Evidence map›Paper›PMID 32864870›Full record

ArticleBrain and behavior2020

Can dementia be predicted using olfactory identification test in the elderly? A Bayesian network analysis.

Ding Ding, Xiaoniu Liang, Zhenxu Xiao, Wanqing Wu, Qianhua Zhao, Yang Cao

Open access · goldAbstract read
In one paragraph

Article in Brain and behavior, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.2field-weighted citation impact, top 54% 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

4 citing papers in PubMed, 7 citations in OpenAlex.

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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

6 authors at 2 institutions in 2 countries.

Ding DingInstitute of Neurology, Huashan Hospital, Fudan University, Shanghai, China.ORCID 0000-0002-0352-0883
Xiaoniu LiangInstitute of Neurology, Huashan Hospital, Fudan University, Shanghai, China.
Zhenxu XiaoInstitute of Neurology, Huashan Hospital, Fudan University, Shanghai, China.
Wanqing WuInstitute of Neurology, Huashan Hospital, Fudan University, Shanghai, China.
Qianhua ZhaoInstitute of Neurology, Huashan Hospital, Fudan University, Shanghai, China.
Yang CaoClinical Epidemiology and Biostatistics, School of Medical Sciences, Örebro University, Örebro, Sweden.ORCID 0000-0002-3552-9153
Fudan University · CNÖrebro University · SE

Funding

National Natural Science Foundation of China 81773513National Project of Chronic Disease 2016YFC1306400Scientific Research Plan Project of Shanghai Science and Technology Committee 17411950106Scientific Research Plan Project of Shanghai Science and Technology Committee 17411950701Shanghai Municipal Science and Technology Major Project 2018SHZDZX03
6 · The paper itself

Abstract

backgroundPrevious studies suggest that olfactory dysfunction is associated with cognitive decline or dementia.

objectiveTo find a potential association between the olfactory identification (OI) and dementia onset, and build a prediction model for dementia screening in the older population.

methodsNine hundred and forty-seven participants from the Shanghai Aging Study were analyzed. The participants were dementia-free and completed OI test using the Sniffin' Sticks Screening Test-12 at baseline. After an average of 4.9-year follow-up, 75 (8%) of the participants were diagnosed with incident dementia. Discrete Bayesian network (DBN) and multivariable logistic regression (MLR) models were used to explore the dependencies of the incident dementia on the baseline demographics, lifestyles, and OI test results.

resultsIn DBN analysis, odors of orange, cinnamon, peppermint, and pineapple, combined with age and Mini-mental State Examination (MMSE), achieved a high predictive ability for incident dementia, with an area under the receiver operating characteristic curve (AUC) larger than 0.8. The odor cinnamon showed the highest AUC of 0.838 (95% CI: 0.731-0.946) and a high accuracy of 0.867. The DBN incorporating age, MMSE, and one odor test had an accuracy (0.760-0.872 vs. 0.835) comparable to that of the MLR model and revealed the dependency between the variables.

conclusionThe DBN using OI test may have predictive ability comparable to MLR analysis and suggest potential causal relationship for further investigation. Identification of odor cinnamon might be a useful indicator for dementia screening and deserve further investigation.

Indexed as

DementiaOlfaction DisordersAgedBayes TheoremChinaHumansSmellBayesian networkcohortdementiaelderlyolfactory functionolfactory identification testprediction

Identifiers

PMID32864870
PMCPMC7667339
OpenAlexW3082098893

What OpenQuestion holds

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Registered trials

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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.