Estimation of Functional Fitness of Korean Older Adults Using Machine Learning Techniques: The National Fitness Award 2015-2019.

Measuring functional fitness (FF) to track the decline in physical abilities is important in order to maintain a healthy life in old age. This paper aims to develop an estimation model of FF variables, which represents strength, flexibility, and aerobic endurance, using easy-to-measure physical parameters for Korean older adults aged over 65 years old. The estimation models were developed using various machine learning techniques and were trained with the National Fitness Award datasets from 2015 to 2019 compiled by the Korea Sports Promotion Foundation. The machine-learning-based nonlinear regression models were employed to improve the performance of the previous linear regression models. To derive the optimal estimation model that showed the best estimation accuracy, we developed five different machine-learning-based estimation models and compares the estimation accuracy not only among the machine learning models, but also with the previous linear regression model. The coefficient of determination of the FF variables was used to compare the performance of each model; the mean absolute percentage error (MAPE) and standard error of estimation (SEE) were used to evaluate the model performance. The deep neural network (DNN) model presented the best performance among the regression models for the estimation of all of the FF variables. The coefficient of determination in the HGS test was 0.784, while those of the others were less than 0.5 meaning that the HGS of older adults can be reliably estimated using easy-to-measure independent variables.