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. Author manuscript; available in PMC: 2012 Feb 1.
Published in final edited form as: Clin Geriatr Med. 2011 Feb;27(1):1–15. doi: 10.1016/j.cger.2010.08.009

Table 1.

Frailty-defining criteria: Women’s Health and Aging Studies (WHAS) and Cardiovascular Health Study (CHS)

Characteristics CHS WHAS
1. Weight loss Baseline:
Lost > 10 pounds unintentionally in last year
Follow-up:
(weight in previous year-current weight)/(weight in previous
year)≥0.05 and the loss was unintentional
Baseline:
Either of:
  1. (weight at age 60–weight at exam )/(weight at age 60)≥0.1

  2. BMI at exam < 18.5.


Follow-up:
Either of :
  1. BMI at exam < 18.5

  2. (weight in previous year-current weight)/(weight in previous year)≥0.05 and the loss was unintentional

2. Exhaustion Self report of either of:
  1. felt that everything I did was an effort in the last week

  2. could not get going in the last week

Self report of any of:
  1. low usual energy level1 (<=3, range 0-10)

  2. felt unusually tired in last month2

  3. felt unusually weak in the past month2

3.Low Physical
Activity
Women: Kcal < 270 on activity scale (18 items)
Men: Kcal < 383 on activity scale (18 items)
Women: Kcal < 90 on activity scale (6 items)
Men: Kcal< 128 on activity scale (6 items)
4. Slowness walking 15 feet (4.57m) at usual pace
Women:
  time >= 7 s for height <= 159 cm
  time >= 6 s for height > 159 cm
Men:
  time >= 7 s for height <= 173 cm
  time >= 6 s for height > 173 cm
walking 4m at usual pace
Women:
  speed <= 4.57/7 m/s for height <= 159 cm
  speed <= 4.57/6 m/s for height > 159 cm
Men:
  speed <= 4.57/7 m/s for height <= 173 cm
  speed <= 4.57/6 m/s for height > 173 cm
5. Weakness Grip strength
Women: <= 17 kg for BMI <= 23
    <=17.3 kg for BMI 23.1 - 26
    <= 18 kg for BMI 26.1 - 29
    <= 21 kg for BMI > 29
Men:
    <= 29 kg for BMI <= 24
    <= 30 kg for BMI 24.1 - 26
    <= 30 kg for BMI 26.1 - 28
    <= 32 kg for BMI > 28
Grip strenth: Same as in CHS
1

Rated on 0-10 scale, where 0 = “no energy” and 10 = “the most energy that you have ever had.”

2

If yes, there followed questioning “how much of the time” the feeling persisted; responses “most” or “all” of the time were considered indicative of exhaustion.