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An Open-Source, Open Data Approach to Activity Classification from Triaxial Accelerometry in an Ambulatory Setting
Sepideh Nikookar1, Edward Tian2, Harrison Hoffman2
1Department of Biomedical Informatics, Emory University, Atlanta, GA, USA.
Arxiv
|April 17, 2026
Summary
This study developed open-source tools and data to classify patient activity using accelerometry. The methods accurately distinguished between high/low activity and specific movements, aiding healthcare monitoring.
Area of Science:
- Biomedical Engineering
- Wearable Technology
- Machine Learning in Healthcare
Background:
- Accelerometers are widely used in healthcare for monitoring, offering potential beyond basic activity tracking.
- Existing methods often provide limited insights into nuanced patient movement and activity levels.
- There is a need for open datasets and tools to advance accelerometry applications in health.
Purpose of the Study:
- To create an open dataset and source code for processing tri-axial accelerometry data.
- To develop methods for classifying patient activity levels and types of movement.
- To enable advanced healthcare monitoring and clinical decision-making.
Main Methods:
- Collected 50 Hz tri-axial accelerometry and ECG data from 23 healthy subjects.
- Subjects performed standardized activities: lying, sitting, standing, walking, and jogging.
- Developed two classifiers: signal processing for high/low activity and a CNN for multi-class activity recognition.
Main Results:
- The high/low activity classifier achieved an F1 score of 0.79.
- The multi-class CNN classifier achieved an F1 score of 0.83.
- The dataset and open-source code are publicly available for research.
Conclusions:
- Behavioral activity classification provides valuable context for health metrics.
- This approach can support the development of clinical decision-making tools.
- Findings contribute to patient monitoring, predictive analytics, and personalized health interventions.

