The 8-item NHANES pocket smell test®: Normative data.

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Title: The 8-item NHANES pocket smell test®: Normative data.
Authors: On, Aretha (AUTHOR), Moein, Shima T. (AUTHOR), Khan, Rafa (AUTHOR), Doty, Richard L (AUTHOR)
Source: Applied Neuropsychology: Adult. Jul/Aug2025, Vol. 32 Issue 4, p922-927. 6p.
Subjects: National Health & Nutrition Examination Survey, Olfactometry, Receiver operating characteristic curves, Nutrition surveys, Health surveys
Abstract: This study provides normative data useful for interpreting scores from the Pocket Smell Test® (PST®), a brief "scratch & sniff" neuropsychological olfactory screening test comprised of 8 items from the 40-item University of Pennsylvania Smell Identification Test (UPSIT®). We combined 3,485 PST® scores from the 2013 to 2014 National Health and Nutrition Survey (NHANES) of persons 40 years of age and older with equivalent PST® items extracted from an UPSIT® database of 3,900 persons ranging in age from 5 to 99 years. Decade-related age- and gender-adjusted percentile normative data were established across the entire age spectrum. Cut-points for defining clinically useful categories of anosmia, probable microsmia, and normosmia were determined using receiver operating characteristic (ROC) curve analyses. An age-related decline in test scores was evident for both sexes after the age of 40 years, with women outperforming men. Based on the ROC analyses, subjects scoring 3 or less (AUC = 0.81) defines anosmia. Regardless of sex, a score of 7 or 8 on the N-PST® signifies normal function (AUC of 0.71). Probable microsmia is classified as scores extending from 3 to 6. These data provide an accurate means for interpreting PST® scores within a number of clinical and applied settings. [ABSTRACT FROM AUTHOR]
Copyright of Applied Neuropsychology: Adult is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Data: The 8-item NHANES pocket smell test<superscript>®</superscript>: Normative data.
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  Data: <searchLink fieldCode="AR" term="%22On%2C+Aretha%22">On, Aretha</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Moein%2C+Shima+T%2E%22">Moein, Shima T.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Khan%2C+Rafa%22">Khan, Rafa</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Doty%2C+Richard+L%22">Doty, Richard L</searchLink> (AUTHOR)
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  Data: <searchLink fieldCode="JN" term="%22Applied+Neuropsychology%3A+Adult%22">Applied Neuropsychology: Adult</searchLink>. Jul/Aug2025, Vol. 32 Issue 4, p922-927. 6p.
– Name: Subject
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  Data: <searchLink fieldCode="DE" term="%22National+Health+%26+Nutrition+Examination+Survey%22">National Health & Nutrition Examination Survey</searchLink><br /><searchLink fieldCode="DE" term="%22Olfactometry%22">Olfactometry</searchLink><br /><searchLink fieldCode="DE" term="%22Receiver+operating+characteristic+curves%22">Receiver operating characteristic curves</searchLink><br /><searchLink fieldCode="DE" term="%22Nutrition+surveys%22">Nutrition surveys</searchLink><br /><searchLink fieldCode="DE" term="%22Health+surveys%22">Health surveys</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: This study provides normative data useful for interpreting scores from the Pocket Smell Test® (PST®), a brief "scratch & sniff" neuropsychological olfactory screening test comprised of 8 items from the 40-item University of Pennsylvania Smell Identification Test (UPSIT®). We combined 3,485 PST® scores from the 2013 to 2014 National Health and Nutrition Survey (NHANES) of persons 40 years of age and older with equivalent PST® items extracted from an UPSIT® database of 3,900 persons ranging in age from 5 to 99 years. Decade-related age- and gender-adjusted percentile normative data were established across the entire age spectrum. Cut-points for defining clinically useful categories of anosmia, probable microsmia, and normosmia were determined using receiver operating characteristic (ROC) curve analyses. An age-related decline in test scores was evident for both sexes after the age of 40 years, with women outperforming men. Based on the ROC analyses, subjects scoring 3 or less (AUC = 0.81) defines anosmia. Regardless of sex, a score of 7 or 8 on the N-PST® signifies normal function (AUC of 0.71). Probable microsmia is classified as scores extending from 3 to 6. These data provide an accurate means for interpreting PST® scores within a number of clinical and applied settings. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
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  Data: <i>Copyright of Applied Neuropsychology: Adult is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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      – Type: doi
        Value: 10.1080/23279095.2023.2224480
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        Text: English
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        Type: general
      – SubjectFull: Olfactometry
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      – SubjectFull: Receiver operating characteristic curves
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      – SubjectFull: Nutrition surveys
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              Text: Jul/Aug2025
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