Olfactory Impairment and Subjective Olfactory Complaints Independently Predict Conversion to Dementia: A Longitudinal, Population-Based Study

Olfactory Impairment and Subjective Olfactory Complaints Independently Predict Conversion to Dementia : A Longitudinal, Population-Based Study

AuthorCount:6;
We examined whether conversion to dementia can be predicted by self-reported olfactory impairment and/or by an inability to identify odors. Common forms of dementia involve an impaired sense of smell, and poor olfactory performance predicts cognitive decline among the elderly. We followed a sample of 1529 participants, who were within a normal range of overall cognitive function at baseline, over a 10-year period during which 159 were classified as having a dementia disorder. Dementia conversion was predicted from demographic variables, Mini-Mental State Examination score, and olfactory assessments. Self-reported olfactory impairment emerged as an independent predictor of dementia. After adjusting for effects of other predictors, individuals who rated their olfactory sensitivity as worse than normal were more likely to convert to dementia than those who reported normal olfactory sensitivity (odds ratio [OR] = 2.17; 95% confidence interval [CI] [1.40, 3.37]). Additionally, low scores on an odor identification test also predicted conversion to dementia (OR per 1 point increase = 0.89; 95% CI [0.81, 0.98]), but these two effects were additive. We suggest that assessing subjective olfactory complaints might supplement other assessments when evaluating the risk of conversion to dementia. Future studies should investigate which combination of olfactory assessments is most useful in predicting dementia conversion. (JINS, 2014, 20, 1-9)

Larsson, MariaStockholms universitet,Perception och psykofysik(Swepub:su)malar (author)
Nordin, StevenUmeå universitet,Institutionen för psykologi(Swepub:umu)stno0002 (author)
Adolfsson, RolfUmeå universitet,Psykiatri(Swepub:umu)road0001 (author)
Nilsson, Lars-GöranStockholms universitet,Kognitiv psykologi(Swepub:su)lgn (author)
Olofsson, Jonas K.Stockholms universitet,Perception och psykofysik,Swedish Collegium for Advanced Study (SCAS), Sweden(Swepub:su)jool8931 (author)
Stockholms universitetPerception och psykofysik (creator_code:org_t)

In:Journal of the International Neuropsychological Society20:2, s. 209-2171355-61771469-7661

By the author/editor: Stanciu, Ingrid; Larsson, Maria; Nordin, Steven; Adolfsson, Rolf; Nilsson, Lars-Gö ...; Olofsson, Jonas ...

About the subject

MEDICAL AND HEALTH SCIENCES: MEDICAL AND HEAL ...; and Basic Medicine; and Neurosciences

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