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Continence: Bowel and Bladder and Physical Function Decline in Women

  • Geriatric Urology (H Richter and C Parker-Autry, Section Editor)
  • Published:
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Abstract

Purpose of Review

The purpose of this article is to review the various forms of incontinence, highlight their impact on older women, and explore current literature regarding the link between physical activity, physical function, and incontinence.

Recent Findings

Both urinary and fecal incontinence become more prevalent with age, and are associated with significant morbidity. In parallel, there is a well-established decline in physical function that occurs with age. Furthermore, incontinence has a bidirectional relationship with physical function decline. Given the known link between increasing physical activity and preserved physical function, there is an emerging body of literature seeking to determine whether increases in physical activity may also improve incontinence outcomes. We review some recent data on this topic.

Summary

Continence and physical function are two closely linked entities. Further research is needed to determine whether interventions that increase physical activity might result in improved continence outcomes.

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References

Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major importance

  1. Haylen BT, de Ridder D, Freeman RM, 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. Neurourol Urodyn. 2010;29(1):4–20.

    PubMed  Google Scholar 

  2. Melville JL, Katon W, Delaney K, Newton K. Urinary incontinence in US women: a population-based study. Arch Intern Med. 2005;165(5):537–42.

    PubMed  Google Scholar 

  3. Offermans MP, Du Moulin MF, Hamers JP, Dassen T, Halfens RJ. Prevalence of urinary incontinence and associated risk factors in nursing home residents: a systematic review. Neurourol Urodyn. 2009;28(4):288–94.

    PubMed  Google Scholar 

  4. Gibson W, Wagg A. Incontinence in the elderly, 'normal' ageing, or unaddressed pathology? Nat Rev Urol. 2017;14:440.

    PubMed  Google Scholar 

  5. Hung KJ, Awtrey CS, Tsai AC. Urinary incontinence, depression, and economic outcomes in a cohort of women between the ages of 54 and 65 years. Obstet Gynecol. 2014;123(4):822–7.

    PubMed  PubMed Central  Google Scholar 

  6. Ko Y, Lin SJ, Salmon JW, Bron MS. The impact of urinary incontinence on quality of life of the elderly. Am J Manag Care. 2005;11(4 Suppl):S103–11.

    PubMed  Google Scholar 

  7. Yip SO, Dick MA, AM MP, Martin DK, Ciarleglio MM, Erekson EA. The association between urinary and fecal incontinence and social isolation in older women. American journal of obstetrics and gynecology. 2013;208(2):146e1–7.

    Google Scholar 

  8. Gomes TA, Faber MA, Botta B, Brito LGO, Juliato CRT. Severity of urinary incontinence is associated with prevalence of sexual dysfunction. International urogynecology journal. 2019.

  9. Thom DH, Haan MN, Van Den Eeden SK. Medically recognized urinary incontinence and risks of hospitalization, nursing home admission and mortality. Age Ageing. 1997;26(5):367–74.

    CAS  PubMed  Google Scholar 

  10. John G, Bardini C, Combescure C, Dallenbach P. Urinary incontinence as a predictor of death: a systematic review and meta-analysis. PLoS One. 2016;11(7):e0158992.

    PubMed  PubMed Central  Google Scholar 

  11. Hunskaar S, Burgio K, Diokno A, Herzog AR, Hjalmas K, Lapitan MC. Epidemiology and natural history of urinary incontinence in women. Urology. 2003;62(4 Suppl 1):16–23.

    PubMed  Google Scholar 

  12. Hannestad YS, Rortveit G, Sandvik H, Hunskaar S. A community-based epidemiological survey of female urinary incontinence: the Norwegian EPINCONT study. Epidemiology of Incontinence in the County of Nord-Trondelag. J Clin Epidemiol 2000;53(11):1150–1157.

  13. Imamura M, Abrams P, Bain C, Buckley B, Cardozo L, Cody J, et al. Systematic review and economic modelling of the effectiveness and cost-effectiveness of non-surgical treatments for women with stress urinary incontinence. Health Technol Assess. 2010;14(40):1–188 iii-iv.

    CAS  PubMed  Google Scholar 

  14. Borello-France D, Burgio KL, Goode PS, Ye W, Weidner AC, Lukacz ES, et al. Adherence to behavioral interventions for stress incontinence: rates, barriers, and predictors. Phys Ther. 2013;93(6):757–73.

    PubMed  PubMed Central  Google Scholar 

  15. Newman DK, Wein AJ. Office-based behavioral therapy for management of incontinence and other pelvic disorders. Urol Clin North Am. 2013;40(4):613–35.

    PubMed  Google Scholar 

  16. Faiena I, Patel N, Parihar JS, Calabrese M, Tunuguntla H. Conservative management of urinary incontinence in women. Rev Urol. 2015;17(3):129–39.

    PubMed  PubMed Central  Google Scholar 

  17. Bo K, Hilde G. Does it work in the long term?--a systematic review on pelvic floor muscle training for female stress urinary incontinence. Neurourol Urodyn. 2013;32(3):215–23.

    PubMed  Google Scholar 

  18. Nie XF, Ouyang YQ, Wang L, Redding SR. A meta-analysis of pelvic floor muscle training for the treatment of urinary incontinence. Int J Gynaecol Obstet. 2017;138(3):250–5.

    PubMed  Google Scholar 

  19. Balk EM, Rofeberg VN, Adam GP, Kimmel HJ, Trikalinos TA, Jeppson PC. Pharmacologic and nonpharmacologic treatments for urinary incontinence in women: a systematic review and network meta-analysis of clinical outcomes. Ann Intern Med. 2019;170(7):465–79.

    PubMed  Google Scholar 

  20. Cui Y, Zong H, Yang C, Yan H, Zhang Y. The efficacy and safety of mirabegron in treating OAB: a systematic review and meta-analysis of phase III trials. Int Urol Nephrol. 2014;46(1):275–84.

    CAS  PubMed  Google Scholar 

  21. Richardson K, Fox C, Maidment I, Steel N, Loke YK, Arthur A, et al. Anticholinergic drugs and risk of dementia: case-control study. BMJ. 2018;361:k1315.

    PubMed  PubMed Central  Google Scholar 

  22. Coupland CAC, Hill T, Dening T, Morriss R, Moore M, Hippisley-Cox J. Anticholinergic drug exposure and the risk of dementia: a nested case-control study. JAMA Intern Med. 2019.

  23. Gray SL, Anderson ML, Dublin S, Hanlon JT, Hubbard R, Walker R, et al. Cumulative use of strong anticholinergics and incident dementia: a prospective cohort study. JAMA Intern Med. 2015;175(3):401–7.

    PubMed  PubMed Central  Google Scholar 

  24. Rudolph JL, Salow MJ, Angelini MC, McGlinchey RE. The anticholinergic risk scale and anticholinergic adverse effects in older persons. Arch Intern Med. 2008;168(5):508–13.

    PubMed  Google Scholar 

  25. Chapple CR, Cardozo L, Nitti VW, Siddiqui E, Michel MC. Mirabegron in overactive bladder: a review of efficacy, safety, and tolerability. Neurourol Urodyn. 2014;33(1):17–30.

    CAS  PubMed  Google Scholar 

  26. Komesu YM, Amundsen CL, Richter HE, Erickson SW, Ackenbom MF, Andy UU, et al. Refractory urgency urinary incontinence treatment in women: impact of age on outcomes and complications. American journal of obstetrics and gynecology. 2018;218(1):111e1–9.

    Google Scholar 

  27. Rovner ES, Wein AJ. Treatment options for stress urinary incontinence. Rev Urol. 2004;6(Suppl 3):S29–47.

    PubMed  PubMed Central  Google Scholar 

  28. Sharma A, Yuan L, Marshall RJ, Merrie AE, Bissett IP. Systematic review of the prevalence of faecal incontinence. Br J Surg. 2016;103(12):1589–97.

    CAS  PubMed  Google Scholar 

  29. Macmillan AK, Merrie AE, Marshall RJ, Parry BR. The prevalence of fecal incontinence in community-dwelling adults: a systematic review of the literature. Dis Colon Rectum. 2004;47(8):1341–9.

    PubMed  Google Scholar 

  30. Nelson R, Norton N, Cautley E, Furner S. Community-based prevalence of anal incontinence. Jama. 1995;274(7):559–61.

    CAS  PubMed  Google Scholar 

  31. Goode PS, Burgio KL, Halli AD, Jones RW, Richter HE, Redden DT, et al. Prevalence and correlates of fecal incontinence in community-dwelling older adults. J Am Geriatr Soc. 2005;53(4):629–35.

    PubMed  Google Scholar 

  32. Melville JL, Fan MY, Newton K, Fenner D. Fecal incontinence in US women: a population-based study. Am J Obstet Gynecol. 2005;193(6):2071–6.

    PubMed  Google Scholar 

  33. Quander CR, Morris MC, Melson J, Bienias JL, Evans DA. Prevalence of and factors associated with fecal incontinence in a large community study of older individuals. Am J Gastroenterol. 2005;100(4):905–9.

    PubMed  Google Scholar 

  34. Bharucha AE, Zinsmeister AR, Locke GR, Seide BM, McKeon K, Schleck CD, et al. Prevalence and burden of fecal incontinence: a population-based study in women. Gastroenterology. 2005;129(1):42–9.

    PubMed  Google Scholar 

  35. Whitehead WE, Borrud L, Goode PS, Meikle S, Mueller ER, Tuteja A, et al. Fecal incontinence in US adults: epidemiology and risk factors. Gastroenterology. 2009;137(2):512–7 7e1–2.

    PubMed  Google Scholar 

  36. Chassagne P, Landrin I, Neveu C, Czernichow P, Bouaniche M, Doucet J, et al. Fecal incontinence in the institutionalized elderly: incidence, risk factors, and prognosis. Am J Med. 1999;106(2):185–90.

    CAS  PubMed  Google Scholar 

  37. Markland AD, Goode PS, Burgio KL, Redden DT, Richter HE, Sawyer P, et al. Incidence and risk factors for fecal incontinence in black and white older adults: a population-based study. J Am Geriatr Soc. 2010;58(7):1341–6.

    PubMed  PubMed Central  Google Scholar 

  38. Tariq SH, Morley JE, Prather CM. Fecal incontinence in the elderly patient. Am J Med. 2003;115(3):217–27.

    PubMed  Google Scholar 

  39. Halland M, Koloski NA, Jones M, Byles J, Chiarelli P, Forder P, et al. Prevalence correlates and impact of fecal incontinence among older women. Dis Colon Rectum. 2013;56(9):1080–6.

    PubMed  Google Scholar 

  40. Grover M, Busby-Whitehead J, Palmer MH, Heymen S, Palsson OS, Goode PS, et al. Survey of geriatricians on the effect of fecal incontinence on nursing home referral. J Am Geriatr Soc. 2010;58(6):1058–62.

    PubMed  PubMed Central  Google Scholar 

  41. Alavi K, Chan S, Wise P, Kaiser AM, Sudan R, Bordeianou L. Fecal incontinence: etiology, diagnosis, and management. Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract. 2015;19(10):1910–21.

    Google Scholar 

  42. Kadam-Halani PK, Arya LA, Andy UU. Clinical anatomy of fecal incontinence in women. Clin Anat. 2017;30(7):901–11.

    PubMed  Google Scholar 

  43. Ng KS, Sivakumaran Y, Nassar N, Gladman MA. Fecal incontinence: community prevalence and associated factors--a systematic review. Dis Colon Rectum. 2015;58(12):1194–209.

    PubMed  Google Scholar 

  44. Halland M, Talley NJ. Fecal incontinence: mechanisms and management. Curr Opin Gastroenterol. 2012;28(1):57–62.

    PubMed  Google Scholar 

  45. Leung FW, Rao SS. Fecal incontinence in the elderly. Gastroenterol Clin N Am. 2009;38(3):503–11.

    Google Scholar 

  46. Ditah I, Devaki P, Luma HN, Ditah C, Njei B, Jaiyeoba C, et al. Prevalence, trends, and risk factors for fecal incontinence in United States adults, 2005–2010. Clin Gastroenterol Hepatol. 2014;12(4):636–43 e1–2.

    PubMed  Google Scholar 

  47. • Wald A. Update on the management of fecal incontinence for the gastroenterologist. Gastroenterol Hepatol (N Y). 2016;12(3):155–64 Provides an excellent detailed overview of fecal incontinence management.

    Google Scholar 

  48. Tariq SH. Fecal incontinence in older adults. Clin Geriatr Med. 2007;23(4):857–69 vii.

    PubMed  Google Scholar 

  49. Omotosho TB, Rogers RG. Evaluation and treatment of anal incontinence, constipation, and defecatory dysfunction. Obstet Gynecol Clin N Am. 2009;36(3):673–97.

    Google Scholar 

  50. Painter P, Stewart AL, Carey S. Physical functioning: definitions, measurement, and expectations. Adv Ren Replace Ther. 1999;6(2):110–23.

    CAS  PubMed  Google Scholar 

  51. Chu CM, Khanijow KD, Schmitz KH, Newman DK, Arya LA, Harvie HS. Physical activity patterns and sedentary behavior in older women with urinary incontinence: an accelerometer-based study. Female pelvic medicine & reconstructive surgery. 2019;25(4):318–22.

    Google Scholar 

  52. Jette AM, Davies AR, Cleary PD, Calkins DR, Rubenstein LV, Fink A, et al. The Functional Status Questionnaire: reliability and validity when used in primary care. J Gen Intern Med. 1986;1(3):143–9.

    CAS  PubMed  Google Scholar 

  53. White DK, Wilson JC, Keysor JJ. Measures of adult general functional status: SF-36 Physical Functioning Subscale (PF-10), Health Assessment Questionnaire (HAQ), Modified Health Assessment Questionnaire (MHAQ), Katz Index of Independence in activities of daily living, Functional Independence Measure (FIM), and Osteoarthritis-Function-Computer Adaptive Test (OA-Function-CAT). Arthritis Care Res (Hoboken). 2011;63(Suppl 11):S297–307.

    Google Scholar 

  54. VanSwearingen JM, Brach JS. Making geriatric assessment work: selecting useful measures. Phys Ther. 2001;81(6):1233–52.

    CAS  PubMed  Google Scholar 

  55. Podsiadlo D, Richardson S. The timed “up & go”: a test of basic functional mobility for frail elderly persons. J Am Geriatr Soc. 1991;39(2):142–8.

    CAS  PubMed  Google Scholar 

  56. Nielsen LM, Kirkegaard H, Ostergaard LG, Bovbjerg K, Breinholt K, Maribo T. Comparison of self-reported and performance-based measures of functional ability in elderly patients in an emergency department: implications for selection of clinical outcome measures. BMC Geriatr. 2016;16(1):199.

    PubMed  PubMed Central  Google Scholar 

  57. Colon-Emeric CS, Whitson HE, Pavon J, Hoenig H. Functional decline in older adults. Am Fam Physician. 2013;88(6):388–94.

    PubMed  PubMed Central  Google Scholar 

  58. Perera S, Patel KV, Rosano C, Rubin SM, Satterfield S, Harris T, et al. Gait speed predicts incident disability: a pooled analysis. J Gerontol A Biol Sci Med Sci. 2016;71(1):63–71.

    PubMed  Google Scholar 

  59. Buracchio T, Dodge HH, Howieson D, Wasserman D, Kaye J. The trajectory of gait speed preceding mild cognitive impairment. Arch Neurol. 2010;67(8):980–6.

    PubMed  PubMed Central  Google Scholar 

  60. Turvey CL, Schultz SK, Beglinger L, Klein DM. A longitudinal community-based study of chronic illness, cognitive and physical function, and depression. Am J Geriatr Psychiatry. 2009;17(8):632–41.

    PubMed  PubMed Central  Google Scholar 

  61. Jin Y, Tanaka T, Ma Y, Bandinelli S, Ferrucci L, Talegawkar SA. Cardiovascular health is associated with physical function among older community dwelling men and women. J Gerontol A Biol Sci Med Sci. 2017;72(12):1710–6.

    PubMed  PubMed Central  Google Scholar 

  62. Cawthon PM, Fox KM, Gandra SR, Delmonico MJ, Chiou CF, Anthony MS, et al. Do muscle mass, muscle density, strength, and physical function similarly influence risk of hospitalization in older adults? J Am Geriatr Soc. 2009;57(8):1411–9.

    PubMed  PubMed Central  Google Scholar 

  63. Rockwood K, Stolee P, McDowell I. Factors associated with institutionalization of older people in Canada: testing a multifactorial definition of frailty. J Am Geriatr Soc. 1996;44(5):578–82.

    CAS  PubMed  Google Scholar 

  64. Schupf N, Tang MX, Albert SM, Costa R, Andrews H, Lee JH, et al. Decline in cognitive and functional skills increases mortality risk in nondemented elderly. Neurology. 2005;65(8):1218–26.

    CAS  PubMed  Google Scholar 

  65. Studenski S, Perera S, Patel K, Rosano C, Faulkner K, Inzitari M, et al. Gait speed and survival in older adults. Jama. 2011;305(1):50–8.

    CAS  PubMed  PubMed Central  Google Scholar 

  66. Martin LG, Schoeni RF. Trends in disability and related chronic conditions among the forty-and-over population: 1997-2010. Disabil Health J. 2014;7(1 Suppl):S4–14.

    PubMed  Google Scholar 

  67. Greer JA, Xu R, Propert KJ, Arya LA. Urinary incontinence and disability in community-dwelling women: a cross-sectional study. Neurourol Urodyn. 2015;34(6):539–43.

    PubMed  Google Scholar 

  68. Fritel X, Lachal L, Cassou B, Fauconnier A, Dargent-Molina P. Mobility impairment is associated with urge but not stress urinary incontinence in community-dwelling older women: results from the Ossebo study. BJOG. 2013;120(12):1566–72.

    CAS  PubMed  Google Scholar 

  69. Smith AL, Wang PC, Anger JT, Mangione CM, Trejo L, Rodriguez LV, et al. Correlates of urinary incontinence in community-dwelling older Latinos. J Am Geriatr Soc. 2010;58(6):1170–6.

    PubMed  PubMed Central  Google Scholar 

  70. Erekson EA, Ciarleglio MM, Hanissian PD, Strohbehn K, Bynum JP, Fried TR. Functional disability and compromised mobility among older women with urinary incontinence. Female pelvic medicine & reconstructive surgery. 2015;21(3):170–5.

    Google Scholar 

  71. Jenkins KR, Fultz NH. Functional impairment as a risk factor for urinary incontinence among older Americans. Neurourol Urodyn. 2005;24(1):51–5.

    PubMed  Google Scholar 

  72. Huang AJ, Brown JS, Thom DH, Fink HA, Yaffe K. Study of Osteoporotic Fractures Research G. Urinary incontinence in older community-dwelling women: the role of cognitive and physical function decline. Obstet Gynecol. 2007;109(4):909–16.

    PubMed  Google Scholar 

  73. Suskind AM, Cawthon PM, Nakagawa S, Subak LL, Reinders I, Satterfield S, et al. Urinary incontinence in older women: the role of body composition and muscle strength: from the Health, Aging, and Body Composition study. J Am Geriatr Soc. 2017;65(1):42–50.

    PubMed  Google Scholar 

  74. •• Parker-Autry C, Houston DK, Rushing J, Richter HE, Subak L, Kanaya AM, et al. Characterizing the functional decline of older women with incident urinary incontinence. OB GYN. 2017;130(5):1025–32 A secondary analysis of a large cohort study which links specific manifestations of physical function decline to urinary incontinence.

    Google Scholar 

  75. Omli R, Hunskaar S, Mykletun A, Romild U, Kuhry E. Urinary incontinence and risk of functional decline in older women: data from the Norwegian HUNT-study. BMC Geriatr. 2013;13:47.

    PubMed  PubMed Central  Google Scholar 

  76. •• Correa L, Pirkle CM, Wu YY, Vafaei A, Curcio CL, Camara S. Urinary incontinence is associated with physical performance decline in community-dwelling older women: results from the International Mobility in Aging Study. J Aging Health. 2018:898264318799223 Provides evidence of the impact of urinary incontinence on physical function decline.

  77. Quander CR, Morris MC, Mendes de Leon CF, Bienias JL, Evans DA. Association of fecal incontinence with physical disability and impaired cognitive function. Am J Gastroenterol. 2006;101(11):2588–93.

    PubMed  Google Scholar 

  78. •• Erekson EA, Ciarleglio MM, Hanissian PD, Strohbehn K, Bynum JP, Fried TR. Functional disability among older women with fecal incontinence. American journal of obstetrics and gynecology. 2015;212(3):327e1–7 Provides evidence of the association between impaired physical function and FI in older women.

    Google Scholar 

  79. Caspersen CJ, Powell KE, Christenson GM. Physical activity, exercise, and physical fitness: definitions and distinctions for health-related research. Public Health Rep. 1985;100(2):126–31.

    CAS  PubMed  PubMed Central  Google Scholar 

  80. Dipietro L, Campbell WW, Buchner DM, Erickson KI, Powell KE, Bloodgood B, et al. Physical activity, injurious falls, and physical function in aging: an umbrella review. Med Sci Sports Exerc. 2019;51(6):1303–13.

    PubMed  PubMed Central  Google Scholar 

  81. Tucker JM, Welk GJ, Beyler NK. Physical activity in U.S.: adults compliance with the Physical Activity Guidelines for Americans. Am J Prev Med. 2011;40(4):454–61.

    PubMed  Google Scholar 

  82. Services USDoHaH. Healthy People 2020 2015 [Available from: https://www.cdc.gov/nchs/healthy_people/hp2010.htm.

  83. Prevention CfDCa. CDC behavioral risk factor surveillance survey 2019 [Available from: http://www.cdc.gov/brfss/.

  84. 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):1012–6 discussion 6-7.

    PubMed  PubMed Central  Google Scholar 

  85. Kikuchi A, Niu K, Ikeda Y, Hozawa A, Nakagawa H, Guo H, et al. Association between physical activity and urinary incontinence in a community-based elderly population aged 70 years and over. Eur Urol. 2007;52(3):868–74.

    PubMed  Google Scholar 

  86. Danforth KN, Shah AD, Townsend MK, Lifford KL, Curhan GC, Resnick NM, et al. Physical activity and urinary incontinence among healthy, older women. Obstet Gynecol. 2007;109(3):721–7.

    PubMed  Google Scholar 

  87. Fultz NH, Fisher GG, Jenkins KR. Does urinary incontinence affect middle-aged and older women's time use and activity patterns? Obstet Gynecol. 2004;104(6):1327–34.

    PubMed  Google Scholar 

  88. • Staller K, Song M, Grodstein F, Matthews CA, Whitehead WE, Kuo B, et al. Physical activity, BMI, and risk of fecal incontinence in the Nurses’ Health Study. Clin Transl Gastroenterol. 2018;9(10):200 Prospective cohort study of individuals from Nurses’ Health Study that provides evidence of impact of physical activity on development of FI.

    PubMed  PubMed Central  Google Scholar 

  89. • Chu CM, Schmitz KH, Khanijow K, Stambakio H, Newman DK, Arya LA, et al. Feasibility and outcomes: pilot randomized controlled trial of a home-based integrated physical exercise and bladder-training program vs usual care for community-dwelling older women with urinary incontinence. Neurourol Urodyn. 2019;38(5):1399–408 Provides pilot and feasibility data for development of physical activity intervention in community-dwelling older women with UI.

    PubMed  Google Scholar 

  90. • Talley KMC, Wyman JF, Bronas U, Olson-Kellogg BJ, McCarthy TC. Defeating urinary incontinence with exercise training: results of a pilot study in frail older women. Journal of the American Geriatrics Society. 2017;65(6):1321–7 Provides pilot data for development of physical activity intervention in frail older women with UI.

    PubMed  PubMed Central  Google Scholar 

  91. Kim H, Yoshida H, Suzuki T. The effects of multidimensional exercise treatment on community-dwelling elderly Japanese women with stress, urge, and mixed urinary incontinence: a randomized controlled trial. Int J Nurs Stud. 2011;48(10):1165–72.

    PubMed  Google Scholar 

  92. Huang AJ, Chesney M, Lisha N, Vittinghoff E, Schembri M, Pawlowsky S, et al. A group-based yoga program for urinary incontinence in ambulatory women: feasibility, tolerability, and change in incontinence frequency over 3 months in a single-center randomized trial. American journal of obstetrics and gynecology. 2019;220(1):87e1–e13.

    Google Scholar 

  93. Schnelle JF, Alessi CA, Simmons SF, Al-Samarrai NR, Beck JC, Ouslander JG. Translating clinical research into practice: a randomized controlled trial of exercise and incontinence care with nursing home residents. J Am Geriatr Soc. 2002;50(9):1476–83.

    PubMed  Google Scholar 

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Correspondence to Daisy Hassani.

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Dr. Hassani declares no conflicts of interest.

Dr. Arya reports grants from Eunice Kennedy Shriver National Institute of Child Health and Human Development during the conduct of the study.

Dr. Andy reports grants from the National Institute on Aging during the conduct of this study.

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Hassani, D., Arya, L. & Andy, U. Continence: Bowel and Bladder and Physical Function Decline in Women. Curr Geri Rep 9, 64–71 (2020). https://doi.org/10.1007/s13670-020-00313-x

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