Clinical Research Directory

Inclusion Criteria: * Female * 70 or older * Living independently in the community * Willingness to be randomized. * Ability to read and understand English * Be able to provide informed consent * Low physical activity (physically active for 30 minutes or more less than or equal to 2 days per week on average over the past 6 months) per PAS * Ambulatory (defined as patient not confined to bed or wheelchair OR ability to walk with or without an assistive device) * Self-reported moderate to severe urge-predominant UI based on the ICIQ-SF \> 6 (Q 1+2+3) * Not planning to initiate new UI or overactive bladder (OAB) treatment during the study duration * Capable of participation in an exercise program without exacerbating any pre-existing condition(s), as determined by the study PI or designee Exclusion Criteria: * Pelvic organ prolapse passed the hymen (per patient report) * Undergoing active treatment for cancer (other than non-melanoma skin cancer) * Uncorrected visual or hearing loss. * Other urinary conditions or procedures that may affect continence status for example: urethral diverticulum, previous augmentation cystoplasty * Progressive neurodegenerative disease e.g. Parkinson's disease, multiple sclerosis per patient report * History of stroke or carotid sensitivity (i.e. syncopal falls) per patient report * Unstable cardiac disease per patient report * Fracture or joint replacement within the last six months per patient report * Significant cognitive impairment (defined as a modified TICs score of \< 27) * Per PI discretion, participant cannot enroll in study