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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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A PT shares 1 exercise you should do to build full-body muscle and stay youthful as you age

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A PT shares 1 exercise you should do to build full-body muscle and stay youthful as you age

At 34, physical therapist Will Harlow works out like someone decades older.

Their goals are very different — his clients are regaining mobility and independence, while Harlow is training to do sports and “look good in a T-shirt.”

But the same basic principles of longevity apply whether you’re 18 or 80.

In his new book, “Independence for Life,” Harlow maps out the four pillars of health that should be baked into anyone’s workout routine: strength, mobility, balance, and healthy bones and joints.

Harlow said one exercise in particular checks all the boxes for longevity and performance, whether you’re a high achiever looking to gain muscle in less time or a fitness newbie trying to build up your health.

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You don’t need a gym or much equipment to get started, so don’t wait, Harlow says — the younger you start training for longevity, the more muscle and fitness you can bank for the years to come.

“There’s no such thing as too early. And the earlier you start, the better of a base you build,” Harlow said.

The best all-in-one exercise for longevity

Harlow’s top exercise for all-around health and fitness is the goblet squat, a movement that trains strength, stability, and mobility at once.


a woman performing a goblet squat exercise in a gym with a dumbbell weight

Goblet squats are an accessible exercise — all you need is a dumbbell or other heavy object — and work your whole body at once. 

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The exercise involves holding a weight, like a dumbbell or other heavy object, with both hands in front of the chest (as if you’re cupping a giant drinking goblet, as the name suggests).

That’s it — you don’t need a gym or any experience with a barbell, machine, or other equipment, and the risk of injury is low.

“The beautiful thing about the goblet squat is it’s highly safe because if you get into trouble, you can just drop the weight,” Harlow said.

Goblet squats work the entire body at once, engaging the muscles of the back, arms, and legs as you control the weight. As you squat, the joints of your knees, hips, and ankles are working, too. Plus, positioning the weight in front of your body activates your abs and hips.

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Elite athletes and top trainers love goblet squats for building explosive power. For the rest of us, the goblet squat is a simple way to build muscle that’s essential for healthy aging, and mimics real-world activities like sitting down and getting up safely.

“It’s so vital to keep that muscle on our body,” Harlow said. “Strength is just a proxy for independence because if you’re weak, you can’t open heavy doors, you can’t get on and off the toilet unassisted, and you can’t get on and off the floor.”

The longevity ‘sweet spot’

To get the most out of your squat workout, Harlow recommends focusing on a concept called reps in reserve: that’s how many more repetitions you could complete before hitting muscle failure, when you can’t lift anymore.

Research suggests the specific number of reps is less important than challenging your muscles, working until you could barely manage another rep or two if you absolutely had to.

You want a weight you can lift for at least 10 reps, but not more than 20 reps, for the best mix of strength, muscle-building, and health benefits, according to Harlow.

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“That’s a nice sweet spot for building muscle. It’s also heavy enough that you’re going to have an impact on your bone density and you’ll improve your mobility as well, but it’s not so heavy that we are elevating that risk of injury,” he said.

This article is not a substitute for professional medical advice, diagnosis, or treatment. Always consult your qualified physician or healthcare provider.

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New gym opening in Woodbury uses AI to help people rethink their workout

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New gym opening in Woodbury uses AI to help people rethink their workout

Twenty minutes, twice a week — that’s the promise behind The Exercise Coach, where artificial intelligence and robotics are helping people rethink what a workout can look like.

“We always start with a leg press, and we get a really good workout on those hamstrings, the quads, the glutes,” said Erica Bennett, trainer at The Exercise Coach.

The workouts are designed for all ages and fitness levels, but many clients are 40 and older. That’s where maintaining strength, balance and muscle mass often becomes a bigger focus.

The proprietary “Exerbotic” machines first measure your strength and range of motion.

“The machine will then use that to create the workout for you, so that you are always spending the most time under tension and the right amount for you,” said Bennett.

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The goal is to keep muscles working continuously while the machine adjusts resistance and movement by staying within the lines of the digital graph above you.

“That’s reducing some of that wear and tear on the joints. That’s creating a little bit of a safer experience, especially for somebody who’s looking at some age-related muscle loss,” said Bennett.

Owner Chris Geiser says the technology is what first caught his attention.

“I love data, I love systems, and this had both of those, but also allowed us to help transform people’s lives, have an impact on their health,” said Geiser.

While the tech drives the workout, every session is still guided by a coach.

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The workout may be short, but it doesn’t feel easy.

The studio also incorporates balance and cognitive training to help clients maintain stability and coordination as they age.

“We don’t need to accept a casual decline of muscle mass. We can keep it up with the right level of intensity and the right frequency,” said Geiser.

For anyone who’s fallen out of an exercise routine, Geiser has a simple invitation.

“You might be surprised what your body can still do. We invite you to give it a shot,” he said.

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The Exercise Coach studio at 8425 Seasons Parkway in Woodbury, Minnesota, opens Friday.

One-on-one coach-led training is $35 to 45 dollars per session.

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I’m A Longevity Doctor—These Are The 6 Types Of Exercise Every Woman Should Be Doing For Healthy Ageing

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I’m A Longevity Doctor—These Are The 6 Types Of Exercise Every Woman Should Be Doing For Healthy Ageing

Scratch the surface, and you might think women have the upper hand when it comes to longevity. According to data from the Office for National Statistics, here in the UK, we live an average of 3.9 years longer than men.

Look a little closer, however, and there’s a catch. Thanks to a longstanding lack of investment in women’s health research, our underrepresentation in clinical trials and fewer treatment options designed for our bodies, we spend 25% more of our lives in ill health than men.

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