Non-Cochrane · prognostic · PM41507910

Association of frailty and mortality risk in community-dwelling older adults: a systematic review and meta-analysis of 59 international prospective cohort studies.

Li Yuelin, Seo Hyunju, Cho Youmin, et al. · BMC public health · 2026 · PubMed · doi:10.1186/s12889-025-26082-w

Findings

16 findings

Population
Community-dwelling older adults (aged 60 and above)Non-robust (frail, prefrail or equivalent) on any frailty instrumentRobust (no signs of frailty)All-cause mortality
Follow-up 1 to 15 years · Community
HR 1.83 [1.70, 1.97]
GRADE not reported
56 studies
Community-dwelling older adults (aged 60 and above)Non-robust (frail, prefrail or equivalent) on any frailty instrumentRobust (no signs of frailty)All-cause mortality
Follow-up 1 to 15 years · Community · Sensitivity analysis: excluding studies at high risk of bias (ROBINS-E)
HR 1.46 [1.27, 1.68]
GRADE not reported
Studies not reported
Community-dwelling older adults (aged 60 and above)Non-robust (frail, prefrail or equivalent) on any frailty instrumentRobust (no signs of frailty)Mortality from non-lifestyle-related diseases (dementia, cancer)
Follow-up 1 to 15 years · Community · Non-lifestyle-related diseases
HR 1.97 [1.37, 2.85]
GRADE not reported
5 studies
Community-dwelling older adults (aged 60 and above)Non-robust (frail, prefrail or equivalent) on any frailty instrumentRobust (no signs of frailty)Mortality from lifestyle-related diseases (cerebrovascular, heart, cardiovascular, respiratory)
Follow-up 1 to 15 years · Community · Lifestyle-related diseases
HR 1.94 [1.52, 2.46]
GRADE not reported
6 studies
Community-dwelling older adults (aged 60 and above)Non-robust (frail, prefrail or equivalent) on any frailty instrumentRobust (no signs of frailty)Cause-specific mortality
Follow-up 1 to 15 years · Community
HR 1.95 [1.59, 2.38]
GRADE not reported
7 studies
Community-dwelling older adults (aged 60 and above)Non-robust (frail, prefrail or equivalent) on any frailty instrumentRobust (no signs of frailty)All-cause mortality
Follow-up 1 to 15 years · Community · Sensitivity analysis: trim-and-fill adjusted
HR 1.11 [1.11, 1.29]
GRADE not reported
Studies not reported
Community-dwelling older adults (aged 60 and above)Non-robust on physical frailty instrumentsRobustAll-cause mortality
Follow-up 1 to 15 years · Community · Sensitivity analysis: trim-and-fill adjusted
HR 1.17 [1.03, 1.31]
GRADE not reported
Studies not reported
Community-dwelling older adults (aged 60 and above)Non-robust on physical frailty instrumentsRobustAll-cause mortality
Follow-up 1 to 15 years · Community
HR 1.74 [1.53, 1.99]
GRADE not reported
35 studies
Community-dwelling older adults (aged 60 and above)Non-robust on multidimensional frailty instrumentsRobustAll-cause mortality
Follow-up 1 to 15 years · Community · Sensitivity analysis: trim-and-fill adjusted
HR 1.85 [1.61, 2.12]
GRADE not reported
Studies not reported
Community-dwelling older adults (aged 60 and above)Non-robust on multidimensional frailty instrumentsRobustAll-cause mortality
Follow-up 1 to 15 years · Community
HR 2.25 [1.97, 2.57]
GRADE not reported
26 studies
Community-dwelling older adults (aged 60 and above)Non-robust on phenotype-based frailty models (CHS and variations)RobustAll-cause mortality
Follow-up 1 to 15 years · Community · Frail and prefrail groups combined (Fig. 7b overall)
HR 1.60 [1.46, 1.76]
GRADE not reported
Studies not reported
Community-dwelling older adults (aged 60 and above)Non-robust on phenotype-based frailty models (CHS and variations)RobustAll-cause mortality
Follow-up 1 to 15 years · Community · Sensitivity analysis: trim-and-fill adjusted
HR 1.15 [1.01, 1.32]
GRADE not reported
Studies not reported
Community-dwelling older adults (aged 60 and above)Non-robust on phenotype-based frailty models (CHS and variations)RobustAll-cause mortality
Follow-up 1 to 15 years · Community
HR 1.71 [1.48, 1.97]
GRADE not reported
29 studies
Community-dwelling older adults (aged 60 and above)Frail on phenotype-based frailty modelsRobustAll-cause mortality
Follow-up 1 to 15 years · Community · Sensitivity analysis: trim-and-fill adjusted
HR 1.21 [0.99, 1.49]
GRADE not reported
Studies not reported
Community-dwelling older adults (aged 60 years and above)Frail, phenotype-based modelsRobust statusAll-cause mortality
Follow-up 1 to 15 years · Community-dwelling older adults in prospective cohorts from multiple countries
HR 2.18 [1.72, 2.75]
GRADE not reported
26 studies
Community-dwelling older adults (aged 60 years and above)Prefrail, phenotype-based modelsRobust statusAll-cause mortality
Follow-up 1 to 15 years · Community-dwelling older adults in prospective cohorts from multiple countries
HR 1.51 [1.37, 1.67]
GRADE not reported
22 studies

Included primary studies 116

Open in Studies
StudyYearAlso included byOutcomes it informs hereTrial data
Tanaka 2023
Oral frailty five‐item checklist to predict adverse health outcomes in community‐dwelling older adults: A Kashiwa cohort study
DOI:10.1111/ggi.14634
20231 other reviewAll-cause mortalitynot extracted yet
Tanaka 2023
Oral frailty five-item checklist to predict adverse health outcomes in community-dwelling older adults: A Kashiwa cohort study.
PMID:37661091
20231 other reviewAll-cause mortalitynot extracted yet
Adabag 2018
Frailty as a Risk Factor for Cardiovascular Versus Noncardiovascular Mortality in Older Men: Results From the MrOS Sleep (Outcomes of…
DOI:10.1161/jaha.118.008974
2018this review onlyAll-cause mortality; Mortality from lifestyle-related diseases (cerebrovascular, heart, cardiovascular, respiratory)not extracted yet
Adabag 2018
Frailty as a Risk Factor for Cardiovascular Versus Noncardiovascular Mortality in Older Men: Results From the MrOS Sleep (Outcomes of…
PMID:29728373
2018this review onlyAll-cause mortalitynot extracted yet
Aguilar-Navarr 2014
Frailty among Mexican community-dwelling elderly: a story told 11 years later.The Mexican Health and Aging Study
DOI:10.21149/spm.v57s1.7591
2015this review onlyAll-cause mortalitynot extracted yet
Aguilar-Navarro 2014
Frailty among Mexican community-dwelling elderly: a story told 11 years later. The Mexican Health and Aging Study.
PMID:26172236
2015this review onlyAll-cause mortalitynot extracted yet
Albala 2017
Frequency of frailty and its association with cognitive status and survival in older Chileans
DOI:10.2147/cia.s136906
2017this review onlyAll-cause mortalitynot extracted yet
Albala 2017
Frequency of frailty and its association with cognitive status and survival in older Chileans.
PMID:28721027
2017this review onlyAll-cause mortalitynot extracted yet
Andrew 2008
Social Vulnerability, Frailty and Mortality in Elderly People
DOI:10.1371/journal.pone.0002232
2008this review onlyAll-cause mortalitynot extracted yet
Andrew 2008
Social vulnerability, frailty and mortality in elderly people.
PMID:18493324
2008this review onlyAll-cause mortalitynot extracted yet
Anna 2016
Do commonly used frailty models predict mortality, loss of autonomy and mental decline in older adults in northwestern Russia? A…
DOI:10.1186/s12877-016-0276-4
2016this review onlyAll-cause mortalitynot extracted yet
Anna 2016
Do commonly used frailty models predict mortality, loss of autonomy and mental decline in older adults in northwestern Russia? A…
PMID:27160275
2016this review onlyAll-cause mortalitynot extracted yet
Bartosch 2018
Progression of frailty and prevalence of osteoporosis in a community cohort of older women—a 10-year longitudinal study
DOI:10.1007/s00198-018-4593-7
2018this review onlynot statednot extracted yet
Bartosch 2018
Progression of frailty and prevalence of osteoporosis in a community cohort of older women-a 10-year longitudinal study.
PMID:29947868
2018this review onlynot statednot extracted yet
Beauchet 2022
CARE frailty e-health scale: Association with incident adverse health outcomes and comparison with the Cardiovascular Health Study frailty…
DOI:10.1016/j.maturitas.2022.04.006
2022this review onlynot statednot extracted yet
Beauchet 2022
CARE frailty e-health scale: Association with incident adverse health outcomes and comparison with the Cardiovascular Health Study frailty…
PMID:35537241
2022this review onlynot statednot extracted yet
Carolina 2023
Frailty as a predictor of mortality: a comparative cohort study of older adults in Costa Rica and the United States
DOI:10.1186/s12889-023-16900-4
2023this review onlyAll-cause mortalitynot extracted yet
Carolina 2023
Frailty as a predictor of mortality: a comparative cohort study of older adults in Costa Rica and the United States.
PMID:37817140
2023this review onlyAll-cause mortalitynot extracted yet
Cawthon 2007
Frailty in Older Men: Prevalence, Progression, and Relationship with Mortality
DOI:10.1111/j.1532-5415.2007.01259.x
2007this review onlyAll-cause mortalitynot extracted yet
Cawthon 2007
Frailty in older men: prevalence, progression, and relationship with mortality.
PMID:17661960
2007this review onlyAll-cause mortalitynot extracted yet
Cella 2021
Multidimensional Frailty Predicts Mortality Better than Physical Frailty in Community-Dwelling Older People: A Five-Year Longitudinal…
DOI:10.3390/ijerph182312435
2021this review onlyAll-cause mortalitynot extracted yet
Cella 2021
Multidimensional Frailty Predicts Mortality Better than Physical Frailty in Community-Dwelling Older People: A Five-Year Longitudinal…
PMID:34886161
2021this review onlyAll-cause mortalitynot extracted yet
Crow 2018
Mortality Risk Along the Frailty Spectrum: Data from the National Health and Nutrition Examination Survey 1999 to 2004
DOI:10.1111/jgs.15220
2018this review onlyAll-cause mortality; Mortality from lifestyle-related diseases (cerebrovascular, heart, cardiovascular, respiratory)not extracted yet
Crow 2018
Mortality Risk Along the Frailty Spectrum: Data from the National Health and Nutrition Examination Survey 1999 to 2004.
PMID:29368330
2018this review onlyAll-cause mortalitynot extracted yet
Daniels 2012
The predictive validity of three self-report screening instruments for identifying frail older people in the community
DOI:10.1186/1471-2458-12-69
2012this review onlyAll-cause mortalitynot extracted yet
Daniels 2012
The predictive validity of three self-report screening instruments for identifying frail older people in the community.
PMID:22269425
2012this review onlyAll-cause mortalitynot extracted yet
Diniz 2018
Frailty and its relationship with mortality among older adults from a Brazilian community: A cohort study
DOI:10.24816/jcgg.2018.v9i1.06
2018this review onlyAll-cause mortalitynot extracted yet
Diniz 2022
Cognitive Frailty is Associated With Elevated Proinflammatory Markers and a Higher Risk of Mortality
DOI:10.1016/j.jagp.2022.01.012
2022this review onlyAll-cause mortalitynot extracted yet
Diniz 2022
Cognitive Frailty is Associated With Elevated Proinflammatory Markers and a Higher Risk of Mortality.
PMID:35227616
2022this review onlyAll-cause mortalitynot extracted yet
Ekram 2023
The association between frailty and incident cardiovascular disease events in community-dwelling healthy older adults
DOI:10.1016/j.ahjo.2023.100289
2023this review onlyAll-cause mortalitynot extracted yet
Ekram 2023
The association between frailty and incident cardiovascular disease events in community-dwelling healthy older adults.
PMID:37168270
2023this review onlyAll-cause mortalitynot extracted yet
Fried 2001
Frailty in Older Adults: Evidence for a Phenotype
DOI:10.1093/gerona/56.3.m146
2001this review onlyAll-cause mortalitynot extracted yet
Fried 2001
Frailty in older adults: evidence for a phenotype.
PMID:11253156
2001this review onlyAll-cause mortalitynot extracted yet
Gilardi 2018
Frailty as a predictor of mortality and hospital services use in older adults: a cluster analysis in a cohort study
DOI:10.1093/eurpub/cky006
2018this review onlyAll-cause mortalitynot extracted yet
Gilardi 2018
Frailty as a predictor of mortality and hospital services use in older adults: a cluster analysis in a cohort study.
PMID:29590362
2018this review onlyAll-cause mortalitynot extracted yet
Gobbens 2021
Prediction of Mortality by the Tilburg Frailty Indicator (TFI)
DOI:10.1016/j.jamda.2020.07.033
2021this review onlyAll-cause mortalitynot extracted yet
Gobbens 2021
Prediction of Mortality by the Tilburg Frailty Indicator (TFI).
PMID:32883597
2021this review onlyAll-cause mortalitynot extracted yet
Graham 2009
Frailty and 10-Year Mortality in Community-Living Mexican American Older Adults
DOI:10.1159/000235653
2009this review onlyAll-cause mortalitynot extracted yet
Graham 2009
Frailty and 10-year mortality in community-living Mexican American older adults.
PMID:19690395
2009this review onlyAll-cause mortalitynot extracted yet
Hao 2019
Prediction of mortality in Chinese very old people through the frailty index based on routine laboratory data
DOI:10.1038/s41598-018-36569-9
2019this review onlyAll-cause mortalitynot extracted yet
Hao 2019
Prediction of mortality in Chinese very old people through the frailty index based on routine laboratory data.
PMID:30659252
2019this review onlyAll-cause mortalitynot extracted yet
Jacobs 2011
Frailty, cognitive impairment and mortality among the oldest old
DOI:10.1007/s12603-011-0096-3
2011this review onlyAll-cause mortalitynot extracted yet
Jacobs 2011
Frailty, cognitive impairment and mortality among the oldest old.
PMID:21968864
2011this review onlyAll-cause mortalitynot extracted yet
John 2016
The cumulative effect of frailty and cognition on mortality – results of a prospective cohort study
DOI:10.1017/s1041610216002088
2017this review onlyAll-cause mortalitynot extracted yet
John 2016
The cumulative effect of frailty and cognition on mortality - results of a prospective cohort study.
PMID:27903307
2017this review onlyAll-cause mortalitynot extracted yet
Josep 2013
Prevalence of frailty phenotypes and risk of mortality in a community-dwelling elderly cohort
DOI:10.1093/ageing/afs047
2012this review onlyAll-cause mortalitynot extracted yet
Josep 2013
Prevalence of frailty phenotypes and risk of mortality in a community-dwelling elderly cohort.
PMID:22454134
2013this review onlyAll-cause mortalitynot extracted yet
Juan 2014
Frailty, Dependency and Mortality Predictors in a Cohort of Cuban Older Adults, 2003–2011
DOI:10.37757/mr2014.v16.n1.6
2014this review onlyMortality from lifestyle-related diseases (cerebrovascular, heart, cardiovascular, respiratory); Mortality from non-lifestyle-related diseases (dementia, cancer)not extracted yet
Juan 2014
Frailty, dependency and mortality predictors in a cohort of Cuban older adults, 2003-2011.
PMID:24487672
2014this review onlynot statednot extracted yet
Jung 2014
Prevalence and Outcomes of Frailty in Korean Elderly Population: Comparisons of a Multidimensional Frailty Index with Two Phenotype Models
DOI:10.1371/journal.pone.0087958
2014this review onlyAll-cause mortalitynot extracted yet
Jung 2014
Prevalence and outcomes of frailty in Korean elderly population: comparisons of a multidimensional frailty index with two phenotype models.
PMID:24505338
2014this review onlyAll-cause mortalitynot extracted yet
Kawai 2024
Impact of combinations of subscale declines in higher-level functional capacity on 8-year all-cause mortality among community-dwelling…
DOI:10.1016/j.archger.2023.105096
2023this review onlyAll-cause mortalitynot extracted yet
Kawai 2024
Impact of combinations of subscale declines in higher-level functional capacity on 8-year all-cause mortality among community-dwelling…
PMID:37311368
2023this review onlyAll-cause mortalitynot extracted yet
Langholz 2018
Frailty phenotype and its association with all‐cause mortality in community‐dwelling Norwegian women and men aged 70 years and older: The…
DOI:10.1111/ggi.13447
2018this review onlyAll-cause mortalitynot extracted yet
Langholz 2018
Frailty phenotype and its association with all-cause mortality in community-dwelling Norwegian women and men aged 70 years and older: The…
PMID:29808951
2018this review onlyAll-cause mortalitynot extracted yet
Lee 2020
Frailty and Comprehensive Geriatric Assessment
DOI:10.3346/jkms.2020.35.e16
2020this review onlyAll-cause mortalitynot extracted yet
Lee 2020
The Predictive Value of Social Frailty on Adverse Outcomes in Older Adults Living in the Community.
PMID:32362535
2020this review onlyAll-cause mortalitynot extracted yet
Li 2022
Association of longitudinal repeated measurements of frailty index with mortality: Cohort study among community-dwelling older adults
DOI:10.1016/j.eclinm.2022.101630
2022this review onlyAll-cause mortality; Mortality from lifestyle-related diseases (cerebrovascular, heart, cardiovascular, respiratory); Mortality from non-lifestyle-related diseases (dementia, cancer)not extracted yet
Li 2022
Association of longitudinal repeated measurements of frailty index with mortality: Cohort study among community-dwelling older adults.
PMID:36119560
2022this review onlyAll-cause mortalitynot extracted yet
Li 2023
Joint predictability of physical frailty/pre-frailty and subjective memory complaints on mortality risk among cognitively unimpaired older…
DOI:10.1007/s10433-023-00765-y
2023this review onlyAll-cause mortalitynot extracted yet
Li 2023
Joint predictability of physical frailty/pre-frailty and subjective memory complaints on mortality risk among cognitively unimpaired older…
PMID:37199786
2023this review onlyAll-cause mortalitynot extracted yet
Liu 2017
Cognitive Frailty and Its Association with All-Cause Mortality Among Community-Dwelling Older Adults in Taiwan: Results from I-Lan…
DOI:10.1089/rej.2017.2038
2018this review onlyAll-cause mortalitynot extracted yet
Liu 2017
Cognitive Frailty and Its Association with All-Cause Mortality Among Community-Dwelling Older Adults in Taiwan: Results from I-Lan…
PMID:29644921
2018this review onlyAll-cause mortalitynot extracted yet
Lohman 2020
Frailty Phenotype and Cause-Specific Mortality in the United States
DOI:10.1093/gerona/glaa025
2020this review onlyAll-cause mortality; Mortality from lifestyle-related diseases (cerebrovascular, heart, cardiovascular, respiratory); Mortality from non-lifestyle-related diseases (dementia, cancer)not extracted yet
Lohman 2020
Frailty Phenotype and Cause-Specific Mortality in the United States.
PMID:31956891
2020this review onlyAll-cause mortalitynot extracted yet
MA 2019
Novel Frailty Screening Questionnaire (FSQ) Predicts 8-Year Mortality in Older Adults in China
DOI:10.14283/jfa.2018.38
2019this review onlyAll-cause mortalitynot extracted yet
MA 2019
Novel Frailty Screening Questionnaire (FSQ) Predicts 8-year Mortality in Older Adults in China.
PMID:30734829
2019this review onlyAll-cause mortalitynot extracted yet
Molina 2024
Effect of frailty status on mortality risk among chilean community-dwelling older adults
DOI:10.1016/j.gerinurse.2024.04.011
2024this review onlyAll-cause mortalitynot extracted yet
Molina 2024
Effect of frailty status on mortality risk among chilean community-dwelling older adults.
PMID:38657397
2024this review onlyAll-cause mortalitynot extracted yet
Morkphrom 2022
Severity of frailty using modified Thai frailty index, social factors, and prediction of mortality among community-dwelling older adults…
DOI:10.3389/fmed.2022.1060990
2022this review onlyAll-cause mortalitynot extracted yet
Morkphrom 2022
Severity of frailty using modified Thai frailty index, social factors, and prediction of mortality among community-dwelling older adults…
PMID:36569139
2022this review onlyAll-cause mortalitynot extracted yet
Ouvrard 2019
Psychosocioeconomic Precariousness and Frailty: The Respective Contribution in Predicting Mortality
DOI:10.14283/jfa.2018.36
2019this review onlyAll-cause mortalitynot extracted yet
Ouvrard 2019
Psychosocioeconomic Precariousness and Frailty: The Respective Contribution in Predicting Mortality.
PMID:30734831
2019this review onlyAll-cause mortalitynot extracted yet
Rath 2021
Frailty, Disability, and Mortality in a Rural Community-Dwelling Elderly Cohort from Northern India.
PMID:34759484
2021this review onlyAll-cause mortalitynot extracted yet
Roman 2014
A Frailty Instrument for primary care for those aged 75 years or more: findings from the Survey of Health, Ageing and Retirement in…
DOI:10.1136/bmjopen-2014-006645
2014this review onlyAll-cause mortalitynot extracted yet
Roman 2014
A Frailty Instrument for primary care for those aged 75 years or more: findings from the Survey of Health, Ageing and Retirement in…
PMID:25537787
2014this review onlyAll-cause mortalitynot extracted yet
Rosas 2022
Stressful events, depressive symptoms, and frailty associated to older adults’ survival and mortality
DOI:10.1016/j.gerinurse.2022.04.025
2022this review onlyAll-cause mortalitynot extracted yet
Rosas 2022
Stressful events, depressive symptoms, and frailty associated to older adults' survival and mortality.
PMID:35609433
2022this review onlyAll-cause mortalitynot extracted yet
Sachs 2021
Self-Rated Frailty and Mortality in Old Men: The Manitoba Follow-Up Study
DOI:10.14283/jfa.2020.14
2021this review onlyAll-cause mortalitynot extracted yet
Sachs 2021
Self-Rated Frailty and Mortality in Old Men: The Manitoba Follow-up Study.
PMID:33331621
2021this review onlyAll-cause mortalitynot extracted yet
Salminen 2020
Frailty and mortality: an 18-year follow-up study among Finnish community-dwelling older people
DOI:10.1007/s40520-019-01383-4
2019this review onlyAll-cause mortalitynot extracted yet
Salminen 2020
Frailty and mortality: an 18-year follow-up study among Finnish community-dwelling older people.
PMID:31654244
2020this review onlyAll-cause mortalitynot extracted yet
Satake 2017
Validity of Total Kihon Checklist Score for Predicting the Incidence of 3-Year Dependency and Mortality in a Community-Dwelling Older…
DOI:10.1016/j.jamda.2017.03.013
2017this review onlyAll-cause mortalitynot extracted yet
Satake 2017
Validity of Total Kihon Checklist Score for Predicting the Incidence of 3-Year Dependency and Mortality in a Community-Dwelling Older…
PMID:28479274
2017this review onlyAll-cause mortalitynot extracted yet
Shi 2019
Frailty phenotype, frailty index and risk of mortality in Chinese elderly population- Rugao longevity and ageing study
DOI:10.1016/j.archger.2018.11.001
2019this review onlyAll-cause mortalitynot extracted yet
Shi 2019
Frailty phenotype, frailty index and risk of mortality in Chinese elderly population- Rugao longevity and ageing study.
PMID:30448694
2019this review onlyAll-cause mortalitynot extracted yet
Shi 2024
Interaction between hypertension and frailty and their impact on death risk in older adults: a follow-up study
DOI:10.1186/s12877-024-04793-w
2024this review onlynot statednot extracted yet
Shi 2024
Interaction between hypertension and frailty and their impact on death risk in older adults: a follow-up study.
PMID:38402390
2024this review onlynot statednot extracted yet
Shin 2021
Development and Validation of a Multidimensional Frailty Scale for Clinical Geriatric Assessment
DOI:10.1007/s12603-021-1652-0
2021this review onlyAll-cause mortalitynot extracted yet
Shin 2021
Development and Validation of a Multidimensional Frailty Scale for Clinical Geriatric Assessment.
PMID:34409975
2021this review onlyAll-cause mortalitynot extracted yet
Stolz 2024
Frailty predicts all-cause and cause-specific mortality among older adults in Austria: 8-year mortality follow-up of the Austrian Health…
DOI:10.1186/s12877-023-04633-3
2024this review onlyAll-cause mortality; Mortality from lifestyle-related diseases (cerebrovascular, heart, cardiovascular, respiratory); Mortality from non-lifestyle-related diseases (dementia, cancer)not extracted yet
Stolz 2024
Frailty predicts all-cause and cause-specific mortality among older adults in Austria: 8-year mortality follow-up of the Austrian Health…
PMID:38172757
2024this review onlyAll-cause mortalitynot extracted yet
Strandberg 2021
Phenotypic frailty and multimorbidity are independent 18-year mortality risk indicators in older men
DOI:10.1007/s41999-021-00472-w
2021this review onlyAll-cause mortalitynot extracted yet
Strandberg 2021
Phenotypic frailty and multimorbidity are independent 18-year mortality risk indicators in older men : The Helsinki Businessmen Study (HBS).
PMID:33661507
2021this review onlyAll-cause mortalitynot extracted yet
Sun 2023
Incidence and predictive value of social frailty among community-dwelling older adults in Southwest China: A prospective cohort study
DOI:10.3389/fpubh.2023.1103651
2023this review onlynot statednot extracted yet
Sun 2023
Incidence and predictive value of social frailty among community-dwelling older adults in Southwest China: A prospective cohort study.
PMID:36891342
2023this review onlynot statednot extracted yet
Thompson 2019
Recurrent Measurement of Frailty Is Important for Mortality Prediction: Findings from the North West Adelaide Health Study
DOI:10.1111/jgs.16066
2019this review onlyAll-cause mortalitynot extracted yet
Thompson 2019
Recurrent Measurement of Frailty Is Important for Mortality Prediction: Findings from the North West Adelaide Health Study.
PMID:31317527
2019this review onlyAll-cause mortalitynot extracted yet
Verghese 2021
Trajectories of frailty in aging: Prospective cohort study
DOI:10.1371/journal.pone.0253976
2021this review onlyAll-cause mortalitynot extracted yet
Verghese 2021
Trajectories of frailty in aging: Prospective cohort study.
PMID:34252094
2021this review onlyAll-cause mortalitynot extracted yet
Wang 2019
Frailty, transition in frailty status and all-cause mortality in older adults of a Taichung community-based population
DOI:10.1186/s12877-019-1039-9
2019this review onlyAll-cause mortalitynot extracted yet
Wang 2019
Frailty, transition in frailty status and all-cause mortality in older adults of a Taichung community-based population.
PMID:30691410
2019this review onlyAll-cause mortalitynot extracted yet
Watanabe 2022
Combined use of two frailty tools in predicting mortality in older adults
DOI:10.1038/s41598-022-19148-x
2022this review onlyAll-cause mortalitynot extracted yet
Watanabe 2022
Combined use of two frailty tools in predicting mortality in older adults.
PMID:36057638
2022this review onlyAll-cause mortalitynot extracted yet
Wu 2024
Joint Association of Physical Frailty and Self-Rated Health With Mortality Among Community-Dwelling Older Adults
DOI:10.1093/gerona/glad286
2023this review onlyAll-cause mortalitynot extracted yet
Wu 2024
Joint Association of Physical Frailty and Self-Rated Health With Mortality Among Community-Dwelling Older Adults.
PMID:38153759
2024this review onlyAll-cause mortalitynot extracted yet
Xue 2021
Progression of Physical Frailty and the Risk of All‐Cause Mortality: Is There a Point of No Return?
DOI:10.1111/jgs.16976
2020this review onlyAll-cause mortalitynot extracted yet
Xue 2021
Progression of Physical Frailty and the Risk of All-Cause Mortality: Is There a Point of No Return?
PMID:33368158
2021this review onlyAll-cause mortalitynot extracted yet
Yamada 2018
Social Frailty Predicts Incident Disability and Mortality Among Community-Dwelling Japanese Older Adults
DOI:10.1016/j.jamda.2018.09.013
2018this review onlyAll-cause mortalitynot extracted yet
Yamada 2018
Social Frailty Predicts Incident Disability and Mortality Among Community-Dwelling Japanese Older Adults.
PMID:30471801
2018this review onlyAll-cause mortalitynot extracted yet
Yang 2025
Frailty Risk Patterns and Mortality Prediction in Community-Dwelling Older Adults: A 3-Year Longitudinal Study
DOI:10.1016/j.jamda.2024.105359
2025this review onlyAll-cause mortalitynot extracted yet
Yang 2025
Frailty Risk Patterns and Mortality Prediction in Community-Dwelling Older Adults: A 3-Year Longitudinal Study.
PMID:39557075
2025this review onlyAll-cause mortalitynot extracted yet
Yuki 2018
Physical frailty and mortality risk in Japanese older adults
DOI:10.1111/ggi.13316
2018this review onlyAll-cause mortality; Mortality from non-lifestyle-related diseases (dementia, cancer)not extracted yet
Yuki 2018
Physical frailty and mortality risk in Japanese older adults.
PMID:29608043
2018this review onlyAll-cause mortalitynot extracted yet
Zhao 2023
Effect of frailty status on mortality risk among Chinese community-dwelling older adults: a prospective cohort study
DOI:10.1186/s12877-023-03759-8
2023this review onlynot statednot extracted yet
Zhao 2023
Effect of frailty status on mortality risk among Chinese community-dwelling older adults: a prospective cohort study.
PMID:36934220
2023this review onlynot statednot extracted yet

Overlap with other reviews

Reviews that include the same primary studies are not independent evidence. Shared counts match studies by PMID, DOI or NCT, and otherwise by author and year (a probable match). Only the non-Cochrane dental reviews have study lists, so overlap with Cochrane reviews is not counted yet.

Review question

ElementPlanned (methods)Found (results)
PopulationCommunity-dwelling older adults aged 60 years and aboveCommunity-dwelling older adults; 59 studies, 185,355 participants, over 28,616 deaths; 53 studies (56 cohorts) in meta-analysis
InterventionFrailty as a distinct predictor (exposure): any frailty definition, grouped as non-robust (frail, prefrail or equivalent) versus robustNon-robust frailty status in physical (n=35), multidimensional (n=26), social (n=4), cognitive (n=2) and oral (n=1) domains; phenotype-based models (n=29)
ComparisonRobust older adults without signs of frailtyRobust older adults
OutcomesAll-cause mortality and cause-specific mortality (lifestyle-related versus non-lifestyle-related diseases); HR, RR or OR with 95% CIAll-cause mortality (56 cohorts) and cause-specific mortality (7 studies)
Study designsProspective cohort studies published in peer-reviewed English-language journals59 prospective cohort studies from multiple countries
TimingNot specifiedFollow-up 1 to 15 years