Adolescent and General Paediatric Unit, Institute of Child Health, University College London, 250 Euston Road, 6th Floor, London NW1 2PQ, UK.
Reprod Biomed Online. 2010 Jan;20(1):144-9. doi: 10.1016/j.rbmo.2009.10.006. Epub 2009 Oct 30.
Recent studies have given conflicting results regarding growth in children born following assisted reproductive treatments up to the age of 18years. It has been suggested that children conceived via IVF may be taller than naturally conceived children and that this may due to subtle epigenetic alteration of imprinted genes as a result of the IVF process. A prospective match-controlled study was performed to investigate the growth of children born in the UK following standard IVF and intracytoplasmic sperm injection (ICSI) up to the age of 12years. The study assessed 143 IVF and 166 ICSI children with 173 matched naturally conceived controls. Primary end-points were height and weight at various time points: birth, 5years, 7-9years and 10-12years. In addition, head circumference was assessed at birth. No significant differences were observed regarding head circumference, height and weight between the three groups at any of the time points. In conclusion, this preliminary study provides reassuring information regarding the growth of IVF and ICSI children up to 12years. Further studies must continue to investigate the growth and other outcomes in assisted-conception children as they develop through puberty into early adulthood.
最近的研究对于辅助生殖治疗后 18 岁以下儿童的生长情况得出了相互矛盾的结果。有人认为,通过体外受精受孕的儿童可能比自然受孕的儿童更高,这可能是由于体外受精过程中印记基因的微妙表观遗传改变所致。一项前瞻性匹配对照研究旨在调查英国标准体外受精和胞浆内精子注射(ICSI)后儿童的生长情况,直至 12 岁。该研究评估了 143 名 IVF 和 166 名 ICSI 儿童以及 173 名匹配的自然受孕对照组。主要终点是出生时、5 岁、7-9 岁和 10-12 岁时的身高和体重。此外,还在出生时评估了头围。在任何时间点,三组之间的头围、身高和体重均无显著差异。总之,这项初步研究为 12 岁以下 IVF 和 ICSI 儿童的生长提供了令人安心的信息。必须进行进一步的研究,以调查辅助受孕儿童在青春期到成年早期的生长和其他结果。