TY - JOUR T1 - Emplοying body-fixed sensors and machine learning to predict physical activity in military personnel JF - BMJ Military Health JO - BMJ Mil Health DO - 10.1136/bmjmilitary-2020-001585 SP - bmjmilitary-2020-001585 AU - Nikolaos Papadakis AU - K Havenetidis AU - D Papadopoulos AU - A Bissas Y1 - 2020/10/30 UR - http://militaryhealth.bmj.com/content/early/2020/10/30/bmjmilitary-2020-001585.abstract N2 - Introduction This was a feasibility pilot study aiming to develop and validate an activity recognition system based on a custom-made body-fixed sensor and driven by an algorithm for recognising basic kinetic movements in military personnel. The findings of this study are deemed essential in informing our development process and contributing to our ultimate aim which is to develop a low-cost and easy-to-use body-fixed sensor for military applications.Methods Fifty military participants performed a series of trials involving walking, running and jumping under laboratory conditions in order to determine the optimal, among five machine learning (ML), classifiers. Thereafter, the accuracy of the classifier was tested towards the prediction of these movements (15 183 measurements) and in relation to participants’ gender and fitness level.Results Random forest classifier showed the highest training and validation accuracy (98.5% and 92.9%, respectively) and classified participants with differences in type of activity, gender and fitness level with an accuracy level of 83.6%, 70.0% and 62.2%, respectively.Conclusions The study showed that accurate prediction of various dynamic activities can be achieved with high sensitivity using a low-cost easy-to-use sensor and a specific ML model. While this technique is in a development stage, our findings demonstrate that our body-fixed sensor prototype alongside a fully trained validated algorithm can strategically support military operations and offer valuable information to commanders controlling operations remotely. Further stages of our developments include the validation of our refined technique on a larger range of military activities and groups by combining activity data with physiological variables to predict phenomena relating to the onset of fatigue and performance decline. ER -