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How to Do Sit-Ups Safely and Alternatives to Try, According to Experts

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How to Do Sit-Ups Safely and Alternatives to Try, According to Experts

When most people think of a strong core or achieving abs, the first exercise that comes to mind is often sit-ups. While sit-ups have long been a go-to for strengthening the core, they’re not always the most effective or safest option for everyone. Proper form and technique are key to maximizing the benefits of sit-ups while avoiding strain on the back and neck.

To provide a well-rounded perspective on how to do sit-ups, we spoke with three experts who shared their insights on the benefits and potential risks of sit-ups, as well as alternative exercises that can help build a strong core without the same level of stress on the body. Their advice offers a balanced view of how to approach core training, ensuring safety, effectiveness, and overall fitness progress. Whether you’re a beginner or a seasoned athlete, understanding how to incorporate sit-ups — or how to replace them with other movements — can help you reach your fitness goals more efficiently and safely.

Many expectant mothers, especially, wonder if sit-ups are safe during pregnancy and whether they should incorporate them into their fitness routines. To provide expert guidance, we spoke with a specialist who will weigh in on the safety and recommendations for core exercises during pregnancy.

Experts Featured in This Article:

Leia Rispoli, MD, is a double board-certified interventional pain management specialist and physiatrist at DISC Sports & Spine Center.

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Anna Larson, PT, DPT, is a doctor of physical therapy at Fusion Wellness and Femina Physical Therapy in Los Angeles, CA.

Meleen Chuang, MD, is a clinical associate professor for the Department of Obstetrics and Gynecology at NYU Grossman School of Medicine, chief of Obstetrics and Gynecology at NYU Langone Hospital Brooklyn, and medical director of Women’s Health, Family Health Centers at NYU Langone (FHC).

Todd Sinett, DC, is the CEO of Tru Whole Care and founder of Backbridge, a back pain device. Dr. Sinett has published four books on treating back pain, available on Amazon.

Sit-Ups: Muscles Worked and Benefits

Most people might assume crunches and sit-ups are the same exact exercise. However, there are a few key differences to note for each movement, particularly when it comes to the muscles involved. “While the terms ‘crunches’ and ‘sit-ups’ are sometimes used interchangeably, sit-ups are usually hinged from the waist, and crunches can be more of a curling of a spine, but it really depends on who you talk to and how people use these terms,” Leia Rispoli, MD, says. “Classically, a crunch is more of a curled movement from a flat position where your elbows meet your knees vs. a sit-up, which is a hinge from the waist with a persistent stable and flat spine.”

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When it comes to performing sit-up exercises, the main muscles used are the rectus abdominis, obliques, transverse abdominis, and hip flexors. “The specific muscles that are worked and utilized involve your core muscles (mostly your anterior core muscles), so all your abdominal muscles, and hip flexor muscles,” Dr. Rispoli says.

A sit-up exercise “involves your abdominals and hip flexors as well because it combines spinal flexion and hip flexion,” Anna Larson, PT, DPT, says. “While crunches involve mostly your abdominal muscles, because the motion is achieved only with spinal flexion.”

There are benefits of sit-ups that relate to movements in everyday life. “A lot of core muscle strength and stability helps protect and preserve the spine,” Dr. Rispoli says. “In general, this helps establish a persistent habit of good posture, which ultimately puts the spine in a protective mode against years of degeneration.”

“Our abdominal muscles form a large part of our core, which give us stability, balance, and improved posture,” Dr. Larson adds. “Strengthening your abdominal muscles also will increase your pelvic floor strength. Improved pelvic floor strength will help to decrease the risk of urinary incontinence and prolapse.”

How to Do Sit-Ups Safely

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  • Start by lying on the floor, with your back against the ground, knees bent and feet flat on the floor.
  • Place both arms crossed at the front of the chest.
  • Bring your upper body and torso up towards your knees.
  • Slowly lower yourself back down to the floor, with control.

Some might want to start out with both hands behind your neck, but for safety, try to keep the arms crossed at the chest first, especially if you’re a beginner. “You want to keep your lumbar spine and your neck and your head all in one plane,” Dr. Rispoli advises. “You don’t want to put any extra flexion or strain on the neck, and you don’t want to use your arms that are positioned behind your head to hinge your neck in a flexion position and pull from there.” She adds: “If the initial engagement of the muscles is too difficult to get off of the floor immediately for those first few degrees, then you should use some sort of propped mat to help eliminate those first few degrees of difficulty.”

Note for beginners: “When starting out with this exercise, it is helpful to have someone stabilize your feet or place your feet under something sturdy such as a couch,” according to Dr. Larson. “Placing a small ball or a couple of pillows behind the back can help to engage the deeper abdominal muscles and help increase your strength gradually over time.”

“The best starting position is with a pillow behind the back or small ball, as this will help encourage spinal flexion, and the engagement of the abdominals instead of overrecruiting the hip flexors. This also decreases the load to the neck as the angle takes some of the strain from the neck muscles and focuses more on the abdominals,” Dr. Larson adds.

Sit-Up Alternatives

Todd Sinett, DC, believes you can do much more than sit-ups to help your core. “I wrote a book entitled ‘Sit-Ups Are Stupid and Crunches Are Crap,’ which provides an outline of exercises and stretches that help to strengthen our core,” he says. “To name a few I love: dead bugs, bird dog, leg raises, planks. You want to focus on exercises that elongate the body and spine.”

Dead bugs: “Anything laying on your back while alternating moving your legs or arms, such as a dead bug, is a great way to build deep core strength,” Dr. Larson says.

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Bird dogs: “Another way to challenge core stability is on hands and knees alternating reaching your opposite arm and leg, also called a bird dog.” Dr. Larson adds.

Leg raises or planks: For pre- or post-natal women, “pelvic tilts, modified planks, leg raises, side-lying exercises can help strengthen core while also ensuring safety during pregnancy. Light aerobic exercises, weightlifting, moderate brisk walking, and cycling on a stationary bike are good options,” Meleen Chuang, MD, says.

Pelvic tilts: “An alternative exercise can be something like a pelvic tilt, where you’re in a sit-up position, but instead of raising your upper trunk, you’re just flattening your back to the floor and contracting and engaging your core and abdominal muscles,” Dr. Rispoli, MD, says.

Jade Esmeralda (she/her), MS, CSCS, is a health and fitness staff writer and a strength and conditioning specialist. A lifelong martial artist and dancer, Jade has a strong passion for strength and conditioning, sports science, and human performance. She graduated with a Master of Science degree in exercise science and strength and conditioning from George Washington University.

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At 72, Oprah swears by this specific move for full-body strength – here’s why it’s so effective

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At 72, Oprah swears by this specific move for full-body strength – here’s why it’s so effective

Oprah Winfrey, 72, has been vocal about her weight loss journey in recent years, revealing that maintaining fitness, particularly through strength training, has been crucial while using GLP-1s. Such is her love for these newfound fitness habits that she even did a 72-minute workout to celebrate her 72nd birthday earlier this year.

Now, the talk show host has taken to Instagram to share with her followers a specific strength move that has quickly become a staple in her routine: kettlebell swings.

Why are kettlebell swings effective?

‘Kettlebell swings are one of the most efficient movements because they combine strength, power and cardiovascular conditioning in one exercise,’ says Alice Jordan, a women’s strength and hormone health coach. ‘They target the posterior chain – glutes, hamstrings and lower back – which is especially important for women as we age, helping to improve posture, reduce back pain and support metabolism.’

Jordan adds that kettlebell swings ‘also elevate the heart rate quickly, making them ideal for busy women who want maximum results in minimal time,’ and that when incorporated into your routine correctly, they ‘can improve fat loss, core stability and overall functional strength, which carries over into everyday movement and injury prevention.’

Another key benefit that makes kettlebell swings such an effective movement for women as they age? ‘They help build explosive strength and bone density – both crucial for women during and after menopause.’

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How to do kettlebell swings

It’s important to take the time to properly learn the right technique – as Oprah said she did. Alongside the video she posted on Instagram of her performing the exercise, Oprah wrote ‘I first saw other people doing kettlebell swings so skillfully that I didn’t attempt them for at least a year! Now Trainer Peter is always right by my side to course correct me so I’m doing them right – and I think I finally got the swing of them.’

Explaining how to do kettlebell swings, Jordan says that ‘the movement should come from the hips, not the lower back or shoulders. Think about pushing your hips back, keeping your spine neutral, and then powerfully driving the hips forward. This helps target the glutes and reduces the risk of injury.’

When it comes to ensuring that you choose the right weight, Jordan adds that a ‘good starting point for most women is a kettlebell between 6-10kg – but the key is that it should feel challenging enough to drive the hips forward without using the arms.’

‘If you can easily lift it with your shoulders, it’s usually too light. Many beginners actually benefit from going slightly heavier so they learn proper hip hinge mechanics,’ she flags.

How often to do kettlebell swings

So, how often should you do the move per week? ‘For beginners, I’d typically recommend starting with 2-3 sets of 10-15 reps, focusing on good technique and plenty of rest between sets,’ says Jordan. ‘The priority early on is learning the hip hinge and building confidence with the movement, rather than pushing volume too quickly.’

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Doing this 2-3 times per week works well for most beginners, she adds, as it ‘allows enough time to recover while still building strength, power and cardiovascular fitness.’ When your technique and fitness improve, you ‘can gradually increase either the number of sets or include swings as part of full-body workouts.’

‘It’s also helpful for beginners to keep sessions relatively short and stop before fatigue affects form, as this reduces the risk of injury and helps reinforce good movement patterns.’

Common mistakes to avoid

Jordan says common mistakes to avoid include:

  • Turning the swing into a squat rather than a hinge
  • Lifting the kettlebell with the arms instead of letting momentum and hip power do the work
  • Rounding the back and going too heavy too quickly

It really is important to be patient and take some time to get your form exactly right – as it will mean you’ll get the most out of the exercise in the long run.


Headshot of Hannah Bradfield

Hannah Bradfield is a Senior Health and Fitness Writer for Women’s Health UK. An NCTJ-accredited journalist, Hannah graduated from Loughborough University with a BA in English and Sport Science and an MA in Media and Cultural Analysis.  She has been covering sports, health and fitness for the last five years and has created content for outlets including BBC Sport, BBC Sounds, Runner’s World and Stylist. She especially enjoys interviewing those working within the community to improve access to sport, exercise and wellness. Hannah is a 2024 John Schofield Trust Fellow and was also named a 2022 Rising Star in Journalism by The Printing Charity.  A keen runner, Hannah was firmly a sprinter growing up (also dabbling in long jump) but has since transitioned to longer-distance running. While 10K is her favoured race distance, she loves running or volunteering at parkrun every Saturday, followed, of course, by pastries. She’s always looking for fun new runs and races to do and brunch spots to try.

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The Workout Habit That Can Become Harm

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The Workout Habit That Can Become Harm

If your day begins with a HIIT class and ends with the saintly glow of “I’ve been good,” you’re not alone. Regular movement can lighten stress, settle anxiety, and generally make the world feel a little less like a group chat on deadline. But for a small group of gym-goers, exercise addiction isn’t a punchline or a humblebrag — it’s a real behavioural pattern that can quietly bulldoze daily life.

Researchers in Budapest have suggested that for around 0.3 to 0.5% of gym-goers, working out and the quest for ultimate wellness can tip into unhealthy obsession. And a separate study from Anglia Ruskin University found the risk rises sharply for people with a history of eating disorders — with researchers reporting you’re nearly four times more likely to experience exercise addiction if you’ve previously had anorexia or bulimia.

It’s an uncomfortable twist, because exercise is supposed to be the good bit. The socially approved coping mechanism. The one that gets likes, not concerned phone calls.

Why “Healthy” Can Be a Convenient Disguise

Wellness culture has a curious magic trick: it can make rigid rules look like discipline. Eight hours’ sleep becomes a badge of honour. “Clean eating” becomes a personality. And a workout missed can feel, for some, less like a rest day and more like a moral failure.

That’s what makes compulsive exercise hard to spot — especially during or after recovery from disordered eating. To friends and family, it can look like someone has “sorted themselves out.” Under the surface, the engine can be the same: fear, control, anxiety — just with different gym kit.

As Eating Disorders Awareness Week begins (March 2–8), we spoke to experts about wellness, disordered exercise, and the additional risks for those with a history of eating disorders.

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Can Eating Disorders Be Replaced by Exercise Addiction?

Kerrie Jones, a psychotherapist specialising in eating disorders and clinical director of treatment centre Orri, says eating disorders and exercise addiction often share the same roots — and the same function.

“Eating disorders, like exercise addiction, arise when we have lived through an experience – or lots of different experiences – that have taught us that we’re not safe in our day-to-day lives,” she says.

“Obsessing about food, weight or exercise is a behavioural mechanism that has developed as a means of keeping us feeling safe and in control when otherwise we’d feel overwhelmed with fear and anxiety.”

Jones explains that these behaviours can narrow a person’s focus to what feels measurable and manageable — calories, reps, weight, shape — while masking the deeper fear underneath.

“We call these ‘maladaptive’ coping mechanisms, as they develop through seemingly good intentions, but to the detriment of our longer-term physical and mental health.

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“Sometimes, when people reach a point in their recovery where they are stable and functioning, they may move from an obsessive relationship to food, to an obsessive relationship to exercise.”

And because exercise is widely applauded — and often actively encouraged — the behaviour can stick around far longer than people realise.

“It’s a much more socially accepted and idolised means of maintaining obsessive behavioural patterns,” says Jones, which means it can linger for years before someone seeks help.

What Drives Exercise Addiction Psychologically?

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There’s rarely one neat cause. It’s more often an overlap of biology, social pressure, past experiences, and psychology — with a particular role for trauma and learned patterns of control.

“There’s no one reason or cause why someone might develop an eating disorder or exercise addiction, however, it’s often a combination of social, genetic and psychological factors,” says Jones. “Commonly, we find a negative life experience or traumatic experience at the root.”

Chartered psychologist and Healthspan ambassador Dr Meg Aroll says more research is needed specifically on exercise addiction, but we already know a lot about how behavioural addictions operate — particularly the loop of compulsive thoughts and repeated behaviours.

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“We know that it’s important to change patterns of ruminative and compulsive thoughts in people with behavioural addictions, which is why treatments such as cognitive behavioural therapy are likely to be of help.”

In plain terms: it’s not about willpower. It’s about patterns — and treating what’s driving them.

Signs to Watch For: When Training Turns Compulsive

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There’s no single template for exercise addiction. People don’t present in one uniform way, and “looking fit” tells you precisely nothing about what’s happening mentally.

But there are common warning signs, especially when exercise becomes less about wellbeing and more about relief, guilt, or control.

Jones says a person might:

  • Feel guilt and shame about missing exercise routines
  • Keep secrecy around how much they’re exercising
  • Continue to workout when ill, exhausted or injured
  • Prioritise exercise repeatedly over family, friends, work, and recovery

That last point matters. Training that regularly trumps relationships, rest, or basic health isn’t “dedication.” It’s a red flag waving in fluorescent gym lighting.

Does Social Media Make It Worse?

Social media can be supportive — community can be a lifeline — but it can also validate compulsive habits. A life organised entirely around workouts can look, online, like “motivation,” when the reality might be anxiety management dressed up as routine.

“For people who are predisposed to eating disorders or behavioural addictions, wellness culture can appear to support and condone this type of maladaptive behaviour,” says Aroll.

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“However, on its own, wellness and social media culture is not to blame – someone with such conditions will have a complex combination of factors in their life leading to their symptoms, which should be investigated fully and treated professionally.”

Jones adds that if you know you have an addictive personality, it’s worth curating your feed with intent — and unfollowing content that escalates guilt, restriction, body obsession, or punishment narratives.

What To Do If You’re Worried About Someone

The hardest part is saying something — and the most important part is saying it well. Jones recommends addressing it directly, but with care around timing, tone, and what you focus on.

“It’s important to broach the topic with them directly as their physical and mental health may be severely at risk,” says Jones. “Pick a time to talk when emotions aren’t running high, and where possible, try and avoid talking about exercise specifically or the more symptomatic aspects of exercise addiction or their eating disorder.

“Instead, focus your questions and concerns on how they’re feeling, underneath their day-to-day activities.

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“Keep in mind that there are specialists out there who can help and the charity Beat has numerous resources on how to have a difficult conversation with someone.”

In other words: aim beneath the behaviour, toward the emotion.

Do We Need a Broader Conversation About “Healthy”?

Here’s the tricky bit. Health professionals rightly champion exercise for physical and mental health. But for people recovering from eating disorders — or with a vulnerability to compulsive behaviours — messaging can land differently. “More is better” can become a permission slip for harm.

“I think there needs to be a broader conversation about what it means to be ‘healthy’ and to live a ‘healthy lifestyle’,” says Jones. “What works for some, may not work for others, particularly if they’ve suffered with an eating disorder in the past and would have trouble maintaining a normal relationship to exercise and food.”

Jones says clinicians assessing physical health need to consider personal history and the intention behind the behaviour.

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“If possible, we need to investigate the intention associated with exercise and unpick the feelings that arise before, during and after exercising.”

That’s the real measuring stick. Not calories burned, not streaks kept alive, not the smug serenity of a kale smoothie. If movement helps you live more freely, it’s doing its job. If it’s tightening the cage — especially in recovery — it’s time to call it what it may be: exercise addiction, and something that deserves proper support, not applause.

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I’ve seen some bizarre exercises online. If I were an influencer, this is the one workout I’d recommend | Devi Sridhar

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I’ve seen some bizarre exercises online. If I were an influencer, this is the one workout I’d recommend | Devi Sridhar

Are you still keeping up with your 2026 resolution to exercise more? Or perhaps you’re just trying to survive the winter doldrums, with exercise the last thing on your mind. Whatever it is, social media is alight with fitness influencers showing off all kinds of bizarre and viral exercise trends.

Take squats, a core exercise move. Those don’t seem good enough any more, so now we have Zercher squats (holding a barbell in your elbow crease like a metal baby), squats on vibration plates, squats while throwing a heavy ball and on and on. Some of these exercises may in fact be good, some useless, but because influencers can’t be seen to be doing the same thing every day, the key thing is that they’re novel and can be sold as “the little-known secret exercise that everyone should be doing”.

Then there’s adding a gimmick to an existing exercise. There’s goat yoga, puppy yoga and – my favourite new trend from the US – snake yoga, in which snakes such as pythons slither around the room and on to mats and yogis while they’re in downward dog thinking about spiritual intentions or, more likely, what’s for dinner. The marketing is that being around snakes in yoga can help overcome a fear of snakes while also building flexibility. Cross two things off your to-do list at once!

Here’s my public health take: fear of snakes is rational. About 5.4 million people are bitten by snakes each year. Evolution spent thousands of years instilling that fear in us – for good reason.

Why do bizarre fitness trends go viral, and why do they appeal to something within us? I think it has to do with boredom, the need for novelty and Fomo. Exercise can feel boring: going out running for the same 5k or heading to the gym to the same equipment and space. This is true also for yoga, which can feel slow and lack excitement.

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The idea of trying something new is appealing, plus there is a constant push by certain fitness influencers implying that they know something we don’t. Some of them play on health anxiety and a desire to optimise with the “best” exercise to maximise your time and results: how to get a six-pack in two weeks or how to lose 10kg in five days (both pretty much impossible, by the way). Plus they’re telling us to buy a supplement or try a new juice cleanse that will be the missing piece to make us feel better by March.

Fitness trends sell that hope of feeling better. Take Hyrox, a hybrid endurance event where super-fit people pay good money to push sleds, throw wall balls, burpee-jump across the room and run between various stations. It’s impressive to watch and looks great on social media – which feels essential these days – and it’s a clear way to show your friends how fit you are. But it also reflects the push towards extreme, complicated and injury-prone exercise.

I’m going to say something you don’t want to hear, especially if you love Hyrox or snake yoga: none of this is necessary. If your goal is to feel strong, move better, stay pain free and live longer, you need three things: cardio exercises, resistance training and mobility training.

You don’t need weights, reptiles or cameras. It sounds simple, but what makes exercise hard isn’t the actual movement. It’s finding the time and routine to make it sustainable and part of your daily life. Which brings me to the most untrendy thing I can offer you: a 13-minute workout you can do anywhere, with or without weights. This is my default on busy days, and when I’m at home I have an 8kg sandbag on hand to add in.

All you need is a timer on your watch or phone. Start with three minutes of cardio to get warm and your heart rate up, whether it’s jogging on the spot, jumping jacks or just marching. Then it’s three minutes of legs, rotating between five each of narrow squats, broad squats, backward lunges, forward lunges and calf raises. Then on to three minutes of upper body, moving between five each of narrow push-ups, wide push-ups and tricep dips. Time to move on to core with a one-minute plank (either on your hands or forearms) and one minute of glute bridges (lifting your hips off the floor while lying on your back). For the final two minutes, just stretch out, whether that’s standing and reaching for your toes, lying on your back and moving your legs right and left like windshield wipers or sitting cross-legged and folding forward.

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That’s it. Do this a couple of times a week if you can. Will you see it go viral on socials? No. Will it get sponsored by a supplement company? No. Will it increase your healthy life expectancy and make you feel happier? Public health evidence suggests yes. The real challenge, it turns out, isn’t finding the latest hack or trend. It’s sticking with a (snake-free) routine, even when the novelty wears off and 2026 resolutions fade from memory.

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