Description

The Evaluative Frailty Index for Physical Activity (EFIP) consists of questions and observations focused on various aspects of frailty and physical activity. Physical Function evaluates the individual’s physical condition and their ability to perform daily activities such as walking, climbing stairs, and engaging in other forms of physical exertion. Activity Levels record the frequency and intensity of participation in physical activity or exercise. Mobility and Balance assess the ability to maintain balance and mobility during everyday tasks. Health and Endurance examine perceived general health and stamina, along with any limitations that may affect the ability to engage in physical activity.

Analysis

The analysis of EFIP data includes the aggregation of scores. Each domain is scored separately, providing an overall view of the person’s physical condition and frailty. Score comparisons are made against predefined standards to identify levels of frailty and diagnose limitations in physical activity.

Purpose

The main goals of the EFIP are to assess frailty by offering a comprehensive view of physical condition and frailty in older adults; to support prevention and intervention by identifying individuals at risk for reduced physical activity and guiding targeted interventions aimed at improving physical health; and to monitor progress by using the results to track changes in physical activity and frailty over time.

Calibration

Calibration of the EFIP includes the establishment of thresholds. Predefined scoring thresholds help in identifying frailty and limitations in physical activity. Statistical analysis is used to evaluate the reliability and validity of the scale, ensuring accurate diagnosis and assessment.

References

Fried, L. P., Tangen, C. M., Walston, J., Newman, A. B., Hirsch, C., Gottdiener, J., … & McBurnie, M. A. (2001). Frailty in older adults: evidence for a phenotype. The Journals of Gerontology Series A: Biological Sciences and Medical Sciences, 56(3), M146–M157.
Rockwood, K., Song, X., MacKnight, C., Bergman, H., Hogan, D. B., McDowell, I., & Mitnitski, A. (2005). A global clinical measure of fitness and frailty in elderly people. CMAJ, 173(5), 489–495.
Lang, P. O., Michel, J. P., & Zekry, D. (2009). Frailty syndrome: a transitional state in a dynamic process. Gerontology, 55(5), 539–549.