Kyler Crouse
Special to the Tribune

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October 20, 2012
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Health and Fitness: Is it wise to wear a back belt?

Why do people use weightlifting belts?

A study out of the Mayo Clinic in Rochester, Minn., had 352 healthy strength-training members (189 men, 156 women, 7 gender not indicated) aged 20-72 years complete surveys about lifting belt use. Ninety percent of belt users and 63 percent of former belt users utilized belts to prevent injury, whereas 22 percent of belt users and 28 percent of former belt users used the belts to help improve performance.

The first reason listed by club members was to prevent injury. However, the use of back belts in the workplace is controversial. It appears that for healthy workers, wearing belts may not reduce injury, but actually increase the risk of injury.

A study by Kraus and colleagues surveyed nearly 36,000 Home Depot employees over a five-year span, during which a mandatory back belt policy was enforced. There was a 27 percent increase in low back injury for those workers employed longer than four years. Another study found that the injuries workers get while wearing back belts cost more than the injuries sustained while not wearing a belt.

One reason people may get injured while wearing a back belt is a false sense of security. Instead of focusing on proper form and requiring a certain degree of strength, the belt can act as a Band-Aid and cover-up a weakness. However over time, like the Home Depot study demonstrates, that weakness can turn into injury. The same idea relates to the gym. This is why proper form and total body strength is so important. Also, one reason why belts for most people shouldn't be considered a long-term solution.

The secondary reason given for wearing a lifting belt was increasing performance. Wearing a belt will help you lift more weight on certain lifts like deadlifting. Lifting more weight is great for increasing muscle mass and strength, no question. The question is at what cost? If the core is the weak link, it would be wise to first work on that. The primary function of the core, including the rectus abdominis (six pack) and low back, work to stabilize the core. The core is the body's own lifting belt and the reason the abs form a "six pack". Core strength is paramount not only for sports, but daily life as well. Many of the best athletes are not the absolute strongest or fastest, but the most well rounded.

Referring back the study out of the Mayo Clinic, based on the author's observation, "Many belt users were found to utilize belts during inappropriate situations such as lifting light loads or during exercises that do not typically stress the [core] musculature. Based on these findings we suggest that specific educational interventions be developed at health and fitness facilities to help provide a foundation for more informed decision-making regarding weight belt use," hence this article.

For healthy individuals with no history of back pain, wearing a belt is probably unnecessary. The only time I would recommend wearing a belt at the gym is during maximum effort lifts like powerlifting. For most people just wanting to look good and stay healthy, training without a back belt is the way to go. Although, for some the belt may be necessary, like those with past injury, strength or post rehab issues. For most healthy people the goal should be to strengthen the core by performing total body lifts without a belt. Ask a doctor prior to starting any exercise program or if you are unsure about your specific issues.

- Kyler Crouse, BS, CSCS is a personal fitness coach at Sierra Athletic Club and in the homes of clients in the greater Lake Tahoe area. He graduated with a bachelor of science in exercise physiology / minor in nutrition and earned the most prestigious certification in the industry, the NSCA certified strength and conditioning specialist. For more information visit www.KCstrength.com.


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Tahoe Daily Tribune Updated Oct 20, 2012 03:20AM Published Oct 20, 2012 03:18AM Copyright 2012 Tahoe Daily Tribune. All rights reserved. This material may not be published, broadcast, rewritten or redistributed.