Multiple sclerosis in South America: month of birth in different latitudes does not seem to interfere with the prevalence or progression of the disease.

OBJECTIVE To assess whether the month of birth in different latitudes of South America might influence the presence or severity of multiple sclerosis (MS) later in life. METHODS Neurologists in four South American countries working at MS units collected data on their patients' month of birth, gender, age, and disease progression. RESULTS Analysis of data from 1207 MS patients and 1207 control subjects did not show any significant variation in the month of birth regarding the prevalence of MS in four latitude bands (0-10; 11-20; 21-30; and 31-40 degrees). There was no relationship between the month of birth and the severity of disease in each latitude band. CONCLUSION The results from this study show that MS patients born to mothers who were pregnant at different Southern latitudes do not follow the seasonal pattern observed at high Northern latitudes.

Alfredo Damasceno | Benito Pereira Damasceno | Walter Oleschko Arruda | Juliana Safanelli | Yára Dadalti Fragoso | Tarso Adoni | Sandra Maria Garcia de Almeida | Soniza Vieira Alves-Leon | Fiorella Barbagelata-Aguero | Joseph Bruno Bidin Brooks | Adriana Carra | Rinaldo Claudino | Elizabeth Regina Comini-Frota | Eber Castro Correa | Ethel Ciampi Díaz | David George Elliff | Ana Patrícia Peres Fiore | Clelia Maria Ribeiro Franco | Maria Cristina Brandao Giacomo | Sidney Gomes | Marcus Vinicius Magno Gonçalves | Anderson Kuntz Grzesiuk | Jose Luiz Inojosa | Damacio Ramón Kaimen-Maciel | Katia Lin | Josiane Lopes | Gisele Alexandre Lourenço | Alejandra Diana Martínez | Mario Oscar Melcon | Nívea de Macedo Oliveira Morales | Rogério Rizo Morales | Marcos Moreira | Shirlene Vianna Moreira | Celso Luis da Silva Oliveira | Francisco Tomaz Menezes de Oliveira | João Batista Ribeiro | Sonia Beatriz Felix Ribeiro | Claudia Cárcamo Rodríguez | Liliana Russo | Kirsty Deborah Shearer | Fabio Siquineli | Darwin Vizcarra-Escobar | A. Damasceno | B. Damasceno | Y. Fragoso | Kátia Lin | A. Carrá | W. Arruda | E. Comini-Frota | É. C. Corrêa | S. Gomes | D. Kaimen-Maciel | R. R. Morales | J. Brooks | J. Lopes | F. M. Oliveira | M. Melcon | D. Vizcarra-Escobar | K. Shearer | T. Adoni | M. Gonçalves | A. Grzesiuk | F. Siquineli | M. Moreira | C. C. Rodríguez | Alejandra D. Martínez | S. B. Ribeiro | J. Ribeiro | C. Franco | G. Lourenço | M. C. Giacomo | Ana Patricia Perez Fiore | E. C. Díaz | J. Safanelli | Rinaldo Claudino | N. M. Morales | C. L. S. Oliveira | S. Alves‐Leon | S. Moreira | S. Almeida | F. Barbagelata-Aguero | José Luiz Inojosa | L. Russo | Fábio Siquineli | Sidney Gomes | A. Martínez

[1]  D. Silberberg,et al.  New diagnostic criteria for multiple sclerosis: Guidelines for research protocols , 1983, Annals of neurology.

[2]  Daniel M Altmann,et al.  Review series on helminths, immune modulation and the hygiene hypothesis: Nematode coevolution with adaptive immunity, regulatory networks and the growth of inflammatory diseases , 2009, Immunology.

[3]  V. Díaz,et al.  Towards establishing MS prevalence in Latin America and the Caribbean , 2013, Multiple sclerosis.

[4]  S. Reingold,et al.  Diagnostic criteria for multiple sclerosis: 2005 revisions to the “McDonald Criteria” , 2005, Annals of neurology.

[5]  A. Compston,et al.  Recommended diagnostic criteria for multiple sclerosis: Guidelines from the international panel on the diagnosis of multiple sclerosis , 2001, Annals of neurology.

[6]  Anat Achiron,et al.  The Month of Birth and the Incidence of Multiple Sclerosis in the Israeli Population , 2012, Neuroepidemiology.

[7]  P. Mortensen,et al.  Season of birth in multiple sclerosis , 1992, Acta neurologica Scandinavica.

[8]  Jean L Otto,et al.  Estimated incidence of multiple sclerosis among United States Armed Forces personnel using the Defense Medical Surveillance System. , 2012, Military medicine.

[9]  H. Bayes,et al.  Timing of Birth and Risk of Multiple Sclerosis in the Scottish Population , 2009, European Neurology.

[10]  J. Kurtzke Rating neurologic impairment in multiple sclerosis , 1983, Neurology.

[11]  A. Ponsonby,et al.  Low maternal exposure to ultraviolet radiation in pregnancy, month of birth, and risk of multiple sclerosis in offspring: longitudinal analysis , 2010, BMJ : British Medical Journal.

[12]  J. De Keyser,et al.  Timing of birth and disease progression in multiple sclerosis , 2008, Multiple sclerosis.

[13]  Padmanabhan Bharanidharan,et al.  Monthly distribution of multiple sclerosis patients’ births , 1997, International journal of biometeorology.

[14]  P. Aridon,et al.  Is season of birth associated with multiple sclerosis? , 2000, Acta neurologica Scandinavica.

[15]  P. Rothwell,et al.  Timing of birth and risk of multiple sclerosis: population based study , 2004, BMJ : British Medical Journal.

[16]  E. Willoughby,et al.  MS prevalence in New Zealand, an ethnically and latitudinally diverse country , 2010, Multiple sclerosis.

[17]  P. Tienari,et al.  Month of birth is associated with multiple sclerosis but not with HLA-DR15 in Finland , 2012, Multiple sclerosis.

[18]  Alfredo Damasceno,et al.  Month of Birth Does Not Seem to Interfere with the Development of Multiple Sclerosis Later in Life in Brazilian Patients , 2012, Neuroepidemiology.

[19]  A. Damasceno,et al.  Monthly variation of multiple sclerosis activity in the southern hemisphere: analysis from 996 relapses in Brazil , 2012, European journal of neurology.

[20]  J. Salzer,et al.  Season of birth and multiple sclerosis in Sweden. , 2010, Acta neurologica Scandinavica.

[21]  C. Poser,et al.  Diagnostic criteria for multiple sclerosis , 2001, Clinical Neurology and Neurosurgery.

[22]  J. Correale,et al.  The impact of environmental infections (parasites) on MS activity , 2011, Multiple sclerosis.

[23]  Gavin Giovannoni,et al.  The month of birth effect in multiple sclerosis: systematic review, meta-analysis and effect of latitude , 2012, Journal of Neurology, Neurosurgery & Psychiatry.

[24]  F. Clerget-Darpoux,et al.  Season of birth and not vitamin D receptor promoter polymorphisms is a risk factor for multiple sclerosis , 2009, Multiple sclerosis.

[25]  H. Tremlett,et al.  Does the Season or Month of Birth Influence Disease Progression in Multiple Sclerosis? , 2006, Neuroepidemiology.

[26]  P. Watson,et al.  Seasonal variation of nutrient intake in pregnancy: effects on infant measures and possible influence on diseases related to season of birth , 2007, European Journal of Clinical Nutrition.