Frailty is a wasting syndrome common in individuals of advanced age that is
associated with considerable risk for morbidity and mortality. Epidemiolog
ic studies show evidence of a lower prevalence of frailty in men as compare
d with women. Earlier mortality in men from all causes may in part influenc
e this observation. As described in this article, age-related gender differ
ences in skeletal muscle reserve, neuroendocrine dysregulation, and immune
system changes may also differentially influence the development of frailty
.