Evidence map›Paper›PMID 38302872›Full record

ArticleBMC geriatrics2024

Identifying sensors-based parameters associated with fall risk in community-dwelling older adults: an investigation and interpretation of discriminatory parameters.

Xuan Wang, Junjie Cao, Qizheng Zhao, Manting Chen, Jiajia Luo, Hailiang Wang, Lisha Yu, Kwok-Leung Tsui, Yang Zhao

Open access · goldAbstract read
In one paragraph

Article in BMC geriatrics, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
16.0field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 14 citations in OpenAlex.

  1. Pooled it
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  6. Observational
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 4 institutions in 3 countries.

Xuan Wang *Intelligent Sensing and Proactive Health Research Center, School of Public Health (Shenzhen), Sun Yat-sen University, Shenzhen, China.
Junjie Cao *Intelligent Sensing and Proactive Health Research Center, School of Public Health (Shenzhen), Sun Yat-sen University, Shenzhen, China.
Qizheng ZhaoIntelligent Sensing and Proactive Health Research Center, School of Public Health (Shenzhen), Sun Yat-sen University, Shenzhen, China.
Manting ChenIntelligent Sensing and Proactive Health Research Center, School of Public Health (Shenzhen), Sun Yat-sen University, Shenzhen, China.
Jiajia Luo *Intelligent Sensing and Proactive Health Research Center, School of Public Health (Shenzhen), Sun Yat-sen University, Shenzhen, China.
Hailiang WangSchool of Design, the Hong Kong Polytechnic University, Hung Hom, Hong Kong.
Lisha YuSchool of Design, the Hong Kong Polytechnic University, Hung Hom, Hong Kong.
Kwok-Leung TsuiGrado Department of Industrial and Systems Engineering, Virginia Polytechnic Institute and State University, Blacksburg, VA, USA.
Yang ZhaoIntelligent Sensing and Proactive Health Research Center, School of Public Health (Shenzhen), Sun Yat-sen University, Shenzhen, China. zhaoy393@mail.sysu.edu.cn.
Sun Yat-sen University · CNHong Kong Polytechnic University · HKShenzhen University Health Science Center · CNVirginia Tech · US

Funding

Departmental Supporting Fund at the Hong Kong Polytechnic University P0038546Shen-Zhen-Hong Kong-Macao Science and Technology Project Fund SGDX20210823103403028Start-up Fund for RAPs under the Strategic Hiring Scheme at the Hong Kong Polytechnic University P0036146
6 · The paper itself

Abstract

backgroundFalls pose a severe threat to the health of older adults worldwide. Determining gait and kinematic parameters that are related to an increased risk of falls is essential for developing effective intervention and fall prevention strategies. This study aimed to investigate the discriminatory parameter, which lay an important basis for developing effective clinical screening tools for identifying high-fall-risk older adults.

methodsForty-one individuals aged 65 years and above living in the community participated in this study. The older adults were classified as high-fall-risk and low-fall-risk individuals based on their BBS scores. The participants wore an inertial measurement unit (IMU) while conducting the Timed Up and Go (TUG) test. Simultaneously, a depth camera acquired images of the participants' movements during the experiment. After segmenting the data according to subtasks, 142 parameters were extracted from the sensor-based data. A t-test or Mann-Whitney U test was performed on the parameters for distinguishing older adults at high risk of falling. The logistic regression was used to further quantify the role of different parameters in identifying high-fall-risk individuals. Furthermore, we conducted an ablation experiment to explore the complementary information offered by the two sensors.

resultsFifteen participants were defined as high-fall-risk individuals, while twenty-six were defined as low-fall-risk individuals. 17 parameters were tested for significance with p-values less than 0.05. Some of these parameters, such as the usage of walking assistance, maximum angular velocity around the yaw axis during turn-to-sit, and step length, exhibit the greatest discriminatory abilities in identifying high-fall-risk individuals. Additionally, combining features from both devices for fall risk assessment resulted in a higher AUC of 0.882 compared to using each device separately.

conclusionsUtilizing different types of sensors can offer more comprehensive information. Interpreting parameters to physiology provides deeper insights into the identification of high-fall-risk individuals. High-fall-risk individuals typically exhibited a cautious gait, such as larger step width and shorter step length during walking. Besides, we identified some abnormal gait patterns of high-fall-risk individuals compared to low-fall-risk individuals, such as less knee flexion and a tendency to tilt the pelvis forward during turning.

Indexed as

Independent LivingPostural BalanceAccidental FallsAgedGaitHumansRisk AssessmentWalkingDepth cameraFall riskInertial measurement unitOlder adultsTimed up and go test

Identifiers

PMID38302872
PMCPMC10836006
OpenAlexW4391428667

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.