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IRVINE, Calif. — Could your nose be trying to tell you something about your health? A groundbreaking new study suggests that problems with your sense of smell might be more than just an inconvenience – they could be an early warning sign for a surprisingly wide range of medical conditions.
The research, published in Frontiers in Molecular Neuroscience, shows that impaired smell is associated with at least 139 different medical conditions, ranging from Alzheimer’s disease to cardiovascular problems.
Think of your nose as a canary in a coal mine for your overall health. Just as miners once used canaries to detect dangerous gases, your sense of smell might be one of the first systems to signal that something’s not quite right in your body. What makes this finding particularly intriguing is that, in many cases, the loss of smell actually precedes the development of other symptoms, sometimes by years.
For instance, people who later develop Parkinson’s disease often experience a diminished sense of smell long before they show any movement-related symptoms. Similarly, individuals who go on to develop Alzheimer’s disease frequently report problems with their sense of smell as one of their earliest symptoms, even before they notice any memory issues.
What’s really catching the attention of scientists is how loss of smell appears to be linked to inflammation throughout the body. You might think of inflammation as just the swelling and redness that occurs when you hurt yourself, but it’s actually a complex process that can affect your entire body. When researchers looked at all 139 conditions associated with smell loss, they found that every single one of them also involved inflammation in some way.
The study categorized these conditions into three main groups: neurological (affecting the brain and nervous system), somatic (affecting the body), and congenital/hereditary (present from birth or inherited). The list includes everything from depression and anxiety to diabetes and heart disease, demonstrating just how widespread this connection is.
“It was difficult to track down the studies for so many medical conditions,” admits lead author Michael Leon, professor emeritus at the Charlie Dunlop School of Biological Sciences at the University of California, Irvine.

Your sense of smell isn’t just about enjoying the aroma of coffee in the morning or detecting when milk has gone bad – it might be a valuable tool for early disease detection and prevention. In fact, the study found that doctors can actually predict the probability that older adults will develop mild cognitive impairment based on their ability to smell. Even more remarkably, poor smell function can predict mortality risk more accurately than traditional indicators of heart disease.
There is some good news: the researchers also found that “olfactory enrichment” – essentially, exercises and exposure to various smells – might help protect against some of these conditions. Think of it as physical therapy for your nose. Several studies have shown that regularly exposing yourself to different scents can improve memory performance in both healthy adults and those with dementia.
For example, in one study, older adults who were exposed to various essential oils twice a day for five months showed significant improvements in their verbal function and experienced fewer depression symptoms compared to a control group that solved Sudoku puzzles instead. Another study found that exposing people with dementia to 40 different odors twice a day for 15 days led to improvements in memory, attention, and language skills.
Some scents even appear to have anti-inflammatory properties. Essential oils like eucalyptol, lavender, and ginger have shown promise in reducing inflammation in various studies. This suggests that actively engaging with different smells might do more than just improve your ability to detect odors – it could potentially help combat the underlying inflammation associated with various diseases.
What’s particularly fascinating is the unique connection between smell and memory. Unlike other senses, your sense of smell has a direct “superhighway” to the brain regions involved in memory processing. This might explain why losing your sense of smell often precedes memory problems in conditions like Alzheimer’s disease.
“The data are particularly interesting because we had previously found that olfactory enrichment can improve the memory of older adults by 226 percent,” notes Leon. “We now know that pleasant scents can decrease inflammation, potentially pointing to the mechanism by which such scents can improve brain health.”
The nose, it seems, really does know – and it might be trying to tell us something important about our health long before other symptoms appear. So the next time you can’t smell your morning coffee, it might be worth mentioning to your doctor. After all, your nose could be picking up on more than just scents – it could be picking up on your future health.
Medical conditions linked to both smell loss and inflammation
NEUROLOGICAL CONDITIONS (Brain & Nervous System)
- Alzheimer’s disease
- Parkinson’s disease
- Multiple sclerosis
- Depression (both unipolar and bipolar)
- Anxiety
- Autism
- Epilepsy
- Chronic fatigue syndrome
- Memory loss with aging
- Post-COVID syndrome (“Long COVID”)
- Migraine headaches
- Sleep disorders (including narcolepsy and sleep apnea)
- PTSD (Post-traumatic stress disorder)
- Schizophrenia
- Traumatic brain injury
- Stroke
- Cluster headaches
- Fibromyalgia
- Various types of dementia
And many others related to brain and nerve function
BODY-WIDE CONDITIONS
- COVID-19
- Cardiovascular disease
- Diabetes
- Obesity
- Cancer (head and neck)
- HIV/AIDS
- Allergies
- Asthma
- Arthritis
- Celiac disease
- Crohn’s disease
- Cirrhosis
- Heart failure
- Kidney disease
- Malnutrition
- High blood pressure
- Thyroid problems
- Vitamin B12 deficiency
- Vitamin D deficiency
And dozens more affecting various body systems
INHERITED/GENETIC CONDITIONS
- Down syndrome
- Fragile X syndrome
- Cystic fibrosis
- Wilson’s disease
- Various rare genetic disorders affecting metabolism and development
Additional notes:
- Some conditions have stronger evidence than others
- COVID-19, Alzheimer’s, Parkinson’s, depression, and rhinitis (nasal inflammation) have particularly extensive research backing the connection
- Some connections are based on single studies and need more research
- The complete list includes many more specific conditions within each category
Paper Summary
Methodology
The researchers conducted an extensive review of existing scientific literature, examining studies that investigated the relationship between smell loss and various medical conditions. They specifically looked for evidence of three key factors: correlation (how often smell loss and specific conditions occurred together), temporal precedence (whether smell loss came before other symptoms), and predictive power (whether smell loss could forecast the development of certain conditions). They also analyzed studies involving olfactory enrichment and its effects on various health outcomes.
Key Results
The study identified 139 medical conditions associated with smell loss, categorized into neurological, somatic, and congenital/hereditary conditions. Every condition identified was also linked to inflammation. The research found that smell loss often precedes symptoms in conditions like Parkinson’s disease, Alzheimer’s disease, and cardiovascular problems. Additionally, studies showed that olfactory enrichment could improve cognitive function and other health outcomes.
Study Limitations
The researchers note that many of the associations between smell loss and medical conditions are supported by single studies and would benefit from additional research. Also, while the relationship between smell loss and various conditions is clear, the exact causal mechanisms aren’t fully understood – whether smell loss causes these conditions, results from them, or both share a common underlying cause requires further investigation.
Discussion & Takeaways
The research suggests that smell testing could be a valuable tool for early disease detection and prevention. The strong connection between smell loss, inflammation, and various medical conditions opens up new possibilities for therapeutic interventions. The success of olfactory enrichment in improving cognitive function suggests that actively engaging our sense of smell might have protective health benefits.
Funding & Disclosures
One of the study’s authors, Michael Leon, holds equity in Science Lab 3, which is developing Memory Air®, a system for delivering olfactory enrichment. The research was published as an open-access article under the Creative Commons Attribution License, allowing for wide distribution and use of the findings.







