Evidence map›Paper›PMID 41548020›Full record

ArticleScientific reports2026

Prevalence and risk factors of stress urinary incontinence among female horseback riders in Poland.

Maciej Zalewski, Gabriela Kołodyńska, Aleksandra Piątek, Anna Mucha, Wiktoria Misztela, Waldemar Andrzejewski

Abstract read
In one paragraph

Article in Scientific reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Maciej ZalewskiDepartment of Gynaecology, Independent Public Health Care Center of the Ministry of the Interior and Administration in Wroclaw, Wrocław, Poland.
Gabriela KołodyńskaDepartment of Physiotherapy, Wroclaw University of Health and Sport Sciences, al. I. Paderewskiego 35, 51-612, Wrocław, Poland. gabriela.kolodynska@awf.wroc.pl.
Aleksandra PiątekDepartment of Gynaecology, Independent Public Health Care Center of the Ministry of the Interior and Administration in Wroclaw, Wrocław, Poland.
Anna MuchaDepartment of Genetics, Wroclaw University of Environmental and Life Sciences, Wrocław, Poland.
Wiktoria MisztelaDepartment of Physiotherapy, Wroclaw University of Health and Sport Sciences, al. I. Paderewskiego 35, 51-612, Wrocław, Poland.
Waldemar AndrzejewskiDepartment of Physiotherapy, Wroclaw University of Health and Sport Sciences, al. I. Paderewskiego 35, 51-612, Wrocław, Poland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Stress urinary incontinence (SUI) is usually associated with aging and parity, but repetitive intra-abdominal pressure during physical activity can also trigger its onset in young women. Horseback riding, despite potential benefits for pelvic floor strengthening, may also contribute to pelvic floor strain and urinary symptoms. The study included 100 Polish women aged 21-54 engaged in horse riding, both recreational (85%) and professional (15%). Participants were divided into three age groups and screened for urinary incontinence symptoms. Quality of life was assessed with validated questionnaires (IIQ-7, UDI-6SF) and a custom 25-item survey covering equestrian practice, reproductive history, urinary symptoms, and general health. Statistical analyses were performed in R using non-parametric tests, correlation, and logistic regression. Stress urinary incontinence was reported by 36% of participants, significantly impairing quality of life. Women with higher BMI, older age, and childbirth history demonstrated increased symptom prevalence and higher IIQ-7 and UDI-6 scores (p < 0.05). Training type, frequency, and duration were not significantly associated with outcomes, except for shorter riding experience, which correlated with higher UDI-6 scores. Logistic regression identified age (OR = 1.07) and BMI (OR = 1.16) as risk factors, while greater height reduced SUI odds (OR = 0.92). Urinary incontinence is a relevant issue among female horse riders, negatively affecting physical, social, and emotional well-being. Age, BMI and childbirth history play crucial roles in the incidence of SUI symptoms. The longer the training experience, the lower is reported urinary incontinence distress. Preventive measures such as pelvic floor training, individualized physiotherapy, and interdisciplinary care may reduce symptom burden and support longer professional activity. Raising awareness and encouraging early intervention are essential to improving athletes' quality of life.

Indexed as

Urinary Incontinence, StressAdultAnimalsFemaleHorsesHumansMiddle AgedPelvic FloorPolandPrevalenceQuality of LifeRisk FactorsSportsSurveys and QuestionnairesYoung AdultFemale horseback ridersQuality of lifeStress urinary incontinence

Identifiers

PMID41548020
PMCPMC12891647

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LicenceCC BY-NC-ND
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.