Children, parents, and grandparents often share similar health problems. If a particular disease runs in your family, you may have inherited factors that put you at risk.
Inherited risk factors are passed down from parent to child by way of genes. All humans have the same genes, but different people have slightly different versions of these genes.
Sometimes genetic differences cause disease. In rare cases, changing a single gene is enough to cause disease. But more often disease results from the combined effects of minor changes in multiple genes. Each gene then contributes in a small way to the symptoms.
Prevalence of Common Diseases
It is estimated that heart disease, cancer, and diabetes account for 7 of every 10 deaths in the United States. Like rare genetic disorders, these "common" diseases can also be considered genetic diseases because they run in families. Therefore, a family history can provide important information about your family's risk of disease. But is it possible to predict who will or will not develop disease? If so, how?
Common diseases result from the combined effects of multiple genes and environmental factors. This complexity makes it very difficult to predict whether or not an individual will inherit disease.
One challenge is that the number of genes contributing to so-called "polygenic" diseases is usually not known. The number of genes carried by parents or children that can increase risk is also not known. And environmental factors can greatly vary an individual's risk of developing disease.
Polygenic Disease Inheritance
Because most common diseases involve more than one gene, inheritance patterns are varied and complex. If a parent has a disease, it does not necessarily mean a child will develop the same disease. So risk can be estimated but not calculated.
Information in a family medical history must be used to assign an individual to a low, medium, or high risk group. Risk is estimated by comparing an individual's family history to data collected from large families affected by a disease. Persons in each risk group share characteristics that correlate with a certain probability of developing a disease.
What If I Don't Know My Family History?
Even if you don't have access to medical information from your biological family, it's still useful to complete a history using your guardian family. Family histories capture more than just genetic risk factors.
They also capture cultural, social, and environmental risk factors shared by a family that can contribute to disease.
Identifying Disease Genes
One goal of genetic research is to identify genes that contribute to complex diseases, and understand how these genes are influenced by a person's environment.
Scientists are beginning to identify whole lists of genes that contribute to each of the major common adult diseases, such as heart disease, cancer, and diabetes.