标题:An Internet of Things infrastructure for gait characterization in assisted living environments and its application in the discovery of associations between frailty and cognition
期刊名称:International Journal of Distributed Sensor Networks
印刷版ISSN:1550-1329
电子版ISSN:1550-1477
出版年度:2019
卷号:15
期号:10
页码:1
DOI:10.1177/1550147719883544
出版社:Hindawi Publishing Corporation
摘要: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.
关键词:Gait characterization; frailty; cognitive impairment; Internet of Things; Mini-Mental State Examination; multiple logistic regression
其他关键词:Gait characterization ; frailty ; cognitive impairment ; Internet of Things ; Mini-Mental State Examination ; multiple logistic regression