Independent predictors of lower urinary incontinence during the Diabetes Prevention Program Outcomes Study included lower body mass index ( odds ratio 0.988 , 95 % confidence interval 0.982-0 .994 ) and greater physical activity ( odds ratio 0.999 , 95 % confidence interval 0.998-1 .000 ) at the Diabetes Prevention Program Outcomes Study entry , and greater reductions in body mass index ( odds ratio 0.75 , 95 % confidence interval 0.60-0 .94 ) and waist circumference ( odds ratio 0.998 , 95 % confidence interval 0.996-1 .0 ) during the Diabetes Prevention Program Outcomes Study .