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Olfactory impairment as a biomarker in early diagnosis of Alzheimer’s disease in primary care


Authors: V. Koutná;  L. Štěpánek;  R. Trajerová;  V. Janout;  J. Janoutová
Authors‘ workplace: Lékařská fakulta, Ústav veřejného zdravotnictví Přednostka: prof. MUDr. Dagmar Horáková, Ph. D.
Published in: Prakt. Lék. 2025; 105(2): 88-92
Category: Of different specialties

Overview

Koutná V, Štěpánek L, Trajerová R, Janout V, Janoutová J. Olfactory impairment as a biomarker in early diagnosis of Alzheimer’s disease in primary care

Alzheimer’s disease is the most common cause of dementia and early diagnosis is key to initiating treatment. Olfactory dysfunction, particularly the ability to discriminate odors, has been repeatedly identified as an early sign of neurodegenerative changes and may aid in the early detection of Alzheimer’s disease. Psychophysical olfactory tests such as the Sniffin’ Sticks (SST), University of Pennsylvania Smell Identification Test (UPSIT) or the Odorized Marker Test (OMT) are reliable tools for assessing olfactory function and have potential to complement traditional neuropsychological tests. The combination of olfactory and cognitive tests significantly increases the accuracy of predicting the onset of dementia.

Keywords:

Alzheimer’s disease – olfactory impairment – olfactory tests


Sources
  1. Albrecht, J, Wiesmann M. Olfactory Pathways. In: Binder MD, Hirokawa N, Windhorst U. (Eds.) Encyclopedia of Neuroscience. Springer, Berlin, Heidelberg 2009.
  2. Brothánková P, Vodička J, Pospíchalová K. Test-retest hodnocení spolehlivosti čichového testu (Odorized Markers Test). Cesk Slov Neurol N. 2022; 85(1): 44–48.
  3. Devanand DP, Lee S, Luchsinger JA, et al. Intact global cognitive and olfactory ability predicts lack of transition to dementia. Alzheimers Dement. 2020; 16(2): 326–334.
  4. Doty RL, Frye RE, Agrawal U. Internal consistency reliability of the fractionated and whole University of Pennsylvania Smell Identification Test. Percept Psychophys. 1989; 45(5): 381–384.
  5. Gottfriedová N, Kovalová M, Mrázková E, et al. Assessment of sensory impairment in older adults with dementia. J Otol. 2024; 19(4): 220–226.
  6. Huart C, Rombaux P, Gérard T, et al. Unirhinal olfactory testing for the diagnostic workup of mild cognitive impairment. J Alzheimers Dis. 2015; 47(1): 253–270.
  7. Chen Z, Xie H, Yao L, Wei Y. Olfactory impairment and the risk of cognitive decline and dementia in older adults: a meta-analysis. Braz J Otorhinolaryngol. 2021; b87(1): 94–102.
  8. Chimthanawala NMA, Haria A, Sathaye S. Non-invasive biomarkers for early detection of Alzheimer’s disease: a new-age perspective. Mol Neurobiol. 2024; 61(1): 212–223.
  9. Jobin B, Magdamo C, Delphus D, et al. The AROMHA brain health test is a remote olfactory assessment to screen for cognitive impairment. Sci Rep. 2025; 15(1): 9290.
  10. Jobin B, Zahal R, Bussières EL, et al. Olfactory identification in subjective cognitive decline: a meta-analysis. J Alzheimers Dis. 2021; 79(4): 1497–1507.
  1. Koss DJ, Jones G, Cranston A, et al. Soluble pre-fibrillar tau and β-amyloid species emerge in early human Alzheimer’s disease and track disease progression and cognitive decline. Acta Neuropathol. 2016; 132(6): 875–895.
  2. Kovalová M, Gottfriedová N, Mrázková E, et al. Cognitive impairment, neurodegenerative disorders, and olfactory impairment: A literature review. Otolaryngol Pol. 2024; 78(2): 1–17.
  3. Leon M, Troscianko ET, Woo CC. Inflammation and olfactory loss are associated with at least 139 medical conditions. Front Mol Neurosci. 2024; 17: 1455418.
  4. Lojkowska W, Sawicka B, Gugala M, et al. Follow-up study of olfactory deficits, cognitive functions, and volume loss of medial temporal lobe structures in patients with mild cognitive impairment. Curr Alzheimer Res. 2011; 8(6): 689–698.
  5. Martinec Nováková L, Štěpánková H, Vodička J, Havlíček J. Přínos vyšetření čichu pro diagnostiku neurodegenerativních onemocnění. Cesk Slov Neurol N. 2015; 78/111(5): 517–525.
  6. Murphy C, Jernigan TL, Fennema-Notestine C. Left hippocampal volume loss in Alzheimer’s disease is reflected in performance on odor identification: a structural MRI study. J Int Neuropsychol Soc. 2003; 9(3): 459–471.
  7. Palta P, Chen H, Deal JA, et al. Olfactory function and neurocognitive outcomes in old age: The Atherosclerosis Risk in Communities Neurocognitive Study. Alzheimers Dement. 2018; 14(8): 1015–1021.
  8. Ramos-Casademont L, Martin-Jimenez D, Villarreal-Garza B, et al. The value of subjective olfactometry as a predictive biomarker of neurodegenerative diseases: a systematic review. Life (Basel) 2024; 14(3): 298.
  9. Rusina R, Vaňková H. Alzheimerova nemoc a jiné kognitivní poruchy – mezioborová doporučení pro praxi. Krátká verze. Maxdorf, 2024 [online]. Dostupné z: https://mzd.gov.cz/wp--content/uploads/2024/10/Alzheimerova-nemoc-jine-kognitivni--poruchy.pdf. [cit. 2025-05-06].
  10. Sedghizadeh MJ, Hojjati H, Ezzatdoost K, et al. Olfactory response as a marker for Alzheimer’s disease: Evidence from perceptual and frontal lobe oscillation coherence deficit. PLoS One 2020; 15(12): e0243535.
  11. Vodička J, Faitová J. Příručka pro praxi: Poruchy čichu. Merck 2013 [online]. Dostupné z: https://www.otorinolaryngologie.cz/ content/uploads/2020/02/ppp-cich.pdf [cit. 2025-05-06].
  12. Yamashita Y, Shoji Y, Yanagimoto H, et al. A characteristic of olfactory function in four types of dementia and non-dementia subjects using smell identification test. Psychogeriatrics 2024; 24(1): 25–34.
  13. Zvěřová, M. Přehled známých fluidních biomarkerů neurodegenerativních změn v mozku u Alzheimerovy choroby a možnosti jejich využití. Čes a slov Psychiat. 2019; 115(2): 77–80.
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