Relationship between SHARE-FI frailty scores and physical performance measures in older adult medicaid recipients

Margaret K. Danilovich*, Laura Diaz, Daniel M. Corcos, Jody D. Ciolino

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

5 Scopus citations


The Survey of Health, Ageing and Retirement in Europe-Frailty Instrument (SHARE-FI) is a frailty assessment tool designed for primary care settings comprised of four self-report questions and grip strength measurement, yet it is not known how SHARE-FI scores relate to objective physical performance measures that assess physical functioning, fall risk, and disability. This cross-sectional, observational study examined the association between SHARE-FI scores and a battery of physical performance measures in a sample of older adult, Medicaid waiver recipients (n = 139, mean age = 74.19 ± 8.36 years). We administered the SHARE-FI, Timed Up and Go (TUG), gait speed, and Short Physical Performance Battery (SPPB) in participants' homes. Among clients, 45% were frail, 35% pre-frail, and 20% non-frail. There were significant differences in all physical performance measure scores with respect to SHARE-FI category. SHARE-FI continuous scores significantly predicted TUG time, all domains of the SPPB, gait speed, and inability to complete the chair rise test. Self-reported walking difficulty and objectively measured gait speed were significantly correlated. The SHARE-FI continuous frailty score predicts scores on a variety of validated physical performance measures. Given the fast administration time, the SHARE-FI could potentially be used to serve as a surrogate for physical performance measures with known association with physical function, fall risk, and disability.

Original languageEnglish (US)
Article number51
JournalGeriatrics (Switzerland)
Issue number3
StatePublished - Sep 1 2018


  • Frailty
  • Home and community-based services
  • Physical performance measures

ASJC Scopus subject areas

  • Aging
  • Geriatrics and Gerontology
  • Gerontology
  • Health(social science)


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