Reader's Digest Asia Pacific

Our MYSTERIOUS Sense of SMELL

The world’s leading researcher­s are unlocking facts about the least understood of our senses

- BY Lisa Fields

Your sense of smel l is largely responsibl­e for your ability to taste food. “Flavour is really an integrated experience that combines what happens on your tongue – that’s sweet, sour, salty, bitter, spicy – with smell,” says Asifa Majid, a psychology professor. “When you put something in your mouth, the molecules go into your nasal cavity. Your tongue might be able to tell that there’s fat in that chocolate, and that’s something the brain finds very rewarding, but the formal chocolate experience comes from all the molecules going into your nose.”

Women outperform men when both groups are asked to identify a certain number of scents. That holds true across all age groups. “This could be due both to women being better able to perceive the smell and being better at verbalisin­g the odour – that is, providing the odour with a verbal label,” says Swedish researcher into ageing and psychologi­st Erika Jonsson Laukka. Her research shows that when people were asked to memorise eight scents (including garlic, fish, turpentine and lemon) and were then given a scent test, which included some of the original scents and some new scents, the women were better able to identify whether or not a scent was one of the ones that had been memorised. Women were also better at identifyin­g the scents by name.

After age 50 or so, our sense of smell starts to decline. “This loss accelerate­s as people get older,” says Dr Thomas Hummel, director of the Smell and Taste Centre at Germany’s Technical University. “Among people over 50, a quarter have a loss. In people over 80, about a third will have no

For many people, a fading sense of smell may be just a natural part of ageing

olfactory function at all. But half of those over 80 still have a good sense of smell.”

People often think that those who are blind, deaf or have lost their ability to smell will have another sense heightened, but according to research, this is merely an old wives’ tale. For example, Dr Hummel has studied the sense of smell in people who are vision impaired and has not found the sense to be heightened.

“That’s a little bit of a myth,” Dr Hummel says. “We’ve been looking at this in very large groups – up to 40 people – with congenital blindness, and people with acquired blindness, and they are not better in their sense of smell. There may be individual­s who are really good, but when you look at larger groups, you don’t see it. It’s not there.”

“Every time we have a cold, a toll is taken,” says Richard Doty, director of the University of Pennsylvan­ia’s Smell and Taste Centre. Cumulative damage from a lifetime of illnesses suffered by the average person contribute­s to smell loss in many older adults.

In the case of a cold, “The virus damages little elements of the epithelium – the lining of the olfactory region where the receptors are located, at the top of the nose – pockmarkin­g it. By the time we get into our 60s, 70s and 80s, it looks like cheeseclot­h.”

Smell loss can be an early symptom of Parkinson’s or Alzheimer’s.

It could indicate illness or chronic disease, so see your doctor if you notice your sense of smell fades, says Professor Majid. “But for most of us, it’s not a concern. It’s just part of getting older.”

Recently, the COVID-19 virus caused temporary smell loss among people of any age. “There’s ten per cent or so – that’s the current estimate – where the smell loss lingers,” Dr Hummel says.

Cumulative damage from a lifetime of illnesses can contribute to smell loss

And, he says, anyone may also lose the sense of smell, temporaril­y or permanentl­y, after having a concussion or other trauma to the head. “This does not mean anything, then, in terms of these future cognition functions or future health.”

If your doctor can’t find a cause for your smell loss, it’s likely age-related.

Your eating habits may be compromise­d by loss of smell. “You think, ‘I remember how this tasted in the past. I guess they don’t have as good tomatoes or meat any more,’” says psychology professor Dr Johannes Frasnelli. “But in fact, it’s your sense of smell that may be working less.”

“Some people will find food is no longer enjoyable, get depressed over it, or don’t want to eat with their friends,” says Doty.

“Others will start eating lots of junk food, spices and salt to try to make food more enjoyable.”

Strangely, some individual­s don’t not ice an absence of aromas in their environmen­ts, or that they no longer taste their food. This may be because their sense of smell faded gradually.

“Probably about a quarter of the population worldwide has a considerab­le loss and is not really aware of it,” says Doty.

For many of us, scents unlock memories that date back to childhood. One whiff of your grandmothe­r’s perfume on a passer-by may transport you back in time to your grandparen­ts’ home. Researcher­s believe this happens because of the proximity of certain brain regions to the olfactory bulb, which sends informatio­n from the nose.

“The olfactory bulb is situated close to the amygdala, which regulates our emotions, and the hippocampu­s, a structure important for encoding and recollecti­ng memories,” Laukka says. “Smell-evoked memories may be more emotional, run deeper, than those cued by other senses.”

Adds Dr Hummel, “When you lose the sense of smell, you lose these memories. It’s like the key is lost.”

To improve your sense of smell, some medical treatments can work. If your doctor suspects that inflammati­on has caused your smell loss, he/she may prescribe a course of steroids.

“If after that a person’s smell comes back, then they can use judiciousl­y a topical steroid through nasal sprays,” says Doty.

“When you lose the sense of smell, you lose your memories. It’s like the key is lost”

Researcher­s haven’t yet developed devices to improve the sense of smell. “We have glasses and hearing aids,” says Professor Majiid. “There’s nothing like that for smell.”

But they do know that the sense of smell improves throughout childhood and into adulthood, as people are exposed to more scents and tastes. The more flavours and delicacies that you sample while growing up, the better your nose will be at detecting subtle aromas.

So expanding your diet and varying what you eat may stimulate your sense of smell. Be mindful at mealtimes, noting the aromas, f lavours and textures.

“The best thing is to have a diverse diet, a cookbook with food from all over the world,” Dr Frasnelli says.

Scent training might preserve our sense of smell, some research suggests. People often do this at the suggestion of an ear, nose and throat specialist, if they go to the doctor to find out why they have lost their sense of smell. When people deliberate­ly inhale strong odours for several weeks, they may become more sensitive to all aromas and improve their ability to smell.

Dr Hummel believes that the technique has physiologi­cal effects. “We probably grow more olfactory receptors. There’s animal research supporting this idea.”

Dr Frasnelli has analysed MRI brain images of people undergoing scent training and observed positive changes in brain plasticity.

“They got thicker in the regions of the brain that are responsibl­e for processing the olfactory function,” he says, “which means it’s not just a nose that is trained, it’s the whole brain.”

An appreciati­on of, or distaste for, a certain smell is often learned at an early age

But don’t expect dramatic results: most scent-training research involves younger adults, so it’s unknown how effective it may be in older adults, he warns. Still, it’s something inexpensiv­e that you can try on your own, even in your 70s or beyond. As Professor Majid says, “Smell does seem to be a sense that you can train throughout your lifetime.” Smells aren’t universall­y ‘good’ or ‘bad’. Research has shown that appreciati­on of, or distaste for, a particular odour is often learned at an early age, based on cultural preference­s or the popularity of certain foods or customs around the world. For example, individual­s who dislike the smell and taste of cheese with pungent odours – especially creamy, runny varieties – perceive the scent differentl­y from people who enjoy such cheeses. Their negative reaction to the aroma is detectable during a functional MRI brain scan. Intriguing­ly, when women were asked to judge the likeabilit­y of male body odour, they preferred the scent of men who followed a vegetarian diet to that of men who ate red meat.

Digital noses on the way? “There have been some really interestin­g things happening in digital olfaction in recent years,” says Professor Majid. “For example, there is a device that can tell you if something in your fridge is going bad. There are also electronic noses that are used in urban environmen­ts to capture if there’s something dangerous happening, for example a gas leak.”

This has already been used in a limited capacity. When unpleasant odours pervaded a town in southern Spain in 2017, University of Malaga researcher­s who had developed an e-nose were invited to identify the presence of volatile chemicals, which were believed to be emanating from a point within the sewer system.

The e-nose identified where the chemicals were most prevalent within the town, which coincided with the local government’s clean- up efforts.

None of these devices are yet available to consumers.

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