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IVF Offspring Born in Guangzhou

Recruiting
Conditions
Neurodevelopment
ART
Genetics
Host and Microbiome
Offspring, Adult
Registration Number
NCT03650829
Lead Sponsor
Guangzhou Women and Children's Medical Center
Brief Summary

The IVF Offspring Born in Guangzhou Cohort Study (IVF-BIG) was established to investigate the short- and long-term effects of exposure in early life on the health of mothers and offspring in Guangzhou, China. Data are collected regarding assisted reproductive technology (ART), environmental, occupational and lifestyle exposures as well as health outcomes in their later life. Biological samples including blood and tissue samples are also collected from participants.

Detailed Description

It has been 40 years since the first IVF baby born in the world. The effects of hormonal drugs used on women and health of IVF offspring have always been concerned in the reproductive field and in public. With the increase of the prevalence of infertility and development of ART, China is facing a IVF babies boom. It has been reported that ART was associated with higher risk of cancers among women undergoing treatment of ART, and an increased incidence of autism and noncommunicable chronic diseases, such as obesity, among IVF offspring. Epigenetics is documented as one of the possible mechanisms, while answers remain to be explored. A birth cohort would provide an opportunity to examine the short- and long-term effects of ART exposure on health consequences of the mothers and babies.

Recruitment & Eligibility

Status
RECRUITING
Sex
All
Target Recruitment
3000
Inclusion Criteria
  • Pregnant women with <20 weeks of gestation
  • Pregnant women intended to eventually deliver in Guangzhou Women and Children's Medical Center
  • Permanent residents or families intended to remain in Guangzhou with their child for ≥3 years
  • Pregnant women conceived by assited reproductive technology
Exclusion Criteria

• None

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Intelligence quotient of offspringAt age of 6 years old

Assessed using Wechsler's Intelligence Scale of Children (WISC) including verbal test and performance test.Intelligence quotient ranges from 40 to 160, in which under 70 is defined as mental retardation

Secondary Outcome Measures
NameTimeMethod
Prevalence of stillbirth, preterm birth, small for gestational age, large for gestational age and birth defectAt delivery

Assesed by electronic records

Neurodevelopment at early childhoodAt age of 1 year old

Assessed using Gesell Developmental Schedules, including five items of adaptive, gross motor, fine motor, language, and social function

Change of intestinal flora during early childhoodAt age of 6 weeks, 6 months, 1 year, 3 years, 6 years, 12 years and 18 years old

Assessed by analyses of stool samples

Height changes during early childhoodAt birth, age of 6 weeks, 6 months, 1 year and 3 years old

Height changes from birth, to age of 6 weeks, 6 months, 1 year and 3 years old

Prevalence of gestational diabetes, pregnancy induced hypertension, and cesarean sectionFrom 20 weeks of gestation to delivery

Assessed by self-reported time of onset and electronic medical records

Changes of body composition and bone density during early childhoodAt age of 3 years,6 years, 12 years and 18 years old

Assessed using Dual Energy X-Ray Absorptiometry

Epegenetic profiles of offspringAt age of 1 year, 6 years, 12years and 18 years old

Profiling DNA methylation and histone acetylation etc., using blood samples

Weight changes during early childhoodAt birth, age of 6 weeks, 6 months, 1 year and 3 years old

Weight changes from birth, to age of 6 weeks, 6 months, 1 year and 3 years old

Trial Locations

Locations (1)

Guangzhou Women and Children's Medical Center

🇨🇳

Guangzhou, Guangdong, China

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