Fried Frailty Phenotype
Five-criterion physical frailty model (Fried/Cardiovascular Health Study 2001). Patient meeting ≥3 criteria = frail; 1–2 = pre-frail; 0 = robust.
Score interpretation
→ Continue health-promotion measures. Reassess yearly after age 70.
→ Targeted intervention: resistance + balance exercise (Otago, Tai Chi); protein intake 1.0–1.2 g/kg/day; treat sarcopenia, vitamin D deficiency, polypharmacy. Re-assess in 6 months.
→ Comprehensive geriatric assessment; multi-component intervention (exercise, nutrition, medication review, social engagement). Advance care planning. CGA shown to reduce hospitalisation and mortality.
Interpretation bands for the Fried Phenotype. Apply clinical judgement and local guidance.
References
Related
Curated clinical cross-links plus same-class fallbacks.
- Falls Assessment in Older Adults · NICE CG161 2013
- Delirium Outside ICU · NICE CG103
- Comprehensive Geriatric Assessment (CGA) · BGS / NICE
- Delirium Assessment and Management · NICE CG103 2010
- Frailty Recognition and Management · BGS Frailty Framework / NHS NHSE
- Polypharmacy and Medicines Optimisation · STOPP/START v2 2014 / NICE NG5
Decision support only — verify against a current formulary, NICE, or your local guideline before clinical use.