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The journal Pelvic Health

Weighted Vest Trends – What You Should Know

By Dr. Allison Feldt, PT, DPT 3 min read

Weighted vests have been making their way into more conversations around women’s health, fitness, and bone density — and for good reason. But before strapping one on, it’s important to understand when and why they’re useful, and when they might do more harm than good.

Why Weighted Vests Can Be Beneficial

One of the major benefits of weighted vests is axial compression of the spine. This means adding gentle, vertical load through your skeleton — which helps stimulate bone-building cells in the vertebrae. This is especially important because the spine is one of the most common areas for bone thinning in women as they age.

If you’re not regularly doing squats under a barbell or overhead resistance work, wearing a weighted vest while walking can be an excellent way to provide that essential loading for your bones.

But… Don’t Rush the Weight

Before thinking about adding weight, the first priority is to establish a strong movement foundation:

  • Walk 10,000 steps a day consistently — if you’re not there yet, work toward it first.
  • If you experience pain, limping, or noticeable compensations, these must be addressed before loading the system. Adding weight on top of dysfunction can worsen imbalances and lead to injury.

“Honestly, for you, don’t do the vest yet. Let your body have 3 months of consistent execution of 10K steps. Once we stop seeing progress or we struggle to get your heart rate up — then let’s talk about adding a weighted vest.”

This gradual approach ensures your body can adapt safely and you’re not simply layering load on top of misalignments.

If you’re currently struggling with chronic back or hip pain, knee issues, or a weak core, it’s important to first address these concerns before adding more intensity to your workouts.

Those experiencing pelvic pressure, pelvic organ prolapse, incontinence, bloating, or who are postpartum (under 6 months) should work with a pelvic floor physical therapist before beginning any weighted vest training.

Individuals with diastasis recti or core instability will benefit most from rebuilding strength and alignment first. Working with a pelvic health expert can help you optimize your body, improve core and pelvic floor connection, and prevent injury or worsening symptoms as you progress toward higher-intensity fitness goals.

When to Consider Adding a Weighted Vest

A great time to introduce a weighted vest is when your body becomes so conditioned that your resting heart rate no longer increases easily during walks. At that point, adding external load can help progress your fitness and bone density further.

Very, very, very few of my own walks included a weighted vest — for many reasons. I actually wrote a blog about this and will share that soon.

Walking as Movement Meditation

For me, walking isn’t just exercise. It’s a form of movement meditation. Sometimes I’ll close my eyes and feel the ground beneath my feet. Other times, I’ll write while I walk. It’s my feel-good time.

So if adding a weighted vest would limit that joy, I simply don’t. I walk without it.

Body Motion hosts DEXA scan 2x per month. We aren’t associated, just a host site because I like to track my body composition since postpartum with Jayla as a good measure of progress.

https://www.bodyspec.com/booking

Dr. Allison Feldt, PT, DPT, founder of Body Motion Physical Therapy

About the author

Dr. Allison Feldt, PT, DPT

Allison is a pelvic floor physical therapist and the founder of Body Motion PT in Edmonds. A mom who knows the aftermath of pregnancy and birth firsthand, she's on a mission to help women restore their core and pelvic floor at every stage of life.

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