Independent predictors of lower urinary incontinence during the Diabetes Prevention Program Outcomes Study included lower body mass index ( odds ratio @ , @ % confidence interval @-@ @ ) and greater physical activity ( odds ratio @ , @ % confidence interval @-@ @ ) at the Diabetes Prevention Program Outcomes Study entry , and greater reductions in body mass index ( odds ratio @ , @ % confidence interval @-@ @ ) and waist circumference ( odds ratio @ , @ % confidence interval @-@ @ ) during the Diabetes Prevention Program Outcomes Study .