September 20, 2024

Poor Sense of Smell Linked to Increased Risk of Depression in Older Adults

Scientists from Johns Hopkins Medicine found a link in between a decreased sense of smell and an increased risk of late-life anxiety in a research study that followed over 2,000 older grownups for 8 years. While not proving causation, the findings suggest a lessened sense of smell might indicate overall health and wellness issues.
Hyposmia has historically been connected to Alzheimers illness and other dementias in the elderly; recent research study further supports its connection to other age-related conditions.
In a research covering eight years that involved over 2,000 older adults living in neighborhoods, Johns Hopkins Medicine scientists have uncovered engaging evidence recommending a connection in between a reduced sense of smell and an increased possibility of experiencing late-life depression.
While the outcomes, which were recently released in the Journal of Gerontology: Medical Sciences, dont prove that a diminished sense of smell straight results in anxiety, they hint at its possible as a strong marker of total health and health.
” Weve seen repeatedly that a poor sense of smell can be an early indication of neurodegenerative illness such as Alzheimers illness and Parkinsons illness, in addition to a mortality danger. This research study highlights its association with depressive symptoms,” says Vidya Kamath, Ph.D., associate professor of psychiatry and behavioral sciences at the Johns Hopkins University School of Medicine. “Additionally, this research study explores factors that may affect the relationship in between olfaction and depression, including bad cognition and swelling.”

The research study used information collected from 2,125 participants in a federal government study known as the Health, Aging, and Body Composition Study (Health ABC). Individuals showed no difficulties in strolling 0.25 miles, climbing up 10 actions, or performing regular activities at the start of the study, and were evaluated in person every year and by phone every 6 months.
In 1999, when odor was very first measured, 48% of participants displayed a normal sense of odor, 28% revealed a reduced sense of smell, called hyposmia, and 24% had an extensive loss of the sense, referred to as anosmia. Participants with a much better sense of smell tended to be more youthful than those reporting considerable loss or hyposmia. Over follow-up, 25% of individuals developed significant depressive signs.
When examined further, researchers found that individuals with decreased or substantial loss of odor had actually an increased risk of establishing substantial depressive symptoms at longitudinal follow-up than those in the normal olfaction group. Individuals with a better sense of odor tended to be more youthful than those reporting substantial loss or hyposomia.
Researchers also recognized 3 depressive signs “trajectories” in the study group: stable low, steady moderate, and stable high depressive symptoms. A poorer sense of odor was associated with an increased possibility of a participant falling into the high or moderate depressive symptoms groups, indicating that the worse a persons sense of odor, the greater their depressive symptoms. These findings persisted after changing for age, income, way of life, health elements, and usage of antidepressant medication.
” Losing your sense of odor affects numerous elements of our health and behavior, such as picking up ruined food or harmful gas, and consuming enjoyment. Now we can see that it might also be a crucial vulnerability indicator of something in your health gone awry,” states Kamath. “Smell is an essential way to engage with the world around us, and this research study shows it may be a warning indication for late-life anxiety.”
Human beings sense of odor is one of 2 chemical senses. It overcomes specialized sensory cells, called olfactory nerve cells, which are found in the nose. These nerve cells have one smell receptor; it selects up molecules launched by substances around us, which are then communicated to the brain for interpretation. The higher the concentration of these odor molecules the more powerful the smell, and different combinations of molecules result in different sensations.
Odor is processed in the brains olfactory bulb, which is believed to communicate carefully with the amygdala, hippocampus, and other brain structures that enable and regulate memory, decision-making, and psychological reactions.
The Johns Hopkins researchers state their study suggests that olfaction and depression might be connected through both biological (e.g., modified serotonin levels, brain volume changes) and behavioral (e.g., minimized social function and hunger) mechanisms.
The scientists prepare to replicate their findings from this study in more groups of older adults and analyze modifications to people olfactory bulbs to figure out if this system remains in truth changed in those detected with anxiety. If odor can be used in intervention techniques to reduce the risk of late-life anxiety, they likewise prepare to examine.
Reference: “Olfactory Dysfunction and Depression Trajectories in Community-Dwelling Older Adults” by Vidyulata Kamath, Kening Jiang, Kevin J Manning, R Scott Mackin, Keenan A Walker, Danielle Powell, Frank R Lin, Honglei Chen, Willa D Brenowitz, Kristine Yaffe, Eleanor M Simonsick and Jennifer A Deal, 26 June 2023, The Journals of Gerontology: Series A.DOI: 10.1093/ gerona/glad139.
Other scientists who added to this research are Kening Jiang, Danielle Powell, Frank Lin, and Jennifer Deal of the Johns Hopkins University School of Medicine and Bloomberg School of Public Health; Kevin Manning of the University of Connecticut; R. Scott Mackin, Willa Brenowitz and Kristine Yaffe of the University of California, San Francisco; Keenan Walker and Eleanor Simonsick of the National Institute on Aging; and Honglei Chen of Michigan State University.
No authors declared disputes of interest related to this research study under Johns Hopkins University School of Medicine policies.
This work was supported by the National Institute on Aging, the National Institute of Nursing Research and the Intramural Research Program of the National Institutes of Health: National Institute on Aging.

” Weve seen repeatedly that a bad sense of odor can be an early caution indication of neurodegenerative diseases such as Alzheimers disease and Parkinsons illness, as well as a death danger. In 1999, when smell was first measured, 48% of participants displayed a regular sense of odor, 28% revealed a reduced sense of odor, understood as hyposmia, and 24% had an extensive loss of the sense, understood as anosmia. A poorer sense of odor was associated with an increased opportunity of a participant falling into the high or moderate depressive symptoms groups, suggesting that the even worse an individuals sense of odor, the greater their depressive signs.” Losing your sense of odor influences lots of aspects of our health and habits, such as picking up spoiled food or poisonous gas, and consuming pleasure. The greater the concentration of these odor molecules the more powerful the odor, and various mixes of molecules result in various experiences.