Abstract Background One in three individuals aged over 65 and one in two individuals over 80 experience falls in a year. As the population ages, preventing balance issues and falls among healthy older adults becomes increasingly critical. As the population ages, preventing balance issues and falls among healthy older adults becomes increasingly critical. We hypothesized that individuals may display distinct patterns of micro-movement during this test, undetectable to the naked eye but identifiable using motion capture technology. Methods Participants aged 50 years and older were recruited from a local healthy ageing group. Participants underwent an Active Stand (AS) test, consisting of lying down for 10 minutes followed by standing up as quickly as possible and remaining motionless for 3 minutes. During the test, participants wore an accelerometer Participants underwent an Active Stand (AS) test, consisting of lying down for 10 minutes followed by standing up as quickly as possible and remaining motionless for 3 minutes, during the test, participants wore an accelerometer. Computations were carried out on the signals for all remaining participants. Computations were carried out on the signals for all remaining participants. Results 31 participants were initially recruited, with 26 ultimately included after data quality checks. The mean age was 70.5 ± 5.4 years, with 85% being women A lower BMI was found to be significantly associated with a higher MI values a lower BMI was found to be significantly associated with a higher MI values across all three phases of the active stand test across all three phases of the test. Conclusion These findings underscore the potential role of modifiable lifestyle factors, like maintaining a healthy BMI and avoiding smoking, in mitigating early balance problems in older adults.