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The Benefits of Smart Scales and How They Measure Body Composition

Timothy Aungst, PharmDAlyssa Billingsley, PharmD
Published on January 27, 2022

Key takeaways:

  • Smart scales offer multiple ways to measure your health besides just your weight.

  • Smart scales can vary on what they can track, their costs, and their accuracy.

  • Which smart scale is best for you will depend on what you’re tracking and your personal needs.

Black and white image of mobile phone on top of a smart scale.
MileA/iStock via Getty Images

The scale. A universal device found in millions of American homes, often nestled in a snug place in the bathroom. It sits there, reminding you to check in every once in a while. It may be a love/hate relationship for many, but it has its uses.

For many people, tracking body weight is an important tool for making lifestyle changes. It can also be helpful to track weight loss progress, especially if a person is at risk for certain medical conditions, like Type 2 diabetes. But in an era of digital health, what if the scale could measure more than just body weight?

In this article, we’ll talk about some advances in upgrading the scale for the modern era — the smart scale.

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What is a smart scale? 

Smart scales have been around for over a decade. The first wi-fi connected scale came to market in 2009. Initially, smart scales didn’t measure anything different than a traditional scale. But they allowed for the transfer of body weight information to a smartphone app. This created a digital record of a person’s body weight.

However, these scales have evolved and taken on more features over time. Nowadays, many scales can collect lots of health information from you simply by standing on it.

Examples of health information that can be measured by smart scales include:

Some smart scales can also allow personalization with different modes, such as allowing you to track weight differently if you’re pregnant or measure a baby's weight. Some can even help you with endurance training with athlete modes

All of this data is usually linked with an app made by the scale’s manufacturer. But that data could also be shared with other smartphone health apps if you’d prefer. This may help you track your activity and see weight loss progress in one app.

What’s the point of a smart scale?

For many people, a smart scale may not be needed. But if you regularly track other health information on your smartphone, it could be another tool to help gain more insight about your overall health.

Some people like the fact that smart scales measure more than just weight. For instance, if a smart scale measures heart rate, you can see that data on your phone along with other health data.

Some obesity treatment programs and weight loss programs have used smart scales to monitor progress and reported positive results for their members. The data collected can help show both the smart scale owner and their healthcare provider how much weight they’ve lost. This can help healthcare providers create individualized weight loss plans better suited for each person. 

Smart scales that track more than BMI

If you’re looking for a smart scale that tracks more than weight and BMI, you’ve come to the right place. We’ve put together a list of several smart scales with their features and costs. All of the scales measure weight and BMI. Most also track body composition. Body composition is body fat percentage, muscle mass, and bone mass.

Name of Scale Features Cost
Eufy Smart Scale
  • 12 body composition measurements
  • Can track data for up to 16 users
$39.99
Fitbit Aria Air
  • Can set goals with app and see progress
  • Works with other Fitbit products and displays data on Fitbit app
$49.95
Garmin Index S2
  • Body composition
  • Works with other Garmin health products
  • Can tell you the weather
  • Can track data for up to 16 users
$149.99
iHealth Nexus Wireless Body Composition Scale
  • Body composition
  • Daily calorie intake results
  • Can track data for up to 8 users
$79.99
QardioBase 2
  • Body composition
  • Pregnancy mode
  • Scale will vibrate after measurement is taken
  • Can show progress towards your weight goals with smiley faces instead of numbers
$149.99
Flexible spending account (FSA) eligible with a letter of medical necessity
Renpho Smart Body Fat Scale - Basic
  • Doesn’t require WiFi
  • Body composition
  • Can set goals with app and see progress
  • Kid and athlete modes
  • Can track data for an unlimited number of users
$27.99
Renpho Smart WiFI Bluetooth Body Fat Scale
  • Requires WiFi
  • More accurate than basic model
  • Body composition
  • Can set goals with app and see progress
  • Kid and athlete modes
  • Can track data for an unlimited number of users
$44.99
Withings Body
  • Can tell you the weather
  • Pregnancy, baby, and athlete modes
  • Can track data for up to 8 users
$59.95
Withings Body+
  • Body composition
  • Has a calorie tracker
  • Can tell you the weather
  • Pregnancy, baby, and athlete mode
  • Can track data for up to 8 users
$99.95
Withings Body Cardio
  • Body composition
  • Measures heart rate
  • Can tell you the weather
  • Pregnancy, baby, and athlete modes
  • Can track data for up to 8 users
$149.95
Wyze Scale
  • Body composition
  • Measures heart rate
  • Can measure protein level and metabolic age
  • Can track data for up to 8 users
$19.99

How do smart scales work?

In general, many smart scales work similarly to traditional scales when measuring weight. If you provide your height, they can also calculate BMI. Then they send that information to a smartphone app. Not all smart scales need a WiFi connection to work. Some use Bluetooth to send the information to your smartphone instead.

Many scales estimate body composition through bioelectrical impedance analysis (BIA). Smart scales measure BIA by having two electrodes that send a painless electrical current through your left and right feet. It’s important to have your socks and shoes off to use this feature. Body composition is then determined by how this electric pulse flows through your body.

The electric current sent out is safe for most adults and children. But if you have a pacemaker or other implanted device, BIA could interfere with it. Don’t use a smart scale if you have one of these devices.

Are smart scales accurate?

Many of the scales mentioned in the table above list their accuracy on their websites. This is something to compare before purchasing a smart scale.

A small study compared three smart scales’ body composition measurements to that of a dual-energy x-ray absorptiometry (DEXA) scan. A DEXA scan is a highly accurate test performed by healthcare providers to measure body composition.

The study found that none of the smart scales tested were as accurate as a DEXA scan for measuring body composition. The study authors didn’t want this to stop people from using smart scales. Instead, they just wanted people to be aware that there is a difference in accuracy.

In comparison, another small study compared a smart scale to a traditional scale at a hospital. They found that there were no significant differences in body weight readings between the two scales. This study suggests that a smart scale can be an accurate way to measure weight at home.

It’s always best to discuss scale accuracy with your healthcare provider before purchasing at at-home scale.

Are smart scales worth it?

Whether a smart scale is worth it for you is a personal decision. Considering that a traditional scale is generally inexpensive, paying more for extra features may or may not be worth it. 

As listed in the table earlier, some smart scales are available for around $20. So not all smart scales are expensive. Generally speaking, the more features a smart scale offers, the higher the price may be.

Future smart scale developments

Recently, there’s been a push for smart scales to have more medical features. This is due to the expanding telehealth market. Your healthcare provider could ask you to use a smart scale to track data that you’d share online with them. This could lower the number of times you’d have to travel to their office.

One smart scale that may be available soon is the Withings Body Scan connected health station. This smart scale will have all the features discussed earlier but with added sensors. One additional feature includes tracking your heart for rhythm problems, like atrial fibrillation. It would also be able to track nerve activity in your feet to check for problems, like neuropathy

While these features may be highly attractive, cost may be a factor. This scale is expected to cost about $300. You may want to talk to your healthcare provider to see if they think that cost is warranted for you.

The bottom line

Smart scales have greatly evolved over the past decade. On top of tracking body weight, they have various extra features to help give a bigger picture of your overall health. Smart scales may be beneficial for you, depending on what you want to measure. Expect more developments with smart scales in the future with even more features than what’s available now.

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Why trust our experts?

Timothy Aungst, PharmD
Timothy Aungst, PharmD, has worked in pharmacy practice for the past decade with different roles and responsibilities. He has served as an associate professor of pharmacy practice for almost a decade, a clinical pharmacist in outpatient cardiology management, and now in home healthcare.
Christina Aungst, PharmD
Christina Aungst, PharmD, is a pharmacy editor for GoodRx. She began writing for GoodRx Health in 2019, transitioning from freelance writer to editor in 2021.
Alyssa Billingsley, PharmD
Alyssa Billingsley, PharmD, is the director of pharmacy content for GoodRx. She has over a decade of experience as a pharmacist and has worked in clinical, academic, and administrative roles.

References

Bennett, G. G., et al. (2018). Effectiveness of an app and provider counseling for obesity treatment in primary care. American Journal of Preventive Medicine.

Boston Magazine. (2016). Can a scale really measure your heart health?

View All References (14)
GoodRx Health has strict sourcing policies and relies on primary sources such as medical organizations, governmental agencies, academic institutions, and peer-reviewed scientific journals. Learn more about how we ensure our content is accurate, thorough, and unbiased by reading our editorial guidelines.

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