Assessment of Frailty:

Frailty Phenotype criteria (Fried’s Criteria)

S.No Components Characteristics Yes No
Subjects reporting unintentional weight loss of > 4.5kg
1. Weight loss (10pounds) in the last one year or loss greater than 5% of 1 0
body weight in previous year
Subjects walked a distance of 4 meters at their usual pace
and time was measured and speed calculated (m/s).
Subjects positive by this criterion were–
For Females:
2. Walking speed Speed ≤ 0.57 m/s for height < 1.59m 1 0
Speed ≤ 0.67 m/s for height > 1.59m
For Males:
Speed ≤ 0.57 m/s for height < 1.73m
Speed ≤ 0.67 m/s for height > 1.73m
Right: Left: Max:
Grip strength measured in both hand using a hand held
dynamometer, set at level 2 and maximum value,
corresponding to the subject’s BMI was positive if:
For Females:
Grip strength <17kg for BMI <23
Grip strength <17.3kg for 23 < BMI <26
3. Grip strength 1 0
Grip strength <18kg for 26 < BMI <29
Grip strength <21kg for BMI <29
For males:
Grip strength <29 kg for BMI <23
Grip strength <30 kg for 23 < BMI <26
Grip strength <30 kg for 26 < BMI <29
Grip strength <32 kg for BMI <29
Self reported exhaustion was assessed based on two
4. Exhaustion: 1 0
questions from the center for epidemiological studies –
 depression scale (CES-D). These 2 questions are:
1. “I felt that everything I do is an effort”.
2. “I cannot get going.”
Individuals were asked to indicate if they feel this way
0 (none of the time)
1 (some of the time) [1-2 days a week]
2 (a moderate amount of time) [3-4 days a
week]
3 (most of the time)
Subjects answering 2 or 3 to either of these questions
were considered positive for the exhaustion criteria
Self reported low physical activity in the prior week
Low physical
5. compared to usual activity level at good health was 1 0
activity
considered positive

Total score:
 Frailty Index (Rockwood’s criteria)
1) Has long-term disability or handicaps Yes/No
2) Restriction of activities Yes/No
3) Needs help for preparing meals Yes/No
4) Needs help for shopping for necessities Yes/No
5) Needs help for house work Yes/No
6) Needs help for heavy household chores Yes/No
7) Needs help for personal care Yes/No
8) Needs help moving about inside house Yes/No
9) Has arthritis or rheumatism Yes/No
10) Has high blood pressure Yes/No
11) Has chronic bronchitis or emphysema Yes/No
12) Has diabetes mellitus Yes/No
13) Has heart disease Yes/No
14) Has cancer Yes/No
15) Has stomach or intestinal ulcers Yes/No
16) Suffers from the effect of stroke Yes/No
17) Suffers from urinary incontinence Yes/No
18) Has migraine headache Yes/No
19) Has cataracts Yes/No
20) Has glaucoma Yes/No
21) Has other medical conditions Yes/No
22) Have no regular physical exercise Yes/No
23) Has vision problem Yes/No
24) Has hearing problem Yes/No
25) Feeling hopeless Yes/No
26) Has dexterity problem Yes/No
27) Has emotional problem Yes/No
28) Has memory problem Yes/No
29) Has bodily pain Yes/No
30) Has speech problem Yes/No
 31) Taking 5 or more medications Yes/No
32) Has difficulty carrying or lifting light loads Yes/No
33) Mobility problem Yes/No
34) Has limited kind or amount of activity Yes/No
35) Feels tired all the time Yes/No
36) Weight loss Yes/No

Frailty index = sum of number of deficits/36 =

9 or more positive answers or Frailty Index of > 0.25 are classified as frail