Association of Physical Activity With Urinary Incontinence in Older Women: A Systematic Review

Area of Science:

• Gerontology
• Urology
• Preventive Medicine

Background:

• Urinary incontinence is a prevalent issue affecting older women's quality of life.
• Understanding the role of physical activity in its prevention is crucial for public health.

Purpose of the Study:

• To systematically review and analyze scientific evidence on the association between physical activity and urinary incontinence in the elderly female population.

Main Methods:

• A comprehensive literature search was conducted across multiple databases (MEDLINE, PubMed, CINAHL, Web of Science, SCOPUS, ScienceDirect).
• Included studies were observational, focusing on urinary incontinence, older adults, and physical activity.
• Methodological quality was assessed using the Downs and Black checklist.

Main Results:

• Ten articles were included in the analysis.
• A sedentary lifestyle and less than 150 minutes of weekly physical activity were identified as risk factors for urinary incontinence.
• Walking (≥30 minutes) and engaging in moderate-to-vigorous physical activities (600-1,500 METs/min per week) were associated with the prevention of urinary incontinence.
• Seven of the ten studies demonstrated good methodological quality.

Conclusions:

• A sedentary lifestyle poses a significant risk for developing urinary incontinence in older women.
• Regular engagement in walking and moderate-to-vigorous physical activities is linked to the prevention of urinary incontinence.