Evidence map›Paper›PMID 34827390›Full record

ArticleBrain sciences2021

Olfactory Measures as Predictors of Conversion to Mild Cognitive Impairment and Alzheimer's Disease.

Paul Loyd Wheeler, Claire Murphy

Abstract read
In one paragraph

Article in Brain sciences, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing 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.

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

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

  1. Pooled it
  2. Article
  3. Article
  4. Olfactory Dysfunction and Cognitive Decline: Are They Related?Current allergy and asthma reports · 2025
    Review
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Sensory Loss and Risk of Dementia.The Neuroscientist : a review journal bringing neurobiology, neurology and psychiatry · 2024
    Review
  11. Review
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Odor Discrimination as a Marker of Early Alzheimer's Disease.Journal of Alzheimer's disease : JAD · 2023
    Article
  18. Article
  19. Review
  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

2 authors.

Paul Loyd WheelerDepartment of Psychology, San Diego State University, San Diego, CA 92182, USA.
Claire MurphyDepartment of Psychology, San Diego State University, San Diego, CA 92182, USA.ORCID 0000-0001-6364-8646

Funding

VIRUS-INDUCED BRAIN PATHOLOGYP50AG005131 · NIA · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI BREWER, JAMES B · 1985 to 2018
$55.4M
UCSD Shiley-Marcos Alzheimer's Disease Research Center P30P30AG062429 · NIA · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI Mark W Bondi · 2019 to 2026
$34.9M
Chemosensory Perception &Psychophysics in the AgedR01AG004085 · NIA · SAN DIEGO STATE UNIVERSITY · PI MURPHY, CLAIRE L · 1986 to 2015
$3.4M
Olfactory and Visual Dysfunction as Potential Predictors of Preclinical Alzheimer's DiseaseR01AG062006 · NIA · SAN DIEGO STATE UNIVERSITY · PI MURPHY, CLAIRE L · 2019 to 2023
$2.8M
NIA NIH HHS P30 AG062429NIA NIH HHS P50 AG005131NIA NIH HHS R01 AG004085NIA NIH HHS R01 AG062006NIH HHS R01AG062006-03
6 · The paper itself

Abstract

backgroundEarly biomarkers of prodromal Alzheimer's disease (AD) are critical both to initiate interventions and to choose participants for clinical trials. Odor threshold, odor identification and odor familiarity are impaired in AD.

methodsWe investigated the relative abilities of standard screening (MMSE) and olfactory measures to predict transitions from cognitively normal (CN) to mild cognitive impairment (MCI), from CN to AD, and MCI to AD. The archival sample of 497, from the UCSD ADRC, included participants who were CN, MCI, AD and converters to MCI or AD. Apoe ε4 status, a genetic risk factor, was available for 256 participants, 132 were ε4 carriers. A receiver operating characteristic curve (ROC) curve plots the trade-off between sensitivity and specificity. Area under the ROC curve (AUC) was used to determine diagnostic accuracy.

resultsDifferent measures were better predictors at specific stages of disease risk; e.g., odor familiarity, odor identification and the combination showed higher predictive value for converting from MCI to AD in ε4 carriers than the MMSE. Combining odor familiarity and odor identification produced an AUC of 1.0 in ε4 carriers, MMSE alone was 0.58.

conclusionsOlfactory biomarkers show real promise as non-invasive indicators of prodromal AD. The results support the value of combining olfactory measures in assessment of risk for conversion to MCI and to AD.

Indexed as

Alzheimer’s diseaseapolipoprotein EbiomarkerMCIodor familiarityodor identificationodor memoryodor threshold

Identifiers

PMID34827390
PMCPMC8615615

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.