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Original Article | Publishing Language: Chinese

Impact of combined olfactory-masticatory stimulation and N-back training on working memory

Xinwei GUO1,2, Weiwei XING1, Haowei WU1, Suya BAO1,3, Mingzhe ZHANG1, Bo GAO1, Wenliang FU1, Chao ZHANG1, Donggang XU1( )
Academy of Military Medical Sciences, Academy of Military Sciences, Beijing 100850, China
The 82nd Army Group Hospital of the PLA, Baoding, Hebei 071000, China
Department of Critical Care Medicine, the Second Affiliated Hospital of Chongqing Medical University, Chongqing 400010, China
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Abstract

Objective

To investigate the facilitative effects of an olfactory-masticatory composite N-back training paradigm on working memory in healthy adults.

Methods

Chewing gum containing 1, 8-cineole and up to related safety standards was developed before a composite training protocol incorporating this gum was designed. Sixty-three healthy adults were randomly assigned to either a composite-stimulation training group (n=33) or a single-modality training group (n=30). Participants in the composite-stimulation group chewed gum containing 1, 8-cineole in the process of performing training tasks for three consecutive days while the single-modality training group completed the tasks without chewing gum. Working memory performance was evaluated before and after the intervention using spatial and digit N-back tasks, while cognitive control transfer was evaluated using a Stroop task.

Results

Compared to the single-modality training group, the composite-stimulation group was significantly more accurate and shorter in reaction times during the high-load working memory task (specifically, the spatial 5-back task; P < 0.05), and exerted more pronounced near-transfer effects in the digit 3-back task (P < 0.05). However, no additional benefits were observed in the Stroop task, suggesting that the composite intervention did not deliver significant far-transfer effects.

Conclusion

The combination of olfactory-masticatory stimulation with N-back training can significantly enhance high-load working memory and enhance near-transfer effects. This approach offers a simple, quick, and broadly applicable approach to cognitive enhancement.

CLC number: R388.64 Document code: A Article ID: 1674-9960(2026)07-0498-07

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Military Medical Sciences
Pages 498-504

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Cite this article:
GUO X, XING W, WU H, et al. Impact of combined olfactory-masticatory stimulation and N-back training on working memory. Military Medical Sciences, 2026, 50(7): 498-504. https://doi.org/10.7644/j.issn.1674-9960.2025-00286

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Received: 13 December 2025
Published: 25 July 2026
© 2026 Military Medical Sciences