Association between Physical Activity and Urinary Incontinence in a Community-Based Elderly Population Aged 70 Years and Over

Akio Kikuchi, Kaijun Niu, Yoshihiro Ikeda, Atsushi Hozawa, Haruo Nakagawa, Hui Guo, Kaori Ohmori-Matsuda, Guang Yang, Arta Farmawati, Ashkan Sami, Yoichi Arai, Ichiro Tsuji, Ryoichi Nagatomi

Research output: Contribution to journalArticlepeer-review

54 Citations (Scopus)


Objectives: The objective of the present study was to evaluate the association between physical activity (PA) levels and urinary incontinence (UI) in a community-based elderly population aged ≥70 yr. Methods: This population-based cross-sectional survey was conducted in 2003 using an extensive health interview for each participant. A self-reported single-item questionnaire was used to estimate different levels of PA in each subject. The prevalence of UI was estimated by the self-administered International Consultation on Incontinence Questionnaire. The study population included 676 Japanese men and women. Results: The prevalence of UI was 25% (34% in women and 16% in men). After adjustment for potential confounding factors, the odds ratio (95% confidence interval) of UI compared with the lowest PA group was 0.71 (0.47-1.09) and 0.58 (0.35-0.96) in subjects exhibiting middle and high levels of PA, respectively (p for trend = 0.02). Conclusions: High PA level was independently related to a lower self-reported prevalence of UI in a community-dwelling elderly population aged ≥70 yr. Although this cross-sectional study cannot demonstrate a temporal relationship between PA and the onset of UI, the findings suggest that PA may have a potentially beneficial effect on the prevention of UI. A prospective study or randomized trials are required to clarify the causality.

Original languageEnglish
Pages (from-to)868-875
Number of pages8
JournalEuropean Urology
Issue number3
Publication statusPublished - 2007 Sep


  • International Consultation on Incontinence Questionnaire
  • Physical activity
  • Urinary incontinence

ASJC Scopus subject areas

  • Urology


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