重庆市孕前暴露组与妊娠期高血糖专病队列研究

注册号:

Registration number:

ChiCTR2600124875 

最近更新日期:

Date of Last Refreshed on:

2026-05-18 18:07:59 

注册时间:

Date of Registration:

2026-05-18 00:00:00 

注册号状态:

预注册

Registration Status:

Prospective registration

注册题目:

重庆市孕前暴露组与妊娠期高血糖专病队列研究

Public title:

A Specialized Cohort Study on Preconception Exposure and Gestational Hyperglycemia in Chongqing

注册题目简写:

English Acronym:

研究课题的正式科学名称:

重庆市孕前暴露组与妊娠期高血糖专病队列研究

Scientific title:

A Specialized Cohort Study on Preconception Exposure and Gestational Hyperglycemia in Chongqing

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:

周玮 

研究负责人:

周玮 

Applicant:

Zhou Wei 

Study leader:

Zhou Wei 

申请注册联系人电话:

Applicant telephone:

+86 23 6384617

研究负责人电话:

Study leader's
telephone:

+86 23 60354502

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:

dr.zhouwei@163.com

研究负责人电子邮件:

Study leader's E-mail:

dr.zhouwei@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:

中国重庆市渝北区龙山路120号

研究负责人通讯地址:

中国重庆市渝北区龙山路120号

Applicant address:

120 Longshan Road, Yubei District, Chongqing, China

Study leader's address:

120 Longshan Road, Yubei District, Chongqing, China

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:

重庆市妇幼保健院(重庆市妇产科医院、重庆市遗传与生殖研究所)

Applicant's institution:

Chongqing Maternal and Child Health Hospital

研究负责人所在单位:

重庆市妇幼保健院

Affiliation of the Leader:

Chongqing Health Center for Women and Children

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:

(2026)伦审(科)054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:

重庆市妇幼保健院医学伦理委员会

Name of the ethic committee:

Ethics Committee of Chongqing Health Center for Women and Children

伦理委员会批准日期:

Date of approved by ethic committee:

2026-04-30 00:00:00

伦理委员会联系人:

贺凌云

Contact Name of the ethic committee:

He Lingyun

伦理委员会联系地址:

中国重庆市渝北区龙山路120号

Contact Address of the ethic committee:

120 Longshan Road, Yubei District, Chongqing, China

伦理委员会联系人电话:

Contact phone of the ethic committee:

+86 23 63316835

伦理委员会联系人邮箱:

Contact email of the ethic committee:

hly.1023@163.com

研究实施负责(组长)单位:

重庆市妇幼保健院

Primary sponsor:

Chongqing Health Center for Women and Children

研究实施负责(组长)单位地址:

中国重庆市渝北区龙山路120号

Primary sponsor's address:

120 Longshan Road, Yubei District, Chongqing, China

试验主办单位(项目批准或申办者):

Secondary sponsor:

国家:

中国

省(直辖市):

重庆

市(区县):

Country:

China

Province:

Chongqing

City:

单位(医院):

重庆市妇幼保健院

具体地址:

中国重庆市渝北区龙山路120号

Institution
hospital:

Chongqing Health Center for Women and Children

Address:

120 Longshan Road, Yubei District, Chongqing, China

经费或物资来源:

自筹

Source(s) of funding:

Self-funded

研究疾病:

妊娠期高血糖  

Target disease:

Hyperglycemia in pregnancy

研究疾病代码:

Target disease code:

研究类型:

观察性研究

Study type:

Observational study

研究所处阶段:

其它 

Study phase:

N/A

研究设计:

队列研究 

Study design:

Cohort study 

研究目的:

本研究旨在针对妊娠期高血糖防控难题,建立一个包含夫妻双方、贯穿“备孕-怀孕-分娩-新生儿-儿童”全孕育时间轴、涵盖多民族人群具有重庆区域特色的妊娠期高血糖专病队列;从暴露组整体视角系统评估孕前环境暴露与孕前糖尿病、糖尿病前期和妊娠期糖尿病等妊娠期高血糖疾病的发生风险,系统刻画重庆地区育龄女性的孕前暴露组特征谱;全面同等识别影响夫妻双方的环境-社会-心理-行为等因素,聚焦环境内分泌物干扰物、心理、营养与节律等关键暴露,解析不同妊娠期高血糖的遗传易感特征及主要环境危险因素,深入阐明其通过代谢重编程与免疫稳态失衡驱动该病形成的机制,为妊娠期高血糖孕期血糖监测与管理新技术的临床实践提供新的循证医学依据。  

Objectives of Study:

This study aims to address the challenges of preventing and controlling gestational hyperglycemia by establishing a specialized cohort for gestational hyperglycemia that includes both partners, spans the entire reproductive timeline from “preconception to pregnancy, delivery, the neonatal period, and childhood,” covers a multi-ethnic population, and reflects the regional characteristics of Chongqing; From a population-level perspective, we will systematically evaluate the association between preconception environmental exposures and the risk of developing gestational hyperglycemia-related conditions—including pre-gestational diabetes, prediabetes, and gestational diabetes—and systematically map the preconception exposure profiles of childbearing-age women in Chongqing; comprehensively and equitably identify environmental, social, psychological, and behavioral factors affecting both partners, with a focus on key exposure factors such as environmental endocrine disruptors, psychological, nutritional, and circadian factors; to analyze the genetic susceptibility and primary environmental risk factors associated with different types of gestational hyperglycemia; to elucidate the mechanisms by which metabolic reprogramming and immune homeostasis imbalance drive disease development; and to provide new evidence-based medical foundations for the clinical application of novel technologies in the monitoring and management of gestational hyperglycemia.

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.有明确的泌尿生殖系统疾病史,如不孕不育、睾丸/卵巢发育不良综合征、生殖系统外伤、列于孕优项目调查表内的泌尿生殖系统炎症或性传播疾病;
2.青春期后腮腺炎,或医学诊断的遗传病史;
3.参加项目之前三个月内男性有高烧病史。

Exclusion criteria:

1.A definite history of urogenital system diseases, such as infertility, testicular/ovarian dysplasia syndrome, reproductive system trauma, urogenital system inflammation or sexually transmitted diseases listed in the survey form of the pregnancy-preferential project;
2.Mumps after puberty, or a medically diagnosed genetic disorder;
3.History of high fever in the male within three months prior to participation in the project.

研究实施时间:

Study execute time:

From 2026-05-01 00:00:00 To 2028-12-31 00:00:00  

征募观察对象时间:

Recruiting time:

From 2026-06-01 00:00:00 To 2028-06-30 00:00:00

干预措施:

Interventions:

组别:

观察组

样本量:

10000

Group:

Observational group

Sample size:

干预措施:

干预措施代码:

Intervention:

None

Intervention code:

研究实施地点:

Countries of recruitment and research settings:

国家:

中国

省(直辖市):

重庆 

市(区县):

 

Country:

China

Province:

Chongqing

City:

单位(医院):

重庆市妇幼保健院 

单位级别:

三级甲等 

Institution
hospital:

Chongqing Health Center for Women and Children

Level of the institution:

Tertiary A

测量指标:

Outcomes:

指标中文名:

母体结局

指标类型:

主要指标

Outcome:

Maternal outcomes

Type:

Primary indicator

测量时间点:

备孕-怀孕-分娩

测量方法:

Measure time point of outcome:

Preconception—Pregnancy—Childbirth

Measure method:

指标中文名:

胎儿/新生儿结局

指标类型:

次要指标

Outcome:

Fetal/Neonatal Outcomes

Type:

Secondary indicator

测量时间点:

新生儿出生至出院

测量方法:

Measure time point of outcome:

From Birth to Discharge

Measure method:

指标中文名:

生长/神经发育结局

指标类型:

次要指标

Outcome:

Growth/Neurodevelopmental Outcomes

Type:

Secondary indicator

测量时间点:

胎儿生长期至儿童期6岁

测量方法:

Measure time point of outcome:

From the fetal stage through age 6

Measure method:

采集人体标本:

Collecting sample(s)
from participants:

标本中文名:

精液

组织:

Sample Name:

Semen

Tissue:

人体标本去向

使用后销毁  

说明

Fate of sample:

Destruction after use  

Note:

标本中文名:

母乳

组织:

Sample Name:

Breast milk

Tissue:

人体标本去向

使用后销毁  

说明

Fate of sample:

Destruction after use  

Note:

标本中文名:

外周血

组织:

Sample Name:

Peripheral blood

Tissue:

人体标本去向

使用后销毁  

说明

Fate of sample:

Destruction after use  

Note:

标本中文名:

粪便

组织:

Sample Name:

Feces

Tissue:

人体标本去向

使用后销毁  

说明

Fate of sample:

Destruction after use  

Note:

标本中文名:

阴道分泌物

组织:

Sample Name:

Vaginal secretions

Tissue:

人体标本去向

使用后销毁  

说明

Fate of sample:

Destruction after use  

Note:

标本中文名:

尿液

组织:

Sample Name:

Urine

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 20 years
最大 Max age 49 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):

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

None

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:

Blinding:

None

是否共享原始数据:

IPD sharing

是Yes

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):

若有数据使用需求请联系项目负责人,邮箱:dr.zhouwei@163.com

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

If you need access to the data, please contact the project lead. Email: dr.zhouwei@163.com

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:

数据采集采用电子化病例报告表和电子数据采集系统。孕期和围产期资料通过医院电子病历系统导出,3–6岁随访问卷、量表评分、体格测量和实验室结果由经过培训的调查员现场录入平板端,系统实时逻辑校验并提示缺失值,减少人工录入误差。

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

Data collection was performed using electronic case report forms and an electronic data capture system. Pregnancy and perinatal data were exported from the hospital's electronic medical record system. For the 3–6-year follow-up, questionnaires, scale scores, physical measurements, and laboratory results were entered on-site into tablets by trained investigators, with real-time logical validation and missing value prompts in the system to reduce manual entry errors.

数据与安全监察委员会:

Data and Safety Monitoring Committee:

无/No

注册人:

Name of Registration:

 2026-05-18 18:07:52