More Than Smell-COVID-19 Is Associated With Severe Impairment of Smell, Taste, and Chemesthesis

. 2020 Oct 09 ; 45 (7) : 609-622.

Jazyk angličtina Země Velká Británie, Anglie Médium print

Typ dokumentu časopisecké články, práce podpořená grantem

Perzistentní odkaz   https://www.medvik.cz/link/pmid32564071

Grantová podpora
R56 DC016921 NIDCD NIH HHS - United States
U01 DC019578 NIDCD NIH HHS - United States
R01 DC000566 NIDCD NIH HHS - United States
R01 DC014253 NIDCD NIH HHS - United States
T32 DC000014 NIDCD NIH HHS - United States

Recent anecdotal and scientific reports have provided evidence of a link between COVID-19 and chemosensory impairments, such as anosmia. However, these reports have downplayed or failed to distinguish potential effects on taste, ignored chemesthesis, and generally lacked quantitative measurements. Here, we report the development, implementation, and initial results of a multilingual, international questionnaire to assess self-reported quantity and quality of perception in 3 distinct chemosensory modalities (smell, taste, and chemesthesis) before and during COVID-19. In the first 11 days after questionnaire launch, 4039 participants (2913 women, 1118 men, and 8 others, aged 19-79) reported a COVID-19 diagnosis either via laboratory tests or clinical assessment. Importantly, smell, taste, and chemesthetic function were each significantly reduced compared to their status before the disease. Difference scores (maximum possible change ±100) revealed a mean reduction of smell (-79.7 ± 28.7, mean ± standard deviation), taste (-69.0 ± 32.6), and chemesthetic (-37.3 ± 36.2) function during COVID-19. Qualitative changes in olfactory ability (parosmia and phantosmia) were relatively rare and correlated with smell loss. Importantly, perceived nasal obstruction did not account for smell loss. Furthermore, chemosensory impairments were similar between participants in the laboratory test and clinical assessment groups. These results show that COVID-19-associated chemosensory impairment is not limited to smell but also affects taste and chemesthesis. The multimodal impact of COVID-19 and the lack of perceived nasal obstruction suggest that severe acute respiratory syndrome coronavirus strain 2 (SARS-CoV-2) infection may disrupt sensory-neural mechanisms.

2nd Academic Otorhinolaryngology Department Aristotle University Thessaloniki Greece

AbScent Andover Hampshire UK

Biocomputation Group Department of Computer Science University of Hertfordshire Hatfield UK

Biological Sciences Department Fisher College of Science and Mathematics Towson University Towson MD USA

Center for Smell and Taste University of Florida Rm LG 101D Gainesville FL USA

Center for the Neurobiology of Learning and Memory University of California and Qureshey Research Laboratory Irvine CA USA

Centre for Global Health Research Usher Institute The University of Edinburgh Old Medical School Teviot Place Edinburgh UK

Centre for Nutrition and Food Sciences Queensland Alliance for Agriculture and Food Innovation The University of Queensland St Lucia QLD Australia

Centre for the Study of the Senses Institute of Philosophy School of Advanced Study University of London London UK

Clinical Neuroproteomics Unit Navarrabiomed Complejo Hospitalario de Navarra Proteored ISCIII Pamplona Spain

CSGA Centre for Taste and Feeding Behavior INRAE CNRS AgroSup Dijon Université Bourgogne Franche Comté 17 rue Sully Dijon France

CSIR Central Scientific Instruments Organisation Chandigarh India

Department of Anatomy College of Medicine Howard University N W Washington DC USA

Department of Anatomy Faculty of Medicine Mersin University Çiftlikköy Campus Yenişehir Mersin Turkey

Department of Anatomy Université du Québec à Trois Rivières boul des Forges Trois Rivières QC Canada

Department of Applied Biological Chemistry The University of Tokyo Yayoi Bunkyo ku Tokyo Japan

Department of Basic Medical Sciences Neuroscience and Sensory Organs Università degli Studi di Bari A Moro P zza G Cesare Bari Italy

Department of Biology Universidad de Chile Las Palmeras Santiago Chile

Department of Biomedical Imaging and Image guided Therapy Medical University of Vienna Währinger Gürtel Vienna Austria

Department of Clinical Neuroscience Karolinska Institutet Nobels väg Stockholm Sweden

Department of Electrical and Electronics Engineering Karunya Institute of Technology and Sciences Karunya Nagar Coimbatore Tamilnadu India

Department of Food and Nutrition University of Helsinki Helsinki Finland

Department of Food and Nutritional Sciences University of Reading Whiteknights Reading UK

Department of Food Science and Human Nutrition and Division of Nutritional Sciences University of Illinois at Urbana Champaign Urbana IL USA

Department of Food Science and Technology Oregon State University Corvallis OR USA

Department of Food Science The Pennsylvania State University Erickson Food Science Building University Park PA USA

Department of Food Science University of Massachusetts Holdsworth Way Amherst MA USA

Department of General Psychology University of Padova Via Venezia Padova Italy

Department of Medical and Surgical Sciences Magna Graecia University of Catanzaro Viale Europa Catanzaro Italy

Department of Molecular and Cellular Neurobiology Goethe Universität Frankfurt Goethe Universität Frankfurt Max von Laue Strasse Frankfurt am Main Germany

Department of Molecular Medicine University of Padova via Marzolo Padova Italy

Department of Neurobiology and Behavior University of California Irvine Irvine CA USA

Department of Oral Surgery and Oral Medicine Faculty of Dentistry University of Oslo Blindern Oslo Norway

Department of Otolaryngology Head and Neck Surgery Stanford University School of Medicine Palo Alto CA USA

Department of Otorhinolaringology Buenos Aires University and GEOG Argentina

Department of Otorhinolaryngology Cliniques Universitaires Saint Luc Avenue Hippocrate Brussels Belgium

Department of Otorhinolaryngology Medical Science University Emek Sancaktepe İstanbul Turkey

Department of Otorhinolaryngology TU Dresden Helmholtzstr Dresden Germany

Department of Otorhinolaryngology University Hospital Basel Petersgraben Basel Switzerland

Department of Pharmacology and Therapeutics University of Florida Gainesville FL USA

Department of Psychiatry and Psychotherapy Friedrich Alexander Universität Erlangen Nürnberg Schwabachanlage Erlangen Germany

Department of Psychiatry The Affiliated Brain Hospital of Guangzhou Medical University Liwan District Guangzhou City China

Department of Psychiatry Yale University School of Medicine New Haven CT USA

Department of Psychology and Anthropology University of Extremadura Avenida de la Universidad s n Cáceres Spain

Department of Psychology Stockholm University Frescativägen Stockholm Sweden

Department of Psychology Temple University Philadelphia PA USA

Department of Psychology Utrecht University Heidelberglaan 1 CS Utrecht The Netherlands

Department of Zoology Charles University Viničná Nové Město Czechia

Division of Human Nutrition and Health Wageningen University Stippeneng WE Wageningen the Netherlands

Division of Otolaryngology Head and Neck Surgery University of California San Diego Health MC La Jolla CA USA

DreamAir LLC Department of Scent Engineering Broadway New York NY USA

Ear Institute University College London London UK

ENT and Head and Neck Research Center and Department Hazrat Rasoul Hospital The Five Senses Institute Iran University of Medical Sciences Iran University of Medical Sciences Shahid Hemmat Highway Tehran Iran

Équipe de Médecine Evolutive UMR5288 CNRS Université Toulouse 3 faculté de chirurgie dentaire 3 Chemin des Maraîchers Toulouse France

Flavour Clinic Department of Otorhinolaryngology Regional Hospital West Jutland Central Denmark Region Laegaardvej Holstebro Denmark

Food Science Department University of Tennessee Knoxville TN USA

Functional Foods Forum University of Turku Turku Finland

Health Care and Life Sciences IBM T J Watson Research Center Yorktown Heights NY USA

Institut de Chimie de Nice UMR CNRS 7272 Université Côte d'Azur Avenue Valrose Nice France

Institute of Biochemistry Food Science and Nutrition The Hebrew University of Jerusalem Rehovot Israel

Institute of Neuroscience and Medicine Research Center Jülich Wilhelm Johnen Straße Jülich Germany

Institute of Psychology University of Graz Universitätsplatz 2 Graz Austria

Internal Medicine Department Hadassah Medical Center Kiryat Hadassah Jerusalem Israel

IRTA Food Technology Programme IRTA Finca Camps i Armet Monells Girona Spain

Italian Academy of Rhinology Asst Settelaghi University of Insubriae via Guicciardini Varese Italy

Laboratoire d'Anthropologie Moléculaire et Imagerie de Synthese UMR 5288 CNRS Universitéde Toulouse Toulouse France

Laboratory of Behavioural Gastronomy Maastricht University Campus Venlo Nassaustraat BV Venlo the Netherlands

Leibniz Institute for Food Systems Biology at the Technical University of Munich Lise Meitner Str Freising Germany

Monell Chemical Senses Center Philadelphia PA USA

National Centre for Biological Sciences Tata Institute of Fundamental Research GKVK Campus Bengaluru India

Neuropop Team Lyon Neuroscience Research Center CNRS UMR5292 INSERM U1028 University Claude Bernard Lyon 1 95 bd Pinel Bron France

Neuroscience Area International School for Advanced Studies SISSA Via Bonomea Trieste Italy

Otorhinolaryngology Department Biruni University Protokol Yolu Topkapı Zeytinburnu Istanbul Turkey

Rhinology Olfactology Unit ENT Department Geneva University Hospitals Rue Gabrielle Perret Gentil Geneva Switzerland

School of Exercise and Nutritional Sciences 5500 Campanile Drive San Diego State University San Diego CA USA

School of Life Sciences Arizona State University Tempe AZ USA

Sidra Medicine Out Patient Clinic Doha Qatar

Skull Base Research Center The Five Senses Institute Iran University of Medical Sciences Rasoul Akram Hospital Sattarkhan Ave Tehran Iran

Surgery Department ENT Division Sultan Qaboos University Hospital Al Khoud Muscat Oman

The Norfolk Smell and Taste Clinic University of East Anglia Norwich Research Park Norwich UK

The University of Queensland Diamantina Institute The University of Queensland Woolloongabba QLD Australia

University of Gastronomic Sciences Piazza Vittorio Emanuele 2 9 Bra Pollenzo CN Italy

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