Mara Z. Vitolins, Dr.P.H.Wake Forest School of Medicine

Mara Z. Vitolins, Dr.P.H.


Contact Information

Academic: 336-716-2886 | Department: 336-716-2011


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Education & Training

  • B.A., College of Idaho, 1983
  • Dr.P.H., Loma Linda University, 1989
  • M.P.H., Loma Linda University, 1989
Mara Z. Vitolins, Dr.P.H.

Mara Z. Vitolins, Dr.P.H.

Professor, Epidemiology & Prevention
Office of Women in Medicine and Science

Research Interests

Obesity; Diet; Breast Neoplasms; Postmenopause; Soybean Proteins
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Contact Information

Academic: 336-716-2886 | Department: 336-716-2011


Media Medical Expert »

Recent Publications

Food fortification and supplement use - are there health implications?. Datta M, Vitolins MZ.. Crit Rev Food Sci Nutr. 2016;56(13):2149-2159.

Diabetes, metformin and incidence of and death from invasive cancer in postmenopausal women: results from the Women's Health Initiative. Gong Z, Aragaki AK, Chlebowski RT, Manson JE, Rohan TE, Chen C, Vitolins MZ, Tinker LF, LeBlanc ES, Kuller LH, Hou L, LaMonte MJ, Luo J, Wactawski-Wende J.. Int J Cancer. 2016;138(8):1915-1927.

Trajectories in physical activity and sedentary time among women Veterans in the Women's Health Initiative. Washington DL, Gray K, Hoerster KD, Katon JG, Cochrane BB, LaMonte MJ, Weitlauf JC, Groessl E, Bastian L, Vitolins MZ, Tinker L.. Gerontologist. 2016;56(Suppl 1):S27-S39.

Association between anthropometric measures and long-term survival in frail older women: observations from the Women's Health Initiative Study. Zaslavsky O, Rillamas-Sun E, LaCroix AZ, Woods NF, Tinker LF, Zisberg A, Shadmi E, Cochrane B, Edward BJ, Kritchevsky S, Stefanick ML, Vitolins MZ, Wactawski-Wende J, Zelber-Sagi S.. J Am Geriatr Soc. 2016;64(2):277-284.

Physical functioning among women 80 years of age and older with and without a cancer history. Weaver KE, Leach CR, Leng X, Danhauer SC, Klepin HD, Vaughan L, Naughton M, Chlebowski RT, Vitolins MZ, Paskett E.. J Gerontol A Biol Sci Med Sci. 2016;71(Suppl 1):S23-S30.

Body shape, adiposity index, and mortality in postmenopausal women: findings from the Women's Health Initiative. Thomson CA, Garcia DO, Wertheim BC, Hingle MD, Bea JW, Zaslavsky O, Caire-Juvera G, Rohan T, Vitolins MZ, Thompson PA, Lewis CE.. Obesity (Silver Spring). 2016;24(5):1061-1069.

Association between dietary inflammatory potential and breast cancer incidence and death: results from the Women's Health Initiative. Tabung FK, Steck SE, Liese AD, Zhang J, Ma Y, Caan B, Chlebowski RT, Freudenheim JL, Hou L, Mossavar-Rahmani Y, Shivappa N, Vitolins MZ, Wactawski-Wende J, Ockene JK, Hebert JR.. Br J Cancer. 2016;114(11):1277-1285.

Triglyceride levels and its relationship with hemoglobin A1C in patients with diabetes [abstract]. Pitts R, Garcia K, Ribisl P, Vitolins M, Cheskin L, Glasser S, Balasubramanyam A, Pownall HJ, Wagenknecht L, Eckel R.. J Am Coll Cardiol. 2016;67(13 Suppl):2020.

Longitudinal changes in the dietary inflammatory index: an assessment of the inflammatory potential of diet over time in postmenopausal women. Tabung FK, Steck SE, Zhang J, Ma Y, Liese AD, Tylavsky FA, Vitolins MZ, Ockene JK, Hebert JR.. Eur J Clin Nutr. 2016;():.

Patterns of change over time and history of the inflammatory potential of diet and risk of breast cancer among postmenopausal women. Tabung FK, Steck SE, Liese AD, Zhang J, Ma Y, Johnson KC, Lane DS, Qi L, Snetselaar L, Vitolins MZ, Ockene JK, Hebert JR.. Breast Cancer Res Treat. 2016;159(1):139-149.

Duration of adulthood overweight, obesity, and cancer risk in the Women's Health Initiative: a longitudinal study from the United States. Arnold M, Jiang L, Stefanick ML, Johnson KC, Lane DS, LeBlanc ES, Prentice R, Rohan TE, Snively BM, Vitolins M, Zaslavsky O, Soerjomataram I, Anton-Culver H.. PLoS Med. 2016;13(8):e1002081.

Effects of weight regain following intentional weight loss on glucoregulatory function in overweight and obese adults with pre-diabetes. Beavers KM, Case LD, Blackwell CS, Katula JA, Goff DC Jr, Vitolins MZ.. Obes Res Clin Pract. 2015;9(3):266-273.

Exogenous estrogen as mediator of racial differences in bioactive insulin-like growth factor-I levels among postmenopausal women. Jung SY, Vitolins MZ, Paskett ED, Chang S.. J Gerontol A Biol Sci Med Sci. 2015;70(4):495-502.

Associations of menopausal vasomotor symptoms with fracture incidence. Crandall CJ, Aragaki A, Cauley JA, Manson JE, LeBlanc E, Wallace R, Wactawski-Wende J, LaCroix A, O'Sullivan MJ, Vitolins M, Watts NB.. J Clin Endocrinol Metab. 2015;100(2):524-534.

Effect of protein source during weight loss on body composition, cardiometabolic risk and physical performance in abdominally obese, older adults: a pilot feeding study. Beavers KM, Gordon MM, Easter L, Beavers DP, Hairston KG, Nicklas BJ, Vitolins MZ.. J Nutr Health Aging. 2015;19(1):87-95.

Risk profiles for weight gain among postmenopausal women: a classification and regression tree analysis approach. Jung SY, Vitolins MZ, Fenton J, Frazier-Wood AC, Hursting SD, Chang S.. PLoS One. 2015;10(3):e0121430.

Feasibility and initial efficacy evaluation of a community-based cognitive-behavioral lifestyle intervention to prevent excessive weight gain during pregnancy in Latina women. Gesell SB, Katula JA, Strickland C, Vitolins MZ.. Matern Child Health J. 2015;19(8):1842-1852.

Diet drink consumption and the risk of cardiovascular events: a report from the Women's Health Initiative. Vyas A, Rubenstein L, Robinson J, Seguin RA, Vitolins MZ, Kazlauskaite R, Shikany JM, Johnson KC, Snetselaar L, Wallace R.. J Gen Intern Med. 2015;30(4):462-468.

Partial meal replacement plan and quality of the diet at 1 year: Action for Health in Diabetes (Look AHEAD) trial. Raynor HA, Anderson AM, Miller GD, Reeves R, Delahanty LM, Vitolins MZ, Harper P, Mobley C, Konersman K, Mayer-Davis E.. J Acad Nutr Diet. 2015;115(5):731-742.

A review of nutrition and physical activity interventions in adults 65 and older with type 2 diabetes. Vitolins MZ, Berg A, Deibert P, Konig D, Blackwell CS.. Curr Nutr Rep. 2015;4(2):156-163.

Race and ethnicity, obesity, metabolic health, and risk of cardiovascular disease in postmenopausal women. Schmiegelow MD, Hedlin H, Mackey RH, Martin LW, Vitolins MZ, Stefanick ML, Perez MV, Allison M, Hlatky MA.. J Am Heart Assoc. 2015;4(5):e001695.

Red blood cell folate and plasma folate are not associated with risk of incident colorectal cancer in the Women's Health Initiative Observational Study. Neuhouser ML, Cheng TY, Beresford SA, Brown E, Song X, Miller JW, Zheng Y, Thomson CA, Shikany JM, Vitolins MZ, Rohan T, Green R, Ulrich CM.. Int J Cancer. 2015;137(4):930-939.

Menopausal symptoms in women with chronic kidney disease. Cheung KL, Stefanick ML, Allison MA, LeBlanc ES, Vitolins MZ, Shara N, Chertow GM, Winkelmayer WC, Tamura MK.. Menopause. 2015;22(9):1006-1011.

Influence of soy protein intake on blood isoflavone levels, thyroid and sex hormone concentrations in women [abstract]. Koohkan S, Baer M, Vitolins M, Konig D, Bisse E, Berg A.. Exp Clin Endocrinol Diabetes. 2015;123(3):.

Healthy Living Partnerships to Prevent Diabetes (HELP PD): a randomized controlled trial to prevent diabetes through diet and exercise: 2 year effects on the metabolic syndrome [abstract]. Pedley CF, Blackwell C, Case D, Katula JA, Vitolins MZ, Goff DC.. J Gen Intern Med. 2015;30(Suppl 2):S173.

Association between dietary inflammatory potential and breast cancer incidence and mortality: results from the Women's Health Initiative [abstract]. Tabung F, Steck S, Liese A, Zhang JJ, Ma YS, Caan B, Chlebowski R, Freudenheim J, Hou LF, Mossavar-Rahmani Y, Shivappa N, Vitolins M, Wactawski-Wende J, Ockene J, Hebert J.. FASEB J. 2015;29(Suppl 1):260.5.

Genome-wide association study of hot flashes in the Women's Health Initiative Study [abstract]. Crandall CJ, Hohensee C, Horvath S, Manson JE, LeBlanc E, Vitolins M, Nassir R, Wactawski-Wende J, Sinsheimer J.. Menopause. 2015;22(12):1371.

The effect of a community-based diabetes prevention program on self-efficacy [abstract]. Katula JA, Dotson H, Vitolins MZ, Blackwell C, Isom S, Case D, Goff D Jr... Ann Behav Med. 2015;49(Suppl 1):S84.

Nutrition and physical activity cancer prevention guidelines, cancer risk, and mortality in the Women's Health Initiative. Thomson CA, McCullough ML, Wertheim BC, Chlebowski RT, Martinez ME, Stefanick ML, Rohan TE, Manson JE, Tindle HA, Ockene J, Vitolins MZ, Wactawski-Wende J, Sarto GE, Lane DS, Neuhouser ML.. Cancer Prev Res (Phila Pa). 2014;7(1):42-53.

Effects of tomato and soy on serum adipokine concentrations in postmenopausal women at increased breast cancer risk: a cross-over dietary intervention trial. Llanos AA, Peng J, Pennell ML, Krok JL, Vitolins MZ, Degraffinreid CR, Paskett ED.. J Clin Endocrinol Metab. 2014;99(2):625-632.

Baseline predictors of missed visits in the Look AHEAD study. Fitzpatrick SL, Jeffery R, Johnson KC, Roche CC, Van Dorsten B, Gee M, Dotson K, Walkup MP, Espeland MA, Bahnson JL, Wagenknecht LE, Reboussin D, Rejeski WJ, Bertoni AG, Lang W, Lawlor MS, Lefkowitz D, Miller GD, Reynolds PS, Ribisl PM,.. Obesity (Silver Spring). 2014;22(1):131-140.

Obesity and late-age survival without major disease or disability in older women. Rillamas-Sun E, LaCroix AZ, Waring ME, Kroenke CH, LaMonte MJ, Vitolins MZ, Seguin R, Bell CL, Gass M, Manini TM, Masaki KH, Wallace RB.. JAMA Intern Med. 2014;174(1):98-106.

The adipokine profile of metabolically benign obese and at-risk normal weight postmenopausal women: the Women's Health Initiative Observational Study. Khan UI, Ogorodnikova AD, Xu L, Wang D, Wassertheil-Smoller S, Ho GY, Sowers MF, Rajpathak SN, Allison MA, Mackey RH, Vitolins MZ, Manson JE, Wildman RP.. Obesity (Silver Spring). 2014;22(3):786-794.

The impact of a weight reduction program with and without meal-replacement on health related quality of life in middle-aged obese females. Koohkan S, Schaffner D, Milliron BJ, Frey I, Konig D, Deibert P, Vitolins M, Berg A.. BMC Womens Health. 2014;14():45.

Menopausal hormone therapy and health outcomes during the intervention and extended poststopping phases of the Women's Health Initiative randomized trials [editorial comment]. Manson JE, Chlebowski RT, Stefanick ML, Aragaki AK, Rossouw JE, Prentice RL, Anderson G, Howard BV, Thomson CA, LaCroix AZ, Wactawski-Wende J, Jackson RD, Limacher M, Margolis KL, Wassertheil-Smoller S, Beresford SA,.. Obstet Gynecol Surv. 2014;69(2):83-85.

Relationship between change in body composition and physical function in abdominally obese, older adults undergoing 12-weeks of caloric restriction [abstract]. Beavers KM, Gordon M, Beavers D, Hairston K, Nicklas B, Kritchevsky S, Vitolins M.. J Am Geriatr Soc. 2014;62(Suppl 1):S20.

Favorable effects of low-fat and low-carbohydrate dietary patterns on serum leptin, but not adiponectin, among overweight and obese premenopausal women: a randomized trial. Llanos AA, Krok JL, Peng J, Pennell ML, Olivo-Marston S, Vitolins MZ, Degraffinreid CR, Paskett ED.. Springerplus. 2014;3():175.

Body mass index, physical activity, and mortality in women diagnosed with ovarian cancer: results from the Women's Health Initiative. Zhou Y, Chlebowski R, LaMonte MJ, Bea JW, Qi L, Wallace R, Lavasani S, Walsh BW, Anderson G, Vitolins M, Sarto G, Irwin ML.. Gynecol Oncol. 2014;133(1):4-10.

Effects of a walking intervention using mobile technology and interactive voice response on serum adipokines among postmenopausal women at increased breast cancer risk. Llanos AA, Krok JL, Peng J, Pennell ML, Vitolins MZ, Degraffinreid CR, Paskett ED.. Horm Cancer. 2014;5(2):98-103.

Calcium/vitamin D supplementation, serum 25-hydroxyvitamin D concentrations, and cholesterol profiles in the Women's Health Initiative calcium/vitamin D randomized trial. Schnatz PF, Jiang X, Vila-Wright S, Aragaki AK, Nudy M, O'Sullivan DM, Jackson R, Leblanc E, Robinson JG, Shikany JM, Womack CR, Martin LW, Neuhouser ML, Vitolins MZ, Song Y, Kritchevsky S, Manson JE.. Menopause. 2014;21(8):823-833.

Better postdiagnosis diet quality is associated with reduced risk of death among postmenopausal women with invasive breast cancer in the Women's Health Initiative. George SM, Ballard-Barbash R, Shikany JM, Caan BJ, Freudenheim JL, Kroenke CH, Vitolins MZ, Beresford SA, Neuhouser ML.. Cancer Epidemiol Biomarkers Prev. 2014;23(4):575-583.

Bioavailable insulin-like growth factor-I inversely related to weight gain in postmenopausal women regardless of exogenous estrogen. Jung SY, Hursting SD, Guindani M, Vitolins MZ, Paskett E, Chang S.. Cancer Epidemiol Biomarkers Prev. 2014;23(3):534-544.

Predictors of attendance to A community-based diabetes prevention program: healthy living partnerships to prevent diabetes (HELP PD) [abstract]. Katula JA, Vitolins M, Isom S, Blackwell C, Griffith E, Lawlor M, Goff D.. Ann Behav Med. 2014;47(Suppl 1):S88.

Usual dietary intake among female breast cancer survivors is not significantly different from women with no cancer history: results of the National Health and Nutrition Examination Survey, 2003-2006. Milliron BJ, Vitolins MZ, Tooze JA.. J Acad Nutr Diet. 2014;114(6):932-937.

Weight loss intervention in survivors of ER/PR-negative breast cancer. Vitolins MZ, Milliron BJ, Hopkins JO, Fulmer A, Lawrence J, Melin S, Case D.. Clin Med Insights Womens Health. 2014;7():17-24.

Comment on Kahn and Davidson. The reality of type 2 diabetes prevention [letter]. Goff DC Jr, Katula JA, Blackwell CS, Isom SP, Pedley CF, Vitolins MZ.. Diabetes Care. 2014;37(8):e185-e186.

Cross-sectional analysis of calcium intake for associations with vascular calcification and mortality in individuals with type 2 diabetes from the Diabetes Heart Study. Raffield LM, Agarwal S, Cox AJ, Hsu FC, Carr JJ, Freedman BI, Xu J, Bowden DW, Vitolins MZ.. Am J Clin Nutr. 2014;100(4):1029-1035.

Electrocardiographic repolarization-related variables as predictors of coronary heart disease death in the Women's Health Initiative study. Rautaharju PM, Zhang ZM, Vitolins M, Perez M, Allison MA, Greenland P, Soliman EZ.. J Am Heart Assoc. 2014;3(4):e001005.

Non-steroidal anti-inflammatory drugs and cancer risk in women: results from the Women's Health Initiative. Brasky TM, Liu J, White E, Peters U, Potter JD, Walter RB, Baik CS, Lane DS, Manson JE, Vitolins MZ, Allison MA, Tang JY, Wactawski-Wende J.. Int J Cancer. 2014;135(8):1869-1883.

Effect of a low-fat or low-carbohydrate weight-loss diet on markers of cardiovascular risk among premenopausal women: a randomized trial. Foraker RE, Pennell M, Sprangers P, Vitolins MZ, DeGraffinreid C, Paskett ED.. J Womens Health (Larchmt). 2014;23(8):675-680.

All Publications

For a listing of recent publications, refer to PubMed, a service provided by the National Library of Medicine.

For a list of earlier publications, visit the Carpenter Library Publication Search.

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