Urinary incontinence (UI) is a common problem for women. Many women do not seek professional help for UI because of embarrassment or they believe UI is a normal part of aging. Research findings have shown that pelvic floor muscle strengthening is effective in reducing UI in middle-aged and older women. Women engaging in regular, moderately intense physical activity have a lower incidence of UI than sedentary women. Health care providers have a responsibility to facilitate an active lifestyle in their patients and teach the proper techniques to perform effective pelvic floor exercises. With health behavior changes, including moderately intense physical activity, use of pelvic floor strengthening exercises and weight management, as well as avoidance of constipation, women can reduce the incidence of UI.