Feasibility of a culture-specific Moroccan Smell Identification Test (MoroSIT): a proposal using the case of Parkinson disease

Authors

  • Mohamed Chraa Neuroscience Research laboratory, Faculty of Medicine and Pharmacy of Marrakesh, Cadi Ayyad University
  • Hanane Imizgue Neuroscience Research laboratory, Faculty of Medicine and Pharmacy of Marrakesh, Cadi Ayyad University
  • Raymond Klevor Mohammed VI University Medical Center
  • Najib Kissani Neuroscience Research laboratory, Faculty of Medicine and Pharmacy of Marrakesh, Cadi Ayyad University

DOI:

https://doi.org/10.31157/an.v28i1.368

Keywords:

Parkinson disease, Biomarker, Olfaction, Sniff test, Indigenous plants

Abstract

Introduction: Olfactory problems are frequent in Parkinson disease. Their early onset relative to motor problems makes them a potential biomarker for the disease, yet no culture-specific standardized tests exist in Morocco.

Aim: To use indigenous plant extracts generated in our laboratory to investigate olfactory impairment in patients with Parkinson disease.

Method: Our study is a cross-sectional case-controlled analytical investigation in a group of 69 patients with Parkinson disease and another group of 66 healthy volunteers in order to assess odor threshold, odor identification, and odor discrimination in these two groups using Mentha pulegium and Lavandula latifolia extracts.

Results: We found a marked decrease of the threshold of odor detection in patients compared to controls (p<0.001). A statistically significant difference was found between the ability to discriminate odors, with more patients with Parkinson disease unable to distinguish between odors (p<0.001). For the odor identification test, 70% of control subjects versus 36% of patients were able to correctly identify the test products. The difference was statistically significant (p<0.001).

Conclusions: Our study points to the potential for the elaboration of a standardized smell identification screening battery using indigenous products with which patients are familiar.

References

1. Doty RL. Olfaction in Parkinson’s disease and related disorders. Neurobiol Dis. 2012 Jun;46(3):527–52.
2. Doty RL, Laing DG. Psychophysical Measurement of Human Olfactory Function. In: Handbook of Olfaction and Gustation [Internet]. John Wiley & Sons, Ltd; 2015 [cited 2022 May 2]. p. 225–60. Available from: https://onlinelibrary.wiley.com/doi/abs/10.1002/9781118971758.ch11
3. Doty RL, Cometto-Muñiz JE, Jalowayski AA, Dalton P, Kendal-Reed M, Hodgson M. Assessment of upper respiratory tract and ocular irritative effects of volatile chemicals in humans. Crit Rev Toxicol. 2004 Apr;34(2):85–142.
4. Yousem DM, Geckle RJ, Doty RL, Bilker WB. Reproducibility and reliability of volumetric measurements of olfactory eloquent structures. Acad Radiol. 1997 Apr;4(4):264–9.
5. Doty RL. Office procedures for quantitative assessment of olfactory function. Am J Rhinol. 2007 Aug;21(4):460–73.
6. Doty RL, Shaman P, Dann M. Development of the University of Pennsylvania Smell Identification Test: a standardized microencapsulated test of olfactory function. Physiol Behav. 1984 Mar;32(3):489–502.
7. Doty RL, McKeown DA, Lee WW, Shaman P. A study of the test-retest reliability of ten olfactory tests. Chem Senses. 1995 Dec;20(6):645–56.
8. Hedner M, Larsson M, Arnold N, Zucco GM, Hummel T. Cognitive factors in odor detection, odor discrimination, and odor identification tasks. J Clin Exp Neuropsychol. 2010 Dec;32(10):1062–7.
9. Parola S, Liberini P. Assessing olfaction in the Italian population: methodology and clinical application. Ital J Neurol Sci. 1999 Dec 1;20(5):287–96.
10. Jiang RS, Su MC, Liang KL, Shiao JY, Wu SH, Hsin CH. A pilot study of a traditional Chinese version of the University of Pennsylvania Smell Identification Test for application in Taiwan. Am J Rhinol Allergy. 2010 Feb;24(1):45–50.
11. Fornazieri MA, Santos CA dos, Bezerra TFP, Pinna F de R, Voegels RL, Doty RL. Development of Normative Data for the Brazilian Adaptation of the University of Pennsylvania Smell Identification Test. Chemical Senses. 2015 Feb 1;40(2):141–9.
12. Rodríguez-Violante M, Gonzalez-Latapi P, Camacho-Ordoñez A, Martínez-Ramírez D, Morales-Briceño H, Cervantes-Arriaga A. Comparing the accuracy of different smell identification tests in Parkinson’s disease: relevance of cultural aspects. Clin Neurol Neurosurg. 2014 Aug;123:9–14.
13. Yücepur C, Ozücer B, Değirmenci N, Yıldırım Y, Veyseller B, Ozturan O. University of Pennsylvania smell identification test: application to Turkish population. Kulak Burun Bogaz Ihtis Derg. 2012 Apr;22(2):77–80.
14. Doty RL, Marcus A, Lee WW. Development of the 12-item Cross-Cultural Smell Identification Test (CC-SIT). Laryngoscope. 1996 Mar;106(3 Pt 1):353–6.
15. Alrhman R, Qudah N, Al-zubidi A, Al-Qudah M. Jordan smell test: a pilot study. Pan Arab J Rhinol. 2020;10(1):13.
16. Hsu NI, Lai JT, Shen PH. Development of Taiwan Smell Identification Test: a quick office-based smell screening test for Taiwanese. Am J Rhinol Allergy. 2015 Apr;29(2):e50-54.
17. Ogihara H, Kobayashi M, Nishida K, Kitano M, Takeuchi K. Applicability of the cross-culturally modified University of Pennsylvania Smell Identification Test in a Japanese population. Am J Rhinol Allergy. 2011 Dec;25(6):404–10.

Published

2022-10-21

How to Cite

Chraa, M. ., Imizgue, H. ., Klevor, R., & Kissani, N. . (2022). Feasibility of a culture-specific Moroccan Smell Identification Test (MoroSIT): a proposal using the case of Parkinson disease . Archivos De Neurociencias, 28(1). https://doi.org/10.31157/an.v28i1.368

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Section

Original Articles