Learning from machine learning: prediction of age-related athletic performance decline trajectories

Factors that determine individual age-related decline rates in physical performance are poorly understood and prediction poses a challenge. Linear and quadratic regression models are usually applied, but often show high prediction errors for individual athletes. Machine learning approaches may deliver more accurate predictions and help to identify factors that determine performance decline rates. We hypothesized that it is possible to predict the performance development of a master athlete from a single measurement, that prediction by a machine learning approach is superior to prediction by the average decline curve or an individually shifted decline curve, and that athletes with a higher starting performance show a slower performance decline than those with a lower performance. The machine learning approach was implemented using a multilayer neuronal network. Results showed that performance prediction from a single measurement is possible and that the prediction by a machine learning approach was superior to the other models. The estimated performance decline rate was highest in athletes with a high starting performance and a low starting age, as well as in those with a low starting performance and high starting age, while the lowest decline rate was found for athletes with a high starting performance and a high starting age. Machine learning was superior and predicted trajectories with significantly lower prediction errors compared to conventional approaches. New insights into factors determining decline trajectories were identified by visualization of the model outputs. Machine learning models may be useful in revealing unknown factors that determine the age-related performance decline

Automatic Generation of Labeled Data for Video-Based Human Pose Analysis via NLP applied to YouTube Subtitles

With recent advancements in computer vision as well as machine learning (ML), video-based at-home exercise evaluation systems have become a popular topic of current research. However, performance depends heavily on the amount of available training data. Since labeled datasets specific to exercising are rare, we propose a method that makes use of the abundance of fitness videos available online. Specifically, we utilize the advantage that videos often not only show the exercises, but also provide language as an additional source of information. With push-ups as an example, we show that through the analysis of subtitle data using natural language processing (NLP), it is possible to create a labeled (irrelevant, relevant correct, relevant incorrect) dataset containing relevant information for pose analysis. In particular, we show that irrelevant clips ($n=332$) have significantly different joint visibility values compared to relevant clips ($n=298$). Inspecting cluster centroids also show different poses for the different classes.Comment: 4 pages, 5 figure

Quantifying cardiorespiratory thorax movement with motion capture and deconvolution

Unobtrusive sensing is a growing aspect in the field of biomedical engineering. While many modalities exist, a large fraction of methods ultimately relies on the analysis of thoracic movement. To quantify cardiorespiratory induced thorax movement with spatial resolution, an approach using high-performance motion capture, electrocardiography and deconvolution is presented. In three healthy adults, motion amplitudes are estimated that correspond to values reported in the literature. Moreover, two-dimensional mappings are created that exhibit physiological meaningful relationships. Finally, the analysis of waveform data obtained via deconvolution shows plausible pulse transit behavior

Learning from machine learning: prediction of age-related athletic performance decline trajectories

Factors that determine individual age-related decline rates in physical performance are poorly understood and prediction poses a challenge. Linear and quadratic regression models are usually applied, but often show high prediction errors for individual athletes. Machine learning approaches may deliver more accurate predictions and help to identify factors that determine performance decline rates. We hypothesized that it is possible to predict the performance development of a master athlete from a single measurement, that prediction by a machine learning approach is superior to prediction by the average decline curve or an individually shifted decline curve, and that athletes with a higher starting performance show a slower performance decline than those with a lower performance. The machine learning approach was implemented using a multilayer neuronal network. Results showed that performance prediction from a single measurement is possible and that the prediction by a machine learning approach was superior to the other models. The estimated performance decline rate was highest in athletes with a high starting performance and a low starting age, as well as in those with a low starting performance and high starting age, while the lowest decline rate was found for athletes with a high starting performance and a high starting age. Machine learning was superior and predicted trajectories with significantly lower prediction errors compared to conventional approaches. New insights into factors determining decline trajectories were identified by visualization of the model outputs. Machine learning models may be useful in revealing unknown factors that determine the age-related performance decline

Comparison of Electrode Configurations for Impedance Plethysmography Based Heart Rate Estimation at the Forearm

Electrical impedance plethysmography (EIP) is a cost effective and power efficient physiological measurement method that could potentially be applied for measuring pulse waves along limbs in ambulatory conditions. The pulse wave information could be utilized to determine the heart rate or other relevant parameters such as heart rate variability or cardiac rhythm. We compared three electrode configurations for EIP at the forearm, with the focus on assessing its utility in a wearable device. The evaluation included EIP measurements with ten healthy participants using adhesive gel electrodes. The evaluated electrode configurations were tetrapolar configuration along the forearm and tetrapolar and bipolar configurations around the wrist. For each electrode configuration, the measurements were performed in stationery condition and during finger movement. The collected data was evaluated for finding out differences in the signal to noise ratio (SNR) between the configurations during the two conditions. The results show that pulse wave signal with adequate SNR for heart rate estimation is obtained from the wrist area while stationary and mostly also during the presence of mild movement. There was no significant difference in the data quality between wrist area and conventional configuration along the limb.acceptedVersionPeer reviewe

Signal-to-noise ratio is more important than sampling rate in beat-to-beat interval estimation from optical sensors

Photoplethysmographic Imaging (PPGI) allows the determination of pulse rate variability from sequential beat-to-beat intervals (BBI) and pulse wave velocity from spatially resolved recorded pulse waves. In either case, sufficient temporal accuracy is essential. The presented work investigates the temporal accuracy of BBI estimation from photoplethysmographic signals. Within comprehensive numerical simulation, we systematically assess the impact of sampling rate, signal-to-noise ratio (SNR), and beat-to-beat shape variations on the root mean square error (RMSE) between real and estimated BBI. Our results show that at sampling rates beyond 14 Hz only small errors exist when interpolation is used. For example, the average RMSE is 3 ms for a sampling rate of 14 Hz and an SNR of 18 dB. Further increasing the sampling rate only results in marginal improvements, e.g. more than tripling the sampling rate to 50 Hz reduces the error by approx. 14%. The most important finding relates to the SNR, which is shown to have a much stronger influence on the error than the sampling rate. For example, increasing the SNR from 18 dB to 24 dB at 14 Hz sampling rate reduced the error by almost 50% to 1.5 ms. Subtle beat-to-beat shape variations, moreover, increase the error decisively by up to 800%. Our results are highly relevant in three regards: first, they partially explain different results in the literature on minimum sampling rates. Second, they emphasize the importance to consider SNR and possibly shape variation in investigations on the minimal sampling rate. Third, they underline the importance of appropriate processing techniques to increase SNR. Importantly, though our motivation is PPGI, the presented work immediately applies to contact PPG and PPG in other settings such as wearables. To enable further investigations, we make the scripts used in modelling and simulation freely available.Peer reviewe

Accuracy of heart rate variability estimated with reflective wrist-PPG in elderly vascular patients

Optical heart rate monitoring (OHR) with reflective wrist photoplethysmography is a technique mainly used in the wellness application domain for monitoring heart rate levels during exercise. In the absence of motion, OHR technique is also able to estimate individual beat‑to‑beat intervals relatively well and can therefore also be used, for example, in monitoring of cardiac arrhythmias, stress, or sleep quality through heart rate variability (HRV) analysis. HRV analysis has also potential in monitoring the recovery of patients, e.g. after a medical intervention. However, in order to detect subtle changes, the calculated HRV parameters should be sufficiently accurate and very few studies exist that asses the accuracy of OHR derived HRV in non‑healthy subjects. In this paper, we present a method to estimate beat‑to‑beat‑intervals (BBIs) from reflective wrist PPG signal and evaluated the accuracy of the proposed method in estimating BBIs in a cross‑sectional study with 29 hospitalized patients (mean age 70.6 years) in 24‑h recordings performed after peripheral vascular surgery or endovascular interventions. Finally, we evaluate the accuracy of more than 30 commonly used HRV parameters and find that the accuracy of certain metrics, for example SDNN and triangular index, shown in the literature to be associated with the deterioration of the status of the patients during recovery from surgical intervention, could be adequate for patient monitoring. On the other hand, the parameters more affected by the high‑frequency content of the HRV and especially the LF/HF‑ratio should be used with caution

An extensive quantitative analysis of the effects of errors in beat-to-beat intervals on all commonly used HRV parameters

Heart rate variability (HRV) analysis is often used to estimate human health and fitness status. More specifically, a range of parameters that express the variability in beat-to-beat intervals are calculated from electrocardiogram beat detections. Since beat detection may yield erroneous interval data, these errors travel through the processing chain and may result in misleading parameter values that can lead to incorrect conclusions. In this study, we utilized Monte Carlo simulation on real data, Kolmogorov–Smirnov tests and Bland–Altman analysis to carry out extensive analysis of the noise sensitivity of different HRV parameters. The used noise models consider Gaussian and student-t distributed noise. As a result we observed that commonly used HRV parameters (e.g. pNN50 and LF/HF ratio) are especially sensitive to noise and that all parameters show biases to some extent. We conclude that researchers should be careful when reporting different HRV parameters, consider the distributions in addition to mean values, and consider reference data if applicable. The analysis of HRV parameter sensitivity to noise and resulting biases presented in this work generalizes over a wide population and can serve as a reference and thus provide a basis for the decision about which HRV parameters to choose under similar conditions.Peer reviewe

Acceleration of Longitudinal Track and Field Performance Declines in Athletes Who Still Compete at the Age of 100 Years

While physical performance decline rates accelerate after around the age of 70 years, longitudinal athletic performance trends in athletes older than 95 years are unknown. We hypothesized a further accelerated decline in human performance in athletes who still perform at the age of 100 years. To investigate this, longitudinal data of all athletes with results at or over the age of 100 years were collected from the “World Master Rankings” data base spanning 2006–2019 (138 results from 42 athletes; 5 women, 37 men; maximum 105 years) and compared to previously published longitudinal data from 80- to 96-year-old athletes from Sweden (1,134 results from 374 athletes). Regression statistics were used to compare performance decline rates between disciplines and age groups. On average, the individual decline rate of the centenarian group was 2.53 times as steep (100 m: 8.22x; long jump: 0.82x; shot put: 1.61x; discus throw: 1.04x; javelin throw: 0.98x) as that seen in non-centenarians. The steepest increase in decline was found in the 100-m sprint (t-test: p < 0.05, no sign. difference in the other disciplines). The pooled regression statistics of the centenarians are: 100 m: R = 0.57, p = 0.004; long jump: R = 0.90, p < 0.001; shot put: R = 0.65, p < 0.001; discus throw: R = 0.73, p < 0.001; javelin throw: R = 0.68, p < 0.001. This first longitudinal dataset of performance decline rates of athletes who still compete at 100 years and older in five athletics disciplines shows that there is no performance plateau after the age of 90, but rather a further acceleration of the performance decline

Estimating Thoracic Movement with High-Sampling Rate THz Technology

We use a high-sampling rate terahertz (THz) homodyne spectroscopy system to estimate thoracic movement from healthy subjects performing breathing at different frequencies. The THz system provides both the amplitude and phase of the THz wave. From the raw phase information, a motion signal is estimated. An electrocardiogram (ECG) signal is recorded with a polar chest strap to obtain ECG-derived respiration information. While the ECG showed sub-optimal performance for the purpose and only provided usable information for some subjects, the signal derived from the THz system showed good agreement with the measurement protocol. Over all the subjects, a root mean square estimation error of 1.40 BPM is obtained