Academic Journal

Evaluation of the NIH Toolbox Odor Identification Test in African American older adults with and without amnestic mild cognitive impairment.

Bibliographic Details
Title: Evaluation of the NIH Toolbox Odor Identification Test in African American older adults with and without amnestic mild cognitive impairment.
Authors: Ece B; Department of Medical Social Sciences, Northwestern University Feinberg School of Medicine, Chicago, IL, USA., Giordani B; Department of Psychiatry, University of Michigan, Ann Arbor, MI, USA., Goldstein F; Department of Neurology, Emory University School of Medicine, Atlanta, GA, USA., Weintraub S; Department of Psychiatry and Behavioral Sciences, Northwestern University Feinberg School of Medicine, Chicago, IL, USA.; Mesulam Center for Cognitive Neurology and Alzheimer's Disease, Northwestern University Feinberg School of Medicine, Chicago, IL, USA., Manly J; Department of Neurology, Columbia University, New York, NY, USA., Dalton P; Monell Chemical Senses Center, Philadelphia, PA, USA., Parma V; Monell Chemical Senses Center, Philadelphia, PA, USA.; Department of Otorhinolaryngology: Head and Neck Surgery, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA., Gershon RC; Department of Medical Social Sciences, Northwestern University Feinberg School of Medicine, Chicago, IL, USA., Ho EH; Department of Medical Social Sciences, Northwestern University Feinberg School of Medicine, Chicago, IL, USA.
Source: Journal of Alzheimer's disease : JAD [J Alzheimers Dis] 2026 Oct; Vol. 113 (4), pp. 1886-1894. Date of Electronic Publication: 2026 Sep 11.
Publication Type: Journal Article
Language: English
Journal Info: Publisher: SAGE Publications Country of Publication: United States NLM ID: 9814863 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1875-8908 (Electronic) Linking ISSN: 13872877 NLM ISO Abbreviation: J Alzheimers Dis Subsets: MEDLINE
Imprint Name(s): Publication: 2024- : [Thousand Oaks, CA] : SAGE Publications
Original Publication: Amsterdam ; Washington : IOS Press, c1998-
MeSH Terms: Cognitive Dysfunction*/diagnosis , Cognitive Dysfunction*/psychology , Amnesia*/diagnosis , Smell*/physiology , Black or African American* , Odorants*, Humans ; Female ; Male ; Aged ; United States ; ROC Curve ; National Institutes of Health (U.S.) ; Aged, 80 and over ; Sensitivity and Specificity ; Aging
Abstract: BackgroundEarly detection of amnestic mild cognitive impairment (aMCI), a prodromal stage of Alzheimer's disease (AD), is critical for timely intervention. Declines in olfactory function seem to be a promising, non-invasive indicator of AD pathology, but screening research in underrepresented groups is limited.ObjectiveTo evaluate the diagnostic discrimination and exploratory utility of the NIH Toolbox Odor Identification Test (NIHTB-OIT) in distinguishing healthy aging from aMCI in older African American adults.MethodsParticipants included 93 healthy agers (81.7% female; Mage = 73.85, SDage = 5.06) and 52 individuals with aMCI (69.2% female; Mage = 74.37, SDage = 5.26). NIHTB-OIT scores were analyzed using two-way ANCOVAs, controlling for age and education. Receiver Operating Characteristic (ROC) analysis assessed diagnostic utility. The optimal cut-off score was determined using the Youden index, which maximizes combined sensitivity and specificity. APOE ε4 status was examined in a subset of participants (64.8%).ResultsHealthy agers scored significantly higher than participants with aMCI (p = 0.019), and females performed significantly better than males (p = 0.031). ROC analysis demonstrated modest but significant discrimination with an Area Under the Curve (AUC) of 0.626 (p = 0.010). Using a cut-off score of 5.5 resulted in 76.3% specificity and 40.4% sensitivity. No significant differences were observed by APOE ε4 status or diagnosis-by-sex interactions.ConclusionsThe NIHTB-OIT demonstrated modest discrimination between aMCI and healthy aging in African American older adults. Its brief administration time and high specificity support its potential as a rapid, low-burden adjunctive measure in community-based settings.
Competing Interests: Declaration of conflicting interestsThe authors declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.
Contributed Indexing: Keywords: African Americans; Alzheimer's disease; NIH Toolbox Odor Identification Test; aging; amnestic mild cognitive impairment; biomarkers; olfaction
Entry Date(s): Date Created: 20260911 Date Completed: 20261013 Latest Revision: 20261014
Update Code: 20261015
DOI: 10.1177/13872877261483176
PMID: 42725855
Database: MEDLINE
Description
ISSN:1875-8908
DOI:10.1177/13872877261483176