6.

    PubMed abstract

    Muscle radiodensity and mortality in patients with colorectal cancer

    Author(s): Kroenke CH; Prado CM; Meyerhardt JA; Weltzien EK; Xiao J; Cespedes Feliciano EM; Caan BJ

    Cancer. 2018 May 24.

    PubMed abstract

    The deterioration of muscle mass and radiodensity is prognostic of poor survival in stage I-III colorectal cancer: a population-based cohort study (C-SCANS)

    Author(s): Brown JC; Caan BJ; Weltzien E; Cespedes Feliciano EM; Kroenke CH; Castillo A; Kwan ML; Prado CM; et al.

    J Cachexia Sarcopenia Muscle. 2018 May 15.

    PubMed abstract

    The Obesity Paradox in Cancer: How Important Is Muscle?

    Author(s): Cespedes Feliciano EM; Kroenke CH; Caan BJ

    Annu Rev Nutr. 2018 May 04.

    PubMed abstract

    An Empirical Dietary Inflammatory Pattern Score Is Associated with Circulating Inflammatory Biomarkers in a Multi-Ethnic Population of Postmenopausal Women in the United States

    Author(s): Tabung FK; Cespedes Feliciano EM; Rexrode KM; et al.

    J Nutr. 2018 Apr 20.

    PubMed abstract

    Associations of pre-existing co-morbidities with skeletal muscle mass and radiodensity in patients with non-metastatic colorectal cancer

    Author(s): Xiao J; Caan BJ; Weltzien E; Cespedes Feliciano EM; Kroenke CH; Kwan ML; Prado CM; et al.

    J Cachexia Sarcopenia Muscle. 2018 Apr 19.

    PubMed abstract

    The Importance of Body Composition in Explaining the Overweight Paradox in Cancer-Counterpoint

    Author(s): Caan BJ; Cespedes Feliciano EM; Kroenke CH

    Cancer Res. 2018 Apr 15;78(8):1906-1912.

    PubMed abstract

    The Plausibility of the Obesity Paradox in Cancer-Response-Reply to Point

    Author(s): Cespedes Feliciano EM; Kroenke CH; Caan BJ

    Cancer Res. 2018 Apr 15;78(8):1904-1905.

    PubMed abstract

    Association of Muscle and Adiposity Measured by Computed Tomography With Survival in Patients With Nonmetastatic Breast Cancer

    Author(s): Caan BJ; Cespedes Feliciano EM; Alexeeff S; Kroenke CH; Bradshaw P; Quesenberry CP; Weltzien EK; Chen WY; et al.

    JAMA Oncol. 2018 Apr 05.

    PubMed abstract

    Cardiometabolic risk factors and survival after breast cancer in the Women's Health Initiative

    Author(s): Simon MS; Beebe-Dimmer JL; Hastert TA; Manson JE; Cespedes Feliciano EM; Neuhouser ML; Ho GYF; Freudenheim JL; Strickler H; Ruterbusch J; Barac A; Chlebowski R; Caan B

    Cancer. 2018 Jan 16.

    PubMed abstract

    Actigraphy-Derived Daily Rest-Activity Patterns and Body Mass Index in Community-Dwelling Adults

    Author(s): Cespedes Feliciano EM; Quante M; Weng J; Mitchell JA; James P; Marinac CR; Mariani S; Redline S; Kerr J; Godbole S; Manteiga A; Wang D; Hipp JA

    Sleep. 2017 Oct 04.

    PubMed abstract

    Muscle mass at the time of diagnosis of nonmetastatic colon cancer and early discontinuation of chemotherapy, delays, and dose reductions on adjuvant FOLFOX: The C-SCANS study

    Author(s): Cespedes Feliciano EM; Lee VS; Prado CM; Meyerhardt JA; Alexeeff S; Kroenke CH; Xiao J; Castillo AL; Caan BJ

    Cancer. 2017 Sep 07.

    PubMed abstract

    Methodological considerations for disentangling a risk factor's influence on disease incidence versus postdiagnosis survival: The example of obesity and breast and colorectal cancer mortality in the Women's Health Initiative

    Author(s): Cespedes Feliciano EM; Prentice RL; Aragaki AK; Neuhouser ML; Banack HR; Kroenke CH; Ho GYF; Zaslavsky O; Strickler HD; Cheng TD; Chlebowski RT; Saquib N; Nassir R; Anderson G; Caan BJ

    Int J Cancer. 2017 Aug 18.

    PubMed abstract

    Association of Systemic Inflammation and Sarcopenia With Survival in Nonmetastatic Colorectal Cancer: Results From the C SCANS Study

    Author(s): Cespedes Feliciano EM; Kroenke CH; Meyerhardt JA; Prado CM; Bradshaw PT; Kwan ML; Xiao J; Alexeeff S; Corley D; Weltzien E; Castillo AL; Caan BJ

    JAMA Oncol. 2017 Aug 10:e172319.

    PubMed abstract

    Explaining the Obesity Paradox: The Association between Body Composition and Colorectal Cancer Survival (C-SCANS Study)

    Author(s): Caan BJ; Meyerhardt JA; Kroenke CH; Alexeeff S; Xiao J; Weltzien E; Feliciano EC; Castillo AL; Quesenberry CP; Kwan ML; Prado CM

    Cancer Epidemiol Biomarkers Prev. 2017 May 15.

    PubMed abstract

    Body mass index, PAM50 subtype, recurrence and survival among patients with nonmetastatic breast cancer

    Author(s): Cespedes Feliciano EM; Kwan ML; Kushi LH; Chen WY; Weltzien EK; Castillo AL; Sweeney C; Bernard PS; Caan BJ

    Cancer. 2017 Mar 13.

    PubMed abstract

    Adiposity, post-diagnosis weight change, and risk of cardiovascular events among early-stage breast cancer survivors

    Author(s): Cespedes Feliciano EM; Kwan ML; Kushi LH; Weltzien EK; Castillo AL; Caan BJ

    Breast Cancer Res Treat. 2017 Feb 07.

    PubMed abstract

    Actigraphic Sleep Patterns of U.S. Hispanics: The Hispanic Community Health Study/Study of Latinos

    Author(s): Dudley KA; Weng J; Sotres-Alvarez D; Simonelli G; Cespedes Feliciano E; Ramirez M; Ramos AR; Loredo JS; Reid KJ; Mossavar-Rahmani Y; Zee PC; Chirinos DA; Gallo LC; Wang R; Patel SR

    Sleep. 2017 Feb 01;40(2).

    PubMed abstract

    Association of Weight Change after Colorectal Cancer Diagnosis and Outcomes in the Kaiser Permanente Northern California Population

    Author(s): Meyerhardt JA; Kroenke CH; Prado CM; Kwan ML; Castillo A; Weltzien E; Cespedes EM; Xiao J; Caan BJ

    Cancer Epidemiol Biomarkers Prev. 2016 Dec 16.

    PubMed abstract

    Physical activity induced protection against breast cancer risk associated with delayed parity

    Author(s): Sturgeon KM; Schweitzer A; Leonard JJ; Tobias DK; Liu Y; Cespedes Feliciano E; Malik VS; Joshi A; Rosner B; De Jonghe BC

    Physiol Behav. 2016 Nov 21;169:52-58. Epub 2016-11-21.

    PubMed abstract

    Physical activity from menarche to first pregnancy and risk of breast cancer

    Author(s): Liu Y; Tobias DK; Sturgeon KM; Rosner B; Malik V; Cespedes E; Joshi AD; Eliassen AH; Colditz GA

    Int J Cancer. 2016 Sep 15;139(6):1223-30. Epub 2016-05-17.

    PubMed abstract

    Metabolic Dysfunction, Obesity, and Survival Among Patients With Early-Stage Colorectal Cancer

    Author(s): Cespedes Feliciano EM; Kroenke CH; Meyerhardt JA; Prado CM; Bradshaw PT; Dannenberg AJ; Kwan ML; Xiao J; Quesenberry C; Weltzien EK; Castillo AL; Caan BJ

    J Clin Oncol. 2016 Sep 6.

    PubMed abstract

    Post-diagnosis Weight Change and Survival Following a Diagnosis of Early Stage Breast Cancer

    Author(s): Cespedes EM; Kroenke CH; Bradshaw PT; Chen WY; Prado CM; Weltzien EK; Castillo AL; Caan BJ

    Cancer Epidemiol Biomarkers Prev. 2016 Aug 26.

    PubMed abstract

    What Should Cardiologists Tell Their Patients About a Healthy Dietary Pattern?

    Author(s): Hu FB; Cespedes Feliciano EM

    J Am Coll Cardiol. 2016 Aug 23;68(8):815-7.

    PubMed abstract

    Change in Dietary Patterns and Change in Waist Circumference and DXA Trunk Fat Among Postmenopausal Women

    Author(s): Cespedes Feliciano EM; Tinker L; Manson JE; Allison M; Rohan T; Zaslavsky O; Waring ME; Asao K; Garcia L; Rosal M; Neuhouser ML

    Obesity (Silver Spring). 2016 Aug 22.

    PubMed abstract

    Multiple Healthful Dietary Patterns and Type 2 Diabetes in the Women's Health Initiative.

    Author(s): Cespedes EM; Hu FB; Tinker L; Rosner B; Redline S; Garcia L; Hingle M; Van Horn L; Howard BV; Levitan EB; Li W; Manson JE; Phillips LS; Rhee JJ; Waring ME; Neuhouser ML

    American journal of epidemiology. 2016 Apr 01;183(7):622-33. Epub 2016-03-02.

    PubMed abstract

    Association between sleeping difficulty and type 2 diabetes in women

    Author(s): Li Y; Gao X; Winkelman JW; Cespedes EM; Jackson CL; Walters AS; Schernhammer E; Redline S; Hu FB

    Diabetologia. 2016 Jan 28.

    PubMed abstract

    Long-term changes in sleep duration, energy balance and risk of type 2 diabetes

    Author(s): Cespedes EM; Bhupathiraju SN; Li Y; Rosner B; Redline S; Hu FB

    Diabetologia. 2015 Nov 2.

    PubMed abstract