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 |
Specialty: Sports Medicine & Rehabilitation