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Liu M, Kang N, Zhang Y, Wen E, Mei D, Hu Y, Chen G, Wang D. Influence of motor capacity of the lower extremity and mobility performance on foot plantar pressures in community-dwelling older women. Heliyon 2024; 10:e28114. [PMID: 38560666 PMCID: PMC10979215 DOI: 10.1016/j.heliyon.2024.e28114] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/20/2023] [Revised: 03/12/2024] [Accepted: 03/12/2024] [Indexed: 04/04/2024] Open
Abstract
Objectives To investigate the associations of motor capacity of the lower extremity and mobility performance in daily physical activities with peak foot plantar pressures during walking among older women. Methods Using the data collected among 58 community-dwelling older women (68.66 ± 3.85 years), Pearson correlation and multiple linear regression analyses were performed to analyze the associations of motor capacity of the lower extremity (the 30-s chair stand test, the timed one-leg stance with eyes closed, and the Fugl-Meyer assessment of lower extremity), mobility performance in daily physical activities (the average minutes of moderate to vigorous physical activity every day and the metabolic equivalents), and foot plantar pressures (peak force and peak pressure) with the age and body fat percentage as covariates. Results (1) The motor capacity of the lower extremity has higher explanatory power for peak foot plantar pressures compared with the mobility performance in daily physical activities. (2) Higher body fat percentage was positively associated with peak force and pressure, while a lower score on the Fugl-Meyer assessment of lower extremity was negatively associated with both of them. (3) The metabolic equivalents were positively associated with the peak force, while the 30-s chair stand test was negatively associated with it. Conclusions Mobility performance in daily physical activities can be significant predictors for peak foot plantar pressures among older women. The significant predictor variables include the Fugl-Meyer assessment of lower extremity, the 30-s chair stand test, and metabolic equivalents.
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Affiliation(s)
- Min Liu
- Institute of Population Research, Peking University, Beijing, 100871, China
| | - Ning Kang
- Institute of Population Research, Peking University, Beijing, 100871, China
| | - Yalu Zhang
- School of Social Welfare, Stony Brook University, New York, 11794, United States
| | - Erya Wen
- Department of Physical Education, Peking University, Beijing, 100871, China
| | - Donghui Mei
- Institute of Population Research, Peking University, Beijing, 100871, China
| | - Yizhe Hu
- Department of Physical Education, Peking University, Beijing, 100871, China
| | - Gong Chen
- Institute of Population Research, Peking University, Beijing, 100871, China
| | - Dongmin Wang
- Department of Physical Education, Peking University, Beijing, 100871, China
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Biró A, Cuesta-Vargas AI, Szilágyi L. AI-Assisted Fatigue and Stamina Control for Performance Sports on IMU-Generated Multivariate Times Series Datasets. SENSORS (BASEL, SWITZERLAND) 2023; 24:132. [PMID: 38202992 PMCID: PMC10781393 DOI: 10.3390/s24010132] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/25/2023] [Revised: 12/21/2023] [Accepted: 12/23/2023] [Indexed: 01/12/2024]
Abstract
BACKGROUND Optimal sports performance requires a balance between intensive training and adequate rest. IMUs provide objective, quantifiable data to analyze performance dynamics, despite the challenges in quantifying athlete training loads. The ability of AI to analyze complex datasets brings innovation to the monitoring and optimization of athlete training cycles. Traditional techniques rely on subjective assessments to prevent overtraining, which can lead to injury and underperformance. IMUs provide objective, quantitative data on athletes' physical status during action. AI and machine learning can turn these data into useful insights, enabling data-driven athlete performance management. With IMU-generated multivariate time series data, this paper uses AI to construct a robust model for predicting fatigue and stamina. MATERIALS AND METHODS IMUs linked to 19 athletes recorded triaxial acceleration, angular velocity, and magnetic orientation throughout repeated sessions. Standardized training included steady-pace runs and fatigue-inducing techniques. The raw time series data were used to train a supervised ML model based on frequency and time-domain characteristics. The performances of Random Forest, Gradient Boosting Machines, and LSTM networks were compared. A feedback loop adjusted the model in real time based on prediction error and bias estimation. RESULTS The AI model demonstrated high predictive accuracy for fatigue, showing significant correlations between predicted fatigue levels and observed declines in performance. Stamina predictions enabled individualized training adjustments that were in sync with athletes' physiological thresholds. Bias correction mechanisms proved effective in minimizing systematic prediction errors. Moreover, real-time adaptations of the model led to enhanced training periodization strategies, reducing the risk of overtraining and improving overall athletic performance. CONCLUSIONS In sports performance analytics, the AI-assisted model using IMU multivariate time series data is effective. Training can be tailored and constantly altered because the model accurately predicts fatigue and stamina. AI models can effectively forecast the beginning of weariness before any physical symptoms appear. This allows for timely interventions to prevent overtraining and potential accidents. The model shows an exceptional ability to customize training programs according to the physiological reactions of each athlete and enhance the overall training effectiveness. In addition, the study demonstrated the model's efficacy in real-time monitoring performance, improving the decision-making abilities of both coaches and athletes. The approach enables ongoing and thorough data analysis, supporting strategic planning for training and competition, resulting in optimized performance outcomes. These findings highlight the revolutionary capability of AI in sports science, offering a future where data-driven methods greatly enhance athlete training and performance management.
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Affiliation(s)
- Attila Biró
- Department of Physiotherapy, University of Malaga, 29071 Malaga, Spain;
- Department of Electrical Engineering and Information Technology, George Emil Palade University of Medicine, Pharmacy, Science, and Technology of Targu Mures, Str. Nicolae Iorga, Nr. 1, 540088 Targu Mures, Romania
- Biomedical Research Institute of Malaga (IBIMA), 29590 Malaga, Spain
| | - Antonio Ignacio Cuesta-Vargas
- Department of Physiotherapy, University of Malaga, 29071 Malaga, Spain;
- Biomedical Research Institute of Malaga (IBIMA), 29590 Malaga, Spain
- Faculty of Health Science, School of Clinical Science, Queensland University Technology, Brisbane 4000, Australia
| | - László Szilágyi
- Physiological Controls Research Center, Óbuda University, 1034 Budapest, Hungary;
- Computational Intelligence Research Group, Sapientia Hungarian University of Transylvania, 540485 Targu Mures, Romania
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Cuesta-Vargas AI, Biró A, Escriche-Escuder A, Trinidad-Fernández M, García-Conejo C, Roldán Jiménez CR, Tang W, Salvatore A, Nikolova B, Muro-Culebras A, Martín-Martín J, González-Sánchez M, Ruiz-Muñoz M, Mayoral F. Effectiveness of a gamified digital intervention based on lifestyle modification (iGAME) in secondary prevention: a protocol for a randomised controlled trial. BMJ Open 2023; 13:e066669. [PMID: 37316318 DOI: 10.1136/bmjopen-2022-066669] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 06/16/2023] Open
Abstract
INTRODUCTION Combating physical inactivity and reducing sitting time are one of the principal challenges proposed by public health systems. Gamification has been seen as an innovative, functional and motivating strategy to encourage patients to increase their physical activity (PA) and reduce sedentary lifestyles through behaviour change techniques (BCT). However, the effectiveness of these interventions is not usually studied before their use. The main objective of this study will be to analyse the effectiveness of a gamified mobile application (iGAME) developed in the context of promoting PA and reducing sitting time with the BCT approach, as an intervention of secondary prevention in sedentary patients. METHODS AND ANALYSIS A randomised clinical trial will be conducted among sedentary patients with one of these conditions: non-specific low back pain, cancer survivors and mild depression. The experimental group will receive a 12-week intervention based on a gamified mobile health application using BCT to promote PA and reduce sedentarism. Participants in the control group will be educated about the benefits of PA. The International Physical Activity Questionnaire will be considered the primary outcome. International Sedentary Assessment Tool, EuroQoL-5D, MEDRISK Instruments and consumption of Health System resources will be evaluated as secondary outcomes. Specific questionnaires will be administered depending on the clinical population. Outcomes will be assessed at baseline, at 6 weeks, at the end of the intervention (12 weeks), at 26 weeks and at 52 weeks. ETHICS AND DISSEMINATION The study has been approved by the Portal de Ética de la Investigación Biomédica de Andalucía Ethics Committee (RCT-iGAME 24092020). All participants will be informed about the purpose and content of the study and written informed consent will be completed. The results of this study will be published in a peer-reviewed journal and disseminated electronically and in print. TRIAL REGISTRATION NUMBER NCT04019119.
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Affiliation(s)
- Antonio I Cuesta-Vargas
- Departamento de Fisioterapia, Universidad de Malaga, Andalucia Tech, Malaga, España
- Instituto de Investigacion Biomédica de Málaga (IBIMA), Malaga, España
| | - Attila Biró
- Departamento de Fisioterapia, Universidad de Malaga, Andalucia Tech, Malaga, España
- Instituto de Investigacion Biomédica de Málaga (IBIMA), Malaga, España
- ITware, Budapest, Hungary
- Department of Electrical Engineering and Information Technology, George Emil Palade University of Medicine, Pharmacy, Science, and Technology of Targu Mures, Targu Mures, Romania
| | - Adrian Escriche-Escuder
- Departamento de Fisioterapia, Universidad de Malaga, Andalucia Tech, Malaga, España
- Instituto de Investigacion Biomédica de Málaga (IBIMA), Malaga, España
| | - Manuel Trinidad-Fernández
- Departamento de Fisioterapia, Universidad de Malaga, Andalucia Tech, Malaga, España
- Instituto de Investigacion Biomédica de Málaga (IBIMA), Malaga, España
| | - Celia García-Conejo
- Departamento de Fisioterapia, Universidad de Malaga, Andalucia Tech, Malaga, España
- Instituto de Investigacion Biomédica de Málaga (IBIMA), Malaga, España
| | - Cristina Roldán Roldán Jiménez
- Departamento de Fisioterapia, Universidad de Malaga, Andalucia Tech, Malaga, España
- Instituto de Investigacion Biomédica de Málaga (IBIMA), Malaga, España
| | - Wen Tang
- Bournemouth University, Poole, UK
| | | | | | - Antonio Muro-Culebras
- Departamento de Fisioterapia, Universidad de Malaga, Andalucia Tech, Malaga, España
- Instituto de Investigacion Biomédica de Málaga (IBIMA), Malaga, España
| | - Jaime Martín-Martín
- Instituto de Investigacion Biomédica de Málaga (IBIMA), Malaga, España
- Departamento de Medicina Legal, Universidad de Malaga, Málaga, España
| | | | - María Ruiz-Muñoz
- Departamento de Enfermeria, Universidad de Malaga, Malaga, España
| | - Fermin Mayoral
- Instituto de Investigacion Biomédica de Málaga (IBIMA), Malaga, España
- Salud Mental, Hospital Regional Universitario de Malaga, Malaga, Spain
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Biró A, Szilágyi SM, Szilágyi L, Martín-Martín J, Cuesta-Vargas AI. Machine Learning on Prediction of Relative Physical Activity Intensity Using Medical Radar Sensor and 3D Accelerometer. SENSORS (BASEL, SWITZERLAND) 2023; 23:3595. [PMID: 37050655 PMCID: PMC10099263 DOI: 10.3390/s23073595] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 02/10/2023] [Revised: 03/17/2023] [Accepted: 03/27/2023] [Indexed: 06/19/2023]
Abstract
BACKGROUND One of the most critical topics in sports safety today is the reduction in injury risks through controlled fatigue using non-invasive athlete monitoring. Due to the risk of injuries, it is prohibited to use accelerometer-based smart trackers, activity measurement bracelets, and smart watches for recording health parameters during performance sports activities. This study analyzes the synergy feasibility of medical radar sensors and tri-axial acceleration sensor data to predict physical activity key performance indexes in performance sports by using machine learning (ML). The novelty of this method is that it uses a 24 GHz Doppler radar sensor to detect vital signs such as the heartbeat and breathing without touching the person and to predict the intensity of physical activity, combined with the acceleration data from 3D accelerometers. METHODS This study is based on the data collected from professional athletes and freely available datasets created for research purposes. A combination of sensor data management was used: a medical radar sensor with no-contact remote sensing to measure the heart rate (HR) and 3D acceleration to measure the velocity of the activity. Various advanced ML methods and models were employed on the top of sensors to analyze the vital parameters and predict the health activity key performance indexes. three-axial acceleration, heart rate data, age, as well as activity level variances. RESULTS The ML models recognized the physical activity intensity and estimated the energy expenditure on a realistic level. Leave-one-out (LOO) cross-validation (CV), as well as out-of-sample testing (OST) methods, have been used to evaluate the level of accuracy in activity intensity prediction. The energy expenditure prediction with three-axial accelerometer sensors by using linear regression provided 97-99% accuracy on selected sports (cycling, running, and soccer). The ML-based RPE results using medical radar sensors on a time-series heart rate (HR) dataset varied between 90 and 96% accuracy. The expected level of accuracy was examined with different models. The average accuracy for all the models (RPE and METs) and setups was higher than 90%. CONCLUSIONS The ML models that classify the rating of the perceived exertion and the metabolic equivalent of tasks perform consistently.
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Affiliation(s)
- Attila Biró
- Department of Physiotherapy, University of Malaga, 29071 Malaga, Spain; (A.B.)
- Department of Electrical Engineering and Information Technology, George Emil Palade University of Medicine, Pharmacy, Science, and Technology of Targu Mures, Str. Nicolae Iorga, Nr. 1, 540088 Targu Mures, Romania
- Biomedical Research Institute of Malaga (IBIMA), 29590 Malaga, Spain
| | - Sándor Miklós Szilágyi
- Department of Electrical Engineering and Information Technology, George Emil Palade University of Medicine, Pharmacy, Science, and Technology of Targu Mures, Str. Nicolae Iorga, Nr. 1, 540088 Targu Mures, Romania
| | - László Szilágyi
- Computational Intelligence Research Group, Sapientia Hungarian University of Transylvania, 540485 Targu Mures, Romania
- Physiological Controls Research Center, Óbuda University, 1034 Budapest, Hungary
| | - Jaime Martín-Martín
- Biomedical Research Institute of Malaga (IBIMA), 29590 Malaga, Spain
- Legal and Forensic Medicine Area, Department of Human Anatomy, Legal Medicine and History of Science, Faculty of Medicine, University of Malaga, 29071 Malaga, Spain
| | - Antonio Ignacio Cuesta-Vargas
- Department of Physiotherapy, University of Malaga, 29071 Malaga, Spain; (A.B.)
- Biomedical Research Institute of Malaga (IBIMA), 29590 Malaga, Spain
- Faculty of Health Science, School of Clinical Science, Queensland University Technology, Brisbane 4000, Australia
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