Publication:
Relevance of sex, age and gait kinematics when predicting fall-risk and mortality in older adults

dc.contributor.authorPorta Cuéllar, Sonia
dc.contributor.authorMartínez Ramírez, Alicia
dc.contributor.authorMillor Muruzábal, Nora
dc.contributor.authorGómez Fernández, Marisol
dc.contributor.authorIzquierdo Redín, Mikel
dc.contributor.departmentIngeniería Eléctrica, Electrónica y de Comunicaciónes_ES
dc.contributor.departmentEstadística, Informática y Matemáticases_ES
dc.contributor.departmentCiencias de la Saludes_ES
dc.contributor.departmentIngeniaritza Elektrikoa, Elektronikoaren eta Telekomunikazio Ingeniaritzareneu
dc.contributor.departmentEstatistika, Informatika eta Matematikaeu
dc.contributor.departmentOsasun Zientziakeu
dc.contributor.funderGobierno de Navarra / Nafarroako Gobernua, 87/10es
dc.date.accessioned2021-02-19T08:12:02Z
dc.date.available2022-05-22T23:00:15Z
dc.date.issued2020
dc.description.abstractApproximately one-third of elderly people fall each year with severe consequences, including death. The aim of this study was to identify the most relevant features to be considered to maximize the accuracy of a logistic regression model designed for prediction of fall/mortality risk among older people. This study included 261 adults, aged over 65 years. Men and women were analyzed separately because sex stratification was revealed as being essential for our purposes of feature ranking and selection. Participants completed a 3-m walk test at their own gait velocity. An inertial sensor attached to their lumbar spine was used to record acceleration data in the three spatial directions. Signal processing techniques allowed the extraction of 21 features representative of gait kinematics, to be used as predictors to train and test the model. Age and gait speed data were also considered as predictors. A set of 23 features was considered. These features demonstrate to be more or less relevant depending on the sex of the cohort under analysis and the classification label (risk of falls and mortality). In each case, the minimum size subset of relevant features is provided to show the maximum accuracy prediction capability. Gait speed has been largely used as the single feature for the prediction fall risk among older adults. Nevertheless, prediction accuracy can be substantially improved, reaching 70% in some cases, if the task of training and testing the model takes into account some other features, namely, sex, age and gait kinematic parameters. Therefore we recommend considering sex, age and step regularity to predict fall-risk.en
dc.description.sponsorshipThis work was supported by the Spanish Ministry of Health, Institute Carlos III [grant numbers RD06/013/1003, RD12/0043/0002] and by the Department of Health of the Government of Navarra [grant number 87/10] as well as by a research grant PI17/01814 of the Ministerio de Economía, Industria y Competitividad (ISCIII, FEDER).en
dc.embargo.lift2022-05-22
dc.embargo.terms2022-05-22
dc.format.extent18 p.
dc.format.mimetypeapplication/pdfen
dc.identifier.doi10.1016/j.jbiomech.2020.109723
dc.identifier.issn0021-9290
dc.identifier.urihttps://academica-e.unavarra.es/handle/2454/39250
dc.language.isoengen
dc.publisherElsevieren
dc.relation.ispartofJournal of Biomechanics, 2020, 105, 109723en
dc.relation.publisherversionhttps://doi.org/10.1016/j.jbiomech.2020.109723
dc.rights© 2020 Elsevier Ltd. This manuscript version is made available under the CC-BY-NC-ND 4.0en
dc.rights.accessRightsinfo:eu-repo/semantics/openAccessen
dc.rights.accessRightsAcceso abierto / Sarbide irekiaes
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/
dc.subjectPrediction of falls/mortality risken
dc.subjectLogistic regression modelen
dc.subjectFeature selection for maximum accuracy predictionen
dc.subjectSex stratification importanceen
dc.titleRelevance of sex, age and gait kinematics when predicting fall-risk and mortality in older adultsen
dc.typeinfo:eu-repo/semantics/articleen
dc.typeArtículo / Artikuluaes
dc.type.versioninfo:eu-repo/semantics/acceptedVersionen
dc.type.versionVersión aceptada / Onetsi den bertsioaes
dspace.entity.typePublication
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