Evidence map›Paper›PMID 34379770›Full record

ArticleThe journals of gerontology. Series A, Biological sciences and medical sciences2022

Olfaction and Physical Functioning in Older Adults: A Longitudinal Study.

Yaqun Yuan, Chenxi Li, Zhehui Luo, Eleanor M Simonsick, Eric J Shiroma, Honglei Chen

Registry-linked trialAbstract read
In one paragraph

Article in The journals of gerontology. Series A, Biological sciences and medical sciences, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06600438 (Slow-SPEED-United Kingdom), which is not on this map. Cited by 21 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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.

NCT06600438 narecruitingnot on this mapstarted 2026, after this paper: background citation

Slow-SPEED-United Kingdom: A Double-Blind Randomised Feasibility Trial of a Remote Gamified Physical Activity Programme in Adults With Hyposmia.

TypeinterventionalSponsorQueen Mary University of LondonRan2026 to 2027Enrolled110ConditionsHyposmia, Olfactory Dysfunction, AnosmiaArmsSlow-SPEED app
3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Olfaction and muscle strength in older adults: a longitudinal study.The journals of gerontology. Series A, Biological sciences and medical sciences · 2026
    Article
  3. Article
  4. Article
  5. Article
  6. Olfaction and Coronary Heart Disease.JAMA otolaryngology-- head & neck surgery · 2026
    Article
  7. Poor olfaction and risk of heart failure in the Atherosclerosis Risk in Communities Study.The journals of gerontology. Series A, Biological sciences and medical sciences · 2025
    Article
  8. Article
  9. Longitudinal Association of Olfactory Function with Frailty in Older Adults: The Atherosclerosis Risk in Communities Study.The journals of gerontology. Series A, Biological sciences and medical sciences · 2025
    Article
  10. Article
  11. Article
  12. 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
  13. Presymptomatic Profiles of Cognitive Impairment with Prior Mobility Impairment.Journal of the American Medical Directors Association · 2024
    Article
  14. Use of nonsteroidal anti-inflammatory drugs and poor olfaction in women.International forum of allergy & rhinology · 2024
    Article
  15. Olfaction and Mobility in Older Adults.JAMA otolaryngology-- head & neck surgery · 2024
    Article
  16. Review
  17. Article
  18. Article
  19. Article
  20. Article
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.

Yaqun YuanDepartment of Epidemiology and Biostatistics, College of Human Medicine, Michigan State University, East Lansing, USA.
Chenxi LiDepartment of Epidemiology and Biostatistics, College of Human Medicine, Michigan State University, East Lansing, USA.
Zhehui LuoDepartment of Epidemiology and Biostatistics, College of Human Medicine, Michigan State University, East Lansing, USA.
Eleanor M SimonsickLaboratory of Epidemiology and Population Science, Intramural Research Program of the National Institutes of Health, National Institute on Aging, Bethesda, Maryland, USA.
Eric J ShiromaLaboratory of Epidemiology and Population Science, Intramural Research Program of the National Institutes of Health, National Institute on Aging, Bethesda, Maryland, USA.ORCID 0000-0003-4920-2642
Honglei ChenDepartment of Epidemiology and Biostatistics, College of Human Medicine, Michigan State University, East Lansing, USA.

Funding

Health, Aging and Body Composition StudyZIAAG007390 · NIA · NATIONAL INSTITUTE ON AGING · PI LAUNER, LENORE J · 2009 to 2024
$4.0M
Peripheral Nerve Function Decline in an Aged CohortR01AG028050 · NIA · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI STROTMEYER, ELSA S. · 2007 to 2015
$3.5M
End of Life in the Very OldR01NR012459 · NINR · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI ALBERT, STEVEN M, LUNNEY, JUNE R · 2011 to 2015
$2.7M
Poor sense of smell and the health of older adultsR01AG071517 · NIA · MICHIGAN STATE UNIVERSITY · PI HONGLEI CHEN · 2022 to 2026
$2.7M
Michigan State University GE100455NIA NIH HHS R01 AG028050NIA NIH HHS R01 AG071517NIH HHS N01AG62101NINR NIH HHS R01 NR012459
6 · The paper itself

Abstract

backgroundPoor olfaction is associated with worse functional performance in older adults, but longitudinal evidence is lacking. We investigated poor olfaction in relation to longitudinal changes in physical functioning among community-dwelling older adults.

methodThe analysis included 2 319 participants from the Health, Aging and Body Composition study (aged 71-82 years, 47.9% men, and 37.3% Blacks) who completed the Brief Smell Identification Test in 1999-2000. Olfaction was defined as good (test score 11-12), moderate (9-10), or poor (0-8). Physical functioning was assessed up to 4 times over 8 years, using the Short Physical Performance Battery (SPPB) and the Health Aging and Body Composition Physical Performance Battery (HABCPPB). We conducted joint model analyses and reported the differences in annual declines across olfaction groups.

resultsDuring the follow-up, compared to those with good olfaction, older adults with poor olfaction had greater annual declines in both the SPPB score (-0.137, 95% CI: -0.186, -0.088) and all its subscales: standing balance (-0.068, 95% CI: -0.091, -0.044), chair stand (-0.046, 95% CI: -0.070, -0.022), and gait speed (-0.022, 95% CI: -0.042, -0.001). A similar observation was made for the HABCPPB score (difference in annual decline: -0.032, 95% CI: -0.042, -0.021). These findings are robust and cannot be explained by measured confounding from demographics, lifestyle factors, and chronic diseases or by potential biases due to death and loss of follow-up. Similar associations were observed across subgroups of sex, race, and self-reported general health status.

conclusionThis study provides the first epidemiological evidence that poor olfaction predicts a faster decline in physical functioning. Future studies should investigate potential mechanisms.

Indexed as

AgingSmellAgedFemaleHumansIndependent LivingLongitudinal StudiesMaleWalking SpeedEpidemiologyOlfactory impairmentPhysical performance

Identifiers

PMID34379770
PMCPMC9373937

What OpenQuestion holds

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Registered trials

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.