A clinical frailty index in aging mice: comparisons with frailty index data in humans

J Gerontol A Biol Sci Med Sci. 2014 Jun;69(6):621-32. doi: 10.1093/gerona/glt136. Epub 2013 Sep 19.

Abstract

We previously quantified frailty in aged mice with frailty index (FI) that used specialized equipment to measure health parameters. Here we developed a simplified, noninvasive method to quantify frailty through clinical assessment of C57BL/6J mice (5-28 months) and compared the relationship between FI scores and age in mice and humans. FIs calculated with the original performance-based eight-item FI increased from 0.06 ± 0.01 at 5 months to 0.36 ± 0.06 at 19 months and 0.38 ± 0.04 at 28 months (n = 14). By contrast, the increase was graded with a 31-item clinical FI (0.02 ± 0.005 at 5 months; 0.12 ± 0.008 at 19 months; 0.33 ± 0.02 at 28 months; n = 14). FI scores calculated from 70 self-report items from the first wave of the Survey of Health, Ageing and Retirement in Europe were plotted as function of age (n = 30,025 people). The exponential relationship between FI scores and age (normalized to 90% mortality) was similar in mice and humans for the clinical FI but not the eight-item FI. This noninvasive FI based on clinical measures can be used in longitudinal studies to quantify frailty in mice. Unlike the performance-based eight-item mouse FI, the clinical FI exhibits key features of the FI established for use in humans.

Keywords: Deficit accumulation; Deficit index; Frailty index; Senescence..

Publication types

  • Multicenter Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Aged
  • Aged, 80 and over
  • Aging*
  • Animals
  • Female
  • Follow-Up Studies
  • Frail Elderly / statistics & numerical data*
  • Geriatric Assessment / methods*
  • Health Status*
  • Humans
  • Male
  • Mice
  • Mice, Inbred C57BL
  • Time Factors