Description

Chen et al evaluated elderly Japanese adults for frailty. They used an operational definition for the Fried Frailty Phenotype (FFP). The authors are from Kyushu University and Shimane University in Japan.


Patient selection: >= 65 years of age in Japan

 

Cutoffs for energy-related factors were based on the lowest 20% for gender.

 

Parameters:

(1) shrinking

(2) weakness based on grip strength

(3) exhaustion

(4) slowness

(5) low physical activity

 

Shrinking: unintentional weight loss greater than 2-3 kg in past 6 months

 

Gender

BMI

Grip Strength

male

< 18.5

<= 25.0 kg

 

18.5 to 24.9

<= 30.0 kg

 

25 to 29.9

<= 31.5 kg

 

>= 30

<= 33.0 kg

female

< 18.5

<= 17.5 kg

 

18.5 to 24.9

<= 19.5 kg

 

25 to 29.9

<= 20.5 kg

 

>= 30

<= 19.75 kg

 

Exhaustion - one or both of the following during the past month:

(1) everything feels like an effort

(2) feel exhausted without any reason

 

Gender

Height

Time to Walk 5 Meters

male

< 162 cm

>= 3.56 seconds

 

>= 162 cm

>= 3.21 seconds

female

< 148.7 cm

>= 4.25 seconds

 

>= 148.7 cm

>= 3.61 seconds

 

Energy activity by triaxial accelerometer:

(1) male: <= 6.20 per kg per day

(2) female: <= 7.13 kcal per kg per day

 

Interpretation:

minimum number of parameters: 0

maximum number of parameters: 5

 

Number of Parameters

Frailty Status

0

nonfrail

1 or 2

prefail

>= 3

frail

 


To read more or access our algorithms and calculators, please log in or register.