June Tester, MD, MPH

Adjunct Professor

I am an Adjunct Professor of Pediatrics who has a deep interest in cardiometabolic risk that has been informed by both my care of patients with obesity and my research program. For nine years, I was a co-director of a large pediatric weight management program at Children’s Hospital & Research Center Oakland (2,400+ patients). I have board certification in both Obesity Medicine as well as Clinical Lipidology, and currently see patients at UCSF Benioff Children’s Hospital Oakland for prediabetes and for lipid disorders.

My current research focuses on interventions that support individuals with risk for diet-sensitive chronic disease such as diabetes. My current work centers around the following two projects:
• The ADELANTE Trial: Testing a multi-level approach for improving household food insecurity and glycemic control among Latinos with diabetes. This randomized controlled trial will evaluate the impact of food deliveries and group support on the primary outcome of HbA1c in Latinos recruited from a federally-qualified health center who have type 2 diabetes and household food insecurity. (PI Rosas/Tester, NIMHD 1R01MD016738
• Evaluating the effectiveness of a Food Prescription program in community health clinics as part of the Food as Medicine program in Alameda County called Recipe 4 Health. This is a large collaborative effort including multiple partners (HCSA, Dig Deep Farms, Open Source Wellness, Stanford University, and UCSF) in an ongoing food prescription program since 2020 that has thus far served over 3,000 patients in Alameda County.

Other recent areas of focus have included:
• Measurement dietary intake, using 24-hour diet recall data from NHANES, using Nutrition Data System for Research (NDSR) and ASA-24
• Concurrent food insecurity and obesity in children (K23 HD075852)
• Delivery interventions to increase consumption of whole grains
• Longitudinal analyses of weight trajectory among children seen for weight management

Previously, funded by the Robert Wood Johnson Foundation as a Health and Society Scholar and later as a grantee with the Healthy Eating Research and Active Living Research grant mechanisms, my research focused on other things: urban food access, public health potential for improved access with healthy mobile food vending, contribution of corner stores to food environment, and neighborhoods and parks.


Greater Improvement in Obesity Among Children With Prediabetes in a Clinical Weight Management Program.

Childhood obesity (Print)

Tester JM, Xiao L, Chau CA, Tinajero-Deck L, Srinivasan S, Rosas LG

Addressing food insecurity and chronic conditions in community health centres: protocol of a quasi-experimental evaluation of Recipe4Health.

BMJ open

Rosas LG, Chen S, Xiao L, Emmert-Aronson BO, Chen WT, Ng E, Martinez E, Baiocchi M, Thompson-Lastad A, Markle EA, Tester J

Food Insecurity Influences Weight Trajectory in Children with Obesity.

Childhood obesity (Print)

Tester JM, Xiao L, Tinajero-Deck L, Juarez L, Rosas LG

Food Insecurity and Pediatric Obesity: a Double Whammy in the Era of COVID-19.

Current obesity reports

Tester JM, Rosas LG, Leung CW

A Narrative Review of Medical and Genetic Risk Factors among Children Age 5 and Younger with Severe Obesity.

Childhood obesity (Print)

Mirza N, Phan TL, Tester J, Fals A, Fernandez C, Datto G, Estrada E, Eneli I

Characteristics of Children 2 to 5 Years of Age With Severe Obesity.


Tester JM, Phan TT, Tucker JM, Leung CW, Dreyer Gillette ML, Sweeney BR, Kirk S, Tindall A, Olivo-Marston SE, Eneli IU

Biobehavioral Factors That Shape Nutrition in Low-Income Populations: A Narrative Review.

American journal of preventive medicine

Laraia BA, Leak TM, Tester JM, Leung CW

SNAP Participation and Diet-Sensitive Cardiometabolic Risk Factors in Adolescents.

American journal of preventive medicine

Leung CW, Tester JM, Rimm EB, Willett WC

Revised WIC Food Package and Children's Diet Quality.


Tester JM, Leung CW, Crawford PB

Gender differences in prediabetes and insulin resistance among 1356 obese children in Northern California.

Diabetes & metabolic syndrome

Tester J, Sharma S, Jasik CB, Mietus-Snyder M, Tinajero-Deck L

Small retailer perspectives of the 2009 Women, Infants and Children Program food package changes.

American journal of health behavior

Gittelsohn J, Laska MN, Andreyeva T, Foster G, Rose D, Tester J, Lee SH, Zenk SN, Odoms-Young A, McCoy T, Ayala GX

An analysis of public health policy and legal issues relevant to mobile food vending.

American journal of public health

Tester JM, Stevens SA, Yen IH, Laraia BL

Childhood obesity and the built environment.

Pediatric annals

Razani N, Tester J

Mobile food vending and the after-school food environment.

American journal of preventive medicine

Tester JM, Yen IH, Laraia B

Healthy food availability in small urban food stores: a comparison of four US cities.

Public health nutrition

Laska MN, Borradaile KE, Tester J, Foster GD, Gittelsohn J

Environment shapes health, including children's mental health.

Journal of the American Academy of Child and Adolescent Psychiatry

Jackson RJJ, Tester J

A matched case-control study evaluating the effectiveness of speed humps in reducing child pedestrian injuries.

American journal of public health

Tester JM, Rutherford GW, Wald Z, Rutherford MW