Table 1.
Fried et al10 Criteria for the Definition of Frailty
Criteria | Methods | Cutoff | |||
---|---|---|---|---|---|
Shrinking (ie, weight loss) | Self-report of unintentional weight loss | ≥10 lb or 4.5 kg over the past year | |||
At least 5% loss of the previous year’s body weight on examination with scales | |||||
Weakness (ie, low grip strength) | Grip strength of the dominant hand (mean of 3 serial measurements) adjusted for gender and body mass index (BMI) |
BMI—male | Cutoff, kg | BMI—female | Cutoff, kg |
≤24 | ≤29 | ≤23 | ≤17 | ||
24–26 | ≤30 | 23–26 | ≤17.3 | ||
26–28 | ≤30 | 26–29 | ≤18 | ||
>28 | ≤32 | >29 | ≤21 | ||
Exhaustion | Evaluation of 2 statements from the Center for Epidemiological Studies-Depression scale |
(a) I felt everything I did was an effort | |||
(b) I could not get going | |||||
Criterion is positive if at least 1 condition was present for 3 days or more during the past week. | |||||
Slow gait speed | Timed walk over 4.57 m or 15 ft at usual pace | Height—male, cm | Cutoffs | Height—female | Cutoffs |
≤173 | ≥7 s (0.65 m/s) | ≤159 | ≥7 s (0.65 m/s) | ||
>173 | ≥6 s (0.76 m/s) | >159 | ≥6 s (0.76 m/s) | ||
Low-energy expenditure | Physical activities over past 2 weeks using the Minnesota Leisure Time Activities Questionnaire (short version) |
Male | Female | ||
Weekly tasks are converted to equivalent kilocalories of expenditure |
≤383 kcal/week | ≤270 kcal/week |
One point is scored for each criterion, with a score of 3 or higher defined as frail.