Exercising women have three times the risk of experiencing urinary incontinence.

Exercising women have larger cross-sectional area of the pelvic floor muscles but wider levator hiatus.

General exercise and pelvic floor muscle training during pregnancy have no negative effect on length of labor or mode of delivery.

Knowledge gaps prohibit firm conclusions about the role of strenuous physical activity in the incidence of pelvic floor disorders and highlight the need for further high-quality research.