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Research Article | Open Access

Privacy-Preserving Unobtrusive Fall Detection for Older Adults: A Highly Generalized Deep Anomaly Detection Model

Aerospace Information Research Institute, Chinese Academy of Sciences, Beijing 100094, China, and also with School of Electronic, Electrical and Communication Engineering, University of Chinese Academy of Sciences, Beijing 101408, China, and also with National Key Laboratory of Electromagnetic Effect and Security on Marine Equipment, Nanjing 211153, China, and also with Nanjing Marine Radar Institute, Nanjing 211153, China
Aerospace Information Research Institute, Chinese Academy of Sciences, Beijing 100094, China, and also with School of Electronic, Electrical and Communication Engineering, University of Chinese Academy of Sciences, Beijing 101408, China
Personalized Management of Chronic Respiratory Disease, Chinese Academy of Medical Sciences, Beijing 100094, China
Aerospace Information Research Institute, Chinese Academy of Sciences, Beijing 100094, China, and also with the Personalized Management of Chronic Respiratory Disease, Chinese Academy of Medical Sciences, Beijing 100094, China
State Key Laboratory of Complex Severe and Rare Diseases, Peking Union Medical College Hospital, Chinese Academy of Medical Science and Peking Union Medical College, Beijing 100005, China
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Abstract

Detecting and treating older adults who fall in an environment without others is essential. Millimeter-wave radar sensors do not have the disadvantage of invading user privacy like cameras, nor do they require users to wear them in real-time like wearable devices. Actual samples of older adults fall are difficult to collect, and it is unethical to require older adults to fall repeatedly to collect data. In addition, different body types and action patterns will inevitably reduce the model’s performance when new users use the model. In this paper, we constructed a fall detection model based on anomaly detection. The model is trained only using non-fall samples and detects falls as abnormal actions. The proposed model uses a domain generalization architecture based on domain feature alignment to extract domain-invariant features of the model, thereby improving the model’s generalization ability. In addition, we introduced the idea of denoising learning into the feature extractor and feature predictor to improve the model’s anti-interference ability. We conducted sufficient experiments to explore the effectiveness of the proposed method. When tested with new domain data, the proposed model has a true positive rate of 96.12%, a false positive rate of 0.97%, and an area under the receiver operating characteristic of 0.9979.

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Tsinghua Science and Technology
Pages 1802-1818

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Cite this article:
Yao Y, Wang P, Bai Z, et al. Privacy-Preserving Unobtrusive Fall Detection for Older Adults: A Highly Generalized Deep Anomaly Detection Model. Tsinghua Science and Technology, 2026, 31(3): 1802-1818. https://doi.org/10.26599/TST.2024.9010203

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Received: 13 January 2024
Revised: 24 March 2024
Accepted: 21 October 2024
Published: 26 September 2025
© The author(s) 2026.

The articles published in this open access journal are distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/).