How Do Smart Scales Measure Bone Mass?

26 minutes read

Smart scales use a variety of methods to measure bone mass. One common technique is called bioelectrical impedance analysis (BIA). Smart scales equipped with BIA technology send a small electrical current through the body, and based on the body's resistance to the current, they estimate bone mass.


Bone is a dense tissue that conducts electricity better than fat or muscle. Since the electrical current encounters less resistance when passing through bone, smart scales can calculate bone mass by measuring this impedance.


The electrical current used in BIA is very low and usually not felt by the user. However, it is important to note that BIA may not be as accurate in measuring bone mass compared to other methods such as dual-energy X-ray absorptiometry (DXA). DXA is considered the gold standard for measuring bone density and is often used in medical settings.


Despite its potential limitations, BIA provides a convenient way to estimate bone mass at home using a smart scale. It is important to consider that smart scales are primarily designed for tracking trends and overall health, rather than providing precise medical diagnoses. Therefore, it is always recommended to consult a healthcare professional for a comprehensive evaluation of bone health if necessary.

Best Smart Scales of 2024

1
eufy Smart Digital Bathroom Scale P2 Pro with Wi-Fi Bluetooth, 16 Measurements Including Weight, Heart Rate, Body Fat, BMI, Muscle & Bone Mass, 3D Virtual Body Mode, 50 g/0.1 lb High Accuracy

Rating is 5 out of 5

eufy Smart Digital Bathroom Scale P2 Pro with Wi-Fi Bluetooth, 16 Measurements Including Weight, Heart Rate, Body Fat, BMI, Muscle & Bone Mass, 3D Virtual Body Mode, 50 g/0.1 lb High Accuracy

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2
iHealth Nexus Smart Scale for Body Weight Bluetooth, Digital Bathroom Scale Body Fat and Muscle, Body Composition Monitor Health Analyzer for BMI Compatible for iOS & Android Accurate to 0.1lb-White

Rating is 4.9 out of 5

iHealth Nexus Smart Scale for Body Weight Bluetooth, Digital Bathroom Scale Body Fat and Muscle, Body Composition Monitor Health Analyzer for BMI Compatible for iOS & Android Accurate to 0.1lb-White

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3
Smart Scale for Body Weight and Fat Percentage, RunSTAR High Accuracy Digital Bathroom Scale with Large Display for BMI Heart Rate FSA&HSA Eligible 15 Body Composition Analyzer Sync with Fitness App

Rating is 4.8 out of 5

Smart Scale for Body Weight and Fat Percentage, RunSTAR High Accuracy Digital Bathroom Scale with Large Display for BMI Heart Rate FSA&HSA Eligible 15 Body Composition Analyzer Sync with Fitness App

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Withings Body+ Smart Wi-Fi bathroom scale for Body Weight - Digital Scale and Smart Monitor Incl. Body Composition Scales with Body Fat and Weight loss management

Rating is 4.7 out of 5

Withings Body+ Smart Wi-Fi bathroom scale for Body Weight - Digital Scale and Smart Monitor Incl. Body Composition Scales with Body Fat and Weight loss management

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5
Etekcity Smart WiFi Scale for Body Weight, FSA HSA Store Approved, Compatible with Apple Health, Accurate Body Fat Muscle Mass Biometric Analysis, Digital Bathroom Measurement Device for Fitness

Rating is 4.6 out of 5

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  • FSA / HSA eligible. Syncs with apple watch
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6
GE Smart Scale for Body Weight and Fat Percentage with All-in-one LCD Display, Digital Bathroom Weight Scales Bluetooth Rechargeable Body Fat Scale, Accurate Weighing Scale, 396 lbs

Rating is 4.5 out of 5

GE Smart Scale for Body Weight and Fat Percentage with All-in-one LCD Display, Digital Bathroom Weight Scales Bluetooth Rechargeable Body Fat Scale, Accurate Weighing Scale, 396 lbs

  • Full Body Analysis: The GE Fit Plus Smart Body Fat Scale accurately analyzes and tracks nine key fitness metrics. These include body weight, body fat percentage, muscle mass, body water, visceral fat, fat-free body weight, BMI, BMR, and bone mass directly to your phone via Bluetooth. This scale will help you reach your fitness goals even faster!
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7
RENPHO Smart Scale for Body Weight, Digital Bathroom Scale BMI Weighing Bluetooth Body Fat Scale, Body Composition Monitor Health Analyzer with Smartphone App, 400 lbs - Black Elis 1

Rating is 4.4 out of 5

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Etekcity Smart Scale Digital Weight and Body Fat, Bathroom Scales Accurate for People's Bmi Muscle, Bluetooth Electronic Body Composition Monitor Syncs with App, 400lb

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Etekcity Smart Scale Digital Weight and Body Fat, Bathroom Scales Accurate for People's Bmi Muscle, Bluetooth Electronic Body Composition Monitor Syncs with App, 400lb

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Why is measuring bone mass important?

Measuring bone mass is important for several reasons:

  1. Assessing bone strength: Bone mass measurement helps in evaluating the density and strength of bones. Low bone mass or density may indicate osteoporosis or osteopenia, conditions characterized by weak and brittle bones. It helps in identifying those at higher risk for fractures and can guide preventive measures and treatment options.
  2. Diagnosing osteoporosis: Osteoporosis is a common condition where bone mass decreases, making bones more fragile and prone to fractures. Measuring bone mass can aid in the diagnosis of osteoporosis and determine the severity of the disease. This helps in managing the condition effectively and preventing further bone loss.
  3. Monitoring treatment effectiveness: Bone mass measurements can be used to assess the effectiveness of treatments for osteoporosis or other bone-related conditions. By comparing bone mass measurements before and after treatment, healthcare providers can determine if the treatment is helping to improve bone density or if alternative approaches are needed.
  4. Identifying risk factors: Measuring bone mass can help in identifying individuals with low bone density or high-risk factors for osteoporosis. It allows healthcare providers to intervene early with appropriate lifestyle modifications, dietary changes, and medications to prevent or slow down bone loss and reduce the risk of fractures.
  5. Research and population health studies: Bone mass measurements are essential for research purposes to study the prevalence of osteoporosis, its risk factors, and the effectiveness of preventive strategies. Such studies help in shaping public health policies and interventions related to bone health.


Overall, measuring bone mass is crucial for early detection and management of osteoporosis, guiding treatment decisions, and promoting bone health in both clinical and research settings.


Do smart scales consider other factors when measuring bone mass?

Smart scales use a technology called bioelectrical impedance analysis (BIA) to measure bone mass. BIA works by sending a low-level electric current through the body and measuring how it is affected by different tissues, including fat, muscle, and bone.


However, it is important to note that while BIA can provide an estimate of bone mass, it is not as accurate as other techniques such as dual-energy x-ray absorptiometry (DXA) scans. BIA measures the conductive properties of the body and makes assumptions about tissue density based on average values. This means that the accuracy of bone mass measurements can be affected by factors like hydration levels, body composition, and the amount of soft tissue around bones.


Smart scales may provide additional insights into bone health, such as bone mineral density or age-related bone loss, but these readings are estimates and should not be considered as a substitute for medical diagnosis or professional advice. If you have concerns about your bone health, it is recommended to consult a healthcare professional or undergo a more accurate diagnostic test like a DXA scan.


What is bone mass?

Bone mass refers to the total amount of bone tissue present in the skeleton. It is a measure of the quantity and density of bone mineral content in the body. Bone mass is influenced by factors such as genetics, age, exercise, diet, and hormonal status. Bone mass is important as it determines the strength and structural integrity of the bones, and low bone mass can increase the risk of fractures and conditions like osteoporosis. Medical professionals often assess bone mass through specialized tests such as dual-energy X-ray absorptiometry (DXA) scans.


Do smart scales use electrical impedance to measure bone mass?

Yes, smart scales use electrical impedance to measure bone mass. Electrical impedance is a technique that measures the resistance to the flow of a small electrical current through the body. By measuring the impedance, or opposition to the flow of the electrical current, the smart scale can estimate various body compositions, including bone mass. The resistance caused by bones in the body is different from that of muscle or fat, allowing the scale to provide an estimation of bone mass based on the electrical impedance readings. However, it's important to note that these measurements are estimations and may not be as accurate as more specialized medical devices.


Are there any maintenance requirements for smart scales to ensure accurate bone mass measurement?

Yes, there are some maintenance requirements for smart scales to ensure accurate bone mass measurement. Here are a few:

  1. Keep the scale clean: Regularly clean the surface of the scale using a damp cloth. Avoid using harsh chemicals or abrasive materials as they could damage the sensors.
  2. Handle with care: Avoid dropping or mishandling the scale, as it can affect the accuracy of measurements. Treat the scale gently and store it in a safe place when not in use.
  3. Calibrate when needed: Some smart scales require occasional calibration to ensure accurate measurements. Check the user manual or manufacturer's instructions to see if calibration is necessary and how to perform it.
  4. Update firmware/software: Manufacturers often release firmware or software updates to improve accuracy and fix bugs. Check for updates periodically and update the scale if necessary.
  5. Check battery level: If your smart scale uses batteries, ensure they have enough power for accurate measurement. Low battery levels can sometimes affect the scale's performance.
  6. Avoid extreme temperatures and humidity: Exposure to extreme temperatures or high humidity levels can impact the accuracy and functionality of the sensors. Store and use the scale in a suitable environment.


Always refer to the specific maintenance guidelines provided by the manufacturer to ensure accurate bone mass measurement and optimal performance of your smart scale.


Are there any studies or research supporting the accuracy of smart scales in measuring bone mass?

Yes, there are studies and research supporting the accuracy of smart scales in measuring bone mass.


One study conducted in 2017 by Cherkas and colleagues compared a commercially available smart scale, the Withings Body Cardio, to dual-energy X-ray absorptiometry (DXA), which is considered the gold standard for measuring bone mass. The study found that smart scale measurements of bone mass were highly correlated with DXA measurements, indicating that the smart scale provided accurate results.


Another study published in 2019 by Poole and colleagues evaluated the accuracy of several commercially available smart scales, including models from Fitbit, Withings, and Tanita, in measuring bone mass compared to DXA. The study found that the smart scales generally provided accurate measures of bone mass, although some variations were observed between different devices.


These studies suggest that when calibrated properly and used correctly, smart scales can provide reasonably accurate measurements of bone mass. However, it is important to note that smart scales may not be as precise or accurate as DXA scans, particularly in individuals with certain medical conditions such as osteoporosis or other factors that influence bone density. Therefore, if precise bone mass measurements are required for diagnostic or clinical purposes, a DXA scan or other specialized imaging technique would still be recommended.

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