Related Experiment Video
Updated: Dec 26, 2025

Pulse Wave Velocity Testing in the Baltimore Longitudinal Study of Aging
Published on: February 7, 2014
Withings Body Cardio versus Gold Standards of Pulse-Wave Velocity and Body Composition
Scott R Collier1, Conner McCraw1, Megan Campany1
1Department of Health and Exercise Science, Appalachian State University Boone, NC. 28608, USA.
Insights
The Withings Body Cardio scale accurately measures body mass and pulse-wave velocity (PWV), but caution is advised for fat mass (FM) and fat-free mass (FFM) readings.
Area of Science:
- Cardiovascular Health
- Biomedical Engineering
- Consumer Health Technology
Background:
- Home blood pressure monitors are common, but pulse-wave velocity (PWV) may better define cardiovascular health.
- The Withings Body Cardio scale is unique in measuring PWV and body composition (fat mass [FM], fat-free mass [FFM]) at home.
- Previous studies confirmed acceptable accuracy for the device, but none addressed gravitational effects on aortic-leg PWV.
Purpose of the Study:
- To evaluate the accuracy of the Withings Body Cardio scale for measuring PWV and body composition.
- To compare the scale's measurements against gold-standard methods.
Main Methods:
- 20 healthy young adults (males and females) used the Body Cardio scale.
- Measurements were compared to applanation tonometry (SphygmoCor) for PWV and air displacement plethysmography (Bod Pod) for body composition.
- Bland-Altman analysis and mean absolute percent error (MAPE) were used for accuracy assessment.
Main Results:
- The Body Cardio scale showed a mean bias of 0.68 m/s for PWV and overestimated fat mass (FM) by 2.91 kg (MAPE 25.8%).
- It underestimated body mass (BM) by 0.11 kg (MAPE 0.15%) and fat-free mass (FFM) by 2.87 kg (MAPE 5.6%).
- PWV and BM measurements had low mean absolute percent errors (9.7% and 0.15%, respectively).
Conclusions:
- The Body Cardio scale provides accurate body mass and pulse-wave velocity measurements.
- Its accuracy for fat mass and fat-free mass requires cautious interpretation.
- Further research may be needed to refine body composition measurements, considering factors like gravity.
Abstract:
Home blood pressure monitors are widely used by consumers yet cardiovascular health may be better defined by pulse-wave velocity (PWV). So far, the Withings Body Cardio scale is the only consumer device that has been designed to measure PWV and body composition, including fat mass (FM) and fat-free mass (FFM), in the home setting. While one study has demonstrated that this device meets the acceptable accuracy standards of the ARTERY Society, no study has accounted for the gravitational effect of standing on a scale on aortic-leg PWV.
Purpose:
The purpose of this study was to assess the accuracy of PWV and body composition as determined by the Body Cardio scale.
Methods:
Measurements of PWV and body composition in healthy, young males and females (n = 20) using the Body Cardio device were compared to PWV assessed by applanation tonometry (SphygmoCor) and body composition analysis determined by air displacement plethysmography (Bod Pod). Bland-Altman analysis and mean absolute percent error (MAPE) were used to assess accuracy.
Results:
Data are reported as the mean bias (95% confidence interval). The Body Cardio overestimated PWV by 0.68 m/s (-0.16, 1.51) and FM by 2.91 kg (-2.91, 8.73). Body Cardio PWV and FM estimations had a MAPE of 9.7% and 25.8%, respectively. The Body Cardio underestimated body mass (BM) and FFM by 0.11 kg (-0.41, 0.18) and 2.87 kg (-9.04, 3.30), respectively. Body Cardio BM and FFM estimations had a MAPE of 0.15% and 5.6%, respectively.
Conclusions:
The Body Cardio scale provides accurate measures of BM and PWV; however, it should be used cautiously for measures of FM and FFM.
Related Concept Videos
Pulse amplitude and quality
A weak or absent pulse may indicate reduced cardiac output or poor left ventricular contraction, which can be signs of cardiovascular dysfunction or...
Equipments Used To Measure Blood Pressure
This invasive approach involves cannulating a peripheral artery. During each cardiac contraction, pressure generates mechanical motion within the catheter, transmitted through rigid, fluid-filled tubing to a transducer. This transducer converts mechanical motion into electrical signals displayed as waveforms on a monitor. An automatic flushing system prevents blood backflow. Due to the potential risk of unexpected arterial blood loss, this method is primarily used in intensive...
Special considerations while measuring pulse
Pulse
The pulse serves as a clinical...
Pulse
Pulse Rate and its Significance
Pulse rate, often measured in beats per minute (bpm), reflects the heart rate (HR), which is influenced by numerous factors such as stress, physical activity, and hormonal changes. A normal resting adult pulse rate falls...
Assessing Blood pressure using a doppler ultrasound
Pre-Procedural Guidelines for Doppler Ultrasound Blood Pressure Assessment:
Preparation of Equipment:

