Development of a Rat Clinical Frailty Index

J Gerontol A Biol Sci Med Sci. 2017 Jul 1;72(7):897-903. doi: 10.1093/gerona/glw339.

Abstract

Rats are a commonly used model for aging studies, and a frailty assessment tool for rats would be of considerable value. There has been a recent focus on the development of preclinical models of frailty in mice. A mouse clinical frailty index (FI) was developed based on clinical frailty assessment tools. This FI measures the accumulation of clinically evident health-related deficits in mice. This paper aimed to develop a rat clinical FI. Male Fischer 344 rats were aged from 6 to 9 months (n = 12), and from 13 to 21 months (n = 41). A FI comprised of 27 health-related deficits was developed from a review of the literature and consultation with a veterinarian. Deficits were scored 0 if absent, 0.5 if mild, or 1 if severe. A FI score was determined for each rat every 3-4 months, and for the older group mortality was assessed up to 21 months. Mean FI scores significantly increased at each time point for the older rats. A high FI score measured at both 17 months of age and terminally was also associated with decreased probability of survival as assessed with Kaplan-Meier curves. The rat clinical FI has significant value for use in aging and interventional studies.

Keywords: Deficit accumulation; Frailty index; Preclinical models.

MeSH terms

  • Aged
  • Aging / physiology*
  • Animals
  • Frail Elderly*
  • Geriatric Assessment / methods*
  • Health Status Indicators
  • Humans
  • Models, Animal*
  • Motor Activity / physiology
  • Physical Conditioning, Animal* / methods
  • Physical Conditioning, Animal* / physiology
  • Physical Conditioning, Animal* / standards
  • Rats
  • Research Design