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Table 1 Comparing our model for estimating frailty with the previous common and accepted model by Morley et al.

From: Estimated frailty prevalence among Israeli elderly – results from a cross sectional national survey

 

Morley 5 frail scale model [17]

Our frailty model

Component number

Criterion

Definition

Criterion used instead1

Definition

1

Aerobic

Cannot walk 1 block

Physical inactivity

Non- engagement of any intentional physical activity in the past year

2

Illnesses

>  5 diagnosed illnesses

Co-morbidity

≥ 4 diagnosed morbidities 2

3

Loss of weight

>  5% of the original weight in the past 6 months

Spontaneous weight loss

>  3 kg of the original weight in the past 1 year

4

Resistance

Question: “Cannot walk up 1 flight of stairs?”

Estimation of sarcopenia1

Low appendicular mass using mid arm and calf circumferences3

5

Fatigue

Question: “Are you fatigued?”

Low subjective health perception1

Self-assessment of personal health as same or worse compared to the previous year

 

Defining robust

No positive scores

Defining robust

No positive scores

Defining pre-frail

1–2 positive scores

Defining pre-frail

1–2 positive scores

Defining frail

3 or greater positive scores

Defining frail

3 or greater positive scores

  1. 1- There were no appropriate criteria obtained in MABAT survey to replace the resistance and the fatigue criteria suggested by Morley. Therefore, we used previously suggested variables that can define frailty, and which were also assessed in the survey
  2. 2- We defined comorbidities as: ≥ 4 diagnosed morbidities of the following: chronic renal failure, cardiac insufficiency, heart attack, stroke, Parkinson, asthma, hypertension, diabetes, osteoporosis and vision damage [cataract and/or glaucoma]
  3. 3- Sarcopenia was estimated in the post-hoc analysis of MABAT survey using mid arm and calf circumferences (as proxy for appendicular mass). Cut-offs of older adults’ national survey were imputed and adjusted by age group. For males: a) aged 65–74: mid upper arm and calf circumferences < 29.9 cm and 26.6 cm, respectively; b) aged 75–84: mid upper arm and calf circumferences < 28.1 cm and 34.9 cm, respectively; c) aged ≥85: mid upper arm and calf circumferences < 27.7 cm and 33.7 cm, respectively. For females: a) aged 65–74: mid upper arm and calf circumferences < 31.8 cm and 37.7 cm, respectively; b) aged 75–84: mid upper arm and calf circumferences < 30.1 cm and 35.3 cm, respectively; c) aged ≥85: mid upper arm and calf circumferences < 26.9 cm and 34.6 cm, respectively [45]