1. icon-arrow-left
    Rehab & Physical Therapy
Orthopedics · article

The pros and cons of weighted vests

A woman wearing a weighted vest

If you take a look around any park or trail lately, you’ll probably spot several people taking part in the latest fitness trend: walking with a weighted vest. Similar to rucking, which is walking or hiking with a heavy pack, walking with added weight can provide some great health benefits. However, it’s not appropriate for everyone. We’re sharing advice from an expert on choosing the right weight for a vest and how often you should use it, as well as insights on who should avoid using one at all.

“Walking with a weighted vest can add interest or novelty to your walking routine, which can make your existing workout more appealing,” says Bharav Patel, DPT, physical therapist at Atlantic Health. “In addition, rucking can be a great addition to a comprehensive strength or resistance training program.”

The benefits of walking with a weighted vest  

Overall, walking is a great form of exercise and something that most of us can do pretty easily without any pricey equipment or gym fees. However, if you’re interested in adding a new challenge to your walking routine, Patel says a weighted vest can be a good option to explore.

Muscle strength

Weighted vests offer a different range of benefits from hand or ankle weights because the weight is more evenly distributed across your body. This helps target your core muscles, in addition to your legs, hips and glutes. As a bonus, weighted vests can strengthen your back and upper body muscles.

Cardiovascular health

Patel explains that adding extra weight to an otherwise low-intensity workout will force you to work harder to finish your usual routine, which burns extra calories and can aid in weight loss. The increased workload also boosts your oxygen consumption, which is great for your heart health.

Bone density

Body weight exercise, such as jumping or lunging, is a well-known method to build and maintain your bone density, which is crucial as we age. A weighted vest can boost your bone health by adding to the overall stress and load on your skeletal system while you walk.

Choosing the right vest

Patel stresses that starting out with a lighter weight and working your way up to something heavier is essential. Recommendations can vary, but he says that a good starting range for a vest is 5–10% of your body weight. Make sure it fits snugly and doesn’t shift when you walk, so you don’t experience chafing and discomfort. Gradually increasing the weight you wear is fine as long as you are comfortable, pain free and able to maintain good posture. He recommends limiting how often you wear a vest to no more than three times per week.

“If you find that you have to change how you walk or you shift your weight around when wearing a vest, it’s probably too heavy,” says Patel. “It’s important to keep your weight centered and evenly distributed when rucking to maintain your balance, as well as to prevent to joint stress, injury, strain or pain.”

The cons of a weighted vest

Patel says that for most people without chronic health conditions, wearing a weighted vest can be a safe and low risk form of exercise. However, if you have a spinal condition, a history of osteoporosis, cardiovascular disease, muscle weakness, or joint or back pain, it’s important to speak with your medical provider before you change your fitness routine. Adding additional weight can make joint pain or other painful conditions worse.

As with most forms of exercise, you won’t see overnight results from walking with a weighted vest, despite any promises you might see on social media. 

“Remember that it takes time to see results including weight loss or increased muscle mass with any fitness routine,” says Patel. “Walking with a weighted vest isn’t a substitute for a structured resistance training program. It’s still essential to work on your strength, flexibility and mobility.”

Published: October 15, 2025

Related articles

OrthopedicsThe pros and cons of weighted vestsWalking with a weighted vest can boost your fitness routine and an Atlantic Health physical therapist has tips on how to pick a vest and how often to wear it.
Patient StoriesReaching new heights: Climbing Mount Kilimanjaro with the help of Atlantic HealthWhile training to climb Mount Kilimanjaro, 59-year-old Thomas discovered how to push his body—safely and effectively—with the help of an Atlantic Health sports medicine physician.
OrthopedicsIs screen time hurting your orthopedic health?From tech neck to overuse injuries, learn how time on devices may impact your health and how to stay pain-free with tips from Atlantic Health experts.
OrthopedicsWhat to do when foot cramps strikeFoot and leg cramps can stop you in your tracks. An Atlantic Health expert shares common triggers, treatment strategies, and tips to prevent cramping.
OrthopedicsIs your back pain really coming from your spine?Think your spine is causing your back pain? What if it’s actually a symptom and not the source? An Atlantic Health expert explains how referred pain might be to blame for your back—and what you can do about it.
OrthopedicsHow to slow down osteoarthritis progressionYou don’t have to struggle with symptoms of osteoarthritis. Treatment can help provide relief from painful, swollen joints.
Orthopedics5 stretches you should do every dayMost people skip stretching, but a few simple exercises each day can help prevent injury, preserve your flexibility and improve your mobility.
OrthopedicsHow your posture impacts your healthPoor posture while walking, sitting or even sleeping can result in chronic back, neck or hip pain. We have tips to help you stand tall and feel great.
OrthopedicsWhy detecting scoliosis early in children is keyRecognizing scoliosis in young children is key to healthy growth and development. An Atlantic Health pediatric orthopedic surgeon explains how, when caught early, childhood spinal conditions can often be treated without surgery.
OrthopedicsWill a cortisone or gel shot help my knee pain?If you’re struggling with knee pain from osteoarthritis, it may be time to consider a cortisone or gel shot to keep you in action. An Atlantic Health expert weighs in on two effective treatments.
OrthopedicsWhy good footwear mattersYour choice of shoes matters. Supportive footwear not only aligns your feet and ankles, but also helps relieve back and knee pain. An Atlantic Health foot and ankle surgeon explains.
Orthopedics6 exercises to help relieve back painIf you are experiencing lower back pain that seems to persist, a few daily exercises could bring some relief. These simple strengthening and stretching exercises help keep your muscles balanced and build your core - so your back is protected.