Original Investigation

Dysfunction in Olfactory Identification and Physical Function Decline in Older Adults

JAMA Otolaryngology–Head & Neck Surgery 10.1001/jamaoto.2026.0072

March 26, 2026 at 11:00 AM EDT

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Is poor olfaction associated with poor physical functioning in older adults?In this cohort study of 5474 older adults (age ≥65 years), poor vs good olfaction was associated with worse lower-extremity muscle strength, balance, gait speed, and grip strength and faster annual declines in those physical functions.Poor olfaction may be associated with poor physical functioning in older adults.

Corresponding Author: Anna Kucharska-Newton, PhD, MPH, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, 123 W Franklin St, Chapel Hill, NC 27516 (anna_newton@unc.edu).

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