| 1. |
- Wehling, Eike I., et al.
(författare)
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Longitudinal Changes in Familiarity, Free and Cued Odor Identification, and Edibility Judgments for Odors in Aging Individuals
- 2016
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Ingår i: Chemical Senses. - : Oxford University Press (OUP). - 0379-864X .- 1464-3553. ; 41:2, s. 155-161
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Tidskriftsartikel (refereegranskat)abstract
- This longitudinal study investigated changes in olfaction as assessed by a set of tasks requiring different aspects of semantic information in normal aging individuals. Using 16 odorous items from a standardized olfactory test, the Scandinavian Odor Identification Test, 107 middle aged and older adults were assessed up to three times over a period of 6.5 years, requesting them to rate familiarity and edibility for each odorous item before identifying it with or without presenting verbal cues. Using linear mixed models, the longitudinal analyses revealed significant correlations between all olfactory measures. Furthermore, we found an almost parallel age-related decline in all olfactory tasks, although free identification performance indicated a trend toward faster decline with age. Women showed less decline compared with men, in particular for edibility judgments. The results corroborate earlier cross-sectional findings showing significant correlations between the olfactory tasks. In the present study of healthy middle-aged and older adults, we found a parallel longitudinal decline across different tests of olfaction.
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| 2. |
- Wehling, Eike I., et al.
(författare)
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Longitudinal Changes in Odor Identification Performance and Neuropsychological Measures in Aging Individuals
- 2016
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Ingår i: Neuropsychology. - : American Psychological Association (APA). - 0894-4105 .- 1931-1559. ; 30:1, s. 87-97
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Tidskriftsartikel (refereegranskat)abstract
- Objective: To examine changes in odor identification performance and cognitive measures in healthy aging individuals. While cross-sectional studies reveal associations between odor identification and measures of episodic memory, processing speed, and executive function, longitudinal studies so far have been ambiguous with regard to demonstrating that odor identification may be predictive of decline in cognitive function.Method: One hundred and 7 healthy aging individuals (average age 60.2 years, 71% women) were assessed with an odor identification test and nonolfactory cognitive measures of verbal episodic memory, mental processing speed, executive function, and language 3 times, covering a period of 6.5 years.Results: The cross-sectional results revealed odor identification performance to be associated with age, measures of verbal episodic memory, and processing speed. Using linear mixed models, the longitudinal analyses revealed age-associated decline in all measures. Controlling for retest effects, the analyses demonstrated that gender was a significant predictor for episodic memory and mental processing speed. Odor identification performance was further shown to be a significant predictor for episodic verbal memory.Conclusion: This study shows age-related decline in odor identification as well as nonolfactory cognitive measures. The finding showing that odor identification is a significant predictor for verbal episodic memory is of great clinical interest as odor identification has been suggested as a sensitive measure of incipient pathologic cognitive decline.
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| 3. |
- Wehling, Eike, et al.
(författare)
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Olfactory dysfunction in chronic stroke patients
- 2015
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Ingår i: BMC Neurology. - : Springer Science and Business Media LLC. - 1471-2377. ; 15
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Tidskriftsartikel (refereegranskat)abstract
- Background: The aim of the study was to investigate odor identification performance in patients one year after hospital admittance due to stroke. Predictors for olfactory dysfunction were investigated as well as self-reported olfactory function and pleasantness of olfactory items.Methods: A 1-year prospective study was performed. Stroke location, classification and comorbidities were registered at hospital admission. One year after admission, olfactory function was assessed using standardized olfactory methods (screening for loss of detection sensitivity and an odor identification test). A group of matched controls was derived from a population-based study to compare odor identification performance between groups. Patients were asked for their personal judgment regarding their olfactory function and pleasantness of odorous items. In addition, global cognitive function and symptoms of depression were assessed.Results: A total of 78 patients were enrolled (46 males, 32 females; mean age 68 years) of which 28.2 % exhibited reduced olfactory function (hyposmia) and 15.4 % exhibited loss of olfactory function (10.3 % functional anosmia, 5.1 % complete anosmia). Patients showed significantly lower olfactory performance compared to age- and sex-mated matched controls. Predictors of impaired olfactory function were age and NIHSS score. Self-reports indicated no significant differences between patients with normal olfactory function and those with reduced function. Yet, patients having an olfactory dysfunction rated odorous items as significantly less pleasant compared to patients without dysfunction.Conclusions: Olfactory dysfunction seems to occur frequently after stoke even one year after initial admission. The deficits seem to relate to hyposmia and functional anosmia, and less to a complete loss of smell sensitivity.
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