FP²

Fried Physical Frailty Phenotype

From Binary Checklist to Continuous Vitality Measurement

$$ z = \frac{\frac{dE_x}{dt} - \frac{dE_{\bar{x}}}{dt}}{\sqrt{\left|\frac{d^2E_x}{dt^2}\right|}} $$

The Formula Decoded

This is not just mathematics. This is the Will to Power made quantitative.

dEx/dt

Your Power

The individual's actual rate of energy discharge. Measured in Watts. This is your capacity.

dE$\bar{x}$/dt

Expected Power

The normative discharge rate for your age and sex. The "average person" baseline.

d²Ex/dt²

Volatility

The second derivative—how much your power jitters. Basin stability. Fragility signal.

The numerator asks: "How far are you from the mean?"
The denominator asks: "How shaky is that distance?"

Together, they measure: "How robustly can you discharge power relative to your cohort?"

Why The Upgrade Matters

From μ/σ to dE/dt

The original formulation used static population parameters (μ, σ).
The upgraded formula uses dynamic derivatives.
This shift transforms everything.

Aspect Old: $z = \frac{x-\mu}{\sigma}$ New: $z = \frac{\frac{dE_x}{dt} - \frac{dE_{\bar{x}}}{dt}}{\sqrt{\left|\frac{d^2E_x}{dt^2}\right|}}$
What it measures Snapshot deviation from population Rate of discharge relative to age-matched trajectory
Time dimension Static (single moment) Dynamic (velocity and acceleration)
Denominator Population standard deviation Individual volatility (basin depth)
Clinical insight "Are you weak?" "Is your power declining faster than it should?"
Intervention timing After collapse Before collapse (curvature warning)
Philosophical basis Deficit model (what's missing) Discharge model (what can be spent)

The Numerator: Signal Above Noise

$$ \frac{dE_x}{dt} - \frac{dE_{\bar{x}}}{dt} $$

This is the excess discharge capacity. It answers: "How much more (or less) power can you generate compared to the average person of your age and sex?"

Why Derivatives, Not Raw Values?

Because aging is a process, not a state. A 30-year-old generating 150W and an 80-year-old generating 60W are not comparable in raw terms. But their rates of discharge relative to their cohort are comparable.

The derivative normalizes across the lifespan. It makes the neonate's kick and the elder's walk commensurable.

If the numerator is positive, you're discharging more than expected (z > 0).
If it's negative, you're below the curve (z < 0).
If it's crossing zero from above, intervention is needed.

The Denominator: The Depth of Your Basin

$$ \sqrt{\left|\frac{d^2E_x}{dt^2}\right|} $$

This is the volatility of your power output. It measures how much your discharge capacity fluctuates—the second derivative, the curvature, the jitter.

Why is this "crudely" the standard deviation?

Standard deviation measures spread: σ = √(variance).
The second derivative measures how quickly something is accelerating/decelerating.
For a continuous trajectory, acceleration ≈ variance over time.

Taking the square root brings it back to the "scale" of the original signal.

What High vs Low Denominator Means

High √|d²E/dt²| → Large volatility → Shallow basin → Fragile system

Low √|d²E/dt²| → Small volatility → Deep basin → Robust system

The Clinical Implication

Two people can have the same raw z-score, but the one with lower denominator (more stable) has a deeper basin. They can withstand illness, injury, stress without collapse.

This is why FP² is superior to Fried's checklist: it captures resilience, not just deficit.

The Z-Trajectory: Life's Differential Geometry

The formula gives you z(t)—your position in the basin at time t. But the real power is in the trajectory: how z changes over time.

$$ \frac{dz}{dt} = \text{velocity of vitality} $$ $$ \frac{d^2z}{dt^2} = \text{acceleration toward collapse (or recovery)} $$
dz/dt > 0

Ascending

You are getting stronger relative to your cohort. Intervention is working. Basin is deepening.

dz/dt < 0

Descending

You are weakening faster than aging predicts. Red flag. Curvature change detected.

The z-trajectory is the mirror of your becoming.
Ukubona: to see. Ivyabona: to witness.

From Stone to Discharge: The Lineage

This formula is the endpoint of a long evolution:

1. The Stone (14 lbs) → Static mass, human-scale invariant

2. Linda Fried's Phenotype → Binary frailty checklist (0-5 deficits)

3. Raw Wattage → Power output (77W, 123W)

4. Z-Score (static) → (W - μ)/σ

5. FP² (dynamic)(dEx/dt - dE/dt) / √|d²Ex/dt²|

Each step adds a dimension. The final formula captures:

Why FP² Beats Fried's Phenotype

Feature Fried FP FP²
Measurement type Categorical (Frail/Pre-frail/Robust) Continuous (z ∈ ℝ)
Data collection Episodic (clinic visits) Continuous (wearable sensors)
Predictive power Post-collapse detection Pre-collapse warning (d²z/dt²)
Personalization Population norms Individual trajectory baseline
Lifespan coverage Elderly only (65+) Cradle to grave (0-100+ years)
Intervention guidance Generic ("exercise more") Specific (target dz/dt, reduce volatility)
Philosophical basis Deficit accumulation Discharge capacity (Will to Power)

The Digital Twin: Operationalizing FP²

The formula is useless without implementation. Here's how the Digital Twin computes z(t) in real-time:

Step 1: Capture dEx/dt

Wearable sensors measure:

Algorithm converts to Watts using biomechanical models.

Step 2: Load dE/dt

Look up age/sex-matched normative power curve from reference database.

Step 3: Compute d²Ex/dt²

Calculate second derivative from recent power history (rolling 7-day window).

Step 4: Calculate z

Plug into formula. Update continuously.

Step 5: Track dz/dt

Monitor trajectory slope. Alert if d²z/dt² < 0 (accelerating decline).

The Result

A single, continuous metric that spans from birth to death. No equipment. No clinic. Just motion, time, and mathematics.

"Stop measuring the bucket. Start measuring the flow."

We do not live in landscapes.
We live in the basins our motion reveals.

FP² is the map of that motion.