Losing sense of smell is linked to dementia and death

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A new study published in JAMA Otolaryngology–Head & Neck Surgery has uncovered a surprising link between the sense of smell and overall health in older adults.

According to the research, which included data from more than 2,500 participants in the Swedish National Study on Aging and Care in Kungsholmen, the ability to identify common smells could actually predict a person’s risk of dying earlier. This discovery suggests that something as simple as a smell test could reveal important clues about someone’s health.

The study involved a 16-item odor identification test. Participants were asked to recognize different smells, and each incorrect answer was found to be linked to a 6% increase in the risk of death from any cause over a period of six years.

When the time frame was extended to 12 years, the risk was still noticeable at 5% for each missed scent. This connection was especially strong for deaths caused by neurodegenerative diseases like dementia, as well as heart and lung conditions.

The researchers dug deeper to understand why losing the sense of smell would be connected to these serious health issues. They found that dementia was the biggest reason behind this link.

Almost a quarter of the increased risk of death among people who couldn’t identify smells properly was due to dementia. Other important factors were frailty and malnutrition, both of which are common problems in older adults.

This discovery isn’t entirely out of the blue. Scientists have known for some time that our sense of smell often declines with age. However, the idea that this decline could be used as a marker to predict serious health problems is relatively new.

According to Ingrid Ekström, one of the study’s researchers and an assistant professor at the Aging Research Center in Sweden, the sense of smell is much more than just a way to enjoy food or detect dangers like smoke.

She explains that it is actually a reflection of overall health and resilience as people age. Ekström believes that testing the sense of smell could help doctors spot individuals who are at higher risk of cognitive and physical decline long before more obvious symptoms show up.

This idea of using smell tests as a health check for older adults could be a game-changer. Right now, most routine health check-ups for older adults include tests for vision and hearing, but smell is usually overlooked.

The researchers argue that this needs to change. Including smell tests in regular health assessments could help catch early signs of problems like dementia or malnutrition. Since these tests are simple, non-invasive, and cost-effective, they could easily be added to routine doctor visits.

As the global population gets older, simple ways to identify health risks become more important. Smell tests could provide doctors with a quick way to detect signs of trouble, allowing them to step in with early treatments and interventions.

For example, if a person starts losing their sense of smell, it might be a sign that they need a closer look at their heart, brain, or overall nutrition. Early intervention could mean the difference between slowing down a disease or letting it progress without notice.

The study’s findings also highlight the broader significance of sensory health in aging. Just as a loss of hearing or sight can indicate other health problems, a weakening sense of smell could be an early warning sign. It’s a sense that many people take for granted, but its role in health might be much bigger than we realize.

The researchers hope that their findings will encourage more doctors to consider smell testing as part of routine health checks for older adults. If this happens, it could lead to earlier diagnoses of conditions like dementia, heart disease, and lung problems, potentially extending healthy years and improving the quality of life for many people.

This study adds to the growing understanding that sensory changes in older adults are not just minor inconveniences but can be important indicators of broader health issues. Recognizing these signs early through something as simple as a smell test could lead to better care and healthier aging.

If you care about brain health, please read studies about inflammation that may actually slow down cognitive decline in older people, and low vitamin D may speed up cognitive decline.

For more information about brain health, please see recent studies about common exercises that could protect against cognitive decline, and results showing that this MIND diet may protect your cognitive function, prevent dementia.

The research findings can be found in JAMA Otolaryngology–Head & Neck Surgery.

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