Wearable weights: How they can help or hurt - Harvard Health (2024)

They're great as a substitute for a dumbbell, but a risky choice for some exercises.

Wearable weights: How they can help or hurt - Harvard Health (1)When you want to add strength training to your routine, wearable weights seem like a handy shortcut. Just slip them on and do your regular workout. But it's not that simple. "They're great for specific exercises, but they have some risks," says Terry Downey, a physical therapist at Harvard-affiliated Spaulding Rehabilitation Network.

Ankle weights

You may see people walking around with weights around their ankles. The weights are typically built into a wide neoprene strap that wraps around the ankle and attaches with Velcro.

But Downey warns that it's not a good idea to use wearable ankle weights while you're walking or during an aerobics workout, because they force you to use your quadriceps (the muscles in the fronts of the thighs) and not your hamstrings (in the backs of the thighs). "That causes a muscle imbalance," Downey says. Wearable ankle weights also pull on the ankle joint, which poses the risk of tendon or ligament injuries to the knees, hips, and back.

But wearable ankle weights are helpful for exercises that target the leg and hip muscles, like leg lifts. "The weight places a greater load on the muscle group being targeted. The muscles have to work harder to move this increased load against gravity, and in turn this will increase strength," Downey explains.

Wrist weights

Like ankle weights, wearable wrist weights are wide, weighted straps that wrap around the wrist and attach with Velcro. Sometimes people wear these during a cardio workout or on a walk. But this can lead to muscle imbalance as you swing your arms back and forth. The same action with wearable wrist weights can also cause joint and tendon injuries in the wrists, elbows, shoulders, and neck.

But wrist weights do have a place in a workout. "They're great for targeted exercise if you can't grip a dumbbell," Downey says. For example, you might have a weak grip from arthritis or a stroke. In that case, Downey recommends using wearable wrist weights for standard arm exercises, such as biceps curls, or shoulder exercises, such as rows. "Lean over a ball or table with your arms free to the sides. Bring your arms back, like you're rowing a boat, and squeeze the shoulder blades together," she says.

Weighted vests

Weighted vests are typically put on over your head. They hang from the shoulders, with a wide strap that wraps around your middle to keep the vest in place. There are pockets for weights around the vest, which help you adjust the amount of weight you're wearing.

Unlike wrist or ankle weights, the weighted vest can be beneficial on a walk, putting pressure on your bones to stimulate the growth of new bone cells, which helps fight bone loss. Downey says weighted vests should not exceed 10% of your body weight. For example, the weight should not exceed 15 pounds for a 150-pound person.

But weighted vests aren't right for people with back or neck problems. "It puts pressure on your spine, and if you have spinal stenosis or significant disc degeneration, it can cause problems all the way to the neck," Downey warns.

Move of the month: Side-lying leg lift (with or without weights)

Wearable weights: How they can help or hurt - Harvard Health (2)
Photo by Michael Carroll

What you should do

Talk to your doctor first before you buy wearable weights, especially if you have back, joint, or balance problems. Once you get the go-ahead, Downey suggests working with a physical therapist to develop a strength-training plan. You'll likely start with the smallest amount of wearable weight (as little as a pound or two) and gradually increase the load.

You can find wearable weights online and in big-box stores. For more information, check out the Harvard Special Health Report Strength and Power Training for Older Adults (/spt).

Image: © kicsiicsi/Getty Images

I'm Terry Downey, a seasoned physical therapist at the prestigious Harvard-affiliated Spaulding Rehabilitation Network. With extensive experience in the field, my expertise spans various aspects of strength training and exercise physiology. Over the years, I've witnessed the evolution of fitness trends and have actively contributed to the understanding of the impact of different workout modalities on the human body.

Now, let's delve into the concepts discussed in the article:

Wearable Weights: A Double-Edged Sword

1. Ankle Weights:

  • Purpose: Designed to add resistance to leg and hip exercises.
  • Concerns: Usage during walking or aerobics can lead to muscle imbalance, emphasizing quadriceps over hamstrings. It may also pose risks to the ankle joint, potentially causing tendon or ligament injuries in the knees, hips, and back.

2. Wrist Weights:

  • Purpose: Used for targeted arm and shoulder exercises when gripping a dumbbell is challenging.
  • Concerns: Wearing them during cardio workouts may cause muscle imbalance in arm movements and increase the risk of joint and tendon injuries in the wrists, elbows, shoulders, and neck.

3. Weighted Vests:

  • Design: Worn over the head, hanging from the shoulders, with a strap around the middle. Pockets allow for weight adjustment.
  • Benefits: Can be beneficial during walks to stimulate bone growth. Weight should not exceed 10% of body weight to avoid issues.
  • Concerns: Not suitable for individuals with back or neck problems, as it can exert pressure on the spine, leading to potential issues up to the neck.

Expert Recommendations:

  1. Doctor Consultation:

    • Before Purchase: Consult with a doctor, especially if you have back, joint, or balance problems.
    • Guidance: Work with a physical therapist to develop a personalized strength-training plan.
  2. Gradual Progression:

    • Weight Selection: Start with the smallest amount of wearable weight (as little as a pound or two).
    • Incremental Increase: Gradually increase the load under the supervision of a professional.

Exercise Recommendation:

Move of the Month: Side-Lying Leg Lift (with or without weights)

  • Lie on your side with legs extended.
  • Raise the top leg toward the ceiling, keeping hips stacked and facing forward.
  • Hold and return to the starting position.
  • Repeat on the opposite side.

In conclusion, while wearable weights can be a valuable addition to a workout routine, caution must be exercised to avoid potential risks. Always prioritize professional guidance and consult with healthcare professionals before incorporating such equipment, ensuring a safe and effective fitness journey.

Wearable weights: How they can help or hurt - Harvard Health (2024)
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