Heart failure & cardiomyopathies

Association Between Wearable Device Measured Activity and Patient-Reported Outcomes for Heart Failure

JACC Heart FailPublished Secondary analysis of the CHIEF-HF randomised trial

Authors' conclusion

Daily step count was nonlinearly associated with health status at baseline and over time in patients with heart failure.

Study context

Population
Patients with HF and a compatible smartphone in the CHIEF-HF trial, given a Fitbit Versa 2
Participants
425 patients
Comparison
Fitbit-measured daily step count and floors climbed vs KCCQ scores
Primary endpoint
Association of daily step count and floors climbed with KCCQ total symptom (TS) and physical limitation (PL) scores at baseline and their changes
Follow-up
Baseline; changes between 2 and 12 weeks
Methodological details44.5% women, 40.9% with reduced EF
  • 44.5% women, 40.9% with reduced EF

Primary result

As reported in the abstract

Baseline daily step count by KCCQ-TS category

P < 0.001

Changes in daily step count significantly associated with nonlinear changes in KCCQ-TS
P = 0.004
Changes in daily step count significantly associated with nonlinear changes in KCCQ-PL
P = 0.003

Further findings

Floors climbed associated with baseline KCCQ scores alone

Original publication

Association Between Wearable Device Measured Activity and Patient-Reported Outcomes for Heart Failure. JACC Heart Fail. Published 26 July 2023. doi:10.1016/j.jchf.2023.05.033

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