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Updated: Mar 1, 2026

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Frailty Assessment in an Aging Mouse Model
Published on: September 23, 2025
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A Comparison of Two Mouse Frailty Assessment Tools
Alice E Kane1,2, Aniko Huizer-Pajkos1,3, John Mach1,3
1Laboratory of Ageing and Pharmacology, Kolling Institute of Medical Research and Sydney Medical School, University of Sydney, New South Wales, Australia.
Summary
Two frailty assessment tools for mice show limited agreement. The mouse clinical frailty index identified more frail mice than the mouse frailty phenotype assessment, highlighting the need for careful tool selection in aging research.
Area of Science:
- Gerontology
- Animal Models
- Biomedical Research
Background:
- Frailty is a significant concern in aging populations.
- Developing reliable tools to assess frailty in preclinical models is crucial for translational research.
- The mouse clinical frailty index (mCFI) and mouse frailty phenotype assessment (mFPA) are recent tools for evaluating frailty in mice.
Purpose of the Study:
- To compare the agreement between mCFI and mFPA in identifying frail mice.
- To investigate the association of each frailty assessment tool with age and frailty-related physiological outcomes.
- To evaluate the utility of these tools in preclinical aging studies.
Main Methods:
- Frailty was assessed in old male C57BL/6 mice (approximately 24 months) using both mCFI and mFPA.
- Physiological parameters including blood pressure, heart rate, and serum biomarkers (alanine aminotransferase, creatinine, albumin) were measured.
- Statistical analysis was performed to determine agreement between scales and correlations with outcomes.
Main Results:
- The mFPA identified no frail mice, while a modified version identified six.
- The mCFI identified 16 mice as frail, with 50.0% agreement between the two scales.
- Higher mCFI scores correlated with lower serum alanine aminotransferase, decreased heart rate, and reduced heart rate variance.
Conclusions:
- Both the mCFI and mFPA have value in assessing frailty in mice.
- The two tools do not consistently identify the same individuals as frail, similar to human frailty scales.
- Further research is needed to refine and validate these preclinical frailty assessment tools.

