"Mmm, Smells like Coffee!": How a Brief Odor Identification Test Could Help to Identify People with Mild Cognitive

Wolfgang Trapp1,2, Andreas Heid1, Susanne Röder1

  • 1Department of Psychiatry, Sozialstiftung Bamberg, St.-Getreu-Straße 18, 96049 Bamberg, Germany.

Brain Sciences
|July 29, 2023
PubMed

Insights

Early detection of dementia and mild cognitive impairment (MCI) can be improved using simple odor identification tests. These smell tests, when combined with cognitive screening, significantly enhance diagnostic accuracy for MCI and dementia.

Area of Science:

  • Neuroscience
  • Gerontology

Background:

  • Dementia and mild cognitive impairment (MCI) remain underdiagnosed.
  • Impaired odor identification is an early indicator of MCI and dementia.

Purpose of the Study:

  • To evaluate the added diagnostic value of two odor identification tests (Sniffin' Sticks Odor Identification Test [SS-OIT] and a brief odor identification test [B-OIT]) to a cognitive screening test (Mini-Mental State Exam [MMSE]) for detecting MCI or dementia.

Main Methods:

  • 174 patients underwent neuropsychological testing.
  • Tests administered included SS-OIT, B-OIT (coffee scent identification), and MMSE.
  • Participants included individuals with dementia (n=93), MCI (n=42), and no cognitive impairment (n=39).

Main Results:

  • Both dementia and MCI groups showed impaired odor identification.
  • SS-OIT and B-OIT scores were significantly correlated.
  • Adding either odor test to MMSE scores improved diagnostic accuracy for dementia and MCI.

Conclusions:

  • Brief odor identification tests can benefit individuals with suspected MCI or dementia.
  • These tests require minimal extra time.
  • Odor identification tests notably increase sensitivity for detecting MCI and dementia.

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