Jiang Y Q, Hu Z B, Du J B, Lin Y, Ma H X, Jin G F, Li R, Yan J H, Liu Z W, Lin G, Zhou C Q, Xia Y K, Shen H B
Department of Epidemiology, School of Public Health, Nanjing Medical University, Nanjing 211166, China.
Department of Epidemiology, School of Public Health, Nanjing Medical University, Nanjing 211166, China State Key Laboratory of Reproductive Medicine, Center for Global Health, Nanjing Medical University, Nanjing 211166, China.
Zhonghua Liu Xing Bing Xue Za Zhi. 2021 Apr 10;42(4):579-585. doi: 10.3760/cma.j.cn112338-20201231-01455.
To explore the effects of environmental, genetic factors as well as the interactions in early life on the short-term and long-term health of offspring and to systematically evaluate the pregnancy outcomes and health of offspring after birth between families with assisted reproductive technology (ART) conception and families with spontaneous conception. The China National Birth Cohort (CNBC), a multicenter prospective birth cohort study, includes both families with ART conception and families with spontaneous conception. Since 2016, CNBC has recruited families from 24 hospitals located in 12 provinces, municipalities and autonomous regions throughout China. Information and biospecimens were collected before ART treatment, embryo transfer, at early, second, third trimester and delivery, and at 42 days, 6, 12 and 36 months after birth. By June 2020, CNBC had included 27 044 families with ART conception and 29 589 families with spontaneous conception. The majority of the participants are urban residents. Among the families with ART conception, 65.5% of the men and 63.7% of the women had college degrees or higher. The mean age distribution of men and women was (33.83±5.52) and (32.38±4.67) years. 83.2% of women were primiparas, and the prevalence rates of current regular smokers and current alcohol drinkers were 0.8% and 2.1% in women. Among the families with spontaneous conception, 81.5% of the men and 86.5% of the women had college degrees or higher. The mean age distribution of men and women was (32.06±5.09) and (30.40±4.27) years. 67.2% of women were primiparas, and the prevalence rates of current regular smokers and current alcohol drinkers were 0.1% and 2.2% in women. The baseline characteristics were different between the families with ART conception and spontaneous conception in different regions. CNBC provides a powerful and rich resource in studying the impact of genetic, environmental factors and interactions in early life and ART treatment on the health of offspring after birth.
探讨环境、遗传因素以及生命早期的相互作用对后代短期和长期健康的影响,并系统评估辅助生殖技术(ART)受孕家庭与自然受孕家庭产后的妊娠结局及后代健康状况。中国国家出生队列(CNBC)是一项多中心前瞻性出生队列研究,涵盖了ART受孕家庭和自然受孕家庭。自2016年以来,CNBC从中国12个省、直辖市和自治区的24家医院招募家庭。在ART治疗前、胚胎移植时、妊娠早期、中期、晚期及分娩时,以及产后42天、6个月、12个月和36个月收集信息和生物样本。截至2020年6月,CNBC纳入了27044个ART受孕家庭和29589个自然受孕家庭。大多数参与者为城市居民。在ART受孕家庭中,65.5%的男性和63.7%的女性拥有大学及以上学历。男性和女性的平均年龄分布分别为(33.83±5.52)岁和(32.38±4.67)岁。83.2%的女性为初产妇,女性当前经常吸烟者和当前饮酒者的患病率分别为0.8%和2.1%。在自然受孕家庭中,81.5%的男性和86.5%的女性拥有大学及以上学历。男性和女性的平均年龄分布分别为(32.06±5.09)岁和(30.40±4.27)岁。67.2%的女性为初产妇,女性当前经常吸烟者和当前饮酒者的患病率分别为0.1%和2.2%。不同地区的ART受孕家庭和自然受孕家庭的基线特征存在差异。CNBC为研究遗传、环境因素以及生命早期的相互作用和ART治疗对出生后后代健康的影响提供了强大而丰富的资源。