Why is it important to know my family medical history?
A family medical history is a record of health information about a person and his or her close relatives. A complete record includes information from three generations of relatives, including children, brothers and sisters, parents, aunts and uncles, nieces and nephews, grandparents, and cousins.
Families have many factors in common, including their genes, environment, and lifestyle. Together, these factors can give clues to medical conditions that may run in a family. By noticing patterns of disorders among relatives, healthcare professionals can determine whether an individual, other family members, or future generations may be at an increased risk of developing a particular condition.
A family medical history can identify people with a higher-than-usual chance of having common disorders, such as heart disease, high blood pressure, stroke, certain cancers, and diabetes. These complex disorders are influenced by a combination of genetic factors, environmental conditions, and lifestyle choices. A family history also can provide information about the risk of rarer conditions caused by mutations in a single gene, such as cystic fibrosis and sickle cell anemia.
While a family medical history provides information about the risk of specific health concerns, having relatives with a medical condition does not mean that an individual will definitely develop that condition. On the other hand, a person with no family history of a disorder may still be at risk of developing that disorder.
Knowing one's family medical history allows a person to take steps to reduce his or her risk. For people at an increased risk of certain cancers, healthcare professionals may recommend more frequent screening (such as mammography or colonoscopy) starting at an earlier age. Healthcare providers may also encourage regular checkups or testing for people with a medical condition that runs in their family. Additionally, lifestyle changes such as adopting a healthier diet, getting regular exercise, and quitting smoking help many people lower their chances of developing heart disease and other common illnesses.
The easiest way to get information about family medical history is to talk to relatives about their health. Have they had any medical problems, and when did they occur? A family gathering could be a good time to discuss these issues. Additionally, obtaining medical records and other documents (such as obituaries and death certificates) can help complete a family medical history. It is important to keep this information up-to-date and to share it with a healthcare professional regularly.
For more information about family medical history:
NIHSeniorHealth, a service of the National Institutes of Health, provides information and tools (http://nihseniorhealth.gov/creatingafamilyhealthhistory/ whycreateafamilyhealthhistory/01.html) for documenting family health history. Additional information about family history (http://www.nlm.nih.gov/medlineplus/ familyhistory.html) is available from MedlinePlus.
The Centers for Disease Control and Prevention's (CDC) of Public Health Genomics provides information about the importance of family medical history (http://www.cdc.gov/genomics/famhistory/famhist.htm). This resource also includes links to publications, reports, and tools for recording family health information.
Information about collecting and recording a family medical history (http://www.nsgc.org/About/FamilyHistoryTool/tabid/226/Default.aspx) is also available from the National Society of Genetic Counselors.
The American Medical Association provides family history tools (http://www.ama-assn.org/ama/pub/physician-resources/medical-science/genetics- molecular-medicine/family-history.page), including questionnaires and forms for collecting medical information.
Links to additional resources (http://www.kumc.edu/gec/pedigree.html) are available from the University of Kansas Medical Center. The Genetic Alliance also offers a list of links to family history resources (http://www.geneticalliance.org/fhh.resources).