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Low-Impact Exercise, Yoga, Reduces Urinary Incontinence in Older Women

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Low-Impact Exercise, Yoga, Reduces Urinary Incontinence in Older Women
A 12-week study shows that low-impact yoga and exercise can significantly reduce urinary incontinence episodes in older women, offering a safe, accessible alternative to medications

It’s more likely than not that personal trainers will work with female clients who deal with incontinence issues, which could be an obstacle on their path to the fitness and wellness goals. Recent research supports the belief that solutions are available, and exercise may be one of them.

A recent study led by Stanford Medicine and the University of California, San Francisco, has found that low-impact exercise programs, such as yoga and general stretching, significantly reduce urinary incontinence episodes in older women. The research, published in Annals of Internal Medicine on August 27, provides promising alternatives for women seeking non-pharmacological treatments.

A Underreported & Common Issue

Urinary incontinence affects more than half of middle-aged women and up to 80% of women over 80 and can interfere with daily activities and significantly impact quality of life. The study examined the effects of a 12-week low-impact yoga program and found a 65% reduction in incontinence episodes among participants.

“We were testing the kind of yoga that just about anyone can do, with modifications for different physical abilities,” said Dr. Leslee Subak, chair of obstetrics and gynecology at Stanford Medicine and the study’s senior author. “What I love about it is that it’s safe, inexpensive, doesn’t require a doctor and is accessible wherever you live.”

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The research set out to find cost-effective and accessible solutions for a problem that is often stigmatized and underreported. According to Subak, incontinence is mistakenly viewed as an inevitable part of aging, though treatments are available.

“Incontinence is not only common, but it also interferes with people’s lives,” Subak noted. “It takes away independence. Many women avoid staying with their children or grandchildren due to the fear and embarrassment of an accident.”

credit: MixMedia

Study Parameters

The study involved 240 women between the ages of 45 and 90, all experiencing daily incontinence. Participants were divided into two groups: one practicing 16 hatha yoga poses aimed at strengthening the pelvic floor, and the other group performing general stretching and strengthening exercises.

Both groups attended two 90-minute exercise sessions weekly and were asked to practice independently for at least an hour per week.

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Both the yoga and the control groups experienced significant improvements. Participants in the yoga group reported an average of 2.3 fewer daily incontinence episodes, while those in the general exercise group saw a reduction of 1.9 episodes per day. These results are comparable to the 30% to 70% improvement rates seen with medications for incontinence, according to the researchers.

Subak emphasized the importance of regular activity, which is good news for fitness professionals who work with this population.

“One of the take-home messages from this study is ‘Be active!’ I’m impressed that exercise did so well and that yoga did so well,” Subak added.

The benefits of physical activity, including yoga, extend beyond managing incontinence. As the study’s lead author, Dr. Alison Huang, professor at UCSF, pointed out, being physically active helps reduce the risk of other health issues, such as falls and bone fractures, which can be exacerbated by conditions like incontinence.

The study was funded by the National Institutes of Health, with contributions from researchers at Yale University and San Francisco State University.

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Why you should do strength training at 70: try these exercises

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Why you should do strength training at 70: try these exercises

A decline in health and fitness isn’t inevitable once you cross into your seventies. Just take look at the recent snaps of Pierce Brosnan — age 70 — shirt off in the wilds of Yellowstone National Park. Or think of Angela Rippon, 79, high-kicking it on Strictly; Helen Mirren, 78, on the red carpet; or the verve of Bruce Springsteen, playing a three-hour set in Hyde Park, London, in the summer at the age of 73. These are just four examples of a host of septuagenarians and octogenarians who have demonstrated that vitality is possible at any age — if you’re prepared to work for it.

Skeletal muscle mass and strength decline more rapidly as we age and can affect physical performance, but this

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Running heel taps to warm up for your workout – Today's Tip

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Running heel taps to warm up for your workout – Today's Tip
  • Today’s Tip

Fit this workout into your day!

By6abc Digital Staff

Thursday, December 26, 2024 12:34PM

Fitness Tip: Running heel taps to warm up for your workout

Shoshana shows us how running heel taps can quickly bring your heart rate up!

PHILADELPHIA (WPVI) — Shoshana shows us how running heel taps can quickly bring your heart rate up!

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Gyms aren't always accessible spaces, but these PTs are working to change that

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Gyms aren't always accessible spaces, but these PTs are working to change that

Many people would see cerebral palsy as a barrier to a physically demanding career.

But Connor Johnstone has refused to allow his disability to hold him back.

He’s a fully qualified personal trainer with a degree in sports science and a masters in strength and conditioning.

Connor Johnstone also competed in the 2024 World Para Jiu-Jitsu Championships in  Abu Dhabi.  (Instagram: Connor Johnstone)

Now he’s determined to help other people with a disability who struggle exercising in the gym.

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But he hasn’t always been so self-confident.

“I may not have been able to perform the movements in the gym that everyone else could, so that used to always be at the back of my mind, or I felt like I wasn’t smart enough,” he said.

“I think that’s just, all those things you tend to label yourself [with], rather than what actually is reality.”

Connor lifts heavy, colourful weights in a gym

Connor wants to help others who are struggling to exercise in the gym. (Instagram)

Encouragement from his parents and therapists helped.

“One of the biggest things for me is always trying to find a way to adapt,” he said.

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It’s something he also teaches his clients.

“At one of my other practices, there were a lot of children with autism, and I was finding fun ways to do things because they don’t find generic exercises as stimulating or fun,” he said.

A personal trainer pictured from behind who is working with a client pulling an elastic band

Connor Johnstone helps a client work out.  (Supplied)

Challenging perceptions

Shaznaye Bin Kali, 15, also challenges perceptions of what a typical gym-goer looks like.

She lives with hemiplegia, a condition that has affected the left side of her body, impacting her arms, legs, and facial muscles.

But at her weekly sessions with her dedicated personal trainer, Grant Gillon, she’s found a space where she feels empowered and supported.

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“Shaz started, and she hasn’t looked back. She looks forward to coming to see me every Friday,” Grant said.

Grant hugs Shaznaye

Shaznaye Bin Kali with her personal trainer Grant Gillon. (ABC News)

Shaznaye said she enjoyed playful banter with Grant as she exercises.

“I like lap pull downs, bench press, jumping on the bike, tennis, footy, and frisbee,” she said.

Empathy helps

One of the things that bonded the two was Grant’s later-in-life ADHD diagnosis, which he believes has helped him positively connect with clients who have a disability.

“How I think is very similar to a lot of other people with disabilities, and I can be quite sporadic, and I often need to take a step back and try and settle myself,” he said.

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“I know for myself there’s often things that I needed to be repeated quite a few times.”

Shaznaye on the workout bike next to Grant

Shaznaye Bin Kali working out with Grant Gillon.  (ABC News)

Grant said he’s learned to be more accommodating.

“That’s probably the biggest one. And thinking on my feet,” he said.

Grant said if things don’t work out during his training sessions with clients, he tries to “keep the momentum going” by moving onto the next thing.

“You can’t dwell too much on it,” he said.

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Grant hugs Shaznaye

Grant’s ADHD diagnosis has helped him connect with clients.  (ABC News)

Grant said working with Shaznaye meant a longer set up time to make sure she could train safely.

“We make sure that she’s got a firm grip, or often, I’ll be holding my hand over the top first making sure her grip doesn’t fall off,” Grant said.

“And sometimes we’ll be changing different attachments and handles to see if we can actually get her a little bit of a better grip.”

Shaznaye punches Grant in a gym

Grant says he likes to make the gym accessible for everyone. (ABC News)

Grant said he wanted to become a personal trainer because fitness had always been an important part of his life and he wanted to make sure others had the opportunity to participate.

“[The gym] is not always accessible to everyone,” he said.

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“I guess that’s probably one of the main motivating factors [for me].”

Push for more PTs with a disability

Grant would like to see more disabled personal trainers in the industry.

“I think the one thing that hinders some people is that they feel inadequate, which can depend on the disability,” he said.

“People might think they won’t be respected due to their disability, or they don’t feel they’re up to par.”

A personal trainer and his young client playfully box in a gym setting.

Grant Gillon loves his work as a personal trainer, especially helping clients like Shaznaye Bin Kali. (ABC News: Mitchell Edgar )

Grant’s advice to any aspiring personal trainer who has a disability would be just getting out there and getting involved in learning through experience.

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“I’m very passionate what I do, and I enjoy seeing results,” he said.

“I don’t see what I do is anything like amazing or special. I almost feel selfish because it’s something that I really enjoy.”

Connor feels the same way.

“If you’re passionate about something, you can always make it work.”

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