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一般人群中的嗅觉扭曲。

Olfactory distortions in the general population.

机构信息

Department of Psychology, Stockholm University, Stockholm, Sweden.

Department of Psychology, Umeå University, Umeå, Sweden.

出版信息

Sci Rep. 2022 Jun 13;12(1):9776. doi: 10.1038/s41598-022-13201-5.

Abstract

Parosmia, distorted smell sensations, is a common consequence of respiratory virus infections. The phenomenon is not well understood in terms of its impact and long-term outcomes. We examined self-reported experiences of parosmia in a population-based sample from the Betula study that was conducted in Umeå in northern Sweden (baseline data collected in 1998-2000). We used a baseline sample of 2168 individuals aged 35-90 years and with no cognitive impairment at baseline. We investigated the prevalence of parosmia experiences and, using regression analyses, its relationship to other olfactory and cognitive variables and quality of life. Benefitting from the longitudinal study design, we also assessed the persistence of parosmia over 5 and 10 years prospectively. Parosmia experiences were prevalent in 4.8% of the population and it often co-occurred with phantosmia ("olfactory hallucinations"), but was not associated with lower self-rated overall quality of life or poor performance on olfactory or cognitive tests. For some individuals, parosmia was retained 5 years (17.0%) or even 10 years later (10.3%). Thus, parosmia experiences are commonly reported in the population, and can be persistent for some individuals, but might be mostly benign in nature. Our work complements research on clinical-level parosmia, which is typically more severe, and recent parosmia reports during the COVID-19 pandemic, where long-term outcomes are still unknown.

摘要

嗅觉障碍,即嗅觉扭曲,是呼吸道病毒感染的常见后果。目前,人们对其影响和长期后果的了解还不够充分。我们在一项基于人群的研究中调查了嗅觉障碍的自我报告经历,该研究在瑞典北部于默奥进行(基线数据收集于 1998-2000 年)。我们使用了一个由 2168 名年龄在 35-90 岁之间、基线时无认知障碍的个体组成的基线样本。我们调查了嗅觉障碍经历的流行率,并使用回归分析,研究了其与其他嗅觉和认知变量以及生活质量的关系。得益于纵向研究设计,我们还前瞻性地评估了嗅觉障碍在 5 年和 10 年内的持续性。嗅觉障碍经历在人群中的发生率为 4.8%,常与幻嗅(“嗅觉幻觉”)同时发生,但与自我报告的整体生活质量较低或嗅觉或认知测试表现不佳无关。对于一些个体,嗅觉障碍在 5 年后(17.0%)甚至 10 年后(10.3%)仍然存在。因此,嗅觉障碍经历在人群中很常见,并且可能在一些个体中持续存在,但性质可能大多是良性的。我们的工作补充了对临床水平嗅觉障碍的研究,后者通常更为严重,以及 COVID-19 大流行期间最近的嗅觉障碍报告,目前尚不清楚其长期后果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aeb8/9192608/e7c476fc593d/41598_2022_13201_Fig1_HTML.jpg

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