Skip to main content
. Author manuscript; available in PMC: 2022 Sep 14.
Published in final edited form as: J Am Coll Cardiol. 2021 Sep 14;78(11):1166–1187. doi: 10.1016/j.jacc.2021.07.014

Table 2.

Measures of Physical Frailty

Frailty measure Description Advantages Disadvantages
Fried Frailty
Phenotype
Model
• Quantifies the decline in physiological reserve across 5 domains: weight loss, weakness, poor endurance, slowness, and low physical activity levels • Most commonly used tool to assess frailty in the literature • Poor discriminatory power
• Overlap in clinical features of HF and frailty
• Time and resourceintensive
Frailty Index • Based on a “multiple hit” model
• Quantifies frailty as an accumulation of deficits across several healthrelated domains
• Estimated as the ratio of the total deficits present to the number of deficits assessed across signs, symptoms, comorbidity index, laboratory values, and ADLs
• Continuous nature of the estimate with a wide range of distribution
• Ability to use preexisting data from medical records for estimating frailty
• Ability to estimate cut-offs for specific clinical populations
• The number of deficits assessed is not standardized and vary according to available data
• Focuses more of the number of deficits and does not account for the severity of deficits