An Internet of Things infrastructure for gait characterization in assisted living environments and its application in the discovery of associations between frailty and cognition

This article presents an easy-to-deploy and low-cost Internet of Things infrastructure for gait characterization based on a set of wireless inertial sensors, called nodes, connected to the same local area network. These nodes allow acquiring inertial raw data from the trunk of each frail elder invol...

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Main Authors: Iván González, Fco Javier Navarro, Jesús Fontecha, Luis Cabañero-Gómez, Ramón Hervás
Format: Article
Language:English
Published: Wiley 2019-10-01
Series:International Journal of Distributed Sensor Networks
Online Access:https://doi.org/10.1177/1550147719883544
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author Iván González
Fco Javier Navarro
Jesús Fontecha
Luis Cabañero-Gómez
Ramón Hervás
author_facet Iván González
Fco Javier Navarro
Jesús Fontecha
Luis Cabañero-Gómez
Ramón Hervás
author_sort Iván González
collection DOAJ
description This article presents an easy-to-deploy and low-cost Internet of Things infrastructure for gait characterization based on a set of wireless inertial sensors, called nodes, connected to the same local area network. These nodes allow acquiring inertial raw data from the trunk of each frail elder involved in explicit gait trials carried out directly in the elderly care homes. The Internet of Things infrastructure has been validated for Quantitative Gait Analysis showing an adequate accuracy in the demarcation of relevant gait events and in the estimation of stride interval variability. The latter, in combination with other characteristics that are commonly used to assess the state of frail elders and which come from anthropometric, biological, nutritional, functional, and mobility domains, allows us to perform a cross-sectional cohort study and a subsequent multiple logistic regression to evaluate their impact on cognitive functioning. The cohort study and the multivariate regression are performed using a sample of 81 frail elders from two nursing homes in Spain. The results obtained indicate that frail elders aged 90 years or older, with moderate dependence in daily functioning and with a stride interval gait variability greater than 6%, were most likely to suffer cognitive impairment, representing what is called cognitive frail.
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spelling doaj-art-b4a203d64c4b4b3e952220dd59be8c1f2025-08-20T02:23:28ZengWileyInternational Journal of Distributed Sensor Networks1550-14772019-10-011510.1177/1550147719883544An Internet of Things infrastructure for gait characterization in assisted living environments and its application in the discovery of associations between frailty and cognitionIván González0Fco Javier Navarro1Jesús Fontecha2Luis Cabañero-Gómez3Ramón Hervás4MAmI Research Lab, University of Castilla-La Mancha, Ciudad Real, SpainHealth Service of Castilla-La Mancha, Geriatric Services, Residencia Asistida de Ancianos, Ciudad Real, SpainMAmI Research Lab, University of Castilla-La Mancha, Ciudad Real, SpainMAmI Research Lab, University of Castilla-La Mancha, Ciudad Real, SpainMAmI Research Lab, University of Castilla-La Mancha, Ciudad Real, SpainThis article presents an easy-to-deploy and low-cost Internet of Things infrastructure for gait characterization based on a set of wireless inertial sensors, called nodes, connected to the same local area network. These nodes allow acquiring inertial raw data from the trunk of each frail elder involved in explicit gait trials carried out directly in the elderly care homes. The Internet of Things infrastructure has been validated for Quantitative Gait Analysis showing an adequate accuracy in the demarcation of relevant gait events and in the estimation of stride interval variability. The latter, in combination with other characteristics that are commonly used to assess the state of frail elders and which come from anthropometric, biological, nutritional, functional, and mobility domains, allows us to perform a cross-sectional cohort study and a subsequent multiple logistic regression to evaluate their impact on cognitive functioning. The cohort study and the multivariate regression are performed using a sample of 81 frail elders from two nursing homes in Spain. The results obtained indicate that frail elders aged 90 years or older, with moderate dependence in daily functioning and with a stride interval gait variability greater than 6%, were most likely to suffer cognitive impairment, representing what is called cognitive frail.https://doi.org/10.1177/1550147719883544
spellingShingle Iván González
Fco Javier Navarro
Jesús Fontecha
Luis Cabañero-Gómez
Ramón Hervás
An Internet of Things infrastructure for gait characterization in assisted living environments and its application in the discovery of associations between frailty and cognition
International Journal of Distributed Sensor Networks
title An Internet of Things infrastructure for gait characterization in assisted living environments and its application in the discovery of associations between frailty and cognition
title_full An Internet of Things infrastructure for gait characterization in assisted living environments and its application in the discovery of associations between frailty and cognition
title_fullStr An Internet of Things infrastructure for gait characterization in assisted living environments and its application in the discovery of associations between frailty and cognition
title_full_unstemmed An Internet of Things infrastructure for gait characterization in assisted living environments and its application in the discovery of associations between frailty and cognition
title_short An Internet of Things infrastructure for gait characterization in assisted living environments and its application in the discovery of associations between frailty and cognition
title_sort internet of things infrastructure for gait characterization in assisted living environments and its application in the discovery of associations between frailty and cognition
url https://doi.org/10.1177/1550147719883544
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