Evidence map›Paper›PMID 42248815›Full record

SynthesisThe Laryngoscope2026

Olfactory Dysfunction and Metabolic Syndrome Components: A Systematic Review and Meta-Analysis.

Neeti Gandra, Kaitlyn A Roberts, Shaun A Nguyen, Pete Peters, Lauren A Howser, Zachary M Soler, Rodney J Schlosser

Abstract readSystematic ReviewMeta-AnalysisReview
In one paragraph

Synthesis in The Laryngoscope, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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.

Neeti GandraDepartment of Otolaryngology-Head and Neck Surgery, Medical University of South Carolina, Charleston, South Carolina, USA.
Kaitlyn A RobertsDepartment of Otolaryngology-Head and Neck Surgery, Medical University of South Carolina, Charleston, South Carolina, USA.ORCID https://orcid.org/0009-0001-5218-2972
Shaun A NguyenDepartment of Otolaryngology-Head and Neck Surgery, Medical University of South Carolina, Charleston, South Carolina, USA.ORCID https://orcid.org/0000-0003-0664-4571
Pete PetersDepartment of Otolaryngology-Head and Neck Surgery, Medical University of South Carolina, Charleston, South Carolina, USA.
Lauren A HowserDepartment of Otolaryngology-Head and Neck Surgery, Medical University of South Carolina, Charleston, South Carolina, USA.ORCID https://orcid.org/0000-0002-6225-8205
Zachary M SolerDepartment of Otolaryngology-Head and Neck Surgery, Medical University of South Carolina, Charleston, South Carolina, USA.ORCID https://orcid.org/0000-0002-4304-595X
Rodney J SchlosserDepartment of Otolaryngology-Head and Neck Surgery, Medical University of South Carolina, Charleston, South Carolina, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo elucidate the association between olfactory dysfunction (OD) and metabolic syndrome components. DATA SOURCES: PubMed (National Library of Medicine-National Institutes of Health), Scopus (Elsevier), CINAHL Complete (EBSCOhost), and the Cochrane Library (Wiley) databases were searched from inception through March 23rd, 2026. REVIEW

methodsEligible studies were stratified by olfactory dysfunction or different metabolic parameters. Extracted variables included metabolic measures (BMI, waist circumference, cholesterol levels, blood pressure, fasting glucose, HbA1c), olfactory scores, and comorbidities. Data were summarized as means, proportions (%), and corresponding differences (Δ) with 95% confidence intervals (CI). Risk of bias was evaluated using the Joanna Briggs Institute (JBI) tool.

resultsA total of 4045 studies were screened using Covidence, with 47 studies included for data analysis. Participants with OD demonstrated greater odds of smoking (OR = 1.2, p = 0.002), antihypertensive medication use (OR = 1.2, p = 0.03), atrial fibrillation (OR = 1.7, p < 0.00001), heart failure (OR = 1.6, p = 0.008), and diabetes (OR = 1.2, p < 0.0001). Additionally, adults with OD had higher fasting glucose (MD +0.8 mg/dL; p < 0.00001), lower total cholesterol (MD -6.0 mg/dL; p = 0.04), and lower HDL levels (MD -1.8 mg/dL; p < 0.00001). Individuals with diabetes and elevated BMI had significantly lower TDI composite scores (MD -5.6; p < 0.00001 and MD -2.8; p < 0.00001, respectively).

conclusionPatients with OD showed increased rates of conditions that comprise and contribute to metabolic syndrome. Conversely, individuals with metabolic disorders exhibited lower mean scores on olfactory testing, indicating a bidirectional relationship between olfactory impairment and metabolic dysregulation.

Indexed as

Metabolic SyndromeOlfaction DisordersHumansRisk Factorsinsulin resistancemetabolic syndromeolfactory dysfunctionsmell identification

Identifiers

PMID42248815
PMCPMC13669989

What OpenQuestion holds

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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.