Evidence map›Paper›PMID 39792357›Full record

ArticleJournal of occupational health2025

Application of machine learning for detecting high fall risk in middle-aged workers using video-based analysis of the first 3 steps.

Naoki Sakane, Ken Yamauchi, Ippei Kutsuna, Akiko Suganuma, Masayuki Domichi, Kei Hirano, Kengo Wada, Masashi Ishimaru, Mitsuharu Hosokawa, Yosuke Izawa and 2 more

Abstract read
In one paragraph

Article in Journal of occupational health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
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

4 citing papers in PubMed.

  1. Review
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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

12 authors.

Naoki SakaneDivision of Preventive Medicine, Clinical Research Institute, National Hospital Organization Kyoto Medical Center, 1-1 Mukaihata-cho, Fukakusa, Fushimi-ku, Kyoto 612-8555, Japan.ORCID 0000-0002-2625-571X
Ken YamauchiInstitute of Physical Education, Keio University, 4-1-1 Hiyoshi, Kohoku-ku, Yokohama, Kanagawa 223-8521, Japan.
Ippei KutsunaDivision of Preventive Medicine, Clinical Research Institute, National Hospital Organization Kyoto Medical Center, 1-1 Mukaihata-cho, Fukakusa, Fushimi-ku, Kyoto 612-8555, Japan.
Akiko SuganumaDivision of Preventive Medicine, Clinical Research Institute, National Hospital Organization Kyoto Medical Center, 1-1 Mukaihata-cho, Fukakusa, Fushimi-ku, Kyoto 612-8555, Japan.
Masayuki DomichiDivision of Preventive Medicine, Clinical Research Institute, National Hospital Organization Kyoto Medical Center, 1-1 Mukaihata-cho, Fukakusa, Fushimi-ku, Kyoto 612-8555, Japan.
Kei HiranoDepartment of Electric Works Company/Engineering Division, Panasonic Corporation,1006, Kadoma, Kadoma City, Osaka 571-8501, Japan.
Kengo WadaDepartment of Electric Works Company/Engineering Division, Panasonic Corporation,1006, Kadoma, Kadoma City, Osaka 571-8501, Japan.
Masashi IshimaruDepartment of Electric Works Company/Engineering Division, Panasonic Corporation,1006, Kadoma, Kadoma City, Osaka 571-8501, Japan.
Mitsuharu HosokawaDepartment of Electric Works Company/Engineering Division, Panasonic Corporation,1006, Kadoma, Kadoma City, Osaka 571-8501, Japan.
Yosuke IzawaDepartment of Electric Works Company/Engineering Division, Panasonic Corporation,1006, Kadoma, Kadoma City, Osaka 571-8501, Japan.
Yoshihiro MatsumuraDepartment of Electric Works Company/Engineering Division, Panasonic Corporation,1006, Kadoma, Kadoma City, Osaka 571-8501, Japan.
Junichi HozumiDepartment of Electric Works Company/Engineering Division, Panasonic Corporation,1006, Kadoma, Kadoma City, Osaka 571-8501, Japan.

Funding

Panasonic Corporation
6 · The paper itself

Abstract

objectivesFalls are among the most prevalent workplace accidents, necessitating thorough screening for susceptibility to falls and customization of individualized fall prevention programs. The aim of this study was to develop and validate a high fall risk prediction model using machine learning (ML) and video-based first 3 steps in middle-aged workers.

methodsParticipants to provide training data (n = 190, mean [SD] age = 54.5 [7.7] years, 48.9% male) and validation data (n = 28, age = 52.3 [6.0] years, 53.6% male) were enrolled in this study. Pose estimation was performed using a marker-free deep pose estimation method called MediaPipe Pose. The first 3 steps, including the movements of the arms, legs, trunk, and pelvis, were recorded using an RGB camera, and the gait features were identified. Using these gait features and fall histories, a stratified k-fold cross-validation method was used to ensure balanced training and test data, and the area under the curve (AUC) and 95% CI were calculated.

resultsOf 77 gait features in the first 3 steps, we found 3 gait features in men with an AUC of 0.909 (95% CI, 0.879-0.939) for fall risk, indicating an "excellent" (0.9-1.0) classification, whereas we determined 5 gait features in women with an AUC of 0.670 (95% CI, 0.621-0.719), indicating a "sufficient" (0.6-0.7) classification.

conclusionsThese findings suggest that fall risk prediction can be developed based on ML and the first 3 steps in men; however, the accuracy was only "sufficient" in women. Further development of the formula for women is required to improve its accuracy in the middle-aged working population.

Indexed as

Accidental FallsAccidents, OccupationalMachine LearningAdultFemaleGaitHumansMaleMiddle AgedRisk AssessmentRisk FactorsVideo Recordingaccidental fallsfallsgait analysismachine learningmiddle agerisk assessmentworkplace

Identifiers

PMID39792357
PMCPMC11848130

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.