有氧抗阻运动对青少年抑郁患者睡眠障碍的干预效果及机制:基于色氨酸-犬尿氨酸代谢通路

注册号:

Registration number:

ChiCTR2600121894 

最近更新日期:

Date of Last Refreshed on:

2026-04-07 09:32:58 

注册时间:

Date of Registration:

2026-04-07 00:00:00 

注册号状态:

预注册

Registration Status:

Prospective registration

注册题目:

有氧抗阻运动对青少年抑郁患者睡眠障碍的干预效果及机制:基于色氨酸-犬尿氨酸代谢通路

Public title:

The Intervention Effects and Mechanisms of Aerobic-Resistance Exercise on Sleep Disorders in Adolescents with Depression: Based on the Tryptophan-Kynurenine Metabolic Pathway

注册题目简写:

English Acronym:

研究课题的正式科学名称:

有氧抗阻运动对青少年抑郁患者睡眠障碍的干预效果及机制:基于色氨酸-犬尿氨酸代谢通路

Scientific title:

The Intervention Effects and Mechanisms of Aerobic-Resistance Exercise on Sleep Disorders in Adolescents with Depression: Based on the Tryptophan-Kynurenine Metabolic Pathway

研究课题代号(代码):

Study subject ID:

在二级注册机构或其它机构的注册号:

The registration number of the Partner Registry or other register:

申请注册联系人:

林萍珍 

研究负责人:

林萍珍 

Applicant:

Pingzhen Lin 

Study leader:

Pingzhen Lin 

申请注册联系人电话:

Applicant telephone:

+86 595 28121962

研究负责人电话:

Study leader's
telephone:

+86 595 2812 1962

申请注册联系人传真 :

Applicant Fax:

研究负责人传真:

Study leader's fax:

申请注册联系人电子邮件:

Applicant E-mail:

lpz385675123@163.com

研究负责人电子邮件:

Study leader's E-mail:

lpz385675123@163.com

申请单位网址(自愿提供):

Applicant website(voluntary supply):

研究负责人网址(自愿提供):

Study leader's website(voluntary supply):

申请注册联系人通讯地址:

福建省泉州市丰泽区城东街道安吉路1028号

研究负责人通讯地址:

福建省泉州市丰泽区城东街道安吉路1028号

Applicant address:

No. 1028 Anji Road, Chengdong Street, Fengze District, Quanzhou City, Fujian Province

Study leader's address:

No. 1028 Anji Road, Chengdong Street, Fengze District, Quanzhou City, Fujian Province

申请注册联系人邮政编码:

Applicant postcode:

研究负责人邮政编码:

Study leader's postcode:

申请人所在单位:

泉州市第一医院

Applicant's institution:

Quanzhou First Hospital

研究负责人所在单位:

泉州市第一医院

Affiliation of the Leader:

Quanzhou First Hospital

是否获伦理委员会批准:

Approved by ethic committee:

Yes

伦理委员会批件文号:

Approved No. of ethic committee:

泉一伦【2025】K252号

伦理委员会批件附件:

Approved file of Ethical Committee:

查看附件View

批准本研究的伦理委员会名称:

泉州市第一医院伦理委员会

Name of the ethic committee:

Ethics Committee of Quanzhou First Hospita

伦理委员会批准日期:

Date of approved by ethic committee:

2025-08-10 00:00:00

伦理委员会联系人:

杜苗苗

Contact Name of the ethic committee:

Du MiaoMiao

伦理委员会联系地址:

福建省泉州市丰泽区城东街道安吉路1028号

Contact Address of the ethic committee:

No. 1028 Anji Road, Chengdong Street, Fengze District, Quanzhou City, Fujian Province

伦理委员会联系人电话:

Contact phone of the ethic committee:

+86 595 22277157

伦理委员会联系人邮箱:

Contact email of the ethic committee:

aidumimi@qq.com

研究实施负责(组长)单位:

泉州市第一医院

Primary sponsor:

Quanzhou First Hospital

研究实施负责(组长)单位地址:

福建省泉州市丰泽区城东街道安吉路1028号

Primary sponsor's address:

No. 1028 Anji Road, Chengdong Street, Fengze District, Quanzhou City, Fujian Province

试验主办单位(项目批准或申办者):

Secondary sponsor:

国家:

中国

省(直辖市):

福建省

市(区县):

Country:

China

Province:

Fujian

City:

单位(医院):

泉州市第一医院

具体地址:

福建省泉州市丰泽区城东街道安吉路1028号

Institution
hospital:

Quanzhou First Hospital

Address:

No. 1028 Anji Road, Chengdong Street, Fengze District, Quanzhou City, Fujian Province

经费或物资来源:

福建省科技创新联合资金项目

Source(s) of funding:

Joint Funds for the innovation of science and Technology,Fujian province

研究疾病:

青少年抑郁患者的睡眠障碍  

Target disease:

Sleep disorders in adolescents with depression

研究疾病代码:

Target disease code:

研究类型:

干预性研究

Study type:

Interventional study

研究所处阶段:

其它 

Study phase:

N/A

研究设计:

随机平行对照 

Study design:

Parallel 

研究目的:

构建并验证一套基于 VR 游戏的模块化、精准化运动处方,改善 10-18 岁抑郁伴睡眠障碍青少年的睡眠与情绪,并解析色氨酸-犬尿氨酸(KP)代谢通路的核心介导作用。  

Objectives of Study:

Develop and validate a modular and precise exercise prescription based on VR games to improve sleep and mood in adolescents aged 10-18 with depression accompanied by sleep disorders, and analyze the central mediating role of the tryptophan-kynurenine (KP) metabolic pathway.

药物成份或治疗方案详述:

 

Description for medicine or protocol of treatment in detail:

 

纳入标准:

Inclusion criteria

排除标准:

1.符合其他精神障碍诊断者,包括精神分裂症、双相障碍、酒精或药物滥用/依赖、进食障碍等;2.智力障碍者及韦氏儿童智力测试(WISC-III)<70分者;3.患有神经系统疾病和脑器质性疾病;4.患有高血压、心脏病等运动风险较高的疾病;5.正在接受系统心理治疗者;6.心肺健康3分钟步测成绩差者(女生<39分,男生<41分);7.躯体受限无法参加体育锻炼者。

Exclusion criteria:

1. Meeting diagnostic criteria for other psychiatric disorders, including schizophrenia, bipolar disorder, alcohol or substance abuse/dependence, eating disorders, etc.
2. Intellectual disability or a score < 70 on the Wechsler Intelligence Scale for Children–Third Edition (WISC‑III);
3.Presence of neurological diseases or organic brain disorders;
4. Suffering from conditions associated with higher exercise risk, such as hypertension or heart disease;
5. Currently undergoing systematic psychotherapy;
6.Poor performance on the 3‑minute step test for cardiorespiratory fitness (score < 39 for females, < 41 for males);
7.Physical limitations preventing participation in physical exercise.

研究实施时间:

Study execute time:

From 2025-11-01 00:00:00 To 2028-11-01 00:00:00  

征募观察对象时间:

Recruiting time:

From 2026-04-10 00:00:00 To 2027-12-01 00:00:00

干预措施:

Interventions:

组别:

等待对照组

样本量:

30

Group:

Waitlist Control Group

Sample size:

干预措施:

干预措施代码:

Intervention:

None

Intervention code:

组别:

有氧运动组

样本量:

30

Group:

Aerobic Exercise Group

Sample size:

干预措施:

有氧运动

干预措施代码:

Intervention:

Aerobic Exercise

Intervention code:

组别:

抗阻运动组

样本量:

30

Group:

Resistance Exercise Group

Sample size:

干预措施:

抗阻运动

干预措施代码:

Intervention:

Resistance Exercise

Intervention code:

组别:

有氧联合抗阻运动组

样本量:

30

Group:

Combined Aerobic and Resistance Exercise Group

Sample size:

干预措施:

有氧联合抗阻运动

干预措施代码:

Intervention:

Combined Aerobic and Resistance Exercise

Intervention code:

研究实施地点:

Countries of recruitment and research settings:

国家:

中国

省(直辖市):

福建省 

市(区县):

 

Country:

China

Province:

Fujian

City:

单位(医院):

泉州市第一医院 

单位级别:

三级甲等 

Institution
hospital:

Quanzhou First Hospital

Level of the institution:

Tertiary A

测量指标:

Outcomes:

指标中文名:

情绪行为问题

指标类型:

次要指标

Outcome:

Emotional and behavioral problems

Type:

Secondary indicator

测量时间点:

在基线、第8周进行评定

测量方法:

采用儿童行为检查表(CBCL)评估

Measure time point of outcome:

Assessments were conducted at baseline and Week 8, respectively.

Measure method:

The Child Behavior Checklist (CBCL) was used to assess emotional and behavioral problems.

指标中文名:

睡眠

指标类型:

主要指标

Outcome:

Sleep

Type:

Primary indicator

测量时间点:

在基线、第4周、第8周进行评定

测量方法:

使用匹兹堡睡眠质量指数(PSQI)评估个体近1个月来的主观睡眠质量,并采用标准多导睡眠监测(PSG)。

Measure time point of outcome:

Assessments were conducted at baseline, Week 4, and Week 8, respectively.

Measure method:

The Pittsburgh Sleep Quality Index (PSQI) was used to assess subjective sleep quality over the past month, and standard polysomnography (PSG) was employed for objective sleep monitoring.

指标中文名:

认知功能

指标类型:

次要指标

Outcome:

Cognitive function

Type:

Secondary indicator

测量时间点:

在基线、第4周、第8周进行评定

测量方法:

认知功能由Thinc-Integrated Tool(THINC-it)或执行功能问卷进行评估。

Measure time point of outcome:

Assessments were conducted at baseline, Week 4, and Week 8, respectively.

Measure method:

Cognitive function was assessed using the THINC-it (THINC-integrated Tool) or the Executive Function Questionnaire.

指标中文名:

运动安全

指标类型:

次要指标

Outcome:

Exercise Safety

Type:

Secondary indicator

测量时间点:

在基线、第4周、第8周进行评定

测量方法:

Measure time point of outcome:

Assessments were conducted at baseline, Week 4, and Week 8, respectively.

Measure method:

指标中文名:

抑郁

指标类型:

次要指标

Outcome:

Depression

Type:

Secondary indicator

测量时间点:

在基线、第4周、第8周进行评定

测量方法:

采用儿童抑郁评定量表修订版(CDRS-R)/患者健康问卷(PHQ-9)评分

Measure time point of outcome:

Assessments were conducted at baseline, Week 4, and Week 8, respectively.

Measure method:

The Children's Depression Rating Scale-Revised (CDRS-R) or Patient Health Questionnaire-9 (PHQ-9) were used to assess depressive symptoms.

采集人体标本:

Collecting sample(s)
from participants:

标本中文名:

血液

组织:

Sample Name:

Blood

Tissue:

人体标本去向

使用后销毁  

说明

Fate of sample:

Destruction after use  

Note:

征募研究对象情况:

Recruiting status:

尚未开始

Not yet recruiting

年龄范围:

Participant age:

最小 Min age 10 years
最大 Max age 18 years

性别:

男女均可

Gender:

Both

随机方法(请说明由何人用什么方法产生随机序列):

由负责入组的研究员进行分层简单随机,通过随机数字生成器生成两组随机数字分别用于不同性别组,将随机数字随机划分为A、B、C、D四组,A组使用有氧运动,B组使用抗阻运动,C组使用有氧+抗阻联合训练,D组为等待对照组。

Randomization Procedure (please state who generates the random number sequence and by what method):

The researcher in charge of enrollment performed stratified simple randomization. Using a random number generator, two sets of random numbers were generated for the male and female groups respectively. These random numbers were then allocated into four groups: A (aerobic exercise), B (resistance exercise), C (combined aerobic and resistance training), and D (waitlist control).

是否公开试验完成后的统计结果:

Calculated Results after the Study Completed public access:

不公开/Private

盲法:

研究者仅知晓分组以实施干预,评估者与数据分析者保持盲态。

Blinding:

Researchers only know the grouping to implement the intervention, while evaluators and data analysts remain blinded.

是否共享原始数据:

IPD sharing

否No

共享原始数据的方式(说明:请填入公开原始数据日期和方式,如采用网络平台,需填该网络平台名称和网址):

The way of sharing IPD”(include metadata and protocol, If use web-based public database, please provide the url):

None

数据采集和管理(说明:数据采集和管理由两部分组成,一为病例记录表(Case Record Form, CRF),二为电子采集和管理系统(Electronic Data Capture, EDC),如ResMan即为一种基于互联网的EDC:

一为病例记录表(Case Record Form,CRF),二为电子采集和管理系统(Electronic Data Capture, EDC)。

Data collection and Management (A standard data collection and management system include a CRF and an electronic data capture:

A standard data collection and management system include a CRF and an electronic data capture.

数据与安全监察委员会:

Data and Safety Monitoring Committee:

无/No

注册人:

Name of Registration:

 2026-04-07 09:32:48