Evidence map›Paper›PMID 38847146›Full record

ArticleJournal of the American Heart Association2024

Olfactory Impairment and the Risk of Major Adverse Cardiovascular Outcomes in Older Adults.

Keran W Chamberlin, Yaqun Yuan, Chenxi Li, Zhehui Luo, Mathew Reeves, Anna Kucharska-Newton, Jayant M Pinto, Jiantao Ma, Eleanor M Simonsick, Honglei Chen

Abstract read
In one paragraph

Article in Journal of the American Heart Association, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

19 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Effect of theFoods (Basel, Switzerland) · 2026
    Article
  4. Article
  5. Article
  6. The Need to Promote Olfactory Health in Public Health Agendas Across the Globe.Clinical otolaryngology : official journal of ENT-UK ; official journal of Netherlands Society for Oto-Rhino-Laryngology & Cervico-Facial Surgery · 2026
    Review
  7. Article
  8. Olfaction and Coronary Heart Disease.JAMA otolaryngology-- head & neck surgery · 2026
    Article
  9. Poor olfaction and risk of heart failure in the Atherosclerosis Risk in Communities Study.The journals of gerontology. Series A, Biological sciences and medical sciences · 2025
    Article
  10. Article
  11. Review
  12. Article
  13. Review
  14. Longitudinal Association of Olfactory Function with Frailty in Older Adults: The Atherosclerosis Risk in Communities Study.The journals of gerontology. Series A, Biological sciences and medical sciences · 2025
    Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors.

Keran W ChamberlinDepartment of Epidemiology and Biostatistics, College of Human Medicine Michigan State University East Lansing MI.ORCID 0000-0003-4721-4316
Yaqun YuanDepartment of Epidemiology and Biostatistics, College of Human Medicine Michigan State University East Lansing MI.ORCID 0000-0002-9825-7474
Chenxi LiDepartment of Epidemiology and Biostatistics, College of Human Medicine Michigan State University East Lansing MI.ORCID 0000-0003-0701-0757
Zhehui LuoDepartment of Epidemiology and Biostatistics, College of Human Medicine Michigan State University East Lansing MI.ORCID 0000-0001-9193-3380
Mathew ReevesDepartment of Epidemiology and Biostatistics, College of Human Medicine Michigan State University East Lansing MI.ORCID 0000-0002-8019-6343
Anna Kucharska-NewtonDepartment of Epidemiology Gillings School of Global Public Health, University of North Carolina at Chapel Hill Chapel Hill NC.ORCID 0000-0001-9864-467X
Jayant M PintoSection of Otolaryngology-Head and Neck Surgery, Department of Surgery The University of Chicago Medicine and Biological Sciences Chicago IL.
Jiantao MaDivision of Nutrition Epidemiology and Data Science, Gerald J. and Dorothy R. Friedman School of Nutrition Science and Policy Tufts University Boston MA.ORCID 0000-0001-7478-7203
Eleanor M SimonsickTranslational Gerontology Branch, Intramural Research Program of the National Institutes of Health National Institute on Aging Bethesda MD.ORCID 0000-0002-5460-3494
Honglei ChenDepartment of Epidemiology and Biostatistics, College of Human Medicine Michigan State University East Lansing MI.ORCID 0000-0003-3446-7779

Funding

Health, Aging and Body Composition StudyZIAAG007390 · NIA · NATIONAL INSTITUTE ON AGING · PI LAUNER, LENORE J · 2009 to 2024
$4.0M
Peripheral Nerve Function Decline in an Aged CohortR01AG028050 · NIA · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI STROTMEYER, ELSA S. · 2007 to 2015
$3.5M
End of Life in the Very OldR01NR012459 · NINR · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI ALBERT, STEVEN M, LUNNEY, JUNE R · 2011 to 2015
$2.7M
Biomarkers of Homestatic Dysregulation in Aging and Chronic DiseaseZIAAG000971 · NIA · NATIONAL INSTITUTE ON AGING · PI FERRUCCI, LUIGI · 2009 to 2025
$1.9M
NIA NIH HHS R01 AG028050NINR NIH HHS R01 NR012459
6 · The paper itself

Abstract

backgroundOlfactory impairment is common in older adults and may be associated with adverse cardiovascular health; however, empirical evidence is sparse. We examined olfaction in relation to the risk of coronary heart disease (CHD), stroke, and congestive heart failure (CHF). METHODS AND

resultsThis study included 2537 older adults (aged 75.6±2.8 years) from the Health ABC (Health, Aging, and Body Composition) study with olfaction assessed by the 12-item Brief Smell Identification Test in 1999 to 2000, defined as poor (score ≤8), moderate (9-10), or good (11-12). The outcomes were incident CHD, stroke, and CHF. During up to a 12-year follow-up, 353 incident CHD, 258 stroke, and 477 CHF events were identified. Olfaction was statistically significantly associated with incident CHF, but not with CHD or stroke. After adjusting for demographics, risk factors, and biomarkers of CHF, the cause-specific hazard ratio (HR) of CHF was 1.32 (95% CI, 1.05-1.66) for moderate and 1.28 (95% CI, 1.01-1.64) for poor olfaction. These associations were robust in preplanned subgroup analyses by age, sex, race, and prevalent CHD/stroke. While the subgroup results were not statistically significantly different, the association of olfaction with CHF appeared to be evident among participants who reported very good to excellent health (HR, 1.47 [95% CI, 1.01-2.14] for moderate; and 1.76 [95% CI, 1.20-2.58] for poor olfaction), but not among those with fair to poor self-reported health (HR, 1.04 [95% CI, 0.64-1.70] for moderate; and 0.92 [95% CI, 0.58-1.47] for poor olfaction).

conclusionsIn community-dwelling older adults, a single olfaction test was associated with a long-term risk for incident CHF, particularly among those reporting very good to excellent health.

Indexed as

Heart FailureOlfaction DisordersStrokeAgedAged, 80 and overAge FactorsCoronary DiseaseFemaleHumansIncidenceMalePrognosisProspective StudiesRisk AssessmentRisk FactorsSmellcongestive heart failurecoronary heart diseaseolder adultsolfactionself‐reported health statusstroke

Identifiers

PMID38847146
PMCPMC11255730

What Socratic holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.