Assessing Sarcopenia-Prone Risk Through Daily Activity of Gait With AI-Powered Wearable IoT Sensors

Abstract

Sarcopenia is a progressive condition characterized by age-related losses in muscle mass and strength, and irreversible in its advanced stages. While sarcopenia negatively impacts daily living, accurately, quickly and economically assessing its effects can be challenging due to individual variability in activity levels. This study introduced a novel approach for assessing the risk of sarcopenia-prone using machine learning and wearable Internet of Things (IoT) sensors. A total of 53 community-dwelling older adults aged 65+ underwent gait analysis using dual sensors. Nineteen gait features were extracted from each cycle and used to train classification algorithms to categorize participants as healthy, risk level 1, risk level 2, or risk level 3 for sarcopenia. Binary classification of healthy versus sarcopenic-prone achieved 97.41% accuracy on average, while four-class classification averaged 94.67%. Notably, the research discovered worsening gait symmetry with increasing sarcopenia-prone severity. These results indicate IoT sensor-assessed gait may serve as a sensitive indicator for daily sarcopenia-prone screening. Accurate assessment of sarcopenia-prone individuals can be achieved through only a 4-m walking test, significantly reducing the burden for older adults. This approach offers a cost-effective, convenient, and accurate method for early sarcopenia risk detection and intervention, potentially improving quality of life for older adults. This system could also aid in creating widely applicable monitoring products for assessing sarcopenia risk, supporting IoT, and thereby enabling early identification and intervention for individuals at risk of this condition.