RT Journal Article T1 The Impact of the Accelerometer Sampling Rate on the Performance of Machine and Deep Learning Models in Wearable Fall-Detection Systems A1 Villa, Manny A1 Casilari-Pérez, Eduardo K1 Caídas - Innovaciones tecnológicas AB Population aging has intensified the prevalence of falls among older adults, making automatic Fall Detection Systems (FDS) a key component of telemonitoring and remote care. Among wearable-based approaches, inertial sensors, particularly accelerometers, offer an effective and low-cost alternative for continuous monitoring. However, the impact of the selection of the sampling frequency on model performance remains insufficiently explored. This work seeks to determine the sampling rate that best balances accuracy, stability, and computational efficiency in wearable FDS. Five representative algorithms (CNN-LSTM, CNN, LSTM-BN, k-NN, and SVM) were trained and evaluated using the SisFall dataset at 10, 20, 50, and 100 Hz, followed by a multi-stage validation including the real-fall repositories FARSEEING and Free From Falls, as well as a seven-day continuous monitoring test under real-life conditions. The results show that deep learning architectures consistently outperform traditional classifiers, with the CNN-LSTM model at 20 Hz achieving the best balance of accuracy (98.9%), sensitivity (96.7%), and specificity (99.6%), while maintaining stable performance across all validations. The observed consistency indicates that intermediate frequencies, around 20 Hz and down to 10 Hz, provide sufficient temporal resolution to capture fall dynamics while reducing data volume, which translates into more efficient energy usage compared to higher sampling rates. Overall, these findings establish a solid empirical foundation for designing next-generation wearable fall-detection systems that are more autonomous, robust, and sustainable in long-term IoT-based monitoring environments. PB MDPI YR 2025 FD 2025-12-26 LK https://hdl.handle.net/10630/41359 UL https://hdl.handle.net/10630/41359 LA eng NO Villa, M.; Casilari, E. The Impact of the Accelerometer Sampling Rate on the Performance of Machine and Deep Learning Models in Wearable Fall-Detection Systems. Sensors 2026, 26, 162. https://doi.org/10.3390/s26010162 NO Spanish Ministry of Science, Innovation, and Universities NO NextGenerationEU/PRTR Funds NO Campus de Excelencia Internacional Andalucia Tech NO Universidad de Investigación y Desarrollo (UDI, Bucaramanga, Colombia). DS RIUMA. Repositorio Institucional de la Universidad de Málaga RD 3 mar 2026