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. Author manuscript; available in PMC: 2014 Feb 1.
Published in final edited form as: Calcif Tissue Int. 2013 Jul 5;93(2):101–120. doi: 10.1007/s00223-013-9758-y

TABLE 2. Components of frailty and a selection of frequently used diagnostic criteria.

Components of
Frailty
Cardiovascular Health
Study (2001) [18]
n=1741
InChianti study (2006)
[34]
n=827
Survey of Health, Aging and
Retirement
(SHARE, 2010) [35]
n=18 227
Women’s Health and Aging
Studies (2010) [36]
n=786
TROPOS and SOTI (2011) [37]
n=5082
Unintentional
weight loss
≥5% loss of body weight in
prior year
> 4.5kg self-reported
unintentional weight loss in
previous year
A negative response to the
question “what has your appetite
been like?”
≥10% weight loss since age
60 until exam
≥5% loss of body weight in prior year

Self-reported
exhaustion
A positive response to either
(CES-D) statement:
i) I felt that everything I did
was an effort
ii) I could not get going
A positive response to
either (CES-D) statement:
i) I felt that everything I did
was an effort
ii) I could not get going
A positive response to the
statement:
i) In the last month, I have too
little energy to do things I want to
do
A report of any of:
i) low usual energy level (≤3,
range 0-10),
ii) felt unusually tired in last
month, or
iii) felt unusually weak in the
past month
A response of “most or all the time” to
either (SF-36 – vitality) question:
i) Did you feel worn out?
ii) Did you feel tired ?

Low physical
activity
270 on activity scale
(18 items)
Self-reported physical
activity during the home
interview.
A response of “one or three
times a month ” to the question:
i) how often do you engage in
activities that require a low or
moderate level of energy?
90 on activity scale
(6 items)
A positive response to either of the
statements:
i) I do no physical activity
ii) I do no more than 1 or 2 walks per
week

Slow walking speed Walking 4.57 m:
(corrected for height)
Walking 4 m:
(lowest sex-specific and
height-specific quintile)
A positive response to the
question:
i) because of your health problem
do you have difficulty walking ?
Walking 4 m:
(corrected for height)
A response of “;Yes, limited a lot ” to
(SF-36 – physical functioning) question:
- Are you limited in walking one block ?

Muscle weakness Grip strength
(corrected for BMI range)
Grip strength
(lowest sex-specific
quintile)
Grip strength
(corrected for BMI range)
Grip strength
(corrected for BMI range)
A response of “Yes, limited a lot ” to
(SF-36 – physical functioning) question:
- Are you limited in climbing one flight
of stairs?

50-64yr +65yr
Result Robust 33% Robust 56% Robust 59% 41% Robust 45% Robust 46%
Pre-frail 55% Pre-frail 38% Pre-frail 37% 42% Pre-frail 44% Pre-frail 49%
Frail 12% Frail 7% Frail 4% 17% Frail 11% Frail 5%

Note: the criteria in the first column, the Cardiovascular Health Study (2001,) are those proposed by Fried and colleagues