Physical frailty

Physical frailty has been studied in 14 papers since 2018: 14 observational studies in people; 5 in the past year. The newest paper, Jul 6, 2026: “Social vulnerability, physical frailty, and mortality among middle-aged and older adults in China”.

Exposure

14 papers study it13 findingsUpdated

See all 14 papers on physical frailty

At a glance

The findings reach people, from one lab or study. 7 independent labs in 3 countries.

“the multivariable-adjusted HRs (95% CIs) for incident epilepsy among those with prefrailty and frailty were 1.29 (1.19-1.40) and 1.81 (1.54-2.13)”
Associations and Potential Biological Pathways Between Physical Frailty and Epilepsy Incidence: A Large-Scale Prospective Cohort StudyNeurology2026doi:10.1212/wnl.0000000000218071

None of its findings points the other way.

Humans: a single group. Cells, worms or flies and mice: nothing yet.
  • 7 independent labs in 3 countries
  • Funders: First Hospital of Lanzhou University and 8 more
  • 3 of 13 findings with company ties
  • Humans14

What did studies of physical frailty find?

2

Studies of physical frailty measured 2 outcomes; the most studied are T-cell phenotype (1 study) and excess mortality (1).

T-cell phenotype

no changein humans1

1 study
  1. Physical frailty was not clearly linked with T-cell phenotype in humans.

    “No particularly significant changes were observed in T cells.”

    Humansperipheral blood

    Physical frailty in relation to immunosenescence involving pDC function in the Japanese elderly: a cross-sectional survey study

    Immunity & ageing : I & A

More on T-cell phenotype

Excess mortality

upin humans1

1 study
  1. Physical frailty is linked with higher excess mortality in humans (neuropsychiatric versus minimal disease multimorbidity class) (IRD 24.1 (robust), 27.1 (pre-frail), 108.4 (frail) per 1,000 person-years).

    “Although HRs did not vary widely by frailty, the excess number of deaths, as reflected by IRDs, increased with greater frailty level.”

    Humansneuropsychiatric versus minimal disease multimorbidity class4 years

    Multimorbidity Patterns, Frailty, and Survival in Community-Dwelling Older Adults

    The journals of gerontology. Series A, Biological sciences and medical sciences

What is physical frailty linked with?

11

Studies link physical frailty with 11 measures, most often mortality (1 study), epilepsy (1) and left ventricular global longitudinal strain (1).

Mortality

upin humans1

1 study
  1. Physical frailty is linked with a higher risk of mortality in humans.

    “both social vulnerability and physical frailty are associated with higher mortality risk independently.”

    Humans7-year follow-up

    Social vulnerability, physical frailty, and mortality among middle-aged and older adults in China

    Humanities and Social Sciences Communications

Epilepsy

upin humans1HR 1.81

1 study
  1. Physical frailty is linked with a higher risk of epilepsy in humans (frail versus nonfrail) (HR 1.81 (95% CI 1.54-2.13)).

    “the multivariable-adjusted HRs (95% CIs) for incident epilepsy among those with prefrailty and frailty were 1.29 (1.19-1.40) and 1.81 (1.54-2.13)”

    Humansfrail versus nonfrail

    Associations and Potential Biological Pathways Between Physical Frailty and Epilepsy Incidence: A Large-Scale Prospective Cohort Study

    Neurology

More on Epilepsy

Left ventricular global longitudinal strain

downin humans1

1 study
  1. Physical frailty is associated with left ventricular global longitudinal strain in humans (β = 0.179).

    “and decreased left ventricular global longitudinal strain negativity (β = 0.179, p = 0.028), but there are no significant sex-frailty interactions (p > 0.05).”

    Humansheartfemalesn = 24,946

    Sex-specific associations of physical frailty with cardiac structure and function: a cross-sectional study based on UK Biobank

    BMC cardiovascular disorders

More on Left ventricular global longitudinal strain

Left atrial ejection fraction

downin humans1

1 study
  1. Physical frailty is associated with left atrial ejection fraction in humans (β = -0.797).

    “Women exhibited functional impairment, characterized by smaller left atrial ejection fraction (β=−0.797, p = 0.002)”

    Humansheartfemalesn = 24,946

    Sex-specific associations of physical frailty with cardiac structure and function: a cross-sectional study based on UK Biobank

    BMC cardiovascular disorders

More on Left atrial ejection fraction

Left ventricular end-diastolic volume index

downin humans1

1 study
  1. Physical frailty is associated with left ventricular end-diastolic volume index in humans (sex interaction showing steeper decline in men) (interaction β = -1.455).

    “significant interactions were observed for left ventricular mass index (β=−1.474, p = 0.002) and left ventricular end-diastolic volume index (β=−1.455, p < 0.001), indicating steeper declines in men compared with women”

    Humanssex interaction showing steeper decline in menheartmalesn = 48,993

    Sex-specific associations of physical frailty with cardiac structure and function: a cross-sectional study based on UK Biobank

    BMC cardiovascular disorders

More on Left ventricular end-diastolic volume index

Left ventricular mass index

downin humans1

1 study
  1. Physical frailty is associated with left ventricular mass index in humans.

    “Frailty was negatively associated with biventricular and atrial volume indices, left ventricular mass index, and left ventricular wall thickness in both sexes (all p < 0.01).”

    Humansheartn = 48,993

    Sex-specific associations of physical frailty with cardiac structure and function: a cross-sectional study based on UK Biobank

    BMC cardiovascular disorders

More on Left ventricular mass index

Inflammation

upin humans1

1 study
  1. Physical frailty is associated with inflammation in humans (independent of age and gender).

    “the inflammatory state tends to increase with the progression to physical frailty”

    Humansindependent of age and gender

    Physical frailty in relation to immunosenescence involving pDC function in the Japanese elderly: a cross-sectional survey study

    Immunity & ageing : I & A

More on Inflammation

IFN-α-producing pDC

downin humans1

1 study
  1. Physical frailty is associated with IFN-α-producing pDC in humans (compared with robust participants, logistic regression).

    “physically frail participants had a significantly lower odds ratio for having high levels of IFN-α-producing pDC compared to robust participants”

    Humanscompared with robust participants, logistic regressionperipheral blood

    Physical frailty in relation to immunosenescence involving pDC function in the Japanese elderly: a cross-sectional survey study

    Immunity & ageing : I & A

More on IFN-α-producing pDC

Long-term care needs

upin humans1HR 2

1 study
  1. Physical frailty is linked with a higher risk of long-term care needs in humans (frail vs robust, CHS criteria, multivariable-adjusted) (HR 2.00 (95% CI 1.32-3.02)).

    “Baseline physical frailty was significantly associated with elevated risk of needing long-term care, with a multivariable-adjusted hazard ratio (HR) of 2.00 (95% confidence interval [CI], 1.32-3.02) for being frail”

    Humansfrail vs robust, CHS criteria, multivariable-adjustedCHS criteriamedian follow-up 5.8 yearsn = 1,554

    Physical Frailty and Risk of Needing Long-Term Care in Community-Dwelling Older Adults: a 6-Year Prospective Study in Japan

    The journal of nutrition, health & aging

Death

upin humans1HR 2.2

1 study
  1. Physical frailty is linked with a higher risk of death in humans (HR 2.2, 95% CI 1.7-2.7; 56% vs 21% reference).

    “only frail = 56%, HR = 2.2, 95% CI = 1.7-2.7”

    Humanscompared with no deficit, adjusted for sociodemographics, comorbidities, depression and smoking8 years

    Assessing Risk for Adverse Outcomes in Older Adults: The Need to Include Both Physical Frailty and Cognition

    Journal of the American Geriatrics Society

All 11

Latest

Dec 2025: 0Jan 2026: 1Feb 2026: 1Mar 2026: 0Apr 2026: 1May 2026: 1Jun 2026: 0Jul 2026: 1Aug 2026: 0Sep 2026: 0Oct 2026: 0Nov 2026: 05 papers in 12 months

See all 14 papers on physical frailty