Down syndrome is the most common genetic cause of learning disabilities in children and is caused by having three copies of chromosome 21 instead of the normal two copies. People with Down syndrome used to have much shorter life expectancies but can now expect to live to 50 years or older, though they may have increased risks of health issues like heart defects, leukemia, or dementia as they age. Common physical traits of Down syndrome include flattened facial features, a small head, and poor muscle tone. Screening tests during pregnancy can help detect Down syndrome.