if individuals in the group tend to marry within it, there's a greater likelihood that the recessive genes of the founders will come together in the cells that produce offspring. Thus diseases of recessive genes, which require two copies of the gene to cause the disease, will show up more frequently than they would if the population married outside the group.
In the Amish, in fact, Ellis-van Creveld syndrome has been traced back to one couple, Samuel King and his wife, who came to the area in 1744. The mutated gene that causes the syndrome was passed along from the Kings and their offspring, and today it is many times more common in the Amish population than in the American population at large