Skip to main content
. Author manuscript; available in PMC: 2015 Oct 1.
Published in final edited form as: Am J Kidney Dis. 2014 Apr 30;64(4):600–607. doi: 10.1053/j.ajkd.2014.03.016

Table 1.

Patient characteristics based on performance-based and self-report–based definitions of frailty.

Component Physical Performance Self-reported Function

Weight loss Unintentional weight loss of ≥10 lb in past year by patient report Unintentional weight loss of ≥ 10 pounds in past year by patient report

Exhaustion Using the CES-D, the following 2 statements are read: (a) I felt that everything I did was an effort; (b) I could not get going. The question is asked, “How often did you feel this way?” 0=rarely or none of the time (<1 day), 1=some or alittle of the time (1–2 days), 2=a moderate amount of the time (3–4 days), or 3=most of the time. Patients answering “2” or “3” to either of these questions are categorized as frail by the exhaustion criterion. Using the CES-D, the following 2 statements are read: (a) I felt that everything I did was an effort; (b) I could not get going. The question is asked, “How often did you feel this way?” 0=rarely or none of the time (<1 day), 1=some or a little of the time (1–2 days), 2=a moderate amount of the time (3–4 days), or 3=most of the time. Patients answering “2” or “3” to either of these questions are categorized as frail by the exhaustion criterion.

Physical activity Based on the short version of the Minnesota Leisure Time Activity questionnaire, kilocalories per week expended are calculated using a standardized algorithm; this variable is stratified by sex: those with <383 kcal (men) or <270 kcal (women) of physical activity per week are frail. Based on the short version of the Minnesota Leisure Time Activity questionnaire, kilocalories per week expended are calculated using a standardized algorithm; this variable is stratified by sex: those with <383 kcal (men) or <270 kcal (women) of physical activity per week are frail.

Walk time Based on a timed 15-foot walk; this variable is stratified by sex and height:
Score <75 on the SF-36 Physical Function scale;* the scale asks participants to report whether they are limited a lot, limited a little, or not limited at all in 10 activities; scores range from 0–100 with higher scores indicating better function.
Men
 Height Walk time
  ≤173 cm  ≥7 s
  >173 cm  ≥6 s
Women
  ≤159 cm  ≥7 s
  >159 cm  ≥6 s

Grip strength This variable is stratified by sex and BMI:
Score <75 on the SF-36 Physical Function scale;* the scale asks participants to report whether they are limited a lot, limited a little, or not limited at all in 10 activities; scores range from 0–100 with higher scores indicating better function
Men
 BMI Grip strength
  ≤ 24 kg/m2  ≤29 kg
  24.1–26 kg/m2  ≤30 kg
  26.1–28 kg/m2  ≤31 kg
  >28 kg/m2  ≤32 kg
Women
  ≤23 kg/m2  ≤17 kg
  23.1–26 kg/m2  ≤17.3 kg
  26.1–29 kg/m2  ≤18 kg
  > 29 kg/m2  ≤21 kg

BMI, body mass index; CES-D, Center for Epidemiological Studies Depression Scale; SF-36, 36-Item Short Form Health Survey

*

Participants receive 2 points if the Physical Function score of the SF-36 is <75. This criterion substitutes for both walk time and grip strength.