What Is Down Syndrome? Causes and Common Symptoms

Illustration promoting Down Syndrome awareness, showing a smiling girl with painted hands, a couple making a heart gesture, and a child doing crafts with an adult — surrounded by colorful socks and handprints symbolizing love, inclusion, and support

What is Down Syndrome? Understanding the Common Chromosomal Disorder

Down syndrome is a genetic condition caused by having a full or partial extra copy of chromosome 21 in a person’s cells.
Normally, each cell contains 23 pairs of chromosomes — half inherited from each parent. When an individual has an additional chromosome 21, it affects how their body and brain develop.

This condition causes lifelong intellectual disability and developmental delays. It is the most common genetic chromosomal disorder and one of the leading causes of learning difficulties in children.
People with Down syndrome may also experience other health issues, such as heart defects and digestive system problems.

What causes down syndrome?

The exact cause of the extra chromosome 21 is still unknown. However, researchers have identified certain risk factors that may increase the likelihood of having a baby with Down syndrome.

1. Maternal Age

  • The age of the mother is the only factor strongly linked to Down syndrome caused by nondisjunction or mosaicism.

  • Although the risk increases with maternal age, 80% of children with Down syndrome are born to women under 35 due to higher birth rates in this group.

2. Genetic Origin

  • The extra chromosome can come from either parent, though about 5% of cases are traced to the father.

  • The condition is not caused by environmental factors or lifestyle choices before or during pregnancy.

3. Global Prevalence

  • Down syndrome remains the most common chromosomal disorder, occurring in about 1 in every 700 births.

  • Between 1979 and 2003, the number of babies born with Down syndrome increased by approximately 30% worldwide.

Symptoms and characteristics of down syndrome

Each person with Down syndrome is unique. The level of developmental delay and intellectual disability can range from mild to severe.
Some individuals are generally healthy, while others face serious medical conditions such as heart disease or respiratory issues.

Common physical features

Although not everyone with Down syndrome shares the same traits, some of the most recognizable features include:

  • Flattened facial profile

  • Small head and short neck

  • Protruding tongue

  • Upward slanting eyelids (palpebral fissures)

  • Small or abnormally shaped ears

  • Poor muscle tone (hypotonia)

  • Broad, short hands with a single crease across the palm

  • Short fingers, small hands and feet

  • Excessive flexibility

  • Tiny white spots on the iris (Brushfield’s spots)

  • Short stature or slower growth rate

Intellectual and developmental signs

Children and adults with Down syndrome often experience:

  • Delayed speech and language development

  • Slower learning pace

  • Challenges with memory and concentration

  • Delayed motor skills (e.g., sitting, walking, grasping)

Despite these challenges, many people with Down syndrome lead happy, fulfilling lives with the right educational and medical support.

Final thoughts

Down syndrome is not an illness but a genetic variation that affects how a person develops.
With early intervention, inclusive education, and compassionate support from families and communities, children with Down syndrome can thrive and contribute meaningfully to society.

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