Designed for adults 40+
Grip-strength cut-offs differ by sex
Without dieting, in the last 12 months
Best of 3 attempts, dominant hand
Time a 4-metre walk, then divide 4 by seconds
"I felt that everything I did was an effort" most days
Compare with others your age
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📊 Your Results

📖 How It Works

This tool applies the Fried frailty phenotype, published in 2001 by Linda Fried and colleagues in the Journals of Gerontology and now used by geriatric clinics worldwide. It scores five physical criteria, each worth one point:

1. Shrinking — unintentional weight loss of more than 4.5 kg (10 lb) in the past year.
2. Weakness — grip strength in the lowest 20% of the population for your sex and body size (below 26 kg for men, below 16 kg for women by the original cut-offs).
3. Slowness — walking speed in the slowest 20% for your height (roughly under 0.8 m/s for most adults).
4. Exhaustion — self-reported fatigue on most days.
5. Low activity — minimal calorie expenditure on physical activity each week.

A score of 0 means robust, 1–2 means pre-frail, and 3–5 means frail. The calculator then maps your score onto published age-band prevalence to estimate a physical age: how old a typical adult with your profile would be. The estimate is not a diagnosis — it is a way of making an abstract risk score feel concrete enough to act on.

📊 Frailty Prevalence by Age Band

Reference figures drawn from pooled Fried-phenotype studies in community-dwelling older adults. Notice how sharply prevalence climbs after 75 — which is why the same score can mean very different things at 55 and at 85.

Age BandRobust (score 0)Pre-frail (score 1–2)Frail (score 3–5)
40–49~88%~11%~1%
50–59~80%~18%~2%
60–69~68%~28%~4%
70–79~52%~40%~8%
80–89~30%~50%~20%
90+~15%~50%~35%

Percentages are rounded approximations from pooled cohort data; individual studies vary with setting, country and measurement method.

ðŸ’Ą Who Uses This and Why It Matters

ðŸĨ Before Surgery

Frailty predicts post-operative complications better than age alone. Many surgical teams now score patients over 65 pre-operatively; a pre-frail result often means prehabilitation — strength work and nutrition — before the operation rather than after.

🧓 Adult Children of Older Parents

Families often notice "mum is slowing down" but cannot tell whether it is normal or a warning. Scoring the five criteria turns a vague worry into a specific number to bring to a GP appointment.

🏃 Midlife Athletes

Adults in their 50s and 60s use it as a baseline. Frailty is reversible in the pre-frail stage with resistance training and protein intake, so a repeat score six months later shows whether an intervention was worth it.

📋 Care Planning

Care managers use frailty staging to decide frequency of home visits. A frail score with a recent weight-loss criterion, for example, flags malnutrition risk that may be the real driver of the decline.

❓ Frequently Asked Questions

Is a high frailty score permanent?

No. Pre-frailty (score 1–2) reverses in a substantial share of people, and even frail adults improve with supervised resistance training, adequate protein (roughly 1.0–1.2 g per kg body weight daily) and correction of vitamin D deficiency. The score should be treated as a snapshot, not a verdict.

My grip strength is low but I feel fine. Should I worry?

Grip strength is the single strongest predictor of all-cause mortality in the phenotype, and it drops before people notice. If you score for weakness alone, that is the timeline to take it seriously: a one-point score is pre-frail, not frankly frail, but it is exactly the stage where exercise produces the largest gains.

How accurate is the walking-speed test at home?

A marked 4-metre course and a stopwatch gives results within about 0.05 m/s of a clinic measurement, which is good enough to classify someone above or below the 0.8 m/s threshold. Use your usual pace, not your fastest, and repeat twice, taking the average.

Does frailty apply to people under 60?

Yes, though it is rarer. Frailty under 60 is often linked to chronic illness, long-term steroid use, eating disorders or prolonged bed rest. A score of 2 or more in midlife warrants a medical review rather than lifestyle tweaks alone, because it may be a marker of an undiagnosed condition.

How is this different from my chronological age?

Chronological age counts time since birth. The frailty phenotype measures functional reserve — muscle mass, nerve conduction, energy regulation. Two 75-year-olds can have the physiology of a 55-year-old and an 88-year-old respectively, and this calculator estimates where on that spectrum you sit.