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Fluctuations of MS births and UV-light exposure

  • F. Verheul*
  • , J. Smolders
  • , M. Trojano
  • , V. Lepore
  • , C. Zwanikken
  • , M. P. Amato
  • , F. Grand'Maison
  • , H. Butzkueven
  • , M. Marrosu
  • , P. Duquette
  • , G. Comi
  • , G. Izquierdo
  • , P. Grammond
  • , G. Lus
  • , T. Petersen
  • , R. Bergamaschi
  • , G. Giuliani
  • , C. Boz
  • , G. Coniglio
  • , V. Van Pesch
  • J. Lechner-Scott, P. Cavalla, F. Granella, C. Avolio, M. Fiol, D. Poehlau, M. L. Saladino, P. Gallo, N. Deri, W. Oleschko Arruda, M. Paine, M. Ferro, M. Barnett, J. A. Cabrera-Gomez, M. Slee, F. Moore, C. Shaw, T. Petkovska-Boskova, M. Rutherford, O. Engelsen, J. Damoiseaux, R. Hupperts
*Corresponding author for this work
  • Groene Hart Ziekenhuis
  • University of Bari Aldo Moro
  • IRCCS Istituto di ricerche farmacologiche Mario Negri - Milano, Bergamo, Ranica
  • MS-centrum Nijmegen
  • Université de Sherbrooke
  • University of Melbourne
  • University of Cagliari
  • University of Montreal
  • University of Milan
  • Hospital Universitario de Valme
  • Hotel-Dieu de Levis Hospital
  • University of Campania Luigi Vanvitelli
  • University of Pavia
  • Ospedale di Marcerata
  • Karadeniz Technical University
  • Ospedale di Matera
  • Cliniques Universitaires Saint-Luc
  • Hunter New England Health
  • University of Turin
  • University of Parma
  • University of Foggia
  • Fundación para la Lucha contra las Enfermedades Neurológicas de la Infancia
  • not available
  • INEBA
  • University of Padua
  • Hospital General de Agudos Juan Fernandez
  • Hospital Ecoville
  • St. Vincent's Hospital Melbourne
  • Ospedale Maggiore
  • University of Sydney
  • Centro Internacional de Restauracion Neurologica
  • Flinders Medical Centre
  • McGill University
  • Barwon Health
  • Clinic of Neurology Clinical Center
  • MSBase Foundation
  • Norwegian Institute for Air Research
  • Maastricht University Medical Centre
  • Orbis Medical Centre
  • Zuyderland Medical Center (Sittard-Geleen)
  • University of Florence
  • Kommunehospitalet, Århus

Research output: Contribution to journalArticleAcademicpeer-review

9 Citations (Scopus)
36 Downloads (Pure)

Abstract

Background: Patients with multiple sclerosis (MS) are more frequently born in spring when compared to autumn. Fluctuation of UV-light has been hypothesized to drive this phenomenon. Aim: To assess the correlation between fluctuation of sunlight and birth season in persons with MS. Methods: For this record-linkage study, we collected from the international MSBase and the Italian MS iMed-web databases the dates of birth of 11,415 patients with MS from 36 centres from 15 countries worldwide and compared these to dates of live-births from national registries. From all participating sites, we collected data on UV-light fluctuation and assessed its correlation with seasonal fluctuation in MS births. Results: Compared with the reference cohort, an increased proportion of persons with MS were born in spring and a decreased proportion in autumn (odds ratio (OR) to be born in spring versus autumn = 1.158, χ2 = 36.347, P < 0.001). There was no significantly increased fluctuation of MS births with increased quartile of ambient UV-light fluctuation (Ptrend = 0.086). Conclusion: Seasonal fluctuation of MS births as found in this worldwide cohort of patients with MS did not correlate with variation in seasonal fluctuation of UV-light. Most likely, it results from a complex interplay between fluctuation of sunlight, behavioural factors, other environmental factors and (epi)genetic factors.

Original languageEnglish
Pages (from-to)301-308
Number of pages8
JournalActa Neurologica Scandinavica
Volume127
Issue number5
DOIs
Publication statusPublished - May 2013
Externally publishedYes

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