Through the quantification of physical activity energy expenditure (PAEE), health care monitoring has the potential to stimulate vital and healthy ageing, inducing behavioural changes in older... Show moreThrough the quantification of physical activity energy expenditure (PAEE), health care monitoring has the potential to stimulate vital and healthy ageing, inducing behavioural changes in older people and linking these to personal health gains. To be able to measure PAEE in a health care perspective, methods from wearable accelerometers have been developed, however, mainly targeted towards younger people. Since elderly subjects differ in energy requirements and range of physical activities, the current models may not be suitable for estimating PAEE among the elderly. Furthermore, currently available methods seem to be either simple but non-generalizable or require elaborate (manual) feature construction steps. Because past activities influence present PAEE, we propose a modeling approach known for its ability to model sequential data, the recurrent neural network (RNN). To train the RNN for an elderly population, we used the growing old together validation (GOTOV) dataset with 34 healthy participants of 60 years and older (mean 65 years old), performing 16 different activities. We used accelerometers placed on wrist and ankle, and measurements of energy counts by means of indirect calorimetry. After optimization, we propose an architecture consisting of an RNN with 3 GRU layers and a feedforward network combining both accelerometer and participant-level data. Our efforts included switching mean to standard deviation for down-sampling the input data and combining temporal and static data (person-specific details such as age, weight, BMI). The resulting architecture produces accurate PAEE estimations while decreasing training input and time by a factor of 10. Subsequently, compared to the state-of-the-art, it is capable to integrate longer activity data which lead to more accurate estimations of low intensity activities EE. It can thus be employed to investigate associations of PAEE with vitality parameters of older people related to metabolic and cognitive health and mental well-being. Show less
Paraschiakos, S.; Cachucho, R.; Moed, M.; Heemst, D. van; Mooijaart, S.; Slagboom, E.P.; ... ; Beekman, M. 2020
A population group that is often overlooked in the recent revolution of self-tracking is the group of older people. This growing proportion of the general population is often faced with increasing... Show moreA population group that is often overlooked in the recent revolution of self-tracking is the group of older people. This growing proportion of the general population is often faced with increasing health issues and discomfort. In order to come up with lifestyle advice towards the elderly, we need the ability to quantify their lifestyle, before and after an intervention. This research focuses on the task of activity recognition (AR) from accelerometer data. With that aim, we collect a substantial labelled dataset of older individuals wearing multiple devices simultaneously and performing a strict protocol of 16 activities (the GOTOV dataset, 𝑁=28). Using this dataset, we trained Random Forest AR models, under varying sensor set-ups and levels of activity description granularity. The model that combines ankle and wrist accelerometers (GENEActiv) produced the best results (accuracy >80%) for 16-class classification. At the same time, when additional physiological information is used, the accuracy increased (>85%). To further investigate the role of granularity in our predictions, we developed the LARA algorithm, which uses a hierarchical ontology that captures prior biological knowledge to increase or decrease the level of activity granularity (merge classes). As a result, a 12-class model in which the different paces of walking were merged showed a performance above 93%. Testing this 12-class model in labelled free-living pilot data, the mean balanced accuracy appeared to be reasonably high, while using the LARA algorithm, we show that a 7-class model (lying down, sitting, standing, household, walking, cycling, jumping) was optimal for accuracy and granularity. Finally, we demonstrate the use of the latter model in unlabelled free-living data from a larger lifestyle intervention study. In this paper, we make the validation data as well as the derived prediction models available to the community. Show less
