Ensrud et al developed a simple index to identify frailty in older women. This is easy to perform in a clinical study. The authors are participants in the Study of Osteoporotic Fractures Research Group (SOFRG).
Patient selection: females >= 69 years of age
Parameters:
(1) weight loss over 2 years (in the SOF study during the period between the third and fourth examinations), whether intended or unintended
(2) ability to rise from a chair 5 times without using her arms
(3) energy level (feel full of energy)
|
Parameter |
Finding |
Points |
|
weight loss |
< 5% |
0 |
|
|
>= 5% |
1 |
|
ability to rise from a chair |
yes |
0 |
|
|
no |
1 |
|
energy |
feels full of energy |
0 |
|
|
does not feel full of energy |
1 |
total score =
= SUM(points for all 3 parameters)
Interpretation:
• minimum score: 0
• maximum score: 3
• The higher the score the greater the level of frailty.
• Frailty correlates with falls, fractures, disability and death.
|
Total Score |
Interpretation |
|
0 |
robust |
|
1 |
prefrail (intermediate) |
|
2 or 3 |
frail |
Purpose: To determine if an older adult female is frail using the SOF index of Ensrud et al.
Specialty: Sports Medicine & Rehabilitation
Objective: risk factors, disability and performance
ICD-10: M80, M81, M82,
