Du J B, Ding Y, Huang L, Jiang Y Q, Meng Q X, Song C, Lyu G, Liu X Y, Xu B, Lin Y, Ma H X, Jin G F, Li H, Ling X F, Ke X Y, Shen H B, Hu Z B
Department of Epidemiology, School of Public Health, Nanjing Medical University, Nanjing 211166, China.
Department of Maternal, Child and Adolescent Health, School of Public Health, Nanjing Medical University, Nanjing 211166, China.
Zhonghua Liu Xing Bing Xue Za Zhi. 2021 Apr 10;42(4):591-596. doi: 10.3760/cma.j.cn112338-20201211-01405.
Autism spectrum disorder (ASD), a representative disease of children's neurodevelopmental disorders, brings huge pressure and financial burden to families and society. It is of great significance to explore its etiology and pathogenesis. Therefore, we established an ASD Cohort based on the existing China National Birth Cohort (CNBC), which applied parallel design to recruit and follow up families who achieved pregnancy after receiving assisted reproductive technologies (ART) and families with spontaneous conception. The main aims of this study are to compare the incidence of ASD among children born after ART with those born under spontaneous pregnancy, and to evaluate the impact of ART on the neurobehavioral development of offspring. Additionally, with a variety of clinical and behavioral related information collected during pregnancy and at early life of offspring, we are able to investigate the risk factors associated with ASD comprehensively. This article briefly introduces the objectives, contents, preliminary progress, strength and limitations, as well as further prospects of the ASD cohort study, mainly focusing on the overall design and current progress.
自闭症谱系障碍(ASD)是儿童神经发育障碍的代表性疾病,给家庭和社会带来了巨大压力和经济负担。探索其病因和发病机制具有重要意义。因此,我们基于现有的中国国家出生队列(CNBC)建立了一个ASD队列,该队列采用平行设计,对接受辅助生殖技术(ART)后怀孕的家庭和自然受孕家庭进行招募和随访。本研究的主要目的是比较ART后出生儿童与自然妊娠出生儿童的ASD发病率,并评估ART对后代神经行为发育的影响。此外,通过收集孕期和后代早期生活中的各种临床和行为相关信息,我们能够全面调查与ASD相关的危险因素。本文简要介绍了ASD队列研究的目的、内容、初步进展、优势与局限性以及进一步的前景,主要聚焦于总体设计和当前进展。