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Cited by 162Pelvic floor disorders treatmentsUrinary Bladder and Prostate ResearchPhysical Activity and Health

The DOI matches its Crossref record; 15 of the 16 references it cites were found in a registry or an index.

Is urinary incontinence a barrier to exercise in women

Nygaard, Ingrid, Girts, Tammy, Fultz, Nancy H., Kinchen, Kraig, Pohl, Gerhardt, Sternfeld, Barbara·2005·Obstetrics & Gynecology
DOI 10.1097/01.aog.0000168455.39156.0f
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Abstract

OBJECTIVE: To describe the prevalence of urinary incontinence during exercise in women, estimate whether exercise intensity is related to leakage severity, and report women's assessments of incontinence as a barrier to exercise. METHODS: Questionnaires were mailed to 5,130 women aged 18-60 years drawn from National Family Opinion research panels. Physical activity levels were assessed by the International Physical Activity Questionnaire. Urinary incontinence, defined as involuntary leakage in the last 30 days, was assessed with the Sandvik Severity Index and a global measure of bother. Prevalence estimates were adjusted via post-stratification weighting. RESULTS: A total of 3,364 eligible women responded (68%), of whom 34.6% were insufficiently active (95% confidence interval [CI] 32.7-36.5%), 29.7% were sufficiently active (95% CI 27.9-31.5%), and 35.7% were highly active (95% CI 33.8-37.6%). Urinary incontinence prevalence was 34.3% (95% CI 32.5-36.1%). One in seven women experienced urinary leakage during physical activity; this was more common among highly active (15.9%) than less active women (11.8%) (P = .01). After adjusting for age, comorbidities, education, and race, women with very severe incontinence were 2.64 times (95% CI 1.25-5.55) more likely to be insufficiently active than continent women. Incontinence was a moderate or substantial barrier to exercise for 9.8% (95% CI 8.8-10.9%) of women. Of incontinent women, the proportion for whom incontinence was a moderate or substantial barrier to exercise increased with each severity category: 9.2%, slight; 37.8%, moderate; 64.6%, severe; and 85.3%, very severe (P < .01). CONCLUSION: Urinary incontinence is perceived as a barrier to exercise, particularly by women with more severe leakage.

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Research works printed but not linked: 5

  1. Bø, 1989, Scand J Sports Sci, 11, 113
  2. Bø, 1994, Obstet Gynecol, 84, 1028
  3. Nygaard, 1994, Obstet Gynecol, 84, 183
  4. Nygaard, 1990, Obstet Gynecol, 75, 848
  5. 2003, MMWR Morb Mortal Wkly Rep, 52, 764

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Metadata

Authors
Nygaard, I., Girts, T., Fultz, N. H., Kinchen, K., Pohl, G., & Sternfeld, B.
Affiliations
University of Iowa (US)
ORCID
Nygaard, Ingrid
Venue
Obstetrics & Gynecology
Publisher
Ovid Technologies (Wolters Kluwer Health)
Published
2005-08
Volume
106
Issue
2
Pages
307-314
ISSN
0029-7844 (ISSN-L)
DOI
10.1097/01.aog.0000168455.39156.0f
OpenAlex
W2334168932
Cited by
162
References
16
Citations by year
2026: 9 · 2025: 9 · 2024: 12 · 2023: 11 · 2022: 9 · 2021: 18 · 2020: 6 · 2019: 9 · 2018: 9 · 2017: 7 · 2016: 4 · 2015: 7 · 2014: 6 · 2013: 4 · 2012: 6
FWCI
3.65
Type
journal article
Language
en
Open access
closed
Locations
  • Obstetrics and Gynecology (publishedVersion)
  • PubMed (publishedVersion)
  • Dkgest of the World Latest Medical Information
Funders
  • National Institutes of Health (7k24hd042469-05)
  • Eunice Kennedy Shriver National Institute of Child Health and Human Development (K24 HD042469-01)
Topics
  • Health Sciences › Medicine › Urology › Pelvic floor disorders treatments
  • Health Sciences › Medicine › Urology › Urinary Bladder and Prostate Research
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Physical Activity and Health
Keywords
urinary incontinence, barriers to exercise, physical activity, women, incontinence severity, physical activity level, prevalence, exercise motivation
MeSH terms
Adolescent, Adult, Female, Humans, Middle Aged, Surveys and Questionnaires, Urinary Incontinence, Exercise, Prevalence

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