Evidence map›Paper›PMID 28007787›Full record

ArticleChemical senses2017

Factors Associated with Inaccurate Self-Reporting of Olfactory Dysfunction in Older US Adults.

Dara R Adams, Kristen E Wroblewski, David W Kern, Michael J Kozloski, William Dale, Martha K McClintock, Jayant M Pinto

Open access · bronzeAbstract read
In one paragraph

Article in Chemical senses, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 45 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
45citing papers in PubMed, 5 pooled it
2.6field-weighted citation impact, top 11% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

45 citing papers in PubMed, 5 syntheses or guidelines pooled it, 83 citations in OpenAlex.

  1. Pooled it
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  12. Health Disparities in Rhinology-A Scoping Review.Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery · 2025
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  17. Normative Data for the 12-Item Sniffin' Sticks Odor Identification Test in Older Adults.Archives of clinical neuropsychology : the official journal of the National Academy of Neuropsychologists · 2024
    Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 3 institutions in 1 country.

Dara R AdamsPritzker School of Medicine, The University of Chicago, 924 E 57th St, Chicago, IL 60637, USA.
Kristen E WroblewskiDepartment of Public Health Sciences, The University of Chicago, 5841 South Maryland Avenue, Chicago, IL 60637, USA.
David W KernDepartment of Psychology, Northeastern Illinois University, 5500 North St. Louis Avenue, Chicago, IL 60625, USA.
Michael J KozloskiNational Opinion Research Center, 1155 East 60th Street, 3rd Floor, Chicago, IL 60637, USA.
William DaleSection of Geriatrics and Palliative Medicine, Department of Medicine, The University of Chicago, 5841 South Maryland Avenue, Chicago, IL 60637, USA.
Martha K McClintockDepartment of Comparative Human Development and the Institute for Mind and Biology, The University of Chicago, 5736 South Woodlawn Avenue #102, Chicago, IL 60637, USA and.
Jayant M PintoSection of Otolaryngology-Head and Neck Surgery, The University of Chicago, 5841 South Maryland Avenue, Chicago, IL 60637, USA.
University of Chicago · USNational Opinion Research Center · USNortheastern Illinois University · US

Funding

National Social Life, Health, and Aging Project: Anaylsis of Wave 1 and Wave 2R37AG030481 · NIA · NATIONAL OPINION RESEARCH CENTER · PI WAITE, LINDA J · 2008 to 2017
$15.4M
SPECIALIZED TRAINING PROGRAM IN THE DEMOGRAPHY &ECON.T32AG000243 · NIA · UNIVERSITY OF CHICAGO · PI DAVID O MELTZER · 1994 to 2026
$8.2M
NIA NIH HHS R37 AG030481NIA NIH HHS T32 AG000243
6 · The paper itself

Abstract

Self-reported olfactory function has poor sensitivity (i.e., people with measured olfactory dysfunction are unlikely to accurately report it). We aimed to identify factors associated with lack of awareness of smell dysfunction. Objective odor identification was evaluated using a validated 5-item test in respondents from the National Social Life, Health, and Aging Project, a representative sample of home-dwelling, US adults ages 57-85 (n = 1468). Self-reported olfaction was assessed with a 5-point Likert scale. Using multivariate logistic regression, we tested factors that might influence inaccuracy of self-reported olfaction, including age, gender, race/ethnicity, education, marital status, cognition, comorbidity, smoking, depression, anxiety, self-rated mental and physical health, and social activity. Among older US adults, 12.4% reported their sense of smell as fair or poor, while 22.0% had objective olfactory dysfunction (≤3 items correct out of 5). Among those with measured olfactory dysfunction, 74.2% did not recognize it; these individuals were more likely to be older, Black, never married, and to have worse cognitive function compared to individuals who recognized their dysfunction (P < 0.05, all). Individuals who lacked awareness of their olfactory dysfunction had the greatest cognitive impairment at 5-year follow-up, followed by individuals aware of their dysfunction and finally normosmics (P < 0.001). Older Americans with measured olfactory dysfunction are unlikely to report it, and those who lack awareness of this dysfunction have distinct demographic, social, and cognitive characteristics. Therefore, clinicians should objectively test patients. Individuals who lack awareness of their olfactory dysfunction have poor cognitive outcomes and should receive additional clinical scrutiny.

Indexed as

Self ReportAgedAged, 80 and overFemaleHumansMaleMiddle AgedOlfaction DisordersReproducibility of ResultsRisk Factorsagedcognitionepidemiologyolfaction disordersself reportsmell

Identifiers

PMID28007787
PMCPMC6074942
OpenAlexW2564964982

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.