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.
Zalewski et al. (Sat,) studied this question.