DNA Health Check
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Stay one step ahead and understand your risk of developing certain health conditions.
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A DNA Health Check can help you manage your long-term health
A DNA Health Check looks at your genetic risk of developing conditions like breast or prostate cancer, heart disease and type 2 diabetes, so you can take steps to stay healthier for longer.
The test combines your DNA with a health check to give you a personalised Polygenic Risk Score (PRS). This shows how your genes may affect your health and how some lifestyle changes could make a difference.
Book online nowUnderstanding the DNA Health Check
Dr Rebecca Rohrer explains more about the DNA Health Check, including what the benefits are and what conditions the test checks for.
Transcript
Who are you?
Hey, I'm Dr. Rebecca Aurora,
and I'm the Director of Clinical Innovation
and Genomics at Bupa.
I'm a working GP.
I'm a mum of three boys and a breast cancer survivor.
What is your background?
So I'm a GP still practising in the NHS,
and I've also got a background in management consultancy.
My current focus is on leading our genomics programme in the
UK and helping to bring innovation to our hospitals
and clinics in the UK.
What is the DNA Health Check?
The DNA health check is a polygenic risk score test
that estimates an individual's genetic predisposition
to certain common conditions.
It assesses the cumulative influence of lots
of genetic variants across the genome,
and it indicates an individual's genetic likelihood
of developing a particular condition.
What are the benefits of having a DNA Health Check?
By using your health information from your health
assessment for cardiovascular disease risk
and type two diabetes,
we can combine your current health information
with your genetic predisposition
to calculate an enhanced risk score
of developing these conditions.
Individuals identified with a higher polygenic risk
for specific conditions can then benefit from
proactive health measures.
This includes more frequent screenings,
preventative strategies,
and even considering early medical treatment
for conditions like cardiometabolic diseases.
Early detection can significantly improve your long-term
health outcomes.
What conditions does the DNA Health Check test for?
It tests for breast or prostate cancer, type two diabetes
and cardiovascular disease.
What is involved with the test?
The test requires you to provide a DNA sample
through a simple saliva sample collected into a tube.
Once we have your results, we'll contact you
to book an appointment with one of our GPS to discuss them.
After your appointment, you'll then receive a copy
of your report by email.
Do I need to prepare for the test?
It is a really simple test to do,
but it's important that you don't eat, drink, smoke, vape,
brush your teeth, or chew any gum for 30 minutes
before you do the test.
How long does it take to receive my results and how do I get them?
It can take four to six weeks
after the lab has received your saliva sample
for you to get your results.
We'll then contact you to book an appointment with one
of our GPS to discuss them.
What happens to my DNA sample after testing?
Your saliva sample will be destroyed
after testing takes place,
and you'll receive a report with your personalised results
after speaking to one of our gps.
Where is my data stored?
We retain your data, including genetic data, risk scores,
and results for up to 20 years,
and that allows us to meet our legal
and regulatory requirements.
But your data is stored securely,
and it won't be used for any purposes other than those
outlined in our privacy notice.
For any more information, click on the link.
Will my health insurer get access to my results?
If you have health insurance
or a part of a health trust, we won't share the results
of your tests with your insurer in the uk.
But it's really important that you know
that if you have a DNA health check, if you live
or plan to live outside the uk,
then local laws may require you to disclose the results
of any genetic testing you've had to your insurer.
What will my results look like?
Your Bupa GP will share your DNA health check results
with you during an online consultation.
You'll be able to book your online consultation
once your results are ready.
Your results will include your genetic risk score
for each condition that applies to you.
Does this test cover the BRCA gene?
No, this test doesn't assess the BRCA one
or BRCA two genes directly.
Instead, it provides a polygenic risk score
for breast cancer that's based on thousands
of common genetic variants across your genome.
Each of these variants contributes a small amount
to your overall risk.
Now, to put this in context,
about one in eight women in the UK will be diagnosed
with breast cancer in their lifetime,
but only about one in 250 people in the general UK
population carry a BRCA one or BRCA two variant.
This means that while BRCA variants are really important,
they account for only a small proportion
of breast cancer cases.
Most cases aren't linked to brca,
and that's where polygenic risk scores can be really helpful
by identifying additional genetic factors
that influence risk.
So while BRCA testing is essential for people
with a strong family history
or specific clinical features,
polygenic risk scores offer a broader view
of genetic risk in the general population.
Okay.
How is this test different from other genetic tests?
DNA health check looks at millions
of common variants across many genes
and how they affect your risk
of developing common conditions.
This is different to many other genetic tests in healthcare,
which have mainly focused on conditions linked
to variants in single genes.
It's also different from genetic tests
that help you learn about your family history
and family origins,
and we often refer to those as ancestry testing
or those that allow you to match and connect with relatives.
What do my results mean for my family?
Your results only tell you about your own genetic risk
of developing common conditions.
Another family member's genetic risk
of developing the same condition may be different.
Your results are based on the combined effects of millions
of genetic variants.
Family members, even if they're closely related,
may inherit different genetic variants and may
therefore have different risk.
The DNA health check doesn't look at rare illnesses
that run in families and a link
to specific variants or genes.
And if you are concerned about your risk
of a rare genetic condition, it's best to talk
to your doctor about other types of genetic testing.
Why do some results give a 10-year risk, while others give a lifetime risk?
The results tell you how likely you are
to develop each condition in a certain timeframe.
The timeframe is either the next 10 years
or your lifetime risk,
which is generally considered by the age of 80.
Now, the risk of developing cardiovascular disease
and type two diabetes is provided as a 10 year risk.
While the risk of breast
and prostate cancer is calculated as a lifetime risk,
we base these timeframes on recommendations from clinical
guidelines.
Are polygenic risk scores relevant to people of all ancestries?
The performance of the polygenic risk score varies across
different ancestry groups, and that's
because of the availability
of the data used to train the scores.
They're really powerful methodologies
to minimise the bias in ancestry, in polygenic risk scores.
But even with this predictive power,
it's not equal in all populations.
Can I have a DNA Health Check if I am pregnant or breast feeding?
Unfortunately, the test isn't suitable if you're pregnant
or breastfeeding, so we'd recommend that you wait
until afterwards.
How can I access the DNA health check?
DNA health check is a test
that you can add on to your health assessment.
You can select it when you book your health assessment,
and in some cases you can add it on afterwards.
Who do I contact if I have any other questions?
If you have any questions,
please email our admin team using [email protected]
and they'll be able to help you.
We test for certain cancers and conditions
Our DNA Health Check is most effective for certain age groups to help with prevention and awareness. It is not a diagnostic tool. We follow standard clinical guidance for which tests are suitable.
Conditions we test for
Breast cancer
We test for breast cancer if:
- You have no personal medical history of breast cancer
- You do not have symptoms of breast cancer
- You have not been referred for breast cancer
- You do not carry the BRCA gene or any other rare gene linked to breast cancer
- You are not pregnant or breast feeding
Prostate cancer
We test for prostate cancer if:
- You were assigned male at birth
- You have no personal medical history of prostate cancer
- You do not have any prostate cancer symptoms
Cardiovascular disease (CVD)
We test for CVD if:
- You are not currently taking statins (a group of drugs used to treat high cholesterol)
- You are not pregnant
- You have no history of high cholesterol within your family
- You have no personal medical history of cardiovascular disease, transient ischemic attack or a stroke
Type 2 diabetes
We test for Type 2 diabetes if:
- You have not previously had a diagnosis of type 2 diabetes
- You are not pregnant
How our DNA Health Check works
Book your in-person health assessment
Your Bupa GP will tell you which conditions we can test you for at your Be.Ahead or Be.Reassured health assessment.
At the point of booking you will be asked to give consent for giving a DNA sample from your saliva.
Get your sample kit
After you attend your health assessment we’ll send your sample kit to the address you used at booking.
When your sample kit is delivered, follow the online instructions. You’ll need to provide a sample of your saliva and return it by post to the address we've provided.
We check your DNA sample
We'll analyse your sample of saliva at our lab with our third-party, Genomics Ltd, and work out your risk of each condition.
You'll get an email when we have completed the test. This usually takes 4 to 6 weeks.
Get your results
You can book a Bupa GP appointment to discuss your results. They can help you understand your results and recommend next steps. Some of the recommendations may be lifestyle changes. If you are at risk of certain conditions, they can recommend screening.
We’ll send your full report by email. This includes a summary from your GP.
Is a DNA Health Check right for me?
You can add on a DNA Health Check if you:
- Have no current symptoms
- Have no history of the conditions being tested for
- Were assigned female at birth and are 40 to 69 years old
- Were assigned male at birth and are 45 to 69 years old
Our DNA Health Check is most effective for certain age groups to help with prevention and awareness. It is not a diagnostic tool. We follow standard clinical guidance for which tests are suitable.
Results might not be fully accurate for certain ancestry groups. The accuracy of your results depends on the details you give us.
Or book a GP appointment instead:
If you are worried about symptoms you are experiencing, please see your GP or book a Bupa GP appointment within the next two weeks. Symptoms may look like:
- A new lump in any area of your body
- Unusual bleeding (pee, vomit, poo or vaginal)
- Unexplained weight loss
- Persistent fatigue or night sweats
- Change in poo (bowel) habits
If you know that you or someone in your family has a genetic variant linked to a genetic disorder, you can receive advice on what sort of test you may need from a GP
What's next?
Call us
To book your health assessment and DNA Health Check you can
call us on 0330 822 3128
Lines open Monday to Friday 8am to 8pm, and Saturday 8am to 4pm.
We may record or monitor our phone calls.
Spread the cost
With our payment options, you can book some appointments and spread the cost at no extra cost.
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