Fig. 2From: Health and frailty among older spousal caregivers: an observational cohort study in BelgiumTransitions between frailty states over 16 months among 78 spousal caregivers. Transitions were observed between each of the states except from frail to robust. Only one caregiver who was robust transitioned to a frail state. A worsening in frailty state was determined when caregivers switched from robust to (pre)-frail status and from pre-frail to frail status. A total of 28 caregivers (36%), including 13 women, presented a worsening in frailty status according to the definition of L FriedBack to article page