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Clustering of diseases in families

Based on years of detailed registration of the entire Danish population a database has been set up at Statens Serum Institut (SSI) that shows all registered family relations in Denmark. By linking the information in the Family Relations Database to diagnoses in the National Patient Registry we are able to study how diseases cluster in families.

Nature or nurture?

At SSIs Department of Epidemiology Research we have studied through the Family Relations Database the clustering of congenital disease, childhood diseases, infectious disease, chronic disease, sudden death and preterm birth. We study how diseases run in families - among twins, siblings and half siblings and cousins/half cousins. We also look at the differences in sex, age at diagnose and time span between diagnoses in the families.

Finally we have studied whether two specific diseases tend to occur in the same families. Taken together this information will indicate whether the familial clustering is primarily due to environmental or genetic factors.

Familial clustering in Greenland

The Family Relations Database is also used for studying clustering in Greenland. For this arctic environment we focus our studies on the susceptibility to Epstein-Barr infection and nasopharyngal carcinoma.  

Disease Risk

A part from the study of familial clustering the familial relations database has also been used for studies on how the risk of disease is affected by the number of children a woman has given birth to or the number of siblings a person has. Our studies have shown that women who gave birth to their first child relatively late have a higher risk of malignant melanoma. As the same result was seen for men the risk is likely to be explained by behavioural or environmental factors rather than e.g. hormonal changes during pregnancy.

Last revised 21 December 2011

Contact

Department of Epidemiology Research
Mads Melbye
Executive Vice President


Tel: +45 3268 3163

Annemette B. Kristensen
Administrative Coordinator

Tel: +45 3268 3164

 

Selected publications

Krogh C et al.
Familial aggregation and heritability of pyloric stenosis.
JAMA. 2010 Jun 16;303(23):2393-9.

Boyd HA, et al.
Maternal contributions to preterm delivery.
Am J Epidemiol. 2009 Dec 1;170(11):1358-64.

Øyen N et al.
Recurrence of congenital heart defects in families.
Circulation. 2009 Jul 28;120(4):295-301.

Øyen N et al.
The clustering of premature deaths in families.
Epidemiology. 2009 Sep;20(5):757-65.

Schnack TH et al.
Familial aggregation of cryptorchidism - a nationwide cohort study.
Am J Epidemiol. 2008 Jun 15;167(12):1453-7.

Kaae J et al.
Reproductive history and cutaneous malignant melanoma: a comparison between women and men.
Am J Epidemiol. 2007 Jun 1;165(11):1265-70.

Nielsen NM  et al.
Familial risk of multiple sclerosis: a nationwide cohort study.
Am J Epidemiol. 2005 Oct 15;162(8):774-8.