FP²
Fried Physical Frailty Phenotype
From Binary Checklist to Continuous Vitality Measurement
The Formula Decoded
This is not just mathematics. This is the Will to Power made quantitative.
Your Power
The individual's actual rate of energy discharge. Measured in Watts. This is your capacity.
Expected Power
The normative discharge rate for your age and sex. The "average person" baseline.
Volatility
The second derivative—how much your power jitters. Basin stability. Fragility signal.
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
| 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.
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
- Power output is erratic
- Small perturbations cause large swings
- High fall risk, high collapse risk
Low √|d²E/dt²| → Small volatility → Deep basin → Robust system
- Power output is stable
- System absorbs perturbations
- Antifragile: stress improves performance
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.
$$ \frac{dz}{dt} = \text{velocity of vitality} $$ $$ \frac{d^2z}{dt^2} = \text{acceleration toward collapse (or recovery)} $$Ascending
You are getting stronger relative to your cohort. Intervention is working. Basin is deepening.
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 - dEx̄/dt) / √|d²Ex/dt²|
Each step adds a dimension. The final formula captures:
- Position (where you are)
- Velocity (where you're going)
- Stability (how deep your basin)
- Trajectory (your path through vitality space)
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:
- Accelerometry → movement
- Heart rate → metabolic cost
- Duration → sustained discharge
Algorithm converts to Watts using biomechanical models.
Step 2: Load dEx̄/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.