What Your Family Health History Can Teach You

What Your Family Health History Can Teach You

By: Sobia Khan, M.D., EdD • Posted on February 08, 2012 • Updated May 01, 2023

Genetics and Your Personal Health

If your grandmother had osteoporosis does that mean you’ll have it too? If your mother had breast cancer are you likely to get it as well? Is genetics destiny?

No, genetics isn’t always destiny and you are not fated to contract a disease or condition simply because a relative did. However, as we learn more about genetics and the importance of preventive care, knowing your family medical history is more important than ever.

A family medical history can tell you which diseases you are at the most risk for and thus allow you to take steps to prevent them or detect them earlier so they can be treated sooner.

How to create a family health history

What is a family health history? Sometimes called a family health history tree, it is a record of illnesses and medical conditions affecting your family members. It should be focused on serious conditions, not seasonal allergies or tonsillitis. A complete history should include three generations and encompass grandparents, parents, siblings, grandchildren, aunts, uncles, cousins, nieces and nephews.

Information to include in your family health history tree

  1. Sex
  2. Date of birth
  3. Ethnicity
  4. Medical conditions and age when each was diagnosed
  5. Pregnancy complications, including miscarriage, birth defects and infertility
  6. Lifestyle habits, including diet, exercise and tobacco use
  7. Mental health conditions, including substance abuse
  8. Age at time of death and cause of death

This information can provide valuable clues as to what you should be aware of. For example, family health history can be a risk factor for the following diseases:

  • Heart disease
  • Some types of cancer
  • Diabetes
  • Osteoporosis
  • High blood pressure
  • Stroke
  • More unusual diseases, such as cystic fibrosis and sickle cell anemia.

Remember that having a family history of a disease or condition doesn’t mean you’ll get it. Likewise, having no family history of a disease doesn’t mean you won’t get it.

What to do with a family health history

Share this information with your physician and together you can decide how to use family history to improve your health. Knowing that you have a family history of osteoporosis, for example, your doctor might have you undergo a bone density test earlier than someone without that family history. Likewise, a history of colorectal cancer suggests earlier screenings.

A doctor also could recommend the following lifestyle changes that could lower your risk of contracting diseases:

  1. Losing weight
  2. Eating better
  3. More exercise

The information you gather can be shared with other relatives so that they can be armed with this valuable knowledge.

The CDC offers a free tool to help you create your family health history.

Be Strong, Be Healthy, Be in Charge!

- Sobia Khan, MD, EdD

About Sobia Khan, MD, EdD

Dr. Sobia Khan is board certified in internal medicine physician and holds a doctoral degree in Professional Leadership and Health Science Education by University of Houston, Texas. Prior to joining Cleveland Clinic as Menopause and Functional Medicine specialist she served as Director of Center of Women's Center for Comprehensive Care at Baylor College of Medicine for ten years.

She is a certified Functional Medicine practitioner and now offering Women's Health Functional Medicine consultation at Center of Specialized Women's Health, Women's Health Institute, Cleveland Clinic.

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