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Screening for Age-Related Olfactory Decline Using a Card-Type Odor Identification Test Designed for Use with Japanese People

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Chemosensory Perception

Abstract

Background

A card-type odor identification test called the “Open Essence (OE),” consisting of 12 types of everyday odors familiar to Japanese people, was recently developed. In this study, we calculated the cut-off value of the OE score for screening for age-related olfactory decline.

Methods

Participants aged 23 to 91 performed the OE test. After we confirmed that the OE score differed significantly between young/middle-aged adults (under 65 years old) and elderly adults (over 65 years old), we assumed that the young/middle-aged group had normal olfactory ability, whereas the elderly group had experienced a decline in odor identification ability. We then performed receiver operating characteristic (ROC) analysis using the OE score.

Results

The cut-off value of the OE score for screening for age-related olfactory decline, calculated on the basis of the ROC curve, was 8.

Conclusion

Individuals with the OE scores of 7 or less may have age-related olfactory decline. Our finding suggests that this cut-off value could be used to screen Japanese people with age-related olfactory decline.

Implication

The OE test is self-administered and has a cut-off value of the OE score for screening for age-related olfactory decline. Therefore, it is expected to be useful in mass screening for elderly adults.

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References

  • Abramczyk RR, Jordan DE, Hegel M (1983) “Reverse” Stroop effect in the performance of schizophrenics. Percept Mot Skills 56(1):99–106

    Article  CAS  Google Scholar 

  • Ayabe-Kanamura S, Saito S, Naito N, Mise M, Gotow N, Ichikawa H, Deguchi Y, Kobayakawa T (2005) Odor identification in different age and gender groups assessed by the odor stick identification test (OSIT). Aroma Res 24:368–371 in Japanese

  • Doty RL (1997) Studies of human olfaction from the University of Pennsylvania Smell and Taste Center. Chem Senses 22(5):565–586

    Article  CAS  Google Scholar 

  • Doty RL (2009) Sensory aging: chemical senses. In: Hof PR, Mobbs CV (eds) Handbook of the neuroscience of aging. Academic Press, London, pp 215–222

    Google Scholar 

  • Doty RL, Jackman AH (2009) Olfaction and gustation. In: Snow JB, Ballenger JJ (eds) Ballenger’s otorhinolaryngology: head and neck surgery (17th edition). People’s Medical Publishing house, Shelton, pp 465–479

    Google Scholar 

  • Doty RL, Laing DG (2015) Psychophysical measurement of human olfactory function. In: Doty RL (ed) Handbook of olfaction and gustation, 3rd edn. Wiley & Sons, Hoboken, New Jersey, pp 227–260

    Chapter  Google Scholar 

  • Doty RL, Shaman P, Dann M (1984a) Development of the University of Pennsylvania Smell Identification Test: a standardized microencapsulated test of olfactory function. Physiol Behav 32(3):489–502

    Article  CAS  Google Scholar 

  • Doty RL, Shaman P, Kimmelman CP, Dann MS (1984b) University of Pennsylvania Smell Identification Test: a rapid quantitative olfactory function test for the clinic. Laryngoscope 94(2 Pt 1):176–178

    Article  CAS  Google Scholar 

  • Folstein MF, Folstein SE, McHugh PR (1975) “Mini-mental state”: a practical method for grading the cognitive state of patients for the clinician. J Psychiatr Res 12(3):189–198

    Article  CAS  Google Scholar 

  • Fujio H, Doi K, Hasegawa S, Kobayakawa T, Nibu K (2012) Evaluation of card-type odor identification test for Japanese patients with olfactory disturbance. Ann Otol Rhinol Laryngol 121(6):413–418

    Article  Google Scholar 

  • Fujio H, Inokuchi G, Fukuda Y, Kuroki S, Kokan N, Nibu K (2018) A new screening tool, an odor identification test card to detect age-related changes in olfaction. J Otolaryngol Jpn 121(1):38–43 in Japanese

  • Gregorio LL, Caparroz F, Nunes LMA, Neves LR, Macoto EK (2014) Olfaction disorders: retrospective study. Braz J Otorhinolaryngol 80(1):11–17

  • Hakoda Y (2005) New Stroop test II–methods & data reduction–(Shin Stroop test II–Kensa no jisshi seiri ho–). Toyo Physical, Fukuoka in Japanese

    Google Scholar 

  • Hashimoto Y, Fukazawa K, Fujii M, Takayasu S, Muto T, Saito S, Takashima Y, Sakagami M (2004) Usefulness of the odor stick identification test for Japanese patients with olfactory dysfunction. Chem Senses 29(7):565–571

    Article  Google Scholar 

  • Henik A (1996) Paying attention to the Stroop effect? J Int Neuropsychol Soc 2(5):467–470

    Article  CAS  Google Scholar 

  • Hummel T, Kobal G, Gudziol H, Mackay-Sim A (2007) Normative data for the “Sniffin’ Sticks” including tests of odor identification, odor discrimination, and olfactory thresholds: an upgrade based on a group of more than 3,000 subjects. Eur Arch Otorhinolaryngol 264(3):237–243

    Article  CAS  Google Scholar 

  • Hummel T, Sekinger B, Wolf SR, Pauli E, Kobal G (1997) ‘Sniffin’ Sticks’: olfactory performance assessed by the combined testing of odor identification, odor discrimination and olfactory threshold. Chem Senses 22(1):39–52

    Article  CAS  Google Scholar 

  • Hüttenbrink K-B, Hummel T, Berg D, Gasser T, Hähner A (2013) Olfactory dysfunction: common in later life and early warning of neurodegenerative disease. Dtsch Arztebl Int 110(1–2):1–7

    PubMed  PubMed Central  Google Scholar 

  • Ikeda Y, Hirata S, Maeda W, Okuzumi H, Kokubun M, Ambe H, Fujieda Y, Suijo K, Hayashi J, Iteya M (2013) Relationship between Stroop/reverse-Stroop interference and postural sway when standing in elderly people. Compr Psychol 2:9

  • Kim HY (2014) Olfaction and neurodegenerative disease. Hanyang Med Rev 34(3):116–119

  • Kobal G, Klimek L, Wolfensberger M, Gudziol H, Temmel A, Owen CM, Seeber H, Pauli E, Hummel T (2000) Multicenter investigation of 1,036 subjects using a standardized method for the assessment of olfactory function combining tests of odor identification, odor discrimination, and olfactory thresholds. Eur Arch Otorhinolaryngol 257(4):205–211

    Article  CAS  Google Scholar 

  • Kobayashi M, Imanishi Y, Ishikawa M, Oishi M, Nakamura S, Sakaida H, Majima Y, Maeda T, Furuta S, Tsunoda T, Matsuura T, Nishida K, Takashima Y, Saito S (2004a) The odor stick identification test for the Japanese (OSIT-J) in patients suffering from an olfactory disturbance: effects of aging on the OSIT-J and its suitability as a smell detection test. Jpn J Rhinol 43(2):167–174 in Japanese

  • Kobayashi M, Nishida K, Nakamura S, Oishi M, Shiozaki T, Majima Y, Maeda T, Furuta S, Takashima Y, Saito S (2004b) Suitability of the odor stick identification test for the Japanese in patients suffering from olfactory disturbance. Acta Otolaryngol Suppl 553:74–79

    Article  Google Scholar 

  • Kobayashi M, Reiter ER, DiNardo LJ, Costanzo RM (2007) A new clinical olfactory function test: cross-cultural influence. Arch Otolaryngol Head Neck Surg 133(4):331–336

  • Kobayashi M, Saito S, Kobayakawa T, Deguchi Y, Costanzo RM (2006) Cross-cultural comparison of data using the odor stick identification test for Japanese (OSIT-J). Chem Senses 31(4):335–342

    Article  Google Scholar 

  • Lötsch J, Hummel T, Ultsch A (2016) Machine-learned pattern identification in olfactory subtest results. Sci Rep 6:35688

    Article  Google Scholar 

  • Makizako M, Makizako H, Doi T, Uemura K, Tsutsumimoto K, Miyaguchi H, Shimada H (2014) Olfactory identification and cognitive performance in community-dwelling older adults with mild cognitive impairment. Chem Senses 39(1):39–46

    Article  Google Scholar 

  • Matsumoto A, Hakoda Y, Watanabe M (2012) Life-span development of Stroop and reverse-Stroop interference measured using matching responses. Jpn J Psychol 83(4):337–346 in Japanese

  • Michoux N, Guillet A, Rommel D, Mazzamuto G, Sindic C, Duprez T (2015) Texture analysis of T2-weighted MR images to assess acute inflammation in brain MS lesions. PLoS One 10(12):e0145497

    Article  Google Scholar 

  • Miwa T, Furukawa M, Tsukatani T, Ikeno S, Yata T, Horikawa I, Deguchi Y, Saito S (2004) Clinical usefulness of odor stick identification test for patients with olfactory disturbance. J Otolaryngol Jpn 107(10):956–965 in Japanese

  • Nishida K, Kobayashi M, Ogihara H, Takeo T, Kitano M, Takeuchi K (2010) Clinical usefulness of smell identification test card: open essence. J Otolaryngol Jpn 113(9):751–757 in Japanese

  • Pinto JM (2011) Olfaction. Proc Am Thorac Soc 8(1):46–51

    Article  Google Scholar 

  • Ruopp MD, Perkins NJ, Whitcomb BW, Schisterman EF (2008) Youden Index and optimal cut-point estimated from observations affected by a lower limit of detection. Biom J 50(3):419–430

    Article  Google Scholar 

  • Saccess-Bell (2019) New Stroop Test II. Retrieved from http://www.saccess55.co.jp/kobetu/detail/stroop.html

  • Saito S, Ayabe-Kanamura S, Kobayakawa T, Kuchinomachi Y, Takashima Y (1999) A smell test based on odour recognition by Japanese people, and its application. In: Bell GA, Watson AJ (eds) Tastes & aromas: the chemical senses in science and industry. University of New South Wales Press, Sydney, pp 75–82

    Google Scholar 

  • Saito S, Ayabe-Kanamura S, Takashima Y, Gotow N, Naito N, Nozawa T, Mise M, Deguchi Y, Kobayakawa T (2006) Development of a smell identification test using a novel stick-type odor presentation kit. Chem Senses 31(4):379–391

    Article  Google Scholar 

  • Sakuma Y (2014) Cognitive developmental features of first (Japanese) and foreign (English) languages in students who participated in elementary school foreign language activities: reverse-Stroop and Stroop effects. Bull Fac Hum Dev Cult Fukushima Univ 20:1–16 in Japanese

  • Sanke H, Mita T, Yoshii H, Yokota A, Yamashiro K, Ingaki N, Onuma T, Someya Y, Komiya K, Tamura Y, Shimizu T, Ohmura C, Kanazawa A, Fujitani Y, Watada H (2014) Relationship between olfactory dysfunction and cognitive impairment in elderly patients with type 2 diabetes mellitus. Diabetes Res Clin Pract 106(3):465–473

    Article  Google Scholar 

  • Shino M, Furuta A, Uchida J, Ooki S, Harumi S (2006a) Odor stick identification test for Japanese patients with olfactory disturbances. J Otolaryngol Jpn 109(9):689–695 in Japanese

  • Shino M, Furuta A, Uchida J, Yokomori E, Suzuki E, Ooki S, Saito S, Deguchi Y, Suzaki H (2006b) The evaluation of the odor stick identification test for Japanese (OSIT-J) in patients with olfactory disturbances. Jpn J Rhinol 45(2):148–153 in Japanese

  • Song Y, Hakoda Y (2011) An asymmetric Stroop/reverse-Stroop interference phenomenon in ADHD. J Atten Disord 15(6):499–505

    Article  Google Scholar 

  • Srivastava S (2017) The mitochondrial basis of aging and age-related disorders. Genes 8(12):398

    Article  Google Scholar 

  • Stroop JR (1935) Studies of interference in serial verbal reactions. J Exp Psychol 18(6):643–662

    Article  Google Scholar 

  • Uchiyama H, Fukumoto I (2006) A cognitive function self-training system by Stroop effect task. In: Kim SI, Suh TS (eds) IFMBE Proceedings, vol 14/1. Springer, Berlin, pp 3758–3762

    Google Scholar 

  • Watanabe Y, Suzuki K, Miyamoto T, Miyamoto M, Numao A, Fujita H, Uchiyama T, Kadowaki T, Matsubara T, Hirata K (2017) A card-type odor identification test for Japanese patients with Parkinson’s disease and related disorders. Intern Med 56(21):2871–2878

    Article  Google Scholar 

  • Wingert NC, Gotoff J, Parrilla E, Gotoff R, Hou L, Ghanem E (2016) The ACS NSQIP risk calculator is a fair predictor of acute periprosthetic joint infection. Clin Orthop Relat Res 474(7):1643–1648

    Article  Google Scholar 

  • Youden WJ (1950) Index for rating diagnostic tests. Cancer 3:32–35

    Article  CAS  Google Scholar 

  • Yun J-Y, Lee DY, Seo EH, Choo IH, Park SY, Kim SG, Woo JI (2011) Neural correlates of Stroop performance in Alzheimer’s disease: a FDG-PET study. Dement Geriatr Cogn Dis Extra 1(1):190–201

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Funding

This study was partially supported by JSPS KAKENHI Grant Nos. 16KT0011, 16K04418, 18H03665, and 18KT0033.

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Correspondence to Tatsu Kobayakawa.

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The authors declare that they have no competing interests.

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All procedures performed in studies involving human participants were in accordance with the ethical standards of the ergonomic experiments committee of the National Institute of Advanced Industrial Science and Technology, as well as with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards.

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Informed consent was obtained from all individual participants included in the study.

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Gotow, N., Yamamoto, K., Kobayashi, T. et al. Screening for Age-Related Olfactory Decline Using a Card-Type Odor Identification Test Designed for Use with Japanese People. Chem. Percept. 14, 1–10 (2021). https://doi.org/10.1007/s12078-020-09279-8

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  • DOI: https://doi.org/10.1007/s12078-020-09279-8

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