Physical Activity in Transfusion Dependent Patients With Myelodysplastic Syndrome

Inclusion Criteria: * Confirmed pathologic diagnosis of MDS * Requiring \>= 2 blood transfusions in the past month if previously diagnosed or hemoglobin =\< 8 g/dL if newly diagnosed * Age \>= 18 * Eastern Cooperative Oncology Group (ECOG) performance status of 0 to 2 * Ambulatory (use of a walking aid, such as a cane or rollator, is acceptable) * Able to give informed consent * Willing to comply with all study procedures and available for the duration of the study * Able to read and/or understand English * Have access to an iPhone 4S or later, iPad 3 generation or later, Android 5.0 or later, or Windows 10 device * Have access to Bluetooth low energy (LE) and internet connection for syncing Exclusion Criteria: • Uncontrolled illness including, but not limited to, symptomatic congestive heart failure, unstable angina pectoris, cardiac arrhythmia, or psychiatric illness/social situations that would limit compliance with study requirements