Self-Reported Urinary Incontinence Prevalence in Women with versus without Regular Structured Exercise: A Cross-Sectional Study
Year 2025,
Volume: 9 Issue: 3, 528 - 536, 30.09.2025
Seda Yakıt Yeşilyurt
,
Merve Başol Göksülük
,
Başak Olgun
,
Buket Civelek
,
İlknur Erak
,
Ezgi Gürbüzer
References
-
Sapsford R. Rehabilitation of pelvic floor muscles utilizing trunk stabilization. Man Ther 2004;9(1):3–12.
-
Beckmann R, Ling F, Herbert W. Pelvic support defects, urinary incontinence, and urinary tract infection. In: Obstetrics and Gynecology. 7th ed. China: Lippincott Williams & Wilkins, a Wolters Kluwer; 2013. p. 277–86.
-
Newman D, Wein A. Office-based behavioral therapy for management of incontinence and other pelvic disorders. Urol Clin North Am 2013;40(4):613–35.
-
Yakıt Yeşilyurt S, Özengin N, Bakar Y. Pelvic Floor Muscle Training and Virtual Reality. Turkiye Klinikleri J Health 2019;4(3):381–9.
-
Haylen B, Ridder D de, Freeman R, Swift SE, Berghmans B, Lee J, et al. An International Urogynecological Association (IUGA)/International Continence Society (ICS) joint report on the terminology for female pelvic floor dysfunction. Int Urogynecol J 2010;21(1):5–26.
-
Yip S, Cardozo L. Psychological morbidity and female urinary incontinence. Best Pract Res Clin Obstet Gynaecol 2007;21(2):321–9.
-
Bo K, Frawley H, Haylen B, Abramov Y, Almeida F, Berghmans B, et al. An International Urogynecological Association (IUGA)/International Continence Society (ICS) joint report on the terminology for the conservative and nonpharmacological management of female pelvic floor dysfunction. Int Urogynecol J 2017;28(2):191–213.
-
Weber A. Epidemiology and psychosocial impact of female pelvic floor disorders. In: Walters M, Karam M, editors. Urogynecology and Reconstructive Pelvic Surgery. 3rd ed. Philadelphia: Mosby Elsevier; 2007. p. 44–54.
-
Pescatello L, Thompson W, Gordon N. ACSM’s Guidelines for Exercise Testing and Prescription. In: American College of Sports Medicine. 8th ed. Baltimore: Lippincott Williams& Wilkins; 2010. p. 253–255.
-
White R, Babic M, Parker P, Lubans D. Domain-specific physical activity and mental health: a meta-analysis. Am J Prev Med 2017;52(5):653–66.
-
Bø K, S Bratland‐Sanda S, Sundgot-Borgen J. Urinary incontinence among group fitness instructors including yoga and pilates teachers. Neurourol Urodynam 2011 Mar;30(3):370–3.
-
Giagio S, Salvioli S, Pillastrini P, Innocenti T. Sport and pelvic floor dysfunction in male and female athletes: A scoping review. Neurourology and urodynamics 2021;40(1):55–64.
-
Salvatore S, Serati M, Laterza R, Uccella S, Torella M, Bolis P. The impact of urinary stress incontinence in young and middle-age women practising recreational sports activity: an epidemiological study. British journal of sports medicine 2009;43(14):1115–8.
-
Doğan H, Özengin N, Bakar Y, Duran B. Reliability and validity of a Turkish version of the Global Pelvic Floor Bother Questionnaire. Int Urogynecol J 2016;27(10):1577–81.
-
Çetinel B, Özkan B, Can G. ICIQ-SF Türkçe versiyonu validasyon (geçerlilik) çalışması. Turk J Urol 2004;30(3):332–8.
-
Sandvik H, Seim A, Vanvik A, Hunskaar S. A severity index for epidemiological surveys of female urinary incontinence: Comparison with 48-hour pad-weighing tests. Neurourol Urodyn 2000;19(2):137–45.
-
Saglam M, Arikan H, Savci S, İnal İnce D, Bosnak Güçlü M, Karabulut E, et al. International physical activity questionnaire: reliability and validity of the Turkish version. Perceptual and Motor Skills 2010 Aug;111(1):278–84.
-
Nygaard I, Shaw J. Physical activity and the pelvic floor. Am J Obstet Gynecol 2016;214(2):164–71.
-
Townsend MK, Danforth KN, Rosner B, Curhan GC, Resnick NM, Grodstein F. Physical Activity and Incident Urinary Incontinence in Middle-Aged Women. J Urol 2008;179(3):1012–7.
-
Jiang K, Novi JM, Darnell S, Arya LA. Exercise and Urinary Incontinence in Women. Obstet Gynecol Surv 2004;59(10):717–21.
-
Brown W, Miller Y. Too wet to exercise? Leaking urine as a barrier to physical activity in women. J Sci Med Sport 2001;4(4):373–8.
-
Bø K, Haakstad LAH, Paulsen G, Rustaden AM. Does regular strength training cause urinary incontinence in overweight inactive women? A randomized controlled trial. Int Urogynecol J 2021;32(10):2827–34.
-
Nygaard I, Girts T, Fultz N, Kinchen K, Pohl G, Sternfelt B. Is urinary incontinence a barrier to exercise in women? Obstet Gynecol 2005;106(2).
-
Khanijow K, Pahwa A, Newman D, Arya L. Barriers to exercise among women with urgency urinary incontinence: patient and provider perspectives. Female Pelvic Med Reconstr Surg 2018;24(4):301–6.
-
Haakstad LAH, Gjestvang C, Lamerton T, Bø K. Urinary incontinence in a fitness club setting—is it a workout problem? Int Urogynecol J. 2020;31(9):1795–802.
-
Alves JO, Luz ST Da, Brandão S, Da Luz CM, Jorge RN, Da Roza T. Urinary Incontinence in Physically Active Young Women: Prevalence and Related Factors. Int J Sports Med 2017;38(12):937–41.
-
Ozcan F, Özkürkçügil C, Etiler N. Urinary Incontinence in Women Aged 25-64 in Turkey: A Cross-Sectional Research. Turk. J. Fam. Med. Prim. Care 2021;15(4):853–61.
-
Przydacz M, Chlosta M, Chlosta P. Population-Level Prevalence, Bother, and treatment behavior for urinary incontinence in an eastern European Country: findings from the LUTS POLAND Study. J Clin Med 2021;10(11):2314.
-
Kubik K, Blackwell L, Heit M. Does socioeconomic status explain racial differences in urinary incontinence knowledge? Am J Obstet Gynecol 2004;191(1):188–93.
-
Manso M, Botelho F, Bulhões Cláudia, Cruz F, Pacheco-Figueiredo L. Self-reported urinary incontinence in women is higher with increased age, lower educational level, lower income, number of comorbidities, and impairment of mental. World J Uro 2023;41(12):3657–62.
-
Saadia Z. Effect of age, educational status, parity and BMI on development of urinary incontinence-a cross sectional study in Saudi population. Mater Sociomed. 2015;27(4):251.
-
Bø K. Urinary incontinence, pelvic floor dysfunction, exercise and sport. Sports Medicine 2004;34(7):451–64.
-
Bourcier AP. Incontinence during sports and fitness activities. In: Pelvic Floor Re-education: Principles and Practice. Springer London; 2008. p. 267–70.
Self-Reported Urinary Incontinence Prevalence in Women with versus without Regular Structured Exercise: A Cross-Sectional Study
Year 2025,
Volume: 9 Issue: 3, 528 - 536, 30.09.2025
Seda Yakıt Yeşilyurt
,
Merve Başol Göksülük
,
Başak Olgun
,
Buket Civelek
,
İlknur Erak
,
Ezgi Gürbüzer
Abstract
Purpose: The aim of this study was to compare urinary incontinence (UI) between women with regular exercise habits and those without.
Methods: A total of 184 women, including 92 with regular and structured exercise habits and 92 without, were included in this study conducted between May and December 2024. Reported UI (Global Pelvic Floor Bother Questionnaire), symptoms, and impact on quality of life (Incontinence Severity Index, International Consultation on Incontinence Questionnaire-Short Form) were assessed in all women. This study was conducted following the STROBE guidelines.
Results: The prevalence of stress urinary incontinence (SUI), a subtype of UI, was significantly higher in women without structured exercise habits (p=0.018). The average duration of exercise among women with regular exercise habits was 24 months (range 6–240), and 85% practiced Pilates. In addition, women with structured exercise habits had higher education levels (p<0.001), and a large proportion were employed as civil servants and retirees (p<0.001 and p=0.002, respectively).
Conclusion: Women who engage in regular and structured exercise have a lower prevalence of SUI. Women with exercise habits tend to have higher education and socioeconomic levels, and the impact of incontinence on quality of life is less severe.
Ethical Statement
Ethical approval for this study was obtained from the Health Sciences Research Ethics Committee of Izmir University of Economics (Approval Number: B.30.2.IEU.0.05.05.-20-292, No: 71, Date: 30.04.2024).
Thanks
We thank all women who participated in the study.
References
-
Sapsford R. Rehabilitation of pelvic floor muscles utilizing trunk stabilization. Man Ther 2004;9(1):3–12.
-
Beckmann R, Ling F, Herbert W. Pelvic support defects, urinary incontinence, and urinary tract infection. In: Obstetrics and Gynecology. 7th ed. China: Lippincott Williams & Wilkins, a Wolters Kluwer; 2013. p. 277–86.
-
Newman D, Wein A. Office-based behavioral therapy for management of incontinence and other pelvic disorders. Urol Clin North Am 2013;40(4):613–35.
-
Yakıt Yeşilyurt S, Özengin N, Bakar Y. Pelvic Floor Muscle Training and Virtual Reality. Turkiye Klinikleri J Health 2019;4(3):381–9.
-
Haylen B, Ridder D de, Freeman R, Swift SE, Berghmans B, Lee J, et al. An International Urogynecological Association (IUGA)/International Continence Society (ICS) joint report on the terminology for female pelvic floor dysfunction. Int Urogynecol J 2010;21(1):5–26.
-
Yip S, Cardozo L. Psychological morbidity and female urinary incontinence. Best Pract Res Clin Obstet Gynaecol 2007;21(2):321–9.
-
Bo K, Frawley H, Haylen B, Abramov Y, Almeida F, Berghmans B, et al. An International Urogynecological Association (IUGA)/International Continence Society (ICS) joint report on the terminology for the conservative and nonpharmacological management of female pelvic floor dysfunction. Int Urogynecol J 2017;28(2):191–213.
-
Weber A. Epidemiology and psychosocial impact of female pelvic floor disorders. In: Walters M, Karam M, editors. Urogynecology and Reconstructive Pelvic Surgery. 3rd ed. Philadelphia: Mosby Elsevier; 2007. p. 44–54.
-
Pescatello L, Thompson W, Gordon N. ACSM’s Guidelines for Exercise Testing and Prescription. In: American College of Sports Medicine. 8th ed. Baltimore: Lippincott Williams& Wilkins; 2010. p. 253–255.
-
White R, Babic M, Parker P, Lubans D. Domain-specific physical activity and mental health: a meta-analysis. Am J Prev Med 2017;52(5):653–66.
-
Bø K, S Bratland‐Sanda S, Sundgot-Borgen J. Urinary incontinence among group fitness instructors including yoga and pilates teachers. Neurourol Urodynam 2011 Mar;30(3):370–3.
-
Giagio S, Salvioli S, Pillastrini P, Innocenti T. Sport and pelvic floor dysfunction in male and female athletes: A scoping review. Neurourology and urodynamics 2021;40(1):55–64.
-
Salvatore S, Serati M, Laterza R, Uccella S, Torella M, Bolis P. The impact of urinary stress incontinence in young and middle-age women practising recreational sports activity: an epidemiological study. British journal of sports medicine 2009;43(14):1115–8.
-
Doğan H, Özengin N, Bakar Y, Duran B. Reliability and validity of a Turkish version of the Global Pelvic Floor Bother Questionnaire. Int Urogynecol J 2016;27(10):1577–81.
-
Çetinel B, Özkan B, Can G. ICIQ-SF Türkçe versiyonu validasyon (geçerlilik) çalışması. Turk J Urol 2004;30(3):332–8.
-
Sandvik H, Seim A, Vanvik A, Hunskaar S. A severity index for epidemiological surveys of female urinary incontinence: Comparison with 48-hour pad-weighing tests. Neurourol Urodyn 2000;19(2):137–45.
-
Saglam M, Arikan H, Savci S, İnal İnce D, Bosnak Güçlü M, Karabulut E, et al. International physical activity questionnaire: reliability and validity of the Turkish version. Perceptual and Motor Skills 2010 Aug;111(1):278–84.
-
Nygaard I, Shaw J. Physical activity and the pelvic floor. Am J Obstet Gynecol 2016;214(2):164–71.
-
Townsend MK, Danforth KN, Rosner B, Curhan GC, Resnick NM, Grodstein F. Physical Activity and Incident Urinary Incontinence in Middle-Aged Women. J Urol 2008;179(3):1012–7.
-
Jiang K, Novi JM, Darnell S, Arya LA. Exercise and Urinary Incontinence in Women. Obstet Gynecol Surv 2004;59(10):717–21.
-
Brown W, Miller Y. Too wet to exercise? Leaking urine as a barrier to physical activity in women. J Sci Med Sport 2001;4(4):373–8.
-
Bø K, Haakstad LAH, Paulsen G, Rustaden AM. Does regular strength training cause urinary incontinence in overweight inactive women? A randomized controlled trial. Int Urogynecol J 2021;32(10):2827–34.
-
Nygaard I, Girts T, Fultz N, Kinchen K, Pohl G, Sternfelt B. Is urinary incontinence a barrier to exercise in women? Obstet Gynecol 2005;106(2).
-
Khanijow K, Pahwa A, Newman D, Arya L. Barriers to exercise among women with urgency urinary incontinence: patient and provider perspectives. Female Pelvic Med Reconstr Surg 2018;24(4):301–6.
-
Haakstad LAH, Gjestvang C, Lamerton T, Bø K. Urinary incontinence in a fitness club setting—is it a workout problem? Int Urogynecol J. 2020;31(9):1795–802.
-
Alves JO, Luz ST Da, Brandão S, Da Luz CM, Jorge RN, Da Roza T. Urinary Incontinence in Physically Active Young Women: Prevalence and Related Factors. Int J Sports Med 2017;38(12):937–41.
-
Ozcan F, Özkürkçügil C, Etiler N. Urinary Incontinence in Women Aged 25-64 in Turkey: A Cross-Sectional Research. Turk. J. Fam. Med. Prim. Care 2021;15(4):853–61.
-
Przydacz M, Chlosta M, Chlosta P. Population-Level Prevalence, Bother, and treatment behavior for urinary incontinence in an eastern European Country: findings from the LUTS POLAND Study. J Clin Med 2021;10(11):2314.
-
Kubik K, Blackwell L, Heit M. Does socioeconomic status explain racial differences in urinary incontinence knowledge? Am J Obstet Gynecol 2004;191(1):188–93.
-
Manso M, Botelho F, Bulhões Cláudia, Cruz F, Pacheco-Figueiredo L. Self-reported urinary incontinence in women is higher with increased age, lower educational level, lower income, number of comorbidities, and impairment of mental. World J Uro 2023;41(12):3657–62.
-
Saadia Z. Effect of age, educational status, parity and BMI on development of urinary incontinence-a cross sectional study in Saudi population. Mater Sociomed. 2015;27(4):251.
-
Bø K. Urinary incontinence, pelvic floor dysfunction, exercise and sport. Sports Medicine 2004;34(7):451–64.
-
Bourcier AP. Incontinence during sports and fitness activities. In: Pelvic Floor Re-education: Principles and Practice. Springer London; 2008. p. 267–70.