| Part Two: The Evidence. Research in support
of the Best Bet Diet |
| Vitamin D and Seasonal Fluctuations of Gadolinium-Enhancing
Magnetic Resonance Imaging Lesions in Multiple
Sclerosis. |
Ashton F. Embry, Ph.D., Lloyd R. Snowdon,
Ph.D. and Reinhold Vieth, Ph.D.
Annals of Neurology, 2000, v. 48, p.271-272. |
There follows a summary of this paper.
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Auer et al recently showed a striking, near
sinusoidal annual variation in the number
of active magnetic resonance imaging lesions
in 53 multiple sclerosis (MS) patients.
Their results provide solid support
for past,
less well documented claims of seasonal
fluctuation
in MS disease activity. Furthermore,
the
seasonal fluctuation in lesion activity
may
provide an important clue for identifying
environmental factors which are part
of MS
etiology.
Auer et al proposed that seasonal changes
in the rate of common infections might
partially
explain the seasonal fluctuation in
lesion
activity. They noted that climatic
factors
such as temperature, amount of sunlight
and
UV light exposure might also be involved.
We suggest that vitamin D supply, which
fluctuates
with seasonal UV light exposure, is
the main
environmental factor involved. Vitamin
D
and its metabolites have been implicated
in MS etiology by epidemiological,
experimental
and immunological data . Moreover,
circulating
vitamin D also shows a near sinusoidal
annual
fluctuation at higher latitudes .
To investigate a possible correspondence
between the fluctuations in vitamin
D intake
and lesion activity, we compared published
monthly D levels in 415 people, aged
50-80,
from southern Germany with the data
of Auer
et al which were also collected in
southern
Germany (Figure).
The curves fit both the D and lesion
data
significantly.
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