Background Self-rated subjective cognitive decline (SCD) and subjective olfactory impairment (SOI) are associated with objective cognitive decline and dementia. However, their relationship and co-occurrence is unknown. We aimed to (1) describe the occurrence of SOI, SCD and their overlap in the general population; (2) compare SOI and SCD in terms of longitudinal associations with corresponding objective olfactory and cognitive measures; and (3) describe how SOI and SCD may lead to distinct sensory and cognitive outcomes. Methods Cognitively unimpaired individuals from the third wave of the Swedish population-based Betula study (n = 784, aged 35-90 years; 51% females) were split into self-rated SOI, SCD, overlapping SCD+SOI, and controls. Between-subjects and within-subject repeated measures MANCOVA were used to compare the groups regarding odor identification, cognition, age, sex and education. Spearman correlation was used to assess the different patterns of association between olfaction and cognition across groups. Results SOI was present in 21.1% whereas SCD was present in 9.9% of participants. According to a chi-square analysis, the SCD+SOI overlap (2.7%) is on a level that could be expected if the phenomena were independent. Odor identification in SOI showed decline at the 10-year follow-up (n=284) and was positively associated with cognition. The SOI and SCD groups showed distinct cognitive-olfactory profiles at follow-up. Conclusions SOI occur independently of SCD in the population, and these risk factors are associated with different cognitive and olfactory outcomes. The biological causes underlying SOI and SCD, as well as the risk for future cognitive impairment, need further investigation.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
customersupport@researchsolutions.com
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.