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. 2021 Feb 17;190(8):1550–1560. doi: 10.1093/aje/kwab038

Table 1.

Health Deficits Used to Construct a 34-Item Index of Frailty at Age 50 Years for Participants in the 1958 British Birth Cohort (n = 8,711), 2008

Health Deficit Value a Missing Data
Domain and Health Variable 0 1 No. %
No. % No. %
Comorbidity
 Asthma/wheezy bronchitisb 7,878 90.44 833 9.56 0 0
 Type 2 diabetesb 8,340 95.74 371 4.26 0 0
 Recurrent backache, prolapsed disc, or sciaticab 7,221 82.90 1,490 17.10 0 0
 Body painc,d 7,984 91.94 700 8.06 27 0.31
 High blood pressureb 7,395 84.89 1,316 15.11 0 0
 Stomach issuesb,e 7,987 96.86 259 3.14 465 5.34
 Kidney/bladder problemsb 8,499 97.57 212 2.43 0 0
 Persistent cough/bringing up phlegmb 8,349 95.84 362 4.16 0 0
Sensory factorsb
 Hearing problemsf 7,868 90.32 843 9.68 0 0
 Eyesight problemsg 8,441 97.11 251 2.89 19 0.22
Cognitive functionh
 Delayed recall of 10 words 6,176 71.80 2,426 28.2 109 1.25
 Immediate recall of 10 words 6,853 79.14 1,806 20.9 52 0.60
 No. of animals named in 1 minute 6,402 73.93 2,257 26.1 52 0.60
 No. of accurately crossed out P’s and W’s in a letter grid 6,442 75.57 2,082 24.4 187 2.15
General health
 Self-rated general healthi 1,731 19.88 455 5.23 3 0.03
 Self-rated health compared with 1 year agoj 7,420 85.18 193 2.22 0 0
 Health limiting social activities (e.g., visiting friends, relatives)k 8,307 95.71 372 4.29 32 0.37
 Expecting one’s health to get worsel 6,715 94.10 510 5.90 61 0.70
Mental health
 Physical/emotional problems interfering with normal social activities with family, friends, groups, neighborsd,m 7,972 91.80 712 8.20 27 0.31
 Feeling so down in the dumps that nothing could cheer you upn 8,469 97.37 229 2.63 13 0.15
 Having seen a doctor or specialist or having been to a hospital because one was feeling low, depressed, or sad (and was still symptomatic)b 8,404 96.50 305 3.50 2 0.02
 Having seen a doctor or specialist or having been to a hospital because one was feeling generally anxious or jittery (and was still symptomatic)b 8,564 98.32 146 1.68 1 0.01
Physical functiono
 Moderate physical activities (e.g., pushing vacuum, moving table, bowling, playing golf) 8,241 94.70 461 5.30 9 0.10
 Lifting groceries 8,257 94.95 439 5.05 15 0.17
 Climbing 1 flight of stairs 8,353 96.09 340 3.91 18 0.21
 Bending, kneeling, and stooping 8,025 92.22 677 7.78 9 0.10
 Walking 100 yards (91.4 m) 8,365 96.14 336 3.86 10 0.11
 Bathing 8,444 96.99 262 3.01 5 0.06
Fatigued
 Having a lot of energyp 8,179 94.05 518 5.96 14 0.16
 Feeling worn outq 7,992 91.90 704 8.10 15 0.17
 Feeling full of lifer 8,326 95.73 371 4.27 14 0.16
 Feeling tireds 8,323 95.71 373 4.29 15 0.17
Sleep
 Amount of time usually needed to fall asleept 8,152 93.76 543 6.24 16 0.18
 Getting enough sleep to feel rested upon waking in the morningd,u 8,097 92.99 610 7.01 4 0.05

a All variables were self-reported and were given a score of 1 (deficit present) or 0 (deficit absent). Deficits that included an intermediary response (e.g., “sometimes” or “a little”) were assigned a score between 0 and 1 as appropriate.

b 0 = no; 1 = yes.

c 0 = none, very mild, mild, or moderate; 1 = severe or very severe.

d In the past month.

e Stomach issues included gallstones, gastric ulcer, acid reflux, diverticulitis, hernia, tumor, and cancer.

f Hearing problems included hearing loss in 1 or both ears, tinnitus, Ménière disease, age-related degeneration, and inability to hear certain noises.

g Eyesight problems included diabetes-associated eye disease, glaucoma, cataract, macular degeneration, low vision, and blindness.

h 0 = upper 3 quartiles; 1 = lowest quartile.

i 0 = excellent (n = 1,731 (19.9%)); 0.25 = very good (n = 2,906 (33.4%)); 0.5 = good (n = 2,544 (29.2%)); 0.75 = fair (n = 1,072 (12.3%)); 1 = poor (n = 455 (5.2%)).

j 0 = much better/the same (n = 7,420 (85.2%)); 0.5 = worse (n = 1,098 (12.6%)); 1 = much worse (n = 193 (2.2%)).

k 0 = a good bit/some/a little/none of the time (n = 8,307 (95.7%)); 1 = all/most of the time (n = 372 (4.3%)).

l 0 = don’t know/mostly false/definitely false (n = 6,715 (77.6%)); 0.5 = mostly true (n = 1,425 (16.5%)); 1 = definitely true (n = 510 (5.9%)).

m 0 = not at all/slightly/moderately (n = 7,972 (91.8%)); 1 = quite a bit/extremely (n = 712 (8.2%)).

n 0 = a good bit/some/a little/none of the time (n = 8,469 (97.4%)); all/most of the time (n = 229 (2.6%)).

o 0 = limited a little/not limited; 1 = limited a lot.

p 0 = all/most/some of the time (n = 7,159 (82.3%)); 0.5 = a little of the time (n = 1,021 (11.7%)); 1 = none of the time (n = 518 (6.0%)).

q 0 = a good bit of the time/some of the time/a little of the time/none of the time (n = 7,992 (91.9%)); 1 = all/most of the time (n = 704 (8.1%)).

r 0 = all/most of the time/a good bit of the time/some of the time/a little of the time (n = 8,326 (95.7%)); 1 = none of the time (n = 371 (4.3%)).

s 0 = a good bit of the time/some of the time/a little of the time/none of the time (n = 8,323 (95.7%)); 1 = all/most of the time (n = 373 (4.3%)).

t 0 = 1 hour or less (n = 8,152 (93.8%)); 1 = over 1 hour (n = 543 (6.2%)).

u 0 = all/most/a good bit/some/a little bit of the time (n = 8,097 (93.0%)); 1 = none of the time (n = 610 (7.0%)).