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Table 4 Agreement between physical frailty phenotypes: original assessment versus with self-reported substitutions

From: Substitution of self-reported measures for objectively assessed grip strength and slow walk in the Physical Frailty Phenotype: ramifications for validity

 

Frailty defined by objective measures

Frailty defined by self-reporta measures

Kappa (95% CI)

Nonfrail

(n = 2905)

Prefrail

(n = 2476)

Frail

(n = 503)

Overall

Nonfrail (n = 2516)

2102

(83.6)b, (72.4)c

414

(16.5), (16.7)

0

(0.0), (0.0)

Kappa with Linear Weighting

0.56

(0.54–0.58)

PABAKd

0.68 (0.66–0.69)

 (N = 5884)

Prefrail (n = 2870)

795

(27.7), (27.4)

1834

(63.9), (74.1)

241

(8.4), (47.9)

Frail (n = 498)

8

(1.6), (0.3)

228

(45.8), (9.2)

262

(52.6), (52.1)

Female

 

Nonfrail

(n = 1493)

Prefrail

(n = 1534)

Frail

(n = 363)

 

 (N = 3390)

Nonfrail (n = 1443)

1130

(78.3), (75.7)

313

(21.7), (20.4)

0

(0.0), (0.0)

Kappa with Linear Weighting

0.57

(0.55–0.59)

PABAK

0.67 (0.66–0.69)

Prefrail (n = 1631)

358

(21.9), (24.0)

1097

(67.3), (71.5)

176

(10.8), (48.5)

Frail (n = 316)

5

(1.6), (0.3)

124

(39.2), (8.1)

187

(59.2), (51.5)

Male

 

Nonfrail

(n = 1412)

Prefrail

(n = 942)

Frail

(n = 140)

 

 (N = 2494)

Nonfrail (n = 1073)

972

(90.6), (68.8)

101

(9.4), (10.7)

0

(0.0), (0.0)

Kappa with Linear Weighting

0.55

(0.52–0.57)

PABAK

0.68 (0.66–0.70)

Prefrail (n = 1239)

437

(35.3), (31.0)

737

(59.5), (78.2)

65

(5.3), (46.4)

Frail (n = 182)

3

(1.7), (0.2)

104

(57.1), (11.0)

75

(41.2), (53.6)

  1. aWeakness assessed by report of difficulty gripping with hands or transferring from a bed or chair; Slowness assessed by report of difficulty of walking one-half a mile
  2. bRow percentage
  3. cColumn percentage
  4. dPABAK: Prevalence and Bias Adjusted Kappa that assigns partial credit of 1/2 to misses by 1 category