Contemporary Assessment of the Prevalence of Smell and Taste Problems in Adults

Contemporary Assessment of the Prevalence of Smell and Taste Problems in Adults
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DOI:
10.1002/lary.24999
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发表时间:
2015-05-01
期刊:
影响因子:
2.6
通讯作者:
Kepnes, Lynn J.
Kepnes, Lynn J.
中科院分区:
医学2区
文献类型:
--
作者:
Bhattacharyya, Neil;Kepnes, Lynn J.

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目的/假设确定成年人嗅觉障碍和味觉障碍的患病率及相关因素。研究设计对全国家庭健康调查进行横断面分析。方法对2011-2012年全国健康与营养检查(NHANES)中味觉障碍部分的数据进行检验。成人中自我报告的味觉和/或嗅觉问题的流行率以及相关症状频率、相关医疗服务提供者的互动,以及症状/病因(例如,持续的感冒/流感、口干或头部受伤等)。已经下定决心。结果在1425126万名美国成年人(RAW N=3594)中,估计有151210万人(10.6%+/-1.0%)在过去12个月中自我报告有气味障碍。性别与自述气味障碍的发生率无关(P=0.146),但年龄的增加与气味障碍的发生率增加有关(优势比[OR]1.147;95%可信区间[CI],1.003-1.312)。据估计,在过去12个月中,约有750万人(5.3%+-0.3%)报告了口味问题。性别与味觉障碍的患病率无关(P=0.947),但年龄的增加与味觉障碍的患病率有关(OR 1.202;1.037-1.395)。在1940+/-220万报告嗅觉和/或味觉异常中,20.2%+/-2.3%的人与医疗保健提供者讨论过这个问题,5.8%+/-1.4%的人认为这干扰了他们的日常生活。进一步的工作,以确定谁的气味或味觉障碍可以帮助患者。喉镜,125:1102-1106,2015
Objectives/HypothesisDetermine the prevalence of smell disturbance and taste disturbance and associated factors in adults.Study DesignCross-sectional analysis of nationwide household health survey.MethodsData from the taste and smell disorders component of the National Health and Nutrition Examination Survey (NHANES) 2011 to 2012 were examined. The prevalence of self-reported problems with taste and/or smell among adults and the associated symptom frequency, related healthcare provider interactions, and symptoms/etiologies (e.g., persistent cold/flu, dry mouth, or head injury, etc.) were determined. Associations between sex and age with smell and taste disturbances as well as the relationship between smell and taste disturbances were determined.ResultsAmong 142.512.6 million adult Americans (raw N=3,594), there were an estimated 15.12.1 million individuals (10.6%+/- 1.0%) with self-reported smell disturbance in the prior 12 months. Sex was not associated with the prevalence of self-reported smell disturbance (P=0.146), but increasing age was associated with an increasing prevalence of smell disturbance (odds ratio [OR] 1.147; 95% confidence interval [CI], 1.003-1.312). An estimated 7.5 +/- 0.6 million individuals (5.3%+/- 0.3%) reporting a problem with taste in the prior 12 months. Sex was not associated with the prevalence of taste disturbance (P=0.947) but increasing age was (OR 1.202; 1.037-1.395). Among 19.4 +/- 2.2 million reporting smell and/or taste abnormality, 20.2%+/- 2.3% discussed this with a healthcare provider and 5.8%+/- 1.4% felt it interfered with their daily life.ConclusionA significant number of adult Americans report problems with smell disturbance and taste disturbance. Further work to identify patients whose smell or taste disturbance can be helped is warranted.Level of Evidence2b. Laryngoscope, 125:1102-1106, 2015