{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,3]],"date-time":"2026-06-03T07:24:58Z","timestamp":1780471498801,"version":"3.54.1"},"reference-count":45,"publisher":"MDPI AG","issue":"2","license":[{"start":{"date-parts":[[2023,1,13]],"date-time":"2023-01-13T00:00:00Z","timestamp":1673568000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Charles Darwin University","award":["#0701 6385\/DG-RM17"],"award-info":[{"award-number":["#0701 6385\/DG-RM17"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>This comparative pre\u2013post intervention study investigated the feasibility and benefits of Kegel exercises amongst incontinent women, prior to commencing resistance training (RT), to reduce the risk of stress urinary incontinence (SUI) compared to a group of women without prior Kegel exercises (KE). Incontinence severity index (ISI) score, pelvic floor muscle strength (PFMS), and body composition (such as body mass index (BMI), fat, and muscle mass), were obtained pre and post intervention. Results demonstrated that RT reduced SUI to a significantly greater extent only if preceded by KE as was observed in the Kegel exercise plus RT group (KE + RT) over time. The improvements in total ISI in both the KE + RT and RT groups were large (d = 1.50 and d = 1.17 respectively). A two-way ANOVA indicated a statistically significant improvement in average PFMS within the KE + RT group over time and between the two groups. A positive correlation was found between the average strength of pelvic floor muscles and SUI. Participants in KE + RT group demonstrated a significant increase in muscle mass (p \u2264 0.001) and concomitant reduction in fat mass (p = 0.018). This study determined a dedicated program of KE preceding a RT program improved average pelvic floor muscle strength and was effective in reducing SUI among incontinent women.<\/jats:p>","DOI":"10.3390\/ijerph20021481","type":"journal-article","created":{"date-parts":[[2023,1,13]],"date-time":"2023-01-13T05:09:32Z","timestamp":1673586572000},"page":"1481","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Does a Kegel Exercise Program Prior to Resistance Training Reduce the Risk of Stress Urinary Incontinence?"],"prefix":"10.3390","volume":"20","author":[{"given":"Donelle","family":"Cross","sequence":"first","affiliation":[{"name":"Faculty of Health, Charles Darwin University, Darwin, NT 0909, Australia"},{"name":"College of Nursing and Health Sciences, Flinders University, Bedford Park, SA 5042, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2569-6695","authenticated-orcid":false,"given":"Marilynne N.","family":"Kirshbaum","sequence":"additional","affiliation":[{"name":"Research and Innovation, Charles Darwin University, Darwin, NT 0909, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lolita","family":"Wikander","sequence":"additional","affiliation":[{"name":"Faculty of Health, Charles Darwin University, Darwin, NT 0909, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jing-Yu (Benjamin)","family":"Tan","sequence":"additional","affiliation":[{"name":"Faculty of Health, Charles Darwin University, Darwin, NT 0909, Australia"},{"name":"Research and Innovation, Charles Darwin University, Darwin, NT 0909, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Simon","family":"Moss","sequence":"additional","affiliation":[{"name":"Research and Innovation, Charles Darwin University, Darwin, NT 0909, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2375-6746","authenticated-orcid":false,"given":"Daniel","family":"Gahreman","sequence":"additional","affiliation":[{"name":"Faculty of Health, Charles Darwin University, Darwin, NT 0909, Australia"},{"name":"Department of Sport, Exercise, Recreation and Kinesiology, East Tennessee State University, Johnson City, TN 37614, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2023,1,13]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"217","DOI":"10.1080\/13697137.2018.1543263","article-title":"The prevalence of urinary incontinence","volume":"22","author":"Milsom","year":"2019","journal-title":"Climacteric"},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"265","DOI":"10.1016\/j.urology.2009.11.078","article-title":"Prevalence of Urinary Incontinence in Men, Women, and Children\u2014Current Evidence: Findings of the Fourth International Consultation on Incontinence","volume":"76","author":"Buckley","year":"2010","journal-title":"Urology"},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"166.e1","DOI":"10.1016\/j.ajog.2021.03.016","article-title":"Prevalence and trends in urinary incontinence among women in the United States, 2005\u20132018","volume":"225","author":"Abufaraj","year":"2021","journal-title":"Am. 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