This study aimed to identify the optimal features of gait parameters to predict the fall risk level in older adults. The study included 746 older adults (age: 63–89 years). Gait tests (20 m walkway) included speed modification (slower, preferred, and faster-walking) while wearing the inertial measurement unit sensors embedded in the shoe-type data loggers on both outsoles. A metric was defined to classify the fall risks, determined based on a set of questions determining the history of falls and fear of falls. The extreme gradient boosting (XGBoost) model was built from gait features to predict the factor affecting the risk of falls. Moreover, the definition of the fall levels was classified into high- and low-risk groups. At all speeds, three gait features were identified with the XGBoost (stride length, walking speed, and stance phase) that accurately classified the fall risk levels. The model accuracy in classifying fall risk levels ranged between 67–70% with 43–53% sensitivity and 77–84% specificity. Thus, we identified the optimal gait features for accurate fall risk level classification in older adults. The XGBoost model could inspire future works on fall prevention and the fall-risk assessment potential through the gait analysis of older adults.
Executive function is the mental ability to modulate behavior or thinking to accomplish a task. This is developmentally important for children’s academic achievements and ability to adjust to school. We classified executive function difficulties (EFDs) in longitudinal trajectories in Korean children from 7 to 10 years old. We found predictors of EFDs using latent class growth analysis and Bayesian network learning methods with Panel Study data. Three types of latent class models of executive function difficulties were identified: low, intermediate, and high EFDs. The modeling performance of the high EFD group was excellent (AUC = .91), and the predictors were the child’s gender, temperamental emotionality, happiness, DSM (Diagnostic and Statistical Manual of Mental Disorders) anxiety problems, and the mother’s depression as well as coparenting conflict recognized by the mother. The results show that using latent class growth analysis and Bayesian network learning are helpful in classifying the longitudinal EFD patterns in elementary school students. Furthermore, school-age EFD is affected by emotional problems in parents and children that continue from early life. These findings can support children’s development and prevent risk by preclassifying children who may experience persistent EFD and tracing causes.
The relationships between symptoms that comprise behavioral problems in children can be traced longitudinally to provide long-term support. This study identified signs that should be considered important in school age children by tracking changes in the relationships between different symptoms of behavioral problems in preschool and school age children. This study used Gaussian graphical network analysis to clarify the interaction of the overall subscales constituting the K-CBCL (Korean Child Behavior Checklist) and centrality in the network. In the Panel Study on Korean Children (PSKC), the K-CBCL/1.5–5 was used for children up to age six (first grade, elementary school), and the K-CBCL/6–18 was used for older children. In this study, 1323 PSKC samples (boys, n = 671; girls, n = 652) were used to distinguish nonclinical and (sub)clinical groups (T-score ≥ 60) compared to node centrality in each group’s CBCL subscale networks. Depression/anxiety was a persistent core symptom of the behavioral problem network in 5- and 7-year-old children. A new core symptom in 7-year-old children was posttraumatic stress problems added in version CBCL/6-18. Based on these results, it is necessary to consider both anxiety/depression and posttraumatic stress problems in preschool children to support the adaptation of school-age children.
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