Objective：To identify the International Classification of Functioning，Disability，and Health（ICF）core Sets for urinary incontinence in older women. Methods：A preliminary questionnaire was developed through a literature search on urinary incontinence in older women across Chinese and international databases. Two professional researchers independently extracted key concepts from the literature and mapped them to corresponding ICF categories to develop a preliminary questionnaire. The questionnaire was administered to 100 eligible female urinary incontinence patients；categories identified by ＞30% of patients as significantly impactful were compiled as Core Set Ⅰ. Simultaneously，35 healthcare professionals were surveyed，with categories endorsed by ＞50% of clinicians forming Core Set Ⅱ. The intersection of Core Sets Ⅰ and Ⅱ constituted the final ICF core sets for older women with urinary incontinence. Results：The ICF Core Sets for urinary incontinence in older women includes 29 core items：8 for“body function”，2 for “body structure”，8 for“activity and participation”，and 11 for“environmental factors”. Conclusion：The study initially established a core set of ICF items for urinary incontinence in older women，providing an operable theoretical model for evidence - based rehabilitation management in clinical practice.