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Performance of Activity Classification Algorithms in Free-Living Older Adults
Open accessAbstract
PURPOSE: The objective of this study is to compare activity type classification rates of machine learning algorithms trained on laboratory versus free-living accelerometer data in older adults. METHODS: Thirty-five older adults (21 females and 14 males, 70.8 ± 4.9 yr) performed selected activities in the laboratory while wearing three ActiGraph GT3X+ activity monitors (in the dominant hip, wrist, and ankle; ActiGraph, LLC, Pensacola, FL). Monitors were initialized to collect raw acceleration data at a sampling rate of 80 Hz. Fifteen of the participants also wore GT3X+ in free-living settings and were directly observed for 2-3 h. Time- and frequency-domain features from acceleration signals of each monitor were used to train random forest (RF) and support vector machine (SVM) models to classify five activity types: sedentary, standing, household, locomotion, and recreational activities. All algorithms were trained on laboratory data (RFLab and SVMLab) and free-living data (RFFL and SVMFL) using 20-s signal sampling windows. Classification accuracy rates of both types of algorithms were tested on free-living data using a leave-one-out technique. RESULTS: Overall classification accuracy rates for the algorithms developed from laboratory data were between 49% (wrist) and 55% (ankle) for the SVMLab algorithms and 49% (wrist) to 54% (ankle) for the RFLab algorithms. The classification accuracy rates for SVMFL and RFFL algorithms ranged from 58% (wrist) to 69% (ankle) and from 61% (wrist) to 67% (ankle), respectively. CONCLUSIONS: Our algorithms developed on free-living accelerometer data were more accurate in classifying the activity type in free-living older adults than those on our algorithms developed on laboratory accelerometer data. Future studies should consider using free-living accelerometer data to train machine learning algorithms in older adults.
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“Much work has been done on using wearable sensor data features to identify daily functional activities in unsupervised conditions using simple wearable technology [e.g., Ref. (101, 102)].”
From Could Wearable and Mobile Technology Improve the Management of Essential Tremor? (2018) · cites this paper as [102]
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Halloway, S., Dhana, K., Desai, P., Agarwal, P., Holland, T. M., Aggarwal, N. T., Evers, J., Sacks, F. M., Carey, V. J., & Barnes, L. L. (2021) · The Journals of Gerontology Series A · doi:10.1093/gerona/glab106 · Cited by 4
Dedeyne, L., Wullems, J. A., Dupont, J., Tournoy, J., Gielen, E., & Verschueren, S. (2021) · Journal for the Measurement of Physical Behaviour · doi:10.1123/jmpb.2020-0008 · Cited by 4
Vanderlinden, J., Biddle, G. J. H., Boen, F., & van Uffelen, J. G. Z. (2023) · Journal of Activity Sedentary and Sleep Behaviors · doi:10.1186/s44167-023-00019-3 · Cited by 3
Letts, E., King‐Dowling, S., Cristofaro, N. A. D., Tucker, P., Cairney, J., Kobsar, D., Timmons, B. W., & Obeid, J. (2025) · medRxiv · doi:10.1101/2025.04.24.25326266 · Cited by 3
From past to future: a review of methods for assessing physical activity energy expenditure
Zhang, X., Gu, X., Geng, M., Hao, Y., Li, K., Yang, T., & Cai, Y. (2025) · Journal of Health Population and Nutrition · doi:10.1186/s41043-025-01117-5 · Cited by 2
Ordinal Statistical Models of Physical Activity Levels from Accelerometer Data
Hossain, S. S., Lazar, D., & Begum, M. (2021) · International journal of exercise science · doi:10.70252/dmdq6940 · Cited by 2
Huggins, C. J., Clarke, R., Abásolo, D., Gil‐Rey, E., Tobias, J. H., Deere, K. C., & Allison, S. J. (2022) · Sensors · doi:10.3390/s22239176 · Cited by 2
Multivariate Functional Kernel Machine Regression and Sparse Functional Feature Selection
Naiman, J., & Song, P. X. ‐. (2022) · Entropy · doi:10.3390/e24020203 · Cited by 2
Výzkum orientovaný na pohybovou aktivitu: metodologické ukotvení
Cuberek, R. (2019) · doi:10.5507/ftk.19.24455976 · Cited by 2
Sensor-Based Prediction of Physical Activity and its Impacts Using Machine Learning
Chowdhury, A. K. (2018) · Queensland University of Technology · doi:10.5204/thesis.eprints.118664 · Cited by 2
LaMunion, S. R., Hibbing, P. R., & Crouter, S. E. (2025) · JMIR Research Protocols · doi:10.2196/65968 · Cited by 1
Allain, J. E., MacDonald, E. E., Waghorn, J., & O'Brien, M. W. (2026) · Journal for the Measurement of Physical Behaviour · doi:10.1123/jmpb.2026-0018 · Cited by 1
Statistical Learning Methods to Predict Activity Intensity from Body-Worn Accelerometers
Lazar, D., Begum, M., Murshed, M. M., Nelson, B., Bock, J. M., Imboden, M. T., Kaminsky, L. A., & Montoye, A. H. K. (2020) · Journal of Biomedical Analytics · doi:10.30577/jba.v3i1.57 · Cited by 1
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Deep Neural Network for Human Activity Recognition
Khairy, D. (2018) · International Journal of Computer Applications · doi:10.5120/ijca2018916503
Metadata
- Authors
- SASAKI, J. E., HICKEY, A. M., STAUDENMAYER, J. W., JOHN, D., KENT, J. A., & FREEDSON, P. S.
- Affiliations
- Northeastern University (US)
- ORCID
- Venue
- Medicine & Science in Sports & Exercise
- Published
- 2016-05
- Volume
- 48
- Issue
- 5
- Pages
- 941-950
- ISSN
- 0195-9131 (ISSN-L)
- PMC
- PMC4833628
- OpenAlex
- W2200539030
- Cited by
- 112
- References
- 18
- Citations by year
- 2026: 3 · 2025: 5 · 2024: 3 · 2023: 8 · 2022: 7 · 2021: 21 · 2020: 23 · 2019: 13 · 2018: 12 · 2017: 13 · 2016: 3
- FWCI
- 8.11
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Medicine & Science in Sports & Exercise (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Cancer Institute (R01CA121005)
- Topics
- Physical Sciences › Computer Science › Computer Vision and Pattern Recognition › Context-Aware Activity Recognition Systems
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Physical Activity and Health
- Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Balance, Gait, and Falls Prevention
- Keywords
- activity classification, older adults, wearable accelerometers, ActiGraph GT3X+, random forest, support vector machine, sedentary behavior, housework, locomotion, recreational activities, activity monitoring
- MeSH terms
- Activities of Daily Living, Aged, Algorithms, Ankle, Female, Hip, Humans, Male, Wrist, Monitoring, Ambulatory, Support Vector Machine, Accelerometry
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