Duke Activity Status Index (DASI, Functional Capacity)

Duke Activity Status Index (Hlatky 1989): twelve weighted activities-of-daily-living items give a functional-capacity score and an estimated peak VO₂ / MET level; below ~4 METs flags reduced capacity.

Open the calculator → Runs in your browser. Data leaves only if you deliberately send a problem report from the interactive tool.

Example

Take care of yourself
Yes
Walk indoors, such as around your house
Yes
Walk a block or two on level ground
Yes
Climb a flight of stairs or walk up a hill
Yes
Light housework
Yes
Moderate housework
Yes
Yard work
Yes
Sexual relations
Yes

Result: DASI 28.7 — peak VO₂ 21.9 mL/kg/min (≈ 6.3 METs); at or above the 4-MET functional-capacity threshold.

The tool opens with these values already filled in. Replace them with your own.

What the result means

Score
The 12 affirmed activities are summed by their METs weights (maximum 58.2). Peak VO₂ (mL/kg/min) = 0.43 × DASI + 9.6; METs = VO₂ / 3.5.
Meaning
A self-report functional-capacity estimate used in preoperative and cardiac assessment. < 4 METs marks poor capacity linked to higher perioperative risk. Decision support, not an order.

What you enter

  • Take care of yourself (eat, dress, bathe, use toilet)
  • Walk indoors, such as around your house
  • Walk a block or two on level ground
  • Climb a flight of stairs or walk up a hill
  • Run a short distance
  • Light housework (dusting, washing dishes)
  • Moderate housework (vacuuming, carrying groceries)
  • Heavy housework (scrubbing floors, moving furniture)
The other 4 fields
  • Yard work (raking, mowing, hedging)
  • Sexual relations
  • Moderate recreation (golf, bowling, dancing, doubles tennis)
  • Strenuous sports (swimming, singles tennis, skiing)
How this is calculated

Hlatky MA, Boineau RE, Higginbotham MB, et al. A brief self-administered questionnaire to determine functional capacity (the Duke Activity Status Index). Am J Cardiol. 1989;64(10):651-654. Read the source ↗

A reference and educational tool. Not medical, legal, or financial advice, and not a substitute for clinician judgment.

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Built by Clay Good. Source on GitHub.