Better HF Outcomes Increasing daily step count is associated with improved health status in HF, according to a study published in JACC: Heart Failure. Jessica Golbus, MD, and colleagues analyzed the relationship between smartwatch activity and patient-centered HF outcomes for 425 participants. Baseline daily step count increased across categories of Kansas City Cardiomyopathy Questionnaires (KCCQ) total symptom scores (2,437.6 steps/day for scores 0 to 24 vs 4,870.9 steps/day for scores 75 to 100). Results were similar for KCCQ physical limitation scores. Changes in daily step counts were significantly associated with nonlinear changes in both KCCQ total symptom and physical limitation scores.