Seasonality of sudden infant death syndrome (SIDS) by age at death

Seasonality of sudden infant death syndrome (SIDS) is a well-established epidemiological finding, The purpose of the study was to determine whether this feature varied significantly with age at death. In total, 13 990 cases of SIDS in Scotland, England and Wales during 1982-1992 were studied by age group at death. Seasonality was established by fitting a sinusoidal curve and for each set of monthly data the peak position in the year and its magnitude were determined. Weighted regression revealed significant differences in peak position and amplitude of seasonal variation between those dying at less than or equal to 4 months and those aged greater than or equal to 5 months at death. Those infants in the younger age group were more likely to die earlier in the winter months and had a smaller variation in seasonality. The peak (acrophase) months were January for less than or equal to 4 months and February for greater than or equal to 5 months at death. Weighted regressions of peak position and amplitude on ase at death had p-values of <0.001 and <0.01, respectively. A log linear model relating SIDS incidence to month of birth, month of death and age was able to explain some of these findings. The findings support the hypothesis that in SIDS there may be more than one infant cohort, each of which passes through a vulnerable developmental window at different ages.