Table 1.
Tool | Description | Estimated time (min) |
---|---|---|
Physical function assessment | ||
Short physical performance battery test [31] | Measures the functional performance of the lower extremities using a set of 3 static balance tests, gait speed, and five times sit-to-stand test | ≤10 |
Scoring: 4 points for each domain; a maximum score of 12 points | ||
Gait speed (4, 6, or 10 m or 6 min) | Gait speed can be measured for 4, 6, or 10 m or 6 min. The 6-min gait speed test assesses endurance and aerobic capacity. Gait speed is also highly correlated with cognitive function [30,32]. Most sarcopenia guidelines use < 1 m/sec as a cutoff [33]. | ≤5 |
Sit-to-stand (5 repetitions) | The time required to rise from the chair repeatedly 5 times. The measure of lower limb power and the ability to stand up after a fall. The cutoff for possible sarcopenia is ≥12 sec [33] and that for mobility limitation (ICOPE WHO) is >14 sec [3]. | ≤5 |
Timed up and go [34] | Participants need to stand up from a chair unassisted, walk 3 m, turn, walk back to the chair, and sit down. | ≤5 |
The test is used as a screening tool for falls and mobility. | ||
Frailty assessment tool | ||
FRAIL scale [27] | 5-Item scale assessing fatigue, resistance, ambulation, ≥5 illnesses, and loss of weight | ≤5 |
Scoring: 1–2 points, pre-frail; 3–5 points, frail | ||
Clinical Frailty Scale [35] | 9-Point scale ranging from very fit to severely frail to terminally ill | ≤5 |
Fried’s Frailty Phenotype Scale [26] | 5-Item scale (requires physical measurement) assessing muscle strength, walking speed, physical activity, weight loss, and exhaustion | 5–10 |
Scoring: 1–2 points, pre-frail; 3–5 points, frail | ||
Rockwood Mitnitsky Frailty Index [29] | Cumulative deficits (pre-determined list) | 20–30 |
Frailty index = number of health deficits present/number of health deficits measured | ||
Groningen Frailty Indicator [9] | Includes 15 questions across 8 domains covering mobility, vision, hearing, nutrition, comorbidity, cognition, psychosocial, and physical fitness. The test has limited sensitivity, especially for physical fitness. | ≤10 |
Edmonton Frail Scale [36] | Based on the following 9 components: cognition, general health, functional independence, social support, medication use, nutrition, mood, continence, and functional performance | ≤10 |
Scoring: 0–5 points, not frail; 6–7 points, vulnerable; 8–9 points, mild frailty; 10–11 points, moderate frailty; 12–18 points, severe frailty |
FRAIL scale, the fatigue, resistance, ambulation, illnesses, and loss of weight scale. ICOPE, Integrated Care for Older People; WHO, World Health Organization.