SUFU 2021: Stress Urinary Incontinence: Better Defining the Context of Leakage Among Physical Activities

( A web-based survey of women recruited through ResearchMatch, a national online registry, was performed using the newly developed Lower Urinary Tract Research Network-Symptom Index (LURN-SI-29) and the International Physical Activity Questionnaire-Short Form (IPAQSF). Additional questions were included to understand typical exercise frequency, lower urinary tract symptoms (LUTS) during physical activities, and adaptive behaviors.

Two items in the LURN-SI-29 were used to assess stress urinary incontinence (SUI) (SUI-Coughing-Sneezing-Laughing and SUI-Physical Activity). A random sample of 18,559 of 99,920 female volunteers were invited to participate; 1,747 completed the survey. After excluding pregnant and non-ambulatory women, 1656 participants (mean age 43.9 years; range 18-88) were included in this analysis. Associations between physical activity measures and SUI varied by context of SUI. Protective associations were observed for increasing physical activity and exercise frequency with SUI-Coughing-Sneezing-Laughing, whereas null associations were observed with SUI-Physical Activity. The opposite pattern was observed for sitting time; positive associations were observed for increased sitting time with increased SUI-Coughing-Sneezing-Laughing, and a null association was observed with SUI-Physical Activity. Similar protective associations were observed for increasing physical activity and exercise frequency and urinary symptom bother whereas increased sitting time confers increased likelihood of urinary symptoms bother.

Adaptive behaviors during physical activity were employed by 32.7% (pad use 18.24%, dark clothing 8.6%, frequent toilet use 15.82%, sitting down to exercise 2.7%). An association was found between increased physical activity and decreased SUI-Coughing-Sneezing-Laughing but not for SUI-Physical Activity. Leakage with some physical activities (running, jumping) and not others further supports the importance of contextual assessment of continence.

Presented by: Ariana Smith, MD, Jingwen Chen, MD, Kathryn Schmitz, PhD, MPH, Jean Wyman, PhD, RN, GNP, FGSA, FAAN, Diane Newman, DNP, CRNP, FAAN, BCB-PMD, Amanda Berry, PhD, MSN, BSN, CPNP, Ann Stapleton, MD, Heather Klusaritz, MSW, PhD, George Lin, MD, Hanna Stambakio

Written by: Diane K. Newman, DNP, CRNP, FAAN, BCB-PMD, Nurse Practioner and Co-Director, Penn Center for Continence and Pelvic Health Adjunct Professor of Urology in Surgery during the 2021 Society of Urodynamics, Female Pelvic Medicine & Urogenital Reconstruction (SUFU) Winter Meeting