Research
Adherence
The LEAF-Q screening tool, which assesses self-reported symptoms of gastrointestinal issues, injuries, and menstrual dysfunction, can identify female athletes at risk for the Female Athlete Triad with 78% sensitivity and 90% specificity.
Use the LEAF-Q questionnaire to screen female athletes for signs of low energy availability. A score of 8 or higher suggests a need for further medical evaluation of energy intake, menstrual health, and bone density.
GoodSupportsHIGH confidence
The 25-item LEAF-Q produced an acceptable sensitivity (78%) and specificity (90%) in order to correctly classify current EA and/or reproductive function and/or bone health.
Why this rating
Validated against objective clinical measures in a controlled observational study.
Source
The LEAF questionnaire: a screening tool for the identification of female athletes at risk for the female athlete triad
Anna Melin et al. · British Journal of Sports Medicine · 2014
DOI 10.1136/bjsports-2013-093240
cross_sectional · n=84Cited 401×
Read the paper DOI resolved against Crossref · corpus check 2026-06-10
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