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Stress urinary incontinence is more prevalent among women practicing CrossFit® than swimming and not diminished by physical inactivity Cover

Stress urinary incontinence is more prevalent among women practicing CrossFit® than swimming and not diminished by physical inactivity

Open Access
|Mar 2026

Figures & Tables

Figure 1

Differences in the number of participants suffering from stress urinary incontinence. Labels indicate the number of participants in each group. Abbreviations: SUI, stress urinary incontinence

Results of the ICIQ-SF questionnaire

Sport disciplineHow often do you leak urine?When does urine leak?How much urine do you usually leak?How much does leaking urine interfere with your everyday life? 0 = not at all; 10 = a great dealPresence – Severity of SUI
Type of answer n %Type of answer n %Type of answer n %Type of answer n %Level n %
CrossFit® (n = 41, 32.8%)Never2458.5Never – urine does not leak2151.2None2151.202765.9No – Lack2151.2
About once a week or less often1639.0Leaks when you are physically active/exercising2048.8A small amount1946.31717.1Yes – Mild1536.6
Two or three times a week12.4Leaks when you cough or sneeze49.8A moderate amount12.4224.9Yes – Moderate512.2
About once a day00.0Leaks for no obvious reason24.9 349.8Yes – Severe00.0
Several times a day00.0Leaks before you can get to the toilet12.4A large amount00.0712.4Yes – Very severe00.0
All the time00.0
Physically inactive (n = 41, 32.8%)Never3175.6Never – urine does not leak3380.5None3175.603380.5No – Lack3175.6
About once a week or less often819.5Leaks when you are physically active/exercising49.8A small amount1024.4112.4Yes – Mild614.6
Two or three times a week00.0Leaks when you cough or sneeze614.6A moderate amount00.0237.3Yes – Moderate24.9
About once a day00.0Leaks for no obvious reason24.9 312.4Yes – Severe24.9
Several times a day24.9Leaks before you can get to the toilet37.3A large amount00.0412.4Yes – Very severe00.0
All the time00.0 724.9
Swimming (n = 43, 34.4%)Never3172.1Never – urine does not leak3069.8None3069.803069.8No – Lack2967.4
About once a week or less often1023.3Leaks when you are physically active/exercising818.6A small amount1125.61614.6Yes – Mild1125.6
Two or three times a week12.3Leaks when you cough or sneeze716.3A moderate amount24,.7249.3Yes – Moderate37.0
About once a day12.3Leaks for no obvious reason37.0 312.3Yes – Severe00.0
Several times a day00.0Leaks before you can get to the toilet24.7A large amount00.0412.3Yes – Very severe00.0
All the time00.0 712.3

Characteristics of the study population

Sport disciplineAgeBMITraining experienceTraining volumeDuration of single training sessionTraining exertion
In (years) n %In (kg m−2)In (years) n %In (trainings/week) n %In (min) n %(On a 0–10 scale) 0 = not at all, 10 = a great deal
CrossFit® (n = 41, 32.8%)18–241434.222.8 ± 2.12≤149.8124.9≤3012.46.9 ± 1.1
25–301229.3 1–21024.4237.330–4549.8
31–35717.1 2–349.831843.946–601946.3
>35819.5 ≥32356.14717.161–901434.2
>41126.8>9037.3
Swimming (n = 43, 34.4%)18–243990.721.7 ± 1.8≤112.31511.6≤3000.06.2 ± 1.3
25–3049.3 1–224.721227.930–4549.3
31–3500.0 2–312.331330.246–601841.9
>3500.0 ≥33990.7400.061–901432.6
>41330.2>90716.3
Physically inactive (n = 41, 32.8%)18–243175.623.8 ± 4.1
25–30819.5
31–3512.4
>3512.4

Predictors of stress urinary incontinence in physically active females

Coefficients β SEWald P OROR 95% CI
Intercept −7.503.843.830.055.516 × 10−4 (−15.02, 0.02)
Age
18–24 Years1.00 (ref.)
25–30 years0.910.731.560.212.49(−0.59, 10.40)
31–35 Years1.561.092.050.154.76(−0.56, 40.32)
>35 Years−1.601.211.730.190.20(−0.02, 2.19)
BMI (in kg m−2)0.300.144.290.041.34(1.02, 1.78)
Sports discipline
CrossFit® 1.00 (ref.)
Swimming0.010.727.553 × 10−5 0.991.01(0.25, 4.10)
Training experience
>2 Years1.00 (ref.)
≤2 Years1.400.763.420.064.06(0.92, 17.96)
Training volume
1–2 Sessions per week1.00 (ref.)
≥3 Sessions per week0.130.640.040.831.14(0.33, 3.99)
Training duration
≤1 h1.00 (ref.)
>1 h−0.340.560.360.550.72(0.24, 2.13)
Training exertion (on a 0–10 scale) 0 = not at all, 10 = a great deal0.020.210.010.921.02(0.68, 1.54)
Language: English
Page range: 11 - 21
Submitted on: Aug 24, 2025
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Accepted on: Feb 5, 2026
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Published on: Mar 21, 2026
In partnership with: Paradigm Publishing Services
Publication frequency: 1 issue per year

© 2026 Tomasz Chomiuk, Przemysław Kasiak, Kaja Czupryńska, Artur Mamcarz, Daniel Śliż, published by University of Physical Education in Warsaw
This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 License.