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  <front>
    <journal-meta>
      <journal-title-group>
        <journal-title>F. Gasparini);</journal-title>
      </journal-title-group>
    </journal-meta>
    <article-meta>
      <title-group>
        <article-title>Age classification based on subject's physiological responses</article-title>
      </title-group>
      <contrib-group>
        <contrib contrib-type="author">
          <string-name>Francesca Gasparini</string-name>
          <email>francesca.gasparini@unimib.it</email>
          <xref ref-type="aff" rid="aff0">0</xref>
          <xref ref-type="aff" rid="aff1">1</xref>
        </contrib>
        <contrib contrib-type="author">
          <string-name>Alessandra Grossi</string-name>
          <email>a.grossi6@campus.unimib.it</email>
          <xref ref-type="aff" rid="aff0">0</xref>
          <xref ref-type="aff" rid="aff1">1</xref>
        </contrib>
        <contrib contrib-type="author">
          <string-name>Stefania Bandini</string-name>
          <email>stefania.bandini@unimib.it</email>
          <xref ref-type="aff" rid="aff0">0</xref>
          <xref ref-type="aff" rid="aff1">1</xref>
          <xref ref-type="aff" rid="aff2">2</xref>
        </contrib>
        <contrib contrib-type="editor">
          <string-name>Activity, Machine Learning</string-name>
        </contrib>
        <aff id="aff0">
          <label>0</label>
          <institution>Department of Computer Science</institution>
          ,
          <addr-line>Systems and Communications</addr-line>
          ,
          <institution>University of Milano - Bicocca</institution>
          ,
          <country country="IT">Italy</country>
        </aff>
        <aff id="aff1">
          <label>1</label>
          <institution>Physiological Signals</institution>
          ,
          <addr-line>Active Ageing, Photopletysmograpy, Galvanic Skin Response, Elettrodermal</addr-line>
        </aff>
        <aff id="aff2">
          <label>2</label>
          <institution>RCAST - Research Center for Advanced Science &amp; Technology, The University of Tokyo</institution>
        </aff>
      </contrib-group>
      <pub-date>
        <year>2021</year>
      </pub-date>
      <volume>000</volume>
      <fpage>0</fpage>
      <lpage>0003</lpage>
      <abstract>
        <p>In this work we rely on physiological signals as honest indicator of people's instinctive behavior or emotions. Benefiting from the fact that these signals can be easily acquired from wearable devices, we here analyze the ability of these data to classify not only diferent human activities but also individuals' age. We consider Photoplethysmography (PPG) and Galvanic Skin Response (GSR) belonging to a dataset collected in a real laboratory environment at the University of Tokyo. In the experiment a population of Japanese young adults and a population of Japanese elderly people were involved and performed four diferent tasks: Reading, Comprehension, Audio Listening and Math Calculation. Four binary classifiers have been considered, one for each of the experiment tasks, to classify the population age. Diferent classification models have been tested (SVM, CART and XgBoost) with a LOSO validation strategy, obtaining classification accuracy between 69% and 78%. The task in which the two groups are most easily distinguishable is that of mathematical calculation. Finally, we also perform a multi-class classification considering age and tasks, for a total of six classes: Math Calculation, Reading and Audio Listening for each subject group (young adult and elderly), obtaining an overall good performance.</p>
      </abstract>
    </article-meta>
  </front>
  <body>
    <sec id="sec-1">
      <title>1. Introduction</title>
      <p>
        In daily life, the concept of the Internet of Things plays an increasingly important role [
        <xref ref-type="bibr" rid="ref1">1</xref>
        ]. The
advance in communication and computing technologies, as well as the reduction in sensor and
electronic component cost, led to the creation of interconnected systems where also everyday
objects, such as mobile phones, actuators, appliances or smart devices, are capable of sending
and receiving data over the network [
        <xref ref-type="bibr" rid="ref2">2</xref>
        ]. In this Smart Environment, the connected devices must
be able to acquire knowledge, understand how to apply it and working collaboratively to make
human life more comfortable [
        <xref ref-type="bibr" rid="ref3">3</xref>
        ]. In future scenarios, urban and home environments are destined
to become increasingly linked to technological aspects, for example with the introduction of
self-driving vehicles. In this context, thus, the analysis of the behaviors and emotions of people
during their daily activities, interacting with the environment, may bring to the definition
of systems able to receive feedback from users and consequently adapt. In particular, these
systems may help to define environments more friendly to vulnerable citizens, such as the
elderly and people with disabilities [
        <xref ref-type="bibr" rid="ref4">4</xref>
        ]. In urban environments, for example, technologies
capable of receiving feedback from users could be involved in the definition of self-driving
cars able to adapt their dynamic behaviours to the safety perception of diferent categories of
pedestrians [
        <xref ref-type="bibr" rid="ref5">5</xref>
        ] or in the realization of trafic lights able to adapt their waiting time according to
the presence or absence of people with impaired mobility.
      </p>
      <p>
        To implement such systems, thus, an essential aspect consists in profiling and recognizing the
categories of individuals with which these systems could interact. In this respect, the aging
of the population is a relevant factor that should be taken into account. It has been observed
that subjects of diferent ages react diferently to particular stimuli both from emotional [
        <xref ref-type="bibr" rid="ref6">6</xref>
        ]
and behavioral point of view [
        <xref ref-type="bibr" rid="ref7">7</xref>
        ] [
        <xref ref-type="bibr" rid="ref8">8</xref>
        ]. For instance, the elderly appear less reactive than young
adults in response to audio and visual stimuli [
        <xref ref-type="bibr" rid="ref9">9</xref>
        ], as well as they appear slower in carrying out
cognitive tasks as mouse pointing [10] or in driving ability [11]. In addition, also concerning
walkability, the two populations appear diferent. In particular, in [
        <xref ref-type="bibr" rid="ref7">7</xref>
        ] it is reported how elderly
tend to behave more cautiously when they have to face an obstacle, passing it only when they
feel save.
      </p>
      <p>For this reason, in a world where the average age of the population is destined to increase
over the years [12, 13], the definition of systems capable of automatically recognizing the
age of the users and behave consequently is becoming a primary issue. In this context, a
fruitful research area concerns the use of person’s physiological responses such as heartbeat
(Photopletismography or Electrocardiography), sweat glands activity (Electrodermal Activity)
or electrical activity on the scalp (Electroencephalography). These signals are not voluntary and
uncontrolled responses of our Autonomous Nervous System (ANS) and can thus be considered
as reliable and honest indicators of the subject’s instinctive behavior or emotions. Besides,
several studies underlined how these signals change with the increase of age. For example, in
[14] it is shown how the shape of the Photoplethysmography (PPG) is afected by the subject’s
age. In particular, the PPG signals of elderly appear as more rounded and characterized by the
disappearance of the dicrotic notch and the inflection point. Even concerning Electrodermal
Activity (EDA) and Electroencephalography (EEG), age-related diferences are reported. For
example, from the analysis of EDA signal it emerges how, in general, some signal characteristics
appear afected by the subject age with a lesser skin response in elderly with respect of young
adults and middle-aged adults [15].</p>
      <p>
        Finally, people’s physiological signals are also involved in analysis related to compare young
and elderly during specific tasks. In this context, the diferent behavior of the young and
elderly during driving tasks has been studied through EEG signals [
        <xref ref-type="bibr" rid="ref8">8</xref>
        ]. This research shows
how high drive performance is associated, in the elderly, with increased mental efort and
fatigue while, in the young, with a higher focus on the task and lesser attention to distractors.
In [16], instead, an emotion classification task involving two populations of diferent ages is
reported. In this analysis, two physiological signals are taken into account: Galvanic Skin
Response (GSR) and Heart-Beat Variability (HRV). In most of the studies presented, however,
the physiological signals have been used to analyze the general individual’s behaviour in a
specific task (as driving) or to distinguish the emotion of diferent ageing people. Besides, rarely
the physiological signals have been used in classification tasks to recognize people of diferent
ages. Our study is developed in this context to automatically discriminate between young adults
and the elderly while performing diferent tasks. To this end, starting from the dataset described
in section 2, two types of analysis have been performed. In the first part of our study, we tested
several binary classifiers in order to recognize the two populations while performing a specific
cognitive activity. In the second part, instead, a multi-classification task has been carried out
to define a classifier able to recognize both the age of the subject involved and the activity
performed. In this work, diferent classifiers and feature sets have been tested. In particular, we
focus our attention on the analysis of PPG and GSR signals. The preprocessing of these signals
is reported in section 3 while the features extracted are described in section 4. In section 5, the
classification settings and the results of the two analyses are presented and discussed. Finally,
conclusions are drawn in section 6.
      </p>
    </sec>
    <sec id="sec-2">
      <title>2. Experimental Protocol and Data Collection</title>
      <p>All the analysis were performed on a dataset collected in a real laboratory environment at the
University of Tokyo and already partially described in [17]. In the experiment, two diferent
groups of subjects were involved: a population of young adults, composed of 16 Japanese
master and PhD students, (average age = 24.7 years, standard deviation = 3.3, 4 women), and
a population of Japanese elderly people (retired), 20 subjects, (average age of 65.15, standard
deviation = 2.7, 10 women). All the subjects were healthy and no mental or heart diseases were
reported.</p>
      <p>All the participants performed the same tasks defined by the same experimental protocol, lasting
about 30 minutes, and described below:
• 3 minutes of Subject’s emotional profiling carried out filling the STAI questionnaires
[18].
• 6 minutes of Reading and Comprehension tasks. Two diferent texts were proposed: a
Fairy-tale (“The Wolf and the Seven Little Kids”) and a philosophy text (“Kant’s Critique
of Pure Reason”). The subjects had 2 minutes to read each text and 1 minute to answer
self assessment and Reading Comprehension questions.
• 15 minutes of Audio Listening and Math Calculation tasks composed of six repetitions
of a two steps sequence consisting of:
1. 2 minutes of audio listening in which the relaxation were induced by natural and
real life sounds (Figure 1 right).
2. 30 seconds of mental arithmetic calculations like sums, subtractions and
multiplications (Figure 1 left).</p>
      <p>The audio tracks and the calculations proposed were the same for each subject but changed
according to the iteration.</p>
      <p>Between each couple of tasks, a period of resting time (Baseline acquisition) of about 1 minute
was acquired.</p>
      <p>During the whole experiment, the PPG and the GSR data of each participant were collected
using the Shimmer3 GSR+ Unit [19], with a sampling frequency of 128 Hz. An example of the
adopted sensors are showed in Figure 2.</p>
    </sec>
    <sec id="sec-3">
      <title>3. Signal pre-processing</title>
      <p>With the aim of remove acquisition artifacts and noise, both PPG and GSR signals have been
pre-processed using a wavelet multiresolution denoising method similar to the one described in
[20]. In particular, the PPG raw signal of each subject has been divided into frequency sub-bands
using a Stationary Wavelet Transform (SWT) [21] with mother wavelet Fejer-Korovkin22 [22]
and four levels of decomposition. A Soft Thresholding has been then applied to the detail
coeficients of each sub-band. The threshold adopted for this purpose was the Universal Threshold
calculated by the formula   = √2(  )), where   is the length of the jth wavelet coeficient
[23].</p>
      <p>Likewise, in literature, the use of wavelet-based denoising strategies, in particular those based
on SWT, proved to be very eficient in removing noise from the GSR signal [ 24]. Therefore a
multiresolution denoising strategy based on SWT has been also used to pre-process the GSR
signals. In this second case, however, a Coiflet3 mother wavelet with 7 levels of decomposition
has been employed for the decomposition. Besides, the threshold used in the Soft Thresholding
was fixed and determined trying to yield minimum of the maximum mean square error over a
given set of functions (Minimax thresholding method [25]).</p>
      <p>Since in our study the SWT is implemented with the algorithm a-trous [26], a preliminary
operation of replicate padding has been applied to both the analyzed signals in order to obtain
a length divisible by 2 [21]. In our study the value of “level” is diferent according to the
signal considered: 4 in the case of PPG and 7 for GSR.
In order to reduce both inter and intra subjects variability, the denoising task has been followed
by a normalization phase. In case of PPG, a two-step normalization has been applied. Firstly,
the amplitude of each signal has been normalized applying z-score operation. Then a subject’s
heartbeat normalization method is applied, considering the heart beat rate of the baseline. In the
case of GSR signals, instead, only an amplitude normalization has been performed. In particular,
a z-score normalization has been applied to the whole signal before splitting it into diferent
experimental trails.</p>
      <p>Once segmented, the number of instances for each task appeared unbalanced as shown in Table 1.
In particular, there are less instances in the case of reading and comprehension tasks. Therefore,
a data augmentation strategy has been applied in order to create more balanced groups. The
signals related to reading task were divided in non-overlapping segments of 40 seconds while
the Reading Comprehension signals were segmented into two parts of equal length. The last
two columns of the Table 1 show the new cardinality after the data augmentation procedure.</p>
    </sec>
    <sec id="sec-4">
      <title>4. Features Extracted</title>
      <p>After the pre-processing, each of the resulting segments was analyzed in order to identify
characteristics that can be significant in discriminating young subjects from elderly ones. For
this purpose, seven time-domain features have been extracted from the PPG signal:
• Four statistical features (Minimum, Maximum, Mean and Standard Deviation of the
signal);
• Peak Rate, representing the mean number of peaks per second;
• Inter Beat Interval (IBI), representing the mean distance between two peaks in a row;
• Root Mean Square of Successive Distance (RMSSD) representing the variance of the
distance between two peaks [27].</p>
      <p>In the GSR, two types of signal components are usually taken into account during the feature
extraction procedure: the Phasic component, related to rapid changes in skin conduction (Skin
Conductance Responses) due to external stimuli or spontaneous responses, and the Tonic
component related, instead, to the slow change in the signal and representative of the general
arousal or stress level. In our analysis, features from both phasic and tonic components were
considered. To this aim, the GSR signals were first decomposed into these two components
applying the Cvx algorithm [28]. Diferent time domain features have been extracted, according
to the signal component, as listed below:
• Signal not decomposed: four statistical features (Maximum, Minimum, Mean and
Standard Deviation of the signal)
• Phasic Component: seven statistical and peak related features:
– Maximum and Minimum
– Peak Rate, representing the mean number of peaks per second
– Peak Area and Peak Area per Second, representing respectively the mean area
under the peaks and the mean area under peaks evaluated per second.
– Peak Height representing the mean height of the peak detected on the phasic
component.
– Rise Time (or also Onset-to-Peak Time) defined as the mean number of samples
from the onset of the skin conductance response to the top of the peak.[29, 30]
• Tonic Component: the Regression Coeficient has been considered as representative of
the signal slope.</p>
      <p>Finally, the features have been normalized by z-scoring before using them as input to
classiifers.</p>
    </sec>
    <sec id="sec-5">
      <title>5. Results and discussion</title>
      <sec id="sec-5-1">
        <title>5.1. Classification Setting</title>
        <p>In order to determine if it is possible to recognize signals acquired from young adults with
respect to signals acquired from elderly, four binary classification tasks have been performed,
one for each activity in the dataset (reading, comprehension, math calculations and audio
listening). For each task, the signals collected on young adults define the instances of the first
class while the signals collected on elderly subjects characterize the elements of the second
class. In addition, in all the experiments performed, three well-known classifiers have been
involved: Classification and Regression Tree (Cart) [31], Support Vector Machine (SVM)[32] and
gradient boosted decision trees algorithm implemented as XgBoost[33]. In the case of SVM, three
diferent kernel have been tested: linear ( SVM-Linear ), gaussian (SVM-Gauss) and polynomial
cubic (SVM-Cubic) kernel. It is important to underline that all the selected classifiers perform in
general well even in the case of moderately unbalanced classes[34, 35]. This makes their use
suitable in our datasets.</p>
        <p>Finally, a Leave-One-Subject-Out procedure has been applied to evaluate the performance of
the trained classifiers. In this method, during each iteration, all the signals of one subject
were used as test set while the signals of the remaining subjects were used to train the model.
Several evaluation metrics including accuracy, F1-score and the weighted F1-score [36] have
been computed to evaluate the performance of the diferent classification tasks. In particular,
the weighted F1-score (W-F1) is computed as the weighted mean of per-class F1 scores on the
base of the following formula:</p>
        <p>W-F1 = ∑

=1  
  ∗  1 
(1)
where m is the number of classes considered (here 2),   is the number of elements in class “c”,
  is the total number of elements analyzed and  1  is the F1-score for the ℎ -class.</p>
      </sec>
      <sec id="sec-5-2">
        <title>5.2. Classification Results</title>
        <p>Four diferent binary classifications, one for each activity, have been performed to recognizing
young adults’ signals from elderly ones. The classification performance obtained are summarized
in Tables 2a (Reading), 2b (Comprehension), 2c (Math Calculation) and 2d (Audio Listening).
The performance metrics (accuracy, F1-score and weighted F1-score) are reported, considering
ifve classification models and varying the set of features used (PPG, GSR or joining PPG and
GSR). To reduce bias in the results, a Leave One Subject Out (LOSO) strategy has been adopted
for all the classifiers.</p>
        <p>The best performance for each task is obtained using both GSR and PPG features. In particular,
the best of all results has been observed in the Math Calculation task, where an accuracy of 78%
has been reached using a SVM with a linear kernel. In this case, the two classes (young and
elderly) are well discriminable with F1-score values greater than 70%. On the other hand, the
two populations are less distinguishable in the case of audio listening. In this case, XgBoost with
features concatenated from both signals allowed to reach an accuracy of 69%. Considering the
classification performance that can be reached using only one of the two physiological signals,
the PPG seems in general to be more useful in discriminating the two populations. In fact, in
almost all the studies carried out, features related to the subjects heartbeat outperformed the
results generated using features related to skin conductance. Moreover, we recall that all the PPG
signals were normalized not only with respect to the amplitude but also with respect to subject’s
heartbeat during baseline. This procedure reduces the inter-subject heterogeneity making the
signals subject-independent. Finally, another general consideration regards the classifiers that
allowed to reach the best performances. In all the conducted experiments, the highest accuracy
has been achieved using XgBoost or SVM with Linear Kernel while the worst performances
have been obtained using CART with accuracies around 55%. The results described so far have
shown, in general, positive performance in recognizing young adults from elderly when a given
task is analyzed. To discriminate not only the population group with respect to age but also
the task performed, a multi-class classification analysis has been carried out. In this latter, six
classes have been considered: three activities (Math Calculation, Reading and Audio Listening)
for the two population groups. The Comprehension task has been excluded by the analysis due
to its limited number of instances compared to the others. To train the diferent classifiers, the
features extracted from both the types of physiological signals have been employed as suggested
by the analyses of the binary classifiers.</p>
        <p>In Table 3 the results of this multi-class analysis are summarized. As in binary classification,
the best performance has been reached using the SVM with Linear kernel. This model allowed
to reach an accuracy of 62%, outperforming the accuracy of the other classifiers.
Furthermore, in order to better understand the misclassification errors, an in-depth analysis of
the confusion matrix has been performed. From this matrix, shown in Table 4, it emerges that
the classes that are better recognized are those related to Math Calculation, while on the opposite
the lower performances are obtained in the Audio listening tasks. In case of misclassification,
the algorithm tends to well classify the task performed but to misunderstand the population
group.
Performance of the binary classifiers in discriminating Young adults (Yng) from Elderly (Eld) in the
diferent tasks analyzed, varying the feature set and adopting a LOSO validation strategy. Three
performance metrics are reported: accuracy, F1-score (F1) and Weighted F1-score (W-F1). In each table,
the accuracies in bold represent the best performances achieved for each feature set considered, while
in red is highlighted the best accuracy at all.</p>
        <p>(a) Binary classifiers performance for the</p>
        <p>Reading Task
PPG Features</p>
        <p>GSR Features</p>
        <p>PPG and GSR Features
(b) Binary classifiers performance for the</p>
        <p>Comprehension Task
PPG Features</p>
        <p>GSR Features</p>
        <p>PPG and GSR Features
(c) Binary classifiers performance for the</p>
        <p>Math Calculation Task
PPG Features</p>
        <p>GSR Features</p>
        <p>PPG and GSR Features</p>
      </sec>
    </sec>
    <sec id="sec-6">
      <title>6. Conclusion</title>
      <p>In their daily life, people are subjected to diferent stimuli that could afect their behavior
and emotions. In particular, the age of a person seems a relevant factor in the definition of
how an individual responds to specific stimuli. In this paper diferent binary and multi-class
classification tasks have proved that physiological signals permit to well discriminate between
young adults and elderly, while performing diferent actions. PPG seems in general to be
more useful in all the classification tasks, however the best results are achieved considering
both PPG and GSR. These results, together with the increasing availability and reliability of
wearable devices, are promising in the perspective of the definition of systems that, interacting
with subjects, can recognize their emotions and behaviors as well as their age group, and
consequently adapt. Concerning this topic, several factors like diferent cultural aspects or daily
habits could be taken into account in future analysis to create systems able to interact with the
largest possible number of heterogeneous users. Furthermore, the age of the individuals could
be also used as an additional input variable, together with other parameters like the subject’s
health, lifestyle or nutritional habits, in the definition of accurate measures of “physiological
age” that could be used by industrial designers and product developers to guide their work in
the development of appropriate technology able to provide eficient and personalized assistance
to individuals of diferent ages and needed.</p>
    </sec>
    <sec id="sec-7">
      <title>Acknowledgments</title>
      <p>This research is partially supported by the FONDAZIONE CARIPLO “LONGEVICITY-Social
Inclusion for the Elderly through Walkability” (Ref. 2017-0938) and by the Japan Society for the
Promotion of Science (Ref. L19513). We want to give our thanks to Prof. Katsuhiro Nishinari
and his staf, in particular Kenichiro Shimura and Daichi Yanagisawa for their indispensable
support during the experiment held at RCAST - The University of Tokyo.
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