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 extracted key concepts from the literature, which were mapped to corresponding items in ICF. A total of 100 eligible patients with urinary incontinence were invited to complete the questionnaire. Items that over 30% of respondents identified as affecting them were designated as Core Item I. Subsequently, the questionnaire was distributed to 35 relevant healthcare workers. Items identified by over 50% of these professionals as impacting older women with urinary incontinence were compiled into Core Items II. The over-lapping items between Core Items I and II will constitute the ICF core items for urinary inconti-nence in older women. For this study, all items within the Core Items Set were presented in the second level. Results: The ICF Core Sets for urinary incontinence in older women includes 29 core items: 8 for "body function (b)," 2 for "body structure (s)," 8 for "activity and participation (d)," and 11 for "environmental factors (e)."Conclusion: The study initially established a core set of ICF items for urinary incontinence in older women, providing an actionable theoretical model for the development of evidence-based rehabilitation management in the clinic.