I own a manual inflate belt type unit.
This past summer, several of my fishing buds and I did an experiment. I wadered up, strapped on my pfd, tied on a safety tether rope, and went swimming in a deep pool on our home river. We did this with two waist belts ( as Simms recommends) , one waist belt, and no waist belt, and then with the pfd inflated. I was able to stay afloat and swim after a fashion in all four scenarios.
I am now looking for an over the head, manually trigggered CO2 inflatable pfd because of that summer experience. I found that the belt version could not be enticed over my head once it was inflated. I struggled even on the dry land to complete that task. You can use it kind of like a kick board and lay on it, but it is no longer as safe to use if it doesn't go over your head
HTH.
garthman