Relationship of Community Mobility, Vital Space, and Faller Status in Older Adults

Autor: Diego Robles Cruz, Andrea Lira Belmar, Anthony Fleury, Méline Lam, Rossana M. Castro Andrade, Sebastián Puebla Quiñones, Carla Taramasco Toro
Jazyk: angličtina
Rok vydání: 2024
Předmět:
Zdroj: Sensors, Vol 24, Iss 23, p 7651 (2024)
Druh dokumentu: article
ISSN: 1424-8220
DOI: 10.3390/s24237651
Popis: Community mobility, encompassing both active (e.g., walking) and passive (e.g., driving) transport, plays a crucial role in maintaining autonomy and social interaction among older adults. This study aimed to quantify community mobility in older adults and explore the relationship between GPS- and accelerometer-derived metrics and fall risk. Methods: A total of 129 older adults, with and without a history of falls, were monitored over an 8 h period using GPS and accelerometer data. Three experimental conditions were evaluated: GPS data alone, accelerometer data alone, and a combination of both. Classification models, including Random Forest (RF), Support Vector Machines (SVMs), and K-Nearest Neighbors (KNN), were employed to classify participants based on their fall history. Results: For GPS data alone, RF achieved 74% accuracy, while SVM and KNN reached 67% and 62%, respectively. Using accelerometer data, RF achieved 95% accuracy, and both SVM and KNN achieved 90%. Combining GPS and accelerometer data improved model performance, with RF reaching 97% accuracy, SVM achieving 95%, and KNN 87%. Conclusion: The integration of GPS and accelerometer data significantly enhances the accuracy of distinguishing older adults with and without a history of falls. These findings highlight the potential of sensor-based approaches for accurate fall risk assessment in community-dwelling older adults.
Databáze: Directory of Open Access Journals
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