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"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.
Abstract:
(1) Background: Dementia and mild cognitive impairment (MCI) are still underdiagnosed in the general population. Impaired odor identification has been identified as an early marker of MCI and dementia. We aimed to compare the additional diagnostic value of two odor identification tests to a cognitive screening test in detecting MCI or dementia. (2) Methods: The Sniffin' Sticks odor identification test (SS-OIT), a brief odor identification test (B-OIT) requiring the identification of coffee scent, and the Mini-Mental State Exam (MMSE) were administered to a consecutive series of 174 patients (93 with dementia, 42 with mild cognitive impairment, and 39 without cognitive impairment) referred for neuropsychological testing. (3) Results: Both participants with dementia and with MCI exhibited impairments in odor identification. The SS-OIT and the B-OIT were substantially correlated. Complementing MMSE scores with the SS-OIT or the B-OIT similarly improved the diagnostic accuracy of individuals with dementia and MCI. (4) Conclusions: People with suspected dementia or MCI may already benefit from brief odor identification tests. Although these tests require little additional time, they can notably increase sensitivity for dementia or MCI.
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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