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| Name | Class |
|---|---|
| Minhang Maternal and Children Health Care Hospital | OTHER |
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The study is a prospective birth cohort study and the purpose is to describe the status of maternal key nutrients(eg. folate and vitamin D) supplementation among pregnancies at early gestation in Shanghai, to find out the association between the level of serum key nutrients and atopic dermatitis (AD) in offsprings during 6 months.
This study based on Shanghai pregnancy population is a prospective birth cohort. The investigators obtain the data of participants' folic acid and vitamin D supplement intake through the questionnaire at 12-14 gestational weeks. And the investigators collect participants' blood samples during gestation to directly detect the biological exposure levels of folate and vitamin D. In the follow-up, skin barrier function is evaluated at time of infant 24-48 hours, 42 days and 6 months. During 6 months from birth, the incidence of AD is investigated on offsprings. This cohort study is aimed to (1) clarify the association between prenatal key nutrients with offspring AD; (2) assess the role of maternal key nutrients in the skin barrier of offsprings. It will be a good evidence for the AD prevention and a meaningful protocol to reduce the incidence of AD by its unique design.Univariate and multivariate association analyses will be performed to identify risk factors to AD by using multivariate logistic regression model.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| infants from birth cohort with AD | maternal biological folate level and maternal biological vitamin D level and offspring's incidence of suffering from atopic dermatitis |
| |
| infants from birth cohort without AD | maternal biological folate level and maternal biological vitamin D level and offspring's incidence of not suffering from atopic dermatitis |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| maternal biological folate level | Other | supplementation status and serum level |
|
| Measure | Description | Time Frame |
|---|---|---|
| Infant atopic dermatitis | Disease diagnosis according to the criteria of Williams | incident of AD during 6 months after birth, diagnosis confirmed based on disease history till 12 months |
| Measure | Description | Time Frame |
|---|---|---|
| Maternal RBC folate level | Whole blood sample collected will be used for evaluation | 12-14 gestational weeks |
| Maternal serum vitamin D level | Serum sample collected at different trimesters will be used for evaluation |
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Inclusion Criteria:
Exclusion Criteria:
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Pregancies at early gestation and offspring from Minhang Maternal and Children Health Care Hospital in Shanghai from June 2016
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| Name | Affiliation | Role |
|---|---|---|
| Guoying Huang, MD,PhD | Children's Hospital of Fudan University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Children Hospital of Fudan University | Shanghai | 201102 | China |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 26078105 | Result | Wegienka G, Havstad S, Zoratti EM, Kim H, Ownby DR, Johnson CC. Association between vitamin D levels and allergy-related outcomes vary by race and other factors. J Allergy Clin Immunol. 2015 Nov;136(5):1309-14.e1-4. doi: 10.1016/j.jaci.2015.04.017. Epub 2015 Jun 12. | |
| 22399526 | Result | Kiefte-de Jong JC, Timmermans S, Jaddoe VW, Hofman A, Tiemeier H, Steegers EA, de Jongste JC, Moll HA. High circulating folate and vitamin B-12 concentrations in women during pregnancy are associated with increased prevalence of atopic dermatitis in their offspring. J Nutr. 2012 Apr;142(4):731-8. doi: 10.3945/jn.111.154948. Epub 2012 Mar 7. |
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| ID | Term |
|---|---|
| D003876 | Dermatitis, Atopic |
| ID | Term |
|---|---|
| D012873 | Skin Diseases, Genetic |
| D030342 | Genetic Diseases, Inborn |
| D009358 | Congenital, Hereditary, and Neonatal Diseases and Abnormalities |
| D003872 | Dermatitis |
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Maternal venous blood and offspring's cord blood
| maternal biological Vitamin D level | Other | supplementation status and serum level |
|
| 12-14 gestational weeks |
| Maternal serum vitamin D level | Serum sample collected at different trimesters will be used for evaluation | 22-26 gestational weeks |
| Maternal serum vitamin D level | Serum sample collected at different trimesters will be used for evaluation | 34-36 gestational weeks |
| Maternal serum folate level | Serum sample collected at different trimesters will be used for evaluation | 12-14 gestational weeks |
| Maternal serum folate level | Serum sample collected at different trimesters will be used for evaluation | 22-26 gestational weeks |
| Maternal serum folate level | Serum sample collected at different trimesters will be used for evaluation | 34-36 gestational weeks |
| Maternal folic acid supplement intake | Questionnaire survey will be used to obtain the data of maternal supplement intake | 12-14 gestational weeks |
| Maternal vitamin D supplement intake | Questionnaire survey will be used to obtain the data of maternal supplement intake | 12-14 gestational weeks |
| Infant skin barrier function (Transepidermal Water Loss, TEWL) | TEWL will be evaluated by the device of Multi Probe Adapter 4. | infant 24-48 hours |
| Infant skin barrier function (Transepidermal Water Loss, TEWL) | TEWL will be evaluated by the device of Multi Probe Adapter 4. | infant 42 days old |
| Infant skin barrier function (Transepidermal Water Loss, TEWL) | TEWL will be evaluated by the device of Multi Probe Adapter 4. | infant 6 months old |
| Infant atopic dermatitis incidence by 1year old | Disease diagnosis according to the criteria of Williams | from birth , to 12months old |
| Infant skin barrier function (Stratum corneum hydration, SCH) | SCH will be evaluated by the device of Multi Probe Adapter 4. | infant 24-48 hours |
| Infant skin barrier function (Stratum corneum hydration, SCH) | SCH will be evaluated by the device of Multi Probe Adapter 4. | infant 42 days old |
| Infant skin barrier function (Stratum corneum hydration, SCH) | SCH will be evaluated by the device of Multi Probe Adapter 4. | infant 6 months old |
| Infant skin barrier function (skin surface pH) | Skin pH will be evaluated by the device of Multi Probe Adapter 4. | infant 24-48 hours |
| Infant skin barrier function (skin surface pH) | Skin pH will be evaluated by the device of Multi Probe Adapter 4. | infant 42 days old |
| Infant skin barrier function (skin surface pH) | Skin pH will be evaluated by the device of Multi Probe Adapter 4. | infant 6 months old |
| Infant skin barrier function (sebum content) | Sebum content will be evaluated by the device of Multi Probe Adapter 4. | infant 24-48 hours |
| Infant skin barrier function (sebum content) | Sebum content will be evaluated by the device of Multi Probe Adapter 4. | infant 42 days old |
| Infant skin barrier function (sebum content) | Sebum content will be evaluated by the device of Multi Probe Adapter 4. | infant 6 months old |
| Maternal serum Vitamin E level | Serum sample collected at different trimesters will be used for evaluation | 12-14 gestational weeks |
| Maternal serum Vitamin A level | Serum sample collected at different trimesters will be used for evaluation | 12-14 gestational weeks |
| Child atopic dermatitis from 1 year old to 2 years old | Disease diagnosis according to the criteria of Williams | from 1 year old to 2 years old |
| Child atopic dermatitis from 2 years old to 5 years old | Disease diagnosis according to the criteria of Williams | from 2 years old to 5 years old |
| Maternal serum fatty acid level | Serum sample collected at different trimesters will be used for evaluation | 12-14 gestational weeks |
| Child atopic dermatitis from 5 years old to 8 years old | Disease diagnosis according to the criteria of Williams | from 5 years old to 8 years old |
| 25618747 | Result | Kelleher M, Dunn-Galvin A, Hourihane JO, Murray D, Campbell LE, McLean WHI, Irvine AD. Skin barrier dysfunction measured by transepidermal water loss at 2 days and 2 months predates and predicts atopic dermatitis at 1 year. J Allergy Clin Immunol. 2015 Apr;135(4):930-935.e1. doi: 10.1016/j.jaci.2014.12.013. Epub 2015 Jan 22. |
|
| D012871 | Skin Diseases |
| D017437 | Skin and Connective Tissue Diseases |
| D017443 | Skin Diseases, Eczematous |
| D006969 | Hypersensitivity, Immediate |
| D006967 | Hypersensitivity |
| D007154 | Immune System Diseases |