An Open-Source, Open Data Approach to Activity Classification from Triaxial Accelerometry in an Ambulatory Setting.

The accelerometer has become an almost ubiquitous device, providing enormous opportunities in healthcare monitoring beyond step counting or other average energy estimates in 15-60 second epochs. Ob jective: To develop an open data set with associated open-source code for processing 50 Hz tri-axial accelerometry-based to classify patient activity levels and natural types of movement. Approach: Data were collected from 23 healthy subjects (16 males and seven females) aged between 23 and 62 years using an ambulatory device, which included a triaxial accelerometer and synchronous lead II equivalent ECG for an average of 26 minutes each. Participants followed a standardized activity routine involving five distinct activities: lying, sitting, standing, walking, and jogging. Two classifiers were constructed: a signal processing technique to distinguish between high and low activity levels and a convolutional neural network (CNN)-based approach to classify each of the five activities. Main results: The binary (high/low) activity classifier exhibited an F1 score of 0.79. The multi-class CNN-based classifier provided an F1 score of 0.83. The code for this analysis has been made available under an open-source license together with the data on which the classifiers were trained and tested. Significance: The classification of behavioral activity, as demonstrated in this study, offers valuable context for interpreting traditional health metrics and may provide contextual information to support the future development of clinical decisionmaking tools for patient monitoring, predictive analytics, and personalized health interventions.