Self-supervised learning of wrist-worn daily living accelerometer data improves the automated detection of gait in older adults
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Abstract
Progressive gait impairment is common among aging adults. Remote phenotyping of gait during daily living has the potential to quantify gait alterations and evaluate the effects of interventions that may prevent disability in the aging population. Here, we developed ElderNet, a self-supervised learning model for gait detection from wrist-worn accelerometer data. Validation involved two diverse cohorts, including over 1000 participants without gait labels, as well as 83 participants with labeled data: older adults with Parkinson's disease, proximal femoral fracture, chronic obstructive pulmonary disease, congestive heart failure, and healthy adults. ElderNet presented high accuracy (96.43 ± 2.27), specificity (98.87 ± 2.15), recall (82.32 ± 11.37), precision (86.69 ± 17.61), and F1 score (82.92 ± 13.39). The suggested method yielded superior performance compared to two state-of-the-art gait detection algorithms, with improved accuracy and F1 score (p < 0.05). In an initial evaluation of construct validity, ElderNet identified differences in estimated daily walking durations across cohorts with different clinical characteristics, such as mobility disability (p < 0.001) and parkinsonism (p < 0.001). The proposed self-supervised method has the potential to serve as a valuable tool for remote phenotyping of gait function during daily living in aging adults, even among those with gait impairments.
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- Authors
- Brand, Y. E., Kluge, F., Palmerini, L., Paraschiv-Ionescu, A., Becker, C., Cereatti, A., Maetzler, W., Sharrack, B., Vereijken, B., Yarnall, A. J., Rochester, L., Del Din, S., Muller, A., Buchman, A. S., Hausdorff, J. M., & Perlman, O.
- Affiliations
- Tel Aviv University (IL)
- Novartis (Switzerland) (CH)
- University of Bologna (IT)
- École Polytechnique Fédérale de Lausanne (CH)
- University Hospital Heidelberg (DE)
- Politecnico di Torino (IT)
- University Hospital Schleswig-Holstein (DE)
- Sheffield Teaching Hospitals NHS Foundation Trust (GB)
- Norwegian University of Science and Technology (NO)
- Newcastle upon Tyne Hospitals NHS Foundation Trust (GB)
- Rush University Medical Center (US)
- Corresponding author
- Perlman, Or
- ORCID
- Venue
- Scientific Reports
- Published
- 2024-09-06
- Volume
- 14
- Issue
- 1
- Pages
- 20854-20854
- ISSN
- 2045-2322 (ISSN-L)
- PMC
- PMC11379690
- OpenAlex
- W4402307918
- Cited by
- 19
- References
- 58
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- 2026: 6 · 2025: 13
- FWCI
- 2.66
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- journal article
- Language
- en
- Open access
- gold
- doi.org
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- Newcastle University ePrints (Newcastle Univesity) (cc-by)
- Funders
- National Institutes of Health (R01AG017917, R01AG056352, R01AG79133, R01AT012228)
- Innovative Medicines Initiative (820820)
- Topics
- Physical Sciences › Computer Science › Computer Vision and Pattern Recognition › Context-Aware Activity Recognition Systems
- Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Balance, Gait, and Falls Prevention
- Physical Sciences › Engineering › Biomedical Engineering › Gait Recognition and Analysis
- Keywords
- gait detection, self-supervised learning, wrist-worn accelerometers, older adults, gait disturbance, Parkinson's disease, activities of daily living, walking time, mobility impairment
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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