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Updated: Jun 21, 2026

A Free-breathing fMRI Method to Study Human Olfactory Function
Published on: July 30, 2017
The proportion of self-rated olfactory dysfunction does not change across the life span
Chih-Hung Shu1, Thomas Hummel, Po-Lei Lee
1Department of Otolaryngology, Taipei Veterans General Hospital, National Yang-Ming University School of Medicine Faculty of Medicine, Taipei, Taiwan. chshu@vghtpe.gov.tw
Self-reported smell function is unreliable across all ages. Measured olfactory dysfunction increases significantly with age, unlike self-assessments, highlighting a disconnect in olfactory health perception.
Area of Science:
- Otolaryngology
- Neuroscience
- Gerontology
Background:
- Self-reports of olfactory function are often unreliable.
- Measured olfactory dysfunction affects approximately 20% of the general population.
- Discrepancies exist between self-reported and objectively measured olfactory function.
Purpose of the Study:
- To investigate the relationship between self-rated and measured olfactory function.
- To determine the prevalence of self-rated olfactory dysfunction across different age groups.
- To analyze age-related trends in measured olfactory function.
Main Methods:
- 1005 subjects completed a questionnaire on olfactory function and medical history.
- Subjects underwent a physical checkup for preclinical conditions.
- Olfactory function was assessed using a modified "Sniffin' Sticks" odor identification test.
Main Results:
- Self-rated olfaction did not significantly correlate with measured olfactory function.
- Self-rated olfactory dysfunction prevalence (9-14%) was consistent across age groups.
- Measured olfactory dysfunction increased with age: 3.7% (18-35 yrs), 17.4% (36-55 yrs), and 35.6% (>55 yrs).
Conclusions:
- Self-assessment of olfactory function is unreliable at all ages.
- Age does not significantly alter self-rated olfactory function.
- Measured olfactory function declines significantly with increasing age.
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