GeneticPreReport Reference For Different Individuals
GeneticPreReport Reference For Different Individuals
R
O
GeneWell
EP
R
DNA test report
E
PL
Person Tested
Sample Code - Case Number
Reporting Date - 01/11/2018
M
SA
T
R
Introduction
O
GeneWell test is addressed to everyone who considers
health and wellness to be essential and aspires to
become more aware of their personal health risks.
2
Before looking at your results
Our risk assessment system is based on the latest Information table. The final page of this report includes a
scientific and medical knowledge available in the most Glossary.
T
respected scientific and medical journals. You can learn
Your Risk is the probability of your developing a condition
about your health risks and medical conditions, and
at some point during your lifetime. The risk calculation
receive health recommendations in different sections of
R
takes into account the examined genetic markers and the
the report.
average lifetime risk for your gender.
Right after this instruction you can see Your Personal Diet
O
The Average Risk is calculated based on the data
and Health Recommendations (if questionnaire is filled),
collected from individuals of European ancestry. You can
which are followed by a Summary table showing the
compare yourself with the average population risk shown
correlation of your disease risks to the European ancestry
in the second chart.
population’s average risks.
Disclaimer
M
The genetic susceptibility to complex diseases or conditions is determined as the consequence of the joint effects of many
genes, often interacting among themselves and with the environment. Therefore, when assessing disease risk, genetic
information is but one of the factors in developing the disease; environmental and lifestyle effects also play an important role.
The total risk for developing the disease cannot be solely based on the assessment of the genetic testing results. For most
conditions or diseases, the genes we know about and which are analyzed in this test are only responsible for a small fraction of
SA
the risk. Increased risk for developing the disease does not necessarily mean getting the disease, as does the opposite - the
disease may nevertheless be present in low-risk patients if environmental factors or other currently unknown risk factors
decrease or increase the probability of getting the disease. Risk evaluation takes into account the risk in the general population,
which does not mean a one-to-one risk for every single member of the population.
In the interpretation of the genetic test, it should be taken into consideration that current knowledge on the genetics of the disease
or pathogenic disorder, or on the interactions of various genes, may be incomplete. The current interpretation of the genetic test
may be subject to change in the future due to the publication of new scientific studies. The personal diet and health
recommendations in the current interpretation are based on the data submitted in the questionnaire, and any inaccurate or missing
information may result in a misleading interpretation. This report is provided to you for informational and educational purposes
only, and does not replace a visit to a physician, nor does it replace the advice or services of a physician.
3
Summary
Disease name Risk Level Your risk % Average risk % Genetic risk
T
Alzheimer disease higher 38 20 1.9
R
Basal cell carcinoma lower 21 23 0.9
O
Breast cancer hihger
higher 90 13 2.2
10
Celiac disease
Colorectal cancer
Exfoliating glaucoma
higher
hihger
higher
lower
EP 5.5
14
78
1.5
1
4.9
24
29
5.5
2.8
3.2
0.05
R
Folate increased
4
Disease name Risk Level Your risk % Average risk % Genetic risk
T
Melanoma higher 11 1.9 5.8
R
Multiple sclerosis higher 0.29 0.06 4.8
O
Osteoporosis higher 62 40 1.6
Prostate cancer
Psoriasis
higher
higher
higher
lower
EP 17
3.5
1.5
15
2.1
2.5
1.2
1.7
1.8
0.58
R
Rheumatoid arthritis higher 5.4 3.6 1.5
Vitamin B6 increased
5
Your test results
AUTOIMMUNE DISEASES
Psoriasis The analysis of genetic markers showed that your personal risk of developing psoriasis is
T
0.6 times lower than the average risk in population. Even though your genetic risk is low,
you are advised to:
R
Your risk: • Avoid triggers that can lead to the disease, such as stress, smoking and obesity
1.5%
Average risk:
O
2.5%
Rheumatoid
Arthritis (RA)
Your risk:
5.4%
EP
The analysis of genetic markers showed that your personal risk of developing RA is 1.5
times higher than the average risk in population. To reduce the risk you are strongly
recommended to:
Systemic Lupus The analysis of genetic markers showed that your personal risk of developing SLE is 7.5
PL
Erythematosus
times higher than the average risk in population. To reduce the risk, you are strongly
(SLE)
recommended to:
Your risk:
• Avoid triggers that can lead to the disease, such as chemical exposure,
6.9% overexposure to ultraviolet light, infections (parvovirus, hepatitis C), and smoking
M
6
EYE DISEASES
Exfoliation Glaucoma The analysis of genetic markers showed that your personal risk of developing exfoliation
T
glaucoma is 0.05 times lower than the average risk in population. Even though your genetic
risk is low, you are advised to:
R
Your risk: • Keep healthy diet with enough vitamins and nutrients
1.5% • Avoid large amounts of caffeine
Average risk:
O
29% • Have your vision examined by ophthalmologist regularly
Primary Open
Angle Glaucoma
(POAG)
EP
The analysis of genetic markers showed that your personal risk of developing POAG is 1.7
times higher than the average risk in population. To reduce the risk you are strongly
recommended to:
doctor’s recommendation
PL
M
SA
7
CARDIOVASCULAR DISEASES
Atrial Fibrillation The analysis of genetic markers showed that your personal risk of developing AF is 3.3
T
(AF)
times higher than the average risk in population. To reduce the risk you are strongly
recommended to:
R
Your risk: • Eat heart-healthy foods (low in salt, saturated fat, rich in vegetables, fruits and
75.2% whole grains)
Average risk:
• Do some physical activity every day
O
23%
Coronary Artery
Disease (CAD)
Your risk:
EP
The analysis of genetic markers showed that your personal risk of developing CAD is 3.2
times higher than the average risk in population. To reduce the risk you are strongly
recommended to:
Intracranial The analysis of genetic markers showed that your personal risk of developing IA is 0.9
PL
Aneurysm (IA)
times lower than the average risk in population. Even though you have the average genetic
risk, you are advised to:
Your risk: • Avoid triggers that can lead to the disease, such as smoking, alcohol and drug
6.3% abuse
M
Average risk:
7% • Eat properly and exercise regularly
• Have regular physical check-ups
SA
Peripheral Arterial The analysis of genetic markers showed that your personal risk of developing PAD is 1.2
Disease (PAD)
times higher than the average risk in population. To reduce the risk you are strongly
recommended to:
8
Venous The analysis of genetic markers showed that your personal risk of developing VTE is 35.2
Thrombembolism
times higher than the average risk in population. To reduce the risk you are strongly
(VTE)
recommended to:
T
Your risk:
• Keep your BMI below 25 and drink enough water
90%
R
• Avoid smoking
Average risk:
5%
• Do regular moderate exercise
• Consult with your doctor about the need of preventive measures before surgery,
O
during pregnancy and ca 6 weeks period after childbirth
Your risk:
EP
The analysis of genetic markers showed that your personal risk of developing CD is high.
To reduce the risk you are strongly recommended to:
• Avoid triggers that can lead to the disease, such as severe stress, physical injury or
R
5.5% infection
Average risk: • Consult a specialist about following a gluten-free diet
1%
E
PL
Folate Metabolism The analysis of genetic markers showed that your personal risk of developing FM-
(FM)
associated diseases is moderately higher than the average risk in population. Detected CT
genotype provide ~60% of the expected MTHFR enzyme activity, compared to the most
common genotype CC, which explain normal (100%) enzyme activity. To reduce the risk
you are recommended to:
M
Gallstone Disease The analysis of genetic markers showed that your personal risk of developing GSD is 0.8
(GSD)
times lower than the average risk in population. Even though your genetic risk is low, you
are advised to:
9
Graves' Disease The analysis of genetic markers showed that your personal risk of developing GD is 7 times
(GD)
higher than the average risk in population. To reduce the risk you are strongly
recommended to:
T
Your risk: • Avoid triggers that can lead to the disease, such as smoking and stress
8%
R
• Check your thyroid hormone levels regularly
Average risk:
1.2%
O
Higher Sugar The analysis of genetic markers showed that your genotype indicates a higher
Consumption
EP
consumption of sweet food products. To limit over-consumption of sweet food products you
Lactose Intolerance The analysis of genetic markers showed that your personal risk of developing adult-type LI
(LI)
is high. To minimize clinical symptoms, you are strongly advised to:
PL
Obesity The analysis of genetic markers showed that your personal risk of developing obesity is 0.2
SA
times lower than the average risk in population. Even though your genetic risk is low, you
are advised to:
10
Type 1 Diabetes The analysis of genetic markers showed that your personal risk of developing T1D is 0.2
(T1D)
times lower than the average risk in population. Even though your genetic risk is low, you
are advised to:
T
Your risk: • Ensure pre- and probiotic intake in your diet to maintain normal microbiota
0.1%
R
Average risk:
0.6%
O
Type 2 Diabetes The analysis of genetic markers showed that your personal risk of developing T2D is 0.2
(T2D)
Your risk:
7%
Average risk:
• Keep your BMI below 25
• Follow healthy diet
EP
times lower than the average risk in population. Even though your genetic risk is low, you
are advised to:
R
38.5% • Do at least 30 to 60 min of daily physical activity
E
Vitamin B12 The analysis of genetic markers showed that your personal risk of developing vitamin B12
metabolism
deficiency is lower than the average risk in population. Even though your genetic risk is low,
you are advised to:
PL
Vitamin B6 The analysis of genetic markers showed that your personal risk of developing vitamin B6
SA
metabolism
deficiency is higher than the average risk in population. To reduce the risk you are strongly
recommended to:
11
Vitamin D The analysis of genetic markers showed that your personal risk of developing vitamin D
metabolism
deficiency is moderately higher than the average risk in the population. To reduce the risk
you are recommended to:
T
• Eat vitamin D rich food (eggs, oily fish, yoghurt)
R
• Ensure sufficient exposure to sunlight (to face and arms for 30 min/daily)
• Check your vitamin D levels regularly
• Ask your doctor about your vitamin D intake
O
NEUROLOGICAL DISEASES
Alzheimer Disease
(AD) EP
The analysis of genetic markers showed that your personal risk of developing AD is 1.9
times higher than the average risk in population. To reduce the risk you are strongly
recommended to:
R
Your risk: • Ensure regular daily exercise and eat properly
38%
• Avoid smoking
Average risk:
20%
• Get enough decent sleep
• Keep active and mentally stimulated
E
Migraine with aura The analysis of genetic markers showed that your personal risk of developing MA
(MA)
corresponds to the average risk in population. Even though you have the average genetic
risk, you are advised to:
Your risk: • Avoid triggers that can lead to the disease, such as smoking, alcohol, stress,
48%
M
Multiple Sclerosis The analysis of genetic markers showed that your personal risk of developing MS is 4.8
(MS)
times higher than the average risk in population. To reduce the risk you are strongly
recommended to:
Your risk: • Avoid triggers that can lead to this disease, such as smoking
0.29% • Relieve stress
Average risk:
0.1% • Eat a balanced diet and exercise regularly
• Avoid overexposure to sunlight
12
ONCOLOGICAL DISEASES
Basal Cell The analysis of genetic markers showed that your personal risk of developing BCC is 0.9
T
Carcinoma (BCC)
times lower than the average risk in population. Even though your genetic risk is low, you
are advised to:
R
Your risk: • Use at least SPF 15 suncream
20.6% • Avoid tanning lamps and beds
Average risk:
O
23% • Check your skin regularly, and consult your doctor about changes
Bladder Cancer
Your risk:
2.1%
strongly recommended to:
EP
The analysis of genetic markers showed that your personal risk of developing bladder
cancer is 1.7 times higher than the average risk in population. To reduce the risk you are
Breast cancer The analysis of genetic markers showed that your personal risk of developing breast
PL
cancer is 10 times higher than the average risk in population. To reduce the risk you are
strongly recommended to:
Colorectal Cancer The analysis of genetic markers showed that your personal risk of developing CC is 2.8
(CC)
times higher than the average risk in population. To reduce the risk you are strongly
recommended to:
13
Gastric Cancer (GC) The analysis of genetic markers showed that your personal risk of developing GC
corresponds to the average risk in population. Even though you have the average genetic
risk, you are advised to:
T
Your risk: • Reduce salted, pickled or smoked food in your diet
0.6%
R
• Eat a wide variety of vegetables and fruits
Average risk:
0.6% • Avoid smoking
O
Lung Cancer (LC) The analysis of genetic markers showed that your personal risk of developing LC is 0.9
Your risk:
5.8%
Average risk:
are advised to:
EP
times lower than the average risk in population. Even though your genetic risk is low, you
• Avoid triggers that can lead to the disease, such as smoking and exposure to other
chemicals (arsenic, asbestos, silica)
• Test your home for radon
R
6.7%
Melanoma The analysis of genetic markers showed that your personal risk of developing melanoma is
5.8 times higher than the average risk in population. To reduce the risk you are strongly
recommended to:
PL
Prostate Cancer The analysis of genetic markers showed that your personal risk of developing PC is 1.8
(PC)
SA
times higher than the average risk in population. To reduce the risk you are strongly
recommended to:
14
OTHER CONDITIONS
Osteoporosis The analysis of genetic markers showed that your personal risk of developing osteoporosis
T
is 1.6 times higher than the average risk in population. To reduce the risk you are strongly
recommended to:
R
Your risk: • Exercise regularly
62% • Include foods rich in calcium and vitamin D in your diet
Average risk:
O
40% • Avoid smoking and alcohol
• Consult your doctor about the measurement of your BMD
Male Pattern
Baldness (MPB)
Your risk:
13.3%
EP
The analysis of genetic markers showed that your personal risk of developing MPB is 0.4
times lower than the average risk in population. Even though your genetic risk is low, you
are advised to:
• Avoid stress
R
• Ensure sufficient dietary nutrient intake
Average risk:
38%
E
PL
M
SA
15
Overview of the Diseases
Alzheimer disease (AD) is the most common cause (70%) Various epidemiological studies have found sun exposure
of dementia worldwide, characterized by a progressive as the main environmental trigger of BCC. Incidence rate
T
decline in cognitive function, such as memory loss and of BCC is higher in places with increased sun exposure
changes in behavior. It is a chronic disease with level, e.g. equator and northern territories of Australia.
progressive degeneration of brain cells and cell Sun exposure (UV light) is associated with cancer due the
R
connections, causing a deterioration in mental function. ability of UV radiation to induce direct mutations of DNA.
The incidence rate for AD in European and American According to the population-based analyses, estimated
populations increases exponentially with age, especially genetic factors account for 7.7%. Mortality of BCC is low,
O
at 70-80 years of age. AD is classified into early onset (65 but the malignancy of disorder is associated with lifetime
years) accounting for >95% of all cases. Late onset healthcare costs. Treatment depends of the size, type,
heritability is 33% and affects men and women equally. depth and location of the cancer and may include
Although current treatment of AD with medications can’t
stop the disease's progression, it helps lessen symptoms
for a limited time. Creating a supportive environment for
a person with AD is important.
arrhythmia, characterized by absence of coordinated lesions (60%) and aggressive muscle-invasive lesions
atrial contractions. In the case of AF, the heart rate rises (40%) that are mostly associated with high mortality rate.
to 180 beats (normal rate 60-80) per minute, lasting from There are few symptoms to detect this disorder:
seconds to days. Symptoms include shortness of breath increased frequency of urination, pain or burring during
and weakness. AF affects nearly 1% of population, urination, blood in the urine, and being unable to urinate.
M
prevalence is 1.5 times higher among men. AF in the The efficacy of treatment depends on the clinical stage
general population is heritable. For treatment, electrical and associated risk factors. Treatment options may
cardioversion or anti-arrhythmic medications are used. If include surgery, immunotherapy, chemotherapy and
SA
T
females, but the incidence in males is 100 times lower. one of a major causes of mortality worldwide, accounting
The estimated heritability of breast cancer varies from for 9% of all cancer incidences. It affects men and women
5% to 10%. Although breast cancer has been studied equally and is mainly a disease of developed countries.
R
extensively over the recent years, there is little known The estimated heritability of CC is 65%. CC survival
about the exact causes of this disorder, although they are chance is highly dependent on the stage of diagnosis. CC
most likely complex interactions between genetic makeup mostly begins with formulation of noncancerous clumps
O
and environmental factors. There are many options for of cells, called adenomatous polyps, which may turn to
breast cancer treatment, depending on the type and cancer during the latency period. Polyps treatment is one
stage of cancer and overall health condition. Treatment of the most important CC preventions. CC has a lot of
may involve surgery, chemotherapy, hormonal therapy
and radiation.
EP
Breast cancer risk factors: Gender (female) / Older age /
Family history / Inherited known mutations in genes
BRCA1 and BRCA2 / Obesity / Menopausal hormone
environmental risks that can be regulated, helping to
prevent cancer.
heritability of CD is estimated to be 31%. Intake of gluten disability worldwide and represents a complex disease
(protein found in wheat, rye and barley) for people with with both genetic and environmental determinants. CAD
CD causes damage in the small intestine and nutrients is a result of plaque buildup in a person’s arteries blocking
are not properly absorbed. In general, it is estimated that blood flow that transports oxygen and vital nutrients
1% of general population has CD, with a rate twice as high necessary for proper functioning of the heart. Heritability
M
in females. Recent studies have shown the role of the factors for CAD risk account for 30–60% of the inter-
human microbiome in formation of this disease. CD may individual variation. Prevention of CAD involves a
be triggered by severe stress, physical injury and combination of lifestyle factors and physiological
SA
infection. Adult occurrences of CD are more common parameters, often combined with medications. In case of
than pediatric cases. The typical symptoms in children treatment medications play a central role in reducing
appear at age under 2 years with malabsorption and poor mortality in patients with CAD.
growth. A gluten-free diet is the only available and
CAD risk factors: Older age / Gender (male) / Smoking /
effective CD treatment. For severe small intestine
Diabetes status / Angina or heart attack in a 1st degree
damage, medication may be prescribed.
relative < 60 / Chronic kidney disease / Atrial fibrillation /
CD risk factors: 1st and 2nd degree relative with celiac Blood pressure treatment / Rheumatoid arthritis / HDL
disease / Type 1 diabetes / Down syndrome or Turner level / BMI.
syndrome / Autoimmune thyroid disease / Liver diseases /
Rheumatoid arthritis.
17
Exfoliation glaucoma disease occurs in eyes with the most frequent health problems, affecting 10–15% of
exfoliation syndrome (XFS). XFS is a disease in which the the adults. GSD has been rare in childhood, but has
T
abnormal deposition of fibrillar extracellular material become increasingly recognized with the prevalence of
occurs in many ocular tissues. Patients with XFS have an obesity in late teenager years. GSD is detected by
increased risk of developing an additional angle-closure abdominal ultrasound. Gallstones should be treated only
R
glaucoma. Exfoliation glaucoma caused by XFS has a if they cause symptoms. 80% of people with gallstones do
worse prognosis compared to primary glaucoma and not have any pain at all. Common symptoms are
requires more serious clinical treatment. Exfoliation abdominal pain, fever, nausea or vomiting, clay-colored
O
glaucoma occurs worldwide and is strongly associated stools, a yellowish tint in skin or eyes. Treatment options
with elevated intraocular blood pressure and age. The include laparoscopic gallbladder removal and
highest prevalence is in the age group 70 and over. medications to dissolve the gallstones.
Recent studies have shown that glaucomas and XFS are
synthesis. Disturbed folate metabolism (FM) is implicated sporadically, whereas 8% to 10% has an inherited familial
in many different diseases, including congenital birth component. GC often produces no specific symptoms and
defects, late pregnancy complications, Down syndrome, therefore diagnosis is often delayed. Patients may exhibit
psychiatric disorders, osteoporosis and cancer. Folate is anorexia and weight loss (95%) as well as abdominal pain
an important nutrient for a healthy pregnancy. that is vague and insidious in nature. GC is highly
M
Population-based studies in Caucasians have estimated preventable by avoiding smoking and keeping a healthy
17% heritability effect for folate metabolism. The lifestyle. Treatment depends on the stage of GC and
recommended daily intake is 400 microgram (mcg) and overall health condition and may include surgery,
SA
up to 600 microgram (mcg) for women who are pregnant radiation therapy, chemotherapy and targeted drugs.
or planning a pregnancy. The primary dietary source of
GC risk factors: Older age / Gender (male) / Helicobacter
folate are green vegetables, beans and liver.
pylori infections / Diet high in salted, pickled or smoked
FM disorder risk factors: Family history. food / Eating foods contaminated with aflatoxin fungus /
Type A blood / Pernicious anemia / Family history /
Gallstone disease (GSD) is caused by crystallized and
Smoking / Obesity / Lynch syndrome / Asbestos
hardened bile components in the gallbladder leading to
exposure.
gallstones. 80% of gallstones are made of cholesterol and
the other 20% of calcium salts and bilirubin. GSD is one of
18
Graves’ disease (GD) is an autoimmune disease and the physiological and individual factors, such as vessels'
most common cause of hyperthyroidism, when thyroid localization, their size and morphology, presence of
T
glands make more thyroid hormone that the body needs. thrombus, age, medical history, family history and the
As a result, patient may have muscle weakness, sleep overall health of a patient. IA prevention must be applied
disorders, fast heartbeat, diarrhea and eye problems in individuals with two or more affected first-degree
R
such as bulging. According to population-based studies, relatives.
estimated heritability is 40% to 50%. Women, especially in
IA risk factors: Aging Gender (female) / Smoking /
reproductive age, have a disease incidence several times
O
Hypertension / Atherosclerosis / Alcohol and drug abuse
higher than men. The current treatment of GD restores
(cocaine) / Head injury / Estrogen deficiency in
thyroid levels effectively, but has serious side effects.
menopause / Arteriovenous malformation / Carotid artery
Possible treatments include medication (anti-thyroid,
radioiodine) and surgery.
Lactose intolerance
syndrome
association with overweight and obesity, risk of diabetes, ability to digest lactose. The prevalence of adult-type
fractures, and dental caries. Sweet food products may lactose intolerance varies depending on ethnicity, from
lead to weight gain through high added-sugar content, less than 5% in northwestern Europe to almost 100% in
PL
low satiety, and incomplete compensation for total some Asian populations. Clinical symptoms of LI usually
energy. Studies have shown that higher sweet food intake begin 30 minutes to 2 hours after eating or drinking foods
is partly determined by genes. that contain lactose, such as dairy products. The severity
of symptoms varies, depending on the amount of lactose
Higher sugar consumption risk factors: Family lifestyle /
each individual can tolerate. It is important to distinguish
M
19
Lung cancer (LC) occurs when cancer cells form in the Migraine with aura (MA), a subtype of migraine, is a
cells lining the air passages in lungs. LC remains the chronic neurological and sometimes progressive disorder
T
leading cause of cancer death in both men and women that is characterized by recurrent episodes of headache
worldwide. The heritability of lung cancer has been clearly and associated conditions, such as vomiting and
established and account for 8%. The most important sensitivity to light, smells, and sounds. Aura symptoms,
R
environmental factor that causes the LC is exposure to usually visual, precede the headache. During the
tobacco smoke through both active and passive smoking migraine attack blood vessels dilate in the brain, causing
(85% of all cases). The disease affects women over 60 pain for 2 to 72 hours. Heritability of different migraine
O
years twice more than men. To date, quitting smoking has types is estimated to be 34–51%. Migraine can occur in
been shown to reduce the risk of LC. Treatment options any period of life, affecting women 2-3 times more than
include surgery, chemotherapy, radiation therapy, men. Migraine treatment involves acute and preventive
targeted drug therapy.
factors and
neurologist and
medications.
neurosurgeon.
Prevention of migraine involves the combination of
lifestyle Pain relieving
R
medications play essential role in treatment.
intestines. Although it accounts for only 4% of all skin Multiple sclerosis (MS) is a complex condition caused by
cancer types, it causes 80% of skin cancer deaths. If the many contributing factors, such as environmental,
condition is recognized and treated early, it is almost behavioral and genetic factors. In MS, the immune system
PL
always curable. There is a broad spectrum of protection attacks and damages myelin, the protective sheath of the
strategies. Doctors recommend sun avoidance between nerve fibers. The disorder affects the brain, spinal cord
10 am and 4 pm. When sun cannot be avoided, use sun and optic nerve in eyes. Occurrence is 2-3 times higher in
protective clothing and sunscreens with SPF of 15 and women than in men. The estimates for heritability of MS
higher. Total avoidance of artificial UV sources is highly cover a wide range from 25% to 76%. Medication used for
M
advised. Treatment depends on the size, stage and MS treatment is aimed at modification of the course of
location of cancer. Early stage melanoma is removed by the disease, treating relapses and managing symptoms.
biopsy; for spreading melanoma, surgery is used to Physical therapy and relaxation are used to support
SA
20
Overweight and obesity can be easily defined by Peripheral arterial disease (PAD) occurs when plaque,
calculation of Body Mass Index (BMI). BMI is the weight in formed from fat, cholesterol, calcium, fibrous tissue and
T
kilograms divided by the height in meters squared other substances in the blood, builds up in the walls of the
(kg/m2). According to the WHO, being overweight is arteries, causing problems with heart, brain and other
defined as having a BMI between 25.0 and 29.9, and organs. To date, this disorder is often underdiagnosed,
R
obesity as having a BMI greater than 30.0. At an individual poorly understood, and much more common than was
level, obesity occurs when increased amount of expected a few years ago. It is estimated that ca. 12% of
triglycerides are stored in adipose tissue and released the adult population worldwide has PAD and this disease
O
later as free fatty acids, causing detrimental effects. affects men and women equally. PAD may be
Studies estimate heritability of overweight and obesity to asymptomatic or have various symptoms such as rest
be 40%-70%, but the primary mechanism of obesity is pain, ischemic ulcers, gangrene, atypical leg pain. Studies
permanent calorie imbalance: high caloric food intake
with a sedentary lifestyle. Many studies have shown that
increased BMI above 27 for both men and women
increases mortality. On the other hand, a significantly low
BMI in women indicates malnutrition and also leads to
EP have demonstrated 58% of genetic heritability of PAD.
There are several ways to treat PAD, such as smoking
cessation, lipid-lowering therapy,
management and antithrombotic therapy.
density and quality of bones are reduced making them Americans than in Europeans. In Europe glaucoma affects
fragile and more likely to break. The most common 1% to 2% of people aged over 50. Glaucoma is the second
fractures associated with osteoporosis occur at the hip, leading cause of blindness in the world. Typical symptoms
spine and wrist. Globally, 1 in 3 women and 1 in 5 men are of POAG are eye pain, blurred vision, halos around lights
at risk of an osteoporotic fracture. The measurement of and tunnel vision with gradual loss of peripheral vision in
M
bone mineral density (BMD) is a major predictor of the later stages. Early diagnosis can minimize and
osteoporotic fractures. Although BMD is highly heritable, prevent optical nerve damage. Medicated eye-drops are
only a few genes with modest effects on the risk of used to lower intraocular pressure. If the medications are
SA
developing osteoporosis have so far been discovered. ineffective or not tolerated, certain types of surgeries
Treatment for osteoporosis is based on treating and may be performed.
preventing fractures and using medications, healthy diet
POAG risk factors: Older age / Ethnicity (Caucasian,
and exercises to strengthen bones.
African-American) / Myopia / Elevated intraocular
Osteoporosis risk factors: Gender (postmenopausal pressure / Family history of glaucoma / Type 2 diabetes /
female) / Age (50 and older) / Family history / Hypothyroidism / Corticosteroids use / Pseudoexfoliation /
Inflammatory conditions / Hyperthyroidism/ Cardiovascular disease.
Hyperparathyroidism / Having no children / Calcium
deficient diet / Low body weight / Sedentary lifestyle /
Long-term use of some medications (oral prednisolone) /
Estrogen deficiency / Excessive alcohol use / Smoking.
21
Psoriasis is the common chronic inflammatory disorder Systemic lupus erythematosus (SLE) is a chronic
that affects skin or joints or both. Under psoriasis the inflammatory autoimmune disease that affects
T
immune system sends signals to the skin cells to grow connective tissue and may provide many internal and
faster than normal resulting in the formation of itchy, dry, cutaneous findings. Autoimmune attacks occur in the
red patches. Genetic heredity accounts for 50% for all five heart, joints, lungs, liver, skin, blood vessels, kidneys etc.
R
types of psoriasis. The prevalence varies from 0.91% in The estimated heritability of SLE disorder is 66%. The rate
Southern Europe to 8.5% in Nordic countries. Psoriasis is is 9 times higher in women than in men and the course of
prevalent equally for both sexes. The diagnosis is usually the disease is unpredictable. SLE is triggered by
O
based on clinical findings and the skin biopsy is rarely environmental factors in genetically predisposed people.
needed. To date, psoriasis has no known way of SLE can be diagnosed by few symptoms, such as malar
prevention and treatment, but many therapies can reduce rash, photosensitivity, discoid skin rash, kidney
or nearly stop the symptoms.
nutrition and lubrication of the joint. RA leads to loss of during which pancreatic cells, which store and produce
joint function due to the loss of muscle around the insulin, are damaged, resulting in insulin deficiency and
affected joint, causing pain and swelling. The acute phase hyperglycemia. Both type 1 and type 2 diabetes result in
PL
of the disease leads to cardiovascular disorders and high blood glucose levels causing serious health
other comorbidities. Heritability plays a substantial role; complications, including kidney failure, blindness, stroke
studies of Northen European populations suggest that and heart diseases. Heritability plays a substantial role
genetic factors account about 50% of disease and accounts for ca 50% of T1D. According to recent
susceptibility. The worldwide incidence varies between studies, consuming adequate amounts of vitamin D in
M
0.5% and 1%. RA treatment is symptomatic - medications young adulthood may decrease the risk of adult-onset
are used to reduce inflammation and relieve pain in T1D by as much as 50%. The primary treatment is based
combination with physical and occupational therapy. The on the monitoring of blood sugar level; insulin injections
SA
primary goal of the treatment is remission with no active are used every day to prevent long-term complications
joint inflammation. Surgery may be necessary if joints are associated with the disease.
severely damaged.
T1D risk factors: Family history / Viral infections / Lack of
RA risk factors: Family history / Gender (female) / Age Vitamin D in young adulthood / Changes in the gut
(mostly between 40- 60 years) / Smoking / Obesity / Late microbiota.
age at menarche.
22
Type 2 diabetes (T2D), also called non-insulin diabetes is major side effect is increased risk of hemorrhage, which
the most common type of diabetes. In case of this disease may be fatal in up to 25% of cases. For life-threatening
T
the body is still able to produce insulin. T2D is caused by a situations, thrombolytics and surgical clot removal is
lack of insulin produced by the pancreas or incorrect use used. Temporary inferior vein filters are used in patients
of insulin. This leads to a situation when glucose is not with high risk of deep vein thrombosis.
R
able to perform its function as an energy molecule. WHO
VTE risk factors: Family history / Surgery / Trauma /
estimated there are 285 million people with this disease,
Chronic disease / Obesity / Pregnancy / Oral
which is equivalent to about 6% of the adult population
O
contraceptives / Hormone replacement therapy / Cancer
worldwide. Symptoms of T2D are increased hunger with
Immobility / Dehydration / Smoking.
weight loss, fatigue, blurred vision, areas of darkened
skin, increased thirst and frequent urination. Early testing Vitamin B12 is involved in DNA synthesis, neurological
for T2D could lead to a better treatment and impairing
glucose intolerance, resulting in a better outcome. For
prevention and treatment of diabetes, it is essential to
maintain weight by ensuring a healthy diet and good
exercise habits. Treatment may include use of diabetes
EP function, proper red blood cell formation, and also helps
prevent homocysteine elevated levels (may lead to heart
diseases). Deficiency is characterized by weakness,
irritability, fatigue, poor memory, confusion, depression,
and megaloblastic anemia. The best sources of vitamin
R
medications or insulin therapy. B12 are beef liver, clams, salmon, sardines, and fortified
cereals. Smoking, alcohol, caffeine, and long-term
T2D risk factors: Overweight / Insufficient physical activity
antibiotic use inhibit the absorption of vitamin B12.
/ Family history of diabetes / High blood pressure /
According to studies, the presence of certain genetic
Increased waist circumference / Unhealthy diet / Ethnicity
E
vein thrombosis, pulmonary embolism, or both. VTE is be monitored carefully for the deficiency. Recommended
characterized by blood clots in a vein, which can grow and Dietary Allowance (RDA) of vitamin B12 for adults is 0,003
dislocate. VTE is associated with morbidity and mortality. – 0,004 mg/day.
VTE affects 2% to 5% of the population. About 30% of
Vitamin B12 deficiency risk factors: Pernicious anemia /
surviving patients develop recurrent VTE within 10 years.
M
23
Vitamin B6 carries an important role in the metabolism of Vitamin D deficiency is a widespread problem affecting as
amino acids, carbohydrates and lipids, as well as in many as one-half of otherwise healthy adults in
T
biosynthesis of neurotransmitters and blood cells. developed countries. Vitamin D deficiency causes
Deficiency can result in anemia, scaling on the lips and osteomalacia, childhood rickets, osteoporosis and
cracking of the corners of mouth, neurological and fractures because of reduced calcium absorption. Other
R
immune system disorders, elevated homocysteine levels consequences of vitamin D deficiency include
(may lead to heart diseases). The main sources of vitamin cardiovascular diseases, T1D and T2D, obesity, multiple
B6 are whole grains, liver, chickpeas, nuts, seeds etc. sclerosis, asthma and cancers of breast, colon, and
O
Smoking, alcohol and caffeine inhibit the absorption prostate. Vitamin D is produced mainly in the skin during
Vitamin B6. According to studies, the presence of certain exposure to sunlight. Although diet, intake of vitamin D
genetic variants is associated with 12-18% lower vitamin supplements and exposure to sunlight are known to
B6 level. Sufficient vitamin B6 intake is particularly
important for these individuals. Recommended Dietary
Allowance (RDA) of vitamin B6 for adults is 1.9- 2,4
mg/day.
EP
Vitamin B6 deficiency risk factors: Genetic predispositio /
influence serum vitamin D concentrations, genetic factors
may also contribute to variability in vitamin D level, with
estimates of heritability ranging from 23-80%. The
Recommended Dietary Allowance (RDA) for adults is 600
international units (IU) of vitamin D a day.
R
Kidney diseases / Malabsorption syndromes (celiac Vitamin D deficiency risk factors: Little sun exposure /
disease) / Heart failure / Liver cirrhosis / Thyroid Older age / Obesity / Genetic predisposition / Poor dietary
problems / Alcoholism / Certain medications intake of vitamin D.
(antirheumatic, antiepileptic).
E
PL
M
SA
24
Genetic Markers Information
T
Alzheimer disease APOE rs429358 23296339 CT
R
Atrial fibrillation 4q25 rs10033464 17603472 GT
O
Basal cell carcinoma PADI6 rs7538876 18849993 AG
Bladder cancer
Bladder cancer
Breast cancer
Intergenic
TACC3
MYC
TP53
EP
rs801114
rs798766
rs9642880
rs1042522
18849993
23053209
18794855
17341484
GT
TT
TT
CC
R
Breast cancer RAD51B rs1314913 23001122 TT
25
Disease name Gene name SNP ID PubMed reference Genotype
T
Breast cancer BRCA2 rs80359550 25476495 TT
R
Celiac disease HLA-DRA rs2395182 18509540 GG
O
Celiac disease Intergenic rs4713586 18509540 AG
Celiac disease
Celiac disease
Colorectal cancer
Colorectal cancer
Intergenic
HLA-DQB1
SMAD7
Intergenic
EP
rs7454108
rs7775228
rs4464148
rs4779584
18509540
18509540
21075068
25475391
CT
CC
CT
TT
R
Colorectal cancer SMAD7 rs4939827 18372901 CT
26
Disease name Gene name SNP ID PubMed reference Genotype
T
Gallstone disease ABCG8 rs11887534 17632509 GG
R
Graves' disease IL-23R rs10889677 18472000 CC
O
Graves' disease TNF-α rs1800630 18472000 AC
Graves' disease
Graves' disease
Intracranial aneurysm
Intracranial aneurysm
IL-23R
IL-23R
SOX17
CDKN2A/CDKN2B
EP
rs2201841
rs7530511
rs10958409
rs1333040
18472000
18472000
18997786
18997786
AG
TT
AG
CC
R
Lactose intolerance MCM6 rs4988235 11788828 GG
27
Disease name Gene name SNP ID PubMed reference Genotype
T
Obesity MC4R rs17782313 18454148 TT
R
Obesity APOA2 rs5082 17446329 GG
O
Obesity APOA5 rs662799 17211608 GG
Obesity
Osteoporosis
Osteoporosis
LRP5
LRP5
CHRNA5
EP
rs7498665
rs3736228
rs4988321
rs951266
22248999
18349089
18349089
18385739
GG
TT
GG
AA
R
Primary open angle glaucoma SIX1 rs10483727 21398277 CT
28
Disease name Gene name SNP ID PubMed reference Genotype
T
Rheumatoid arthritis STAT4 rs7574865 20169389 GG
R
Systemic lupus erythematosus STAT4 rs10181656 18579578 CG
O
Systemic lupus erythematosus ITGAM rs1143679 18204448 AA
HLA-DQA1
SKIV2L
STAT4
EP
rs1800629
rs2187668
rs419788
rs7574865
16418737
17997607
17997607
20169389
GG
CC
TT
GG
R
Systemic lupus erythematosus ITGAM rs9888739 21379322 CT
29
Disease name Gene name SNP ID PubMed reference Genotype
T
Type 2 diabetes Intergenic rs9300039 17463248 AC
R
Venous thromboembolism F2 rs1799963 2170759 AG
O
Vitamin B12 FUT2 rs602662 19303062 AG
Vitamin B6
Vitamin D
Vitamin D
Vitamin D
ALPL
CYP2R1
CYP2R1
GC
EP
rs4654748
rs10741657
rs10766197
rs4588
19303062
24587115
24587115
24587115
CC
AG
AG
GT
R
Vitamin D GC rs842999 24587115 CG
E
PL
M
Molecular geneticist
30
Glossary
Average Risk is the percent of people who develop the an attempt to estimate the amount of body fat in an
condition during their life. This is compiled from individual, and then categorize that person as
T
authoritative epidemiological reports in the medical underweight (below 18.5), normal or healthy weight (18.5
literature. The figures are based on the total lifetime risk – 24.9), overweight (25 – 29.9), or obese (over 30) based
for that condition for your gender. on that value. BMI may not apply to athletes, because
R
athletes may have a high muscle to fat ratio and may
Your Risk is the probability you will develop the given
have a BMI that is misleadingly high relative to their body
condition and is calculated for you based on the genetic
fat percentage.
O
markers tested and the average population risk.
Caucasian is an old racial definition based on a skull from
Your Genetic Risk is calculated based on the genetic
the Caucasus mountains. Commonly used to
markers tested. Genetic risk 1 is the average risk. Genetic
average.
31