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Discordance between subjective and objective measures of smell and taste in US adults

Otolaryngology-Head & Neck Surgery Jun 27, 2021

Jang SS, Choi JS, Kim JH, et al. - Researchers conducted this cross-sectional analysis to investigate the rates and factors associated with under- and overreporting of subjective changes in smell or taste as compared with objective measures. They analyzed candidates ≥ 40 years old who completed subjective questionnaires (smell, n = 3,510; taste, n = 3,089), validated objective 8-odor pocket smell tests, and NaCl/quinine taste tests. After Bonferroni correction, people aged ≥ 65 years misidentified smoke, onion, and natural gas scents more frequently. There were no factors associated with under- or over-reporting of taste impairment. Despite the fact that the concordance rate between subjective and objective assessments of smell and taste impairment remains high, the authors discovered that older age was associated with incorrect reporting of impairment. This suggests that the subjective perception of smell varies depending on demographic and clinical factors and that such factors should not be overlooked in clinical practice. Using a simplified odor assessment on a regular basis in the clinical setting could aid in early detection and intervention.

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