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Updated: Jul 10, 2026

An Olfactory Preference Test for Measuring Olfactory Hedonic Biases in Mouse Models of Depression
Published on: July 11, 2025
Olfactory Impairment and Depression: A Systematic Review and Meta-Analysis.
Henry Bode1,2, Linnea Sjöberg1, Ingrid Ekström1
1Aging Research Center, Department of Neurobiology, Care Sciences and Society, Karolinska Institute, Stockholm, Sweden.
Subjective olfactory impairment (SOI) is moderately linked to depression in older adults. Objective olfactory impairment (OOI) shows a weaker link, but is relevant in older individuals and those with anosmia, suggesting shared mechanisms.
Area of Science:
- Gerontology
- Neuroscience
- Psychiatry
Background:
- Depression and olfactory impairment are common in older adults, impacting quality of life and cognitive function.
- Olfactory dysfunction may serve as a potential marker for late-life depression.
Purpose of the Study:
- To quantify the association between objective olfactory impairment (OOI) and subjective olfactory impairment (SOI) with depression.
- To examine potential moderators in population-based studies.
Main Methods:
- Systematic review and meta-analysis of 23 population-based studies (N=187,056).
- Searched PubMed, Embase, EBSCOhost, and Web of Science.
- Assessed risk of bias using the Newcastle-Ottawa Scale; performed random-effects meta-analyses.
Main Results:
- Subjective olfactory impairment (SOI) was consistently associated with depression (OR, 1.56; 95% CI, 1.19-2.05).
- Objective olfactory impairment (OOI) showed an association with objective depression (OR, 1.26; 95% CI, 1.02-1.56), which attenuated after bias adjustment.
- OOI association remained robust in older adults (≥65 years) and individuals with anosmia.
Conclusions:
- SOI demonstrates a consistent association with depression, potentially reflecting self-perception.
- OOI's association with depression is less consistent but relevant in specific subgroups, suggesting overlapping mechanisms in late life.
- Further longitudinal and mechanistic studies are needed to clarify causal pathways and clinical implications.
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