Background The decline of olfactory capacity has been identified as an early symptom of Parkinson’s disease (PD) and can precede PD-related motor and non-motor impairment. Applying the olfactory tests in the assessment of PD may increase the accuracy of diagnosis and provide promising markers of the disease progression. Objectives We set the following objectives: (a) to compare olfactory function between samples of PD patients and healthy controls; (b) to check correlations between the olfactory function, clinical features and quantitative EEG; and (c) to check the diagnostic accuracy of the olfactory function. Methods We analyzed 2 samples: PD-sample (n = 54, males 68%), medians: age 68 yr, education 15 yr, MMSE 29, UPDRS-III 18, LEDD 475 mg/day, and control sample (n = 21, males 68%), adjusted by age, education and MMSE. Olfactory function in both samples was assessed with “Sniffin” Sticks®” tool, a set of 12 sticks with a specific odour each (e.g. orange, coffee). The examinees had to inhale the unlabelled odourant and identify it. Sniffing score (SnSc) comprised the number of correct identifications (0–12). Five cognitive tests were applied, and EEG was recorded for each participant. Spectral analyses of the EEGs was performed with MATLAB-based tool and alpha (8–13 Hz)/theta (4–8 Hz) ratio was calculated. We used corrected Wilcoxon and chi-squared tests to compare samples, Spearman rank correlations to check the relation of SnSc with samples” parameters, and ROC-curves to check the PD diagnostics value of SnSc, alpha/theta ratio (ATR) and a combined score of SnSc + ATR. The level of statistical significane set at.05; Bonferroni correction for multiple testing was applied. Results In PD-sample, SnSc was significantly decreased (p Classification in PD and controls: SnSc + ATR(Area under the curve (AUC) 86.5%, spec. 100%, sens. 64.8%), followed by SnSc (AUC 86.1%, spec. 95.2%, sens. 66.7%), and ATR (65.0%, spec. 61.9%, sens. 70.3%). Conclusions Because olfactory decrease in PD correlates with motor impairment (especially items of lower extremities mobility and axial posture), and is independent of cognitive function, the assessment of olfactory function may be a useful additional tool in the detection and follow-up of PD. Cohort studies with larger samples are warranted to identify whether olfactory decline predicts motor severity of PD.
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