This trendy new workout is surprisingly simple—but has significant health benefits

By Meghan McCallum | Fact-checked by Barbara Bekiesz
Published March 3, 2025

Key Takeaways

Industry Buzz

  • “The increased blood flow promoted by [this] cardiovascular exercise,  has certainly been shown to facilitate cognitive health and reduce the effects of conditions such as vascular dementia.” — Brian Bradley, PT, sports rehab physical therapist at UW Health, Madison, WI

Find more of your peers' perspectives and insights below.

Rucking (walking with a weighted backpack or “rucksack”) is gaining popularity as a low-impact, full-body exercise. Although rucking has roots in military training, a growing number of civilians are turning to this exercise as it is generally safe for a variety of fitness levels, and can pack a real punch when added to a routine walk.

While rucking can help build muscle, improve cardiovascular fitness, and boost mental health, doctors are further intrigued by its potential neurological benefits, with experts saying this exercise may even help reduce dementia risk.

Experts confirm physical and cognitive benefits

Karie Zach, MD, a board-certified sports medicine physician at Froedtert & The Medical College of Wisconsin, shares with MDLinx details of a study[] that found rucking “improved cardiorespiratory demand,” meaning that the exercise could be particularly helpful for patients trying to lose weight. And when it comes to mental health, Dr. Zach says, the study verified it “likely decreases” depression, anxiety, and other mental health conditions.

Rucking may also be a suitable option for patients in rehabilitation before resuming a running program. Brian Bradley, PT, a sports rehab physical therapist at UW Health, tells MDLinx: “I often use rucking as a transition between a regular walking program and running for those injured runners not quite ready for the impact of running.”

Beyond physical and mental health benefits, what can rucking do for patients’ cognitive function? “The increased blood flow promoted by cardiovascular exercise, including rucking, has certainly been shown to facilitate cognitive health and reduce the effects of conditions such as vascular dementia,” says Bradley.[]

How to start

Dr. Zach advises patients to ease into rucking gradually. “Start light and then slowly progress,” she says, both in terms of distance as well as weight. Individuals can start with a simple light pack—weighted vests are available online or at sports retailers (throwing a couple cans of soup into a normal backpack is also effective). Dr. Zach also emphasizes the importance of supportive shoes and hydration.

Bradley suggests using rucking to complement patients’ walking programs. “A weighted vest to enhance the outcomes of a walking program is simple, yet effective, in appropriate populations,” he says. He adds that rucking equipment need not break the bank. “Some people assume rucking is expensive, but with its recent gain in popularity, there are many affordable weight vests and rucksacks out there.”

Read Next: This much weekly exercise can slash your dementia risk by 41%
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