Some health programs, especially those catering to at risk offer programs similar to this still to reward for staying active in hopes this later means less claims. Humana medicare used to give you points to turn into giftcards for steps walked per day along with routine health visits, have watched family fake steps to get a couple hundred or so in gift cards. The program got paired down but you can still earn "cash" for steps.I’d gather it’s easy to cheat with those things. Some time back an employer would give you coin in your medical bank ( a card that you could use for medical copays, meds, etc) for hitting milestones with a tracker they gave you. Drawback, they were able to see where you were going when you were at work
If this is still done, I don’t know.. perhaps this is why some people would try to manipulate them?
I would 100% see her inflate her steps knowing it will count extra or swinging her arm for good measure to add some extra on. I think she sees it as some kind of "proof" that is going to convince her doctors and viewers she is trying. She is just too stupid or too vain to think we won't see through it.