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That is why people have drowned wearing the old style rubberized fabric loose fitting waist or chest high waders when fishing.  A guy I went to high school with drowned in a small pond wearing those old style waders

Anyone who fishes in moving water or water deep enough you can't see holes should wear a good snug waist belt/back support to prevent that from happening.
A good snug waist belt on either neoprene/fabric will trap air and make you semi-buoyant if you take a dumping.

Last spring on my spring fishing trip to the Muskegon river which has real heavy current, I saw a guy wearing a manual waist belt PFD along with his wader waist belt.
I think that guy had some firsthand experience with holes/swift current and down the road I plan on getting one myself :thumbup

I used to wear neoprene footed/nylon hip waders with a water shoe.
They worked great but after reading Jimbo's cautionary tale, and a little experiment at the local beach, I realized I would be in the same boat if I dumped as he was.

Haven't given up on them entirely for cold water tripping. I think I could come up with a Velcro strap on top that would fit snug enough to keep the water out without cutting blood flow :-/