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. 2022 Oct 25;41(6):644–656. doi: 10.23876/j.krcp.22.112

Table 1.

Physical function and frailty assessment tools

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.