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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 2.

Source Country n Frailty Prevalence (%) Frailty Criteria
Fried et al. 2001 USA 5317 Age CHS criteria (see Table 1)
 65-74 3.9
 75-84 11.6
 85+ 25.0
Sex
 Female 8.2
 Male 5.2
Race
 Caucasian 5.9
 African American 12.9

Bandeen-Roche et al. 2006 USA 786 Age WHAS criteria (see Table 1)
 70-79 11.3
Race
 Caucasian 9.8
 African American 15.8

Santos-Eggimann et al. 2009 10 European
countries:
Sweden,
Denmark,
Netherlands,
Germany,
Austria,
Switzerland,
France,
Italy,
Spain,
Greece
7510 Age 65+ 17.0 Three or more of the following five criteria:
Weight loss: self-report of a “diminution in desire for
food” in response to the question “What has your appetite
been like”
Exhaustion: responding yes to the question “In the last
month, have you had too little energy to do things you
wanted to do.”
Weakness: same as in CHS
Slowness: Self-report of either having “difficulty [expected
to last more than 3 months] walking 100 meters” or
“climbing one flight of stairs without resting” due to health
reasons.
Low activity: responding “one to three times a month” or
“hardly ever or never to the question “How often do you
engage in activities that require a low or moderate level of
energy such as gardening, cleaning the car, or going for a
walk?.”
873 8.6
635 12.4
830 11.3
933 12.1
707 10.8
412 5.8
687 15.0
833 23.0
816 27.3
784 14.7

Graham et al. 2008 USA 1996 Age 65+ Three or more of the following five criteria:
Weight loss: unintentional weight loss ≥4.5 kg in last year
Exhaustion: same as in CHS
Weakness by Grip Strength:
 weakest 20% for men:
 ≤21 kg for BMI ≤24.2
 ≤24.5 kg for BMI 24.3–26.8
 ≤25.4 kg for BMI 26.9–29.5
 ≤25.5 kg for BMI >29.5
 weakest 20% for women:
 ≤13.5 kg for BMI ≤24.7
 ≤14.2 kg for BMI 24.8–28.3
 ≤15.0 kg for BMI 28.4–32.1
 ≤15.0 kg for BMI >32.1
Slowness by 4.9-meter timed walk at fast pace
 slowest 20% for men:
 ≥11.2 s for height ≤168 cm
 ≥9.7 s for height >168 cm
 slowest 20% for women:
 ≥12.0 s for height ≤154 cm
 ≥11.2 s for height >154 cm
Low activity: lowest 20th percentile by gender based on
Physical Activity Scale for the Elderly (PASE).
 lowest 20% for men ≤30
 lowest 20% for women ≤27.5
Race 7.8
Mexican American

Alvarado et al. 2008 Age 60+ Three or more of the following five criteria:
Weight loss: self-report of loss > 10 pounds unintentionally
during the previous 3 months
Exhaustion: Responding “No” to the question “Do you
have lots of energy” and/or responding “Yes” to the
question “Have your dropped many of your activities or
interests”
Weakness: same as in CHS
Slowness: self-report of difficulty walking 100 yards and/or
climbing one flight of stairs
Low activity: Responding “No” to the question “In the last
twelve months, have your exercised regularly or
participated in vigorous physical activity such as playing a
sport, dancing or doing heavy housework 3 or more times a
week?”
Barbados 1446 Female 30.0
Male 21.5
Cuba 1726 Female 46.7
Male 30.4
Mexico 1063 Female 45.5
Male 30.4
Chile 1220 Female 48.2
Male 31.7
Brazil 1879 Female 44.1
Male 35.4
Avila-Funes et al. 2009 France 6030 Age 65+ 7.0 Three or more of the following five criteria:
Weight loss: self-report of recent loss ≥ 3 kg
unintentionally or BMI <21 kg/m2
Exhaustion: same as in CHS
Weakness: responding “Yes” to the question “Do you have
difficulty rising from a chair?”
Slowness: gender and height adjusted lowest quantile on a
timed 6-meter walking test at usual pace
Low activity: denied doing daily leisure activities such as
walking or gardening or participating in athletic activity at
least once a week