OLFACTION AND DEMENTIA RISK IN THE ATHEROSCLEROSIS RISK IN COMMUNITIES (ARIC) STUDY
2024

Olfaction and Dementia Risk in the ARIC Study

Sample size: 4470 publication Evidence: moderate

Author Information

Author(s): Chen Honglei, Shrestha Srishti, Zhu Xiaoqian, Kucharska-Newton Anna, Yuan Yaqun, Kamath Vidyulata, Mosley Tom

Hypothesis

We examined the association of olfaction with incident dementia and characterized this relationship by key demographic subgroups and APOE-ε4 genotype.

Conclusion

The study found that poorer olfaction is associated with a higher risk of developing dementia.

Supporting Evidence

  • 17% of participants developed dementia over 10 years.
  • Moderate olfaction was associated with a 1.5 times higher dementia rate compared to good olfaction.
  • Hyposmia was associated with a 2.2 times higher dementia rate compared to good olfaction.
  • Anosmia was associated with a 3.5 times higher dementia rate compared to good olfaction.
  • APOE-ε4 carriers with anosmia had the greatest cumulative dementia probability.

Takeaway

If you can't smell well, you might be more likely to get dementia when you get older.

Methodology

Olfaction was evaluated using the 12-item Sniffin’ Sticks test and dementia status was ascertained over a 10-year period.

Participant Demographics

Participants were aged 75±5 years, 21% Black race, and 60% women.

Statistical Information

Confidence Interval

95%CI:1.3-1.9 for moderate olfaction; 95%CI:1.8-2.8 for hyposmia; 95%CI:2.8-4.3 for anosmia.

Digital Object Identifier (DOI)

10.1093/geroni/igae098.2134

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