{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,14]],"date-time":"2025-05-14T01:36:01Z","timestamp":1747186561971,"version":"3.40.5"},"reference-count":32,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2023,4,23]],"date-time":"2023-04-23T00:00:00Z","timestamp":1682208000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J of Obstet and Gynaecol"],"published-print":{"date-parts":[[2023,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aims<\/jats:title><jats:p>This study aimed to develop a scale to screen for eating disorders in female athletes.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p><jats:italic>Preliminary survey<\/jats:italic>: A total of 275 female athletes (mean age: 19.4\u2009\u00b1 1.0\u2009years) and 7 female athletes diagnosed with eating disorders (mean age: 20.1\u2009\u00b1 2.5\u2009years) were administered screening items prepared based on an existing scale, followed by exploratory factor analysis.<\/jats:p><jats:p><jats:italic>Main survey<\/jats:italic>: Six items, relating to three factors, were extracted, and 201 female athletes (mean age: 22.3\u2009\u00b1\u20094.8\u2009years) and 6 female athletes diagnosed with current or a history of eating disorders (mean age: 18.8\u2009\u00b1\u20092.9\u2009years) were queried. The diagnostic validity of the scale was then evaluated.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p><jats:italic>Preliminary survey<\/jats:italic>: Questions (\u03b1\u00a0=\u00a00.71) were extracted from six items, relating to three factors, and collectively termed the University of Tokyo's eating disorders inventory in female athletes (TEDIFA). To determine the scale cut\u2010off score, ROC analysis was performed with the total score, and the cut\u2010off and gray zone scores were set at 13 and 11, respectively.<\/jats:p><jats:p><jats:italic>Main survey<\/jats:italic>: At the cut\u2010off score of 13, AUC, sensitivity, and specificity were 0.83 (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.05), 75%, and 90%, respectively.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The scale that was developed, TEDIFA, consisted of six items. The cut\u2010off scores were set at 11 for the gray zone (sensitivity: 75%; specificity: 56%; accurate diagnosis rate: 60%), and 13 for positivity (sensitivity: 75%; specificity: 90%; accurate diagnosis rate: 87%), demonstrating the reliability and validity of the scale.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jog.15637","type":"journal-article","created":{"date-parts":[[2023,4,24]],"date-time":"2023-04-24T03:12:07Z","timestamp":1682305927000},"page":"1854-1866","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Development of University of Tokyo's eating disorders inventory in female athletes"],"prefix":"10.1111","volume":"49","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9335-6847","authenticated-orcid":false,"given":"Yoko","family":"Chiba","sequence":"first","affiliation":[{"name":"Department of Psychological and Behavioral Science Faculty of Liberal Arts Miyagi Gakuin Women's University  Sendai Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6952-3879","authenticated-orcid":false,"given":"Sayaka","family":"Nose\u2010Ogura","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology University of Tokyo Hospital  Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kuniko","family":"Sekiguchi","sequence":"additional","affiliation":[{"name":"Sports Clinic, Sports Medical Center, Japan Institute of Sports Sciences Japan High Performance Sport Center  Tokyo Japan"},{"name":"Meguro Ekimae Mental Clinic  Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kaori","family":"Eda","sequence":"additional","affiliation":[{"name":"Conditioning Section, Sports Medical Center, Japan Institute of Sports Sciences Japan High Performance Sport Center  Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hiroe","family":"Nakamura","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology University of Tokyo Hospital  Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Takako","family":"Koshimizu","sequence":"additional","affiliation":[{"name":"Department of Food Science Faculty of Home Economics Major in Food Science Otsuma Women\u2019s University  Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hiroaki","family":"Yamamoto","sequence":"additional","affiliation":[{"name":"Department of Psychiatry Kitasato University Medical Center  Kitamoto Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4870-0140","authenticated-orcid":false,"given":"Tatsuya","family":"Yamaguchi","sequence":"additional","affiliation":[{"name":"Department of Neuropsychiatry Keio University  Tokyo Japan"},{"name":"Institute for Integrated Sports Medicine School of Medicine, Keio University  Tokyo Japan"},{"name":"Sports Medical Research Center Keio University  Yokohama Japan"},{"name":"Sports Medicine Laboratory, School of Medicine Graduate School of Health and Sports Science, Juntendo University  Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Miyuki","family":"Harada","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology University of Tokyo Hospital  Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3458-6711","authenticated-orcid":false,"given":"Osamu","family":"Wada\u2010Hiraike","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology University of Tokyo Hospital  Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yutaka","family":"Osuga","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology University of Tokyo Hospital  Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2023,4,23]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1249\/mss.0b013e318149f111"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.4085\/1062-6050-43.1.80"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/00042752-200401000-00005"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1249\/01.mss.0000177678.73041.38"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1002\/9781118270011.ch16"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1123\/ijsn.3.1.29"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1097\/00005768-200105000-00021"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1249\/01.mss.0000210188.70295.c0"},{"volume-title":"Bulimarexia: Binge\/Purge Cycle","year":"1984","author":"Boskind\u2010White M","key":"e_1_2_11_10_1"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.1186\/2050-2974-1-21"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0033291700030762"},{"issue":"3","key":"e_1_2_11_13_1","first-page":"78","article-title":"Usefulness of the eating disorder Inventory\u20102 Japanese version in patients with eating disorders","volume":"32","author":"Tachi T","year":"2007","journal-title":"Tokai J Exp Clin Med"},{"key":"e_1_2_11_14_1","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.150.1.18"},{"key":"e_1_2_11_15_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.319.7223.1467"},{"key":"e_1_2_11_16_1","doi-asserted-by":"publisher","DOI":"10.1123\/ijsnem.22.2.89"},{"key":"e_1_2_11_17_1","doi-asserted-by":"publisher","DOI":"10.1097\/00005768-199610000-00049"},{"key":"e_1_2_11_18_1","doi-asserted-by":"publisher","DOI":"10.1002\/1098-108X(198321)2:2<15::AID-EAT2260020203>3.0.CO;2-6"},{"key":"e_1_2_11_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.brat.2004.12.003"},{"issue":"4","key":"e_1_2_11_20_1","first-page":"431","article-title":"Evaluation of a screening test for female college athletes with eating disorders and disordered eating","volume":"35","author":"Nagel DL","year":"2000","journal-title":"J Athl Train"},{"key":"e_1_2_11_21_1","doi-asserted-by":"crossref","unstructured":"Choice (Middletown) 2004 42 11 Beals KA. Disordered eating among athletes: a comprehensive guide for health professionals","DOI":"10.5860\/CHOICE.42-6532"},{"key":"e_1_2_11_22_1","doi-asserted-by":"publisher","DOI":"10.1249\/MSS.0b013e318281a939"},{"key":"e_1_2_11_23_1","unstructured":"NakayamaK.Pathways to medical care for people with eating disorders. Kokoro no\u2010Rinsho \u00e0 la carte. 1992;9:55\u201360."},{"key":"e_1_2_11_24_1","doi-asserted-by":"publisher","DOI":"10.3200\/JACH.54.3.149-156"},{"key":"e_1_2_11_25_1","doi-asserted-by":"publisher","DOI":"10.1001\/archpsyc.1992.01820080032005"},{"key":"e_1_2_11_26_1","unstructured":"UK Sport.Eating disorders in sport [Internet]. Available from:https:\/\/www.uksport.gov.uk\/~\/media\/files\/resources\/eating_disorders_in_sport.pdf"},{"key":"e_1_2_11_27_1","doi-asserted-by":"publisher","DOI":"10.1001\/archpedi.1997.02170380020003"},{"issue":"1","key":"e_1_2_11_28_1","first-page":"67","article-title":"Investigation of amenorrhea and stress fractures in elite female athletes","volume":"22","author":"Nose\u2010Ogura S","year":"2014","journal-title":"Japanese J Clin Sports Med"},{"key":"e_1_2_11_29_1","doi-asserted-by":"publisher","DOI":"10.1249\/MSS.0b013e3182a32b72"},{"key":"e_1_2_11_30_1","first-page":"8","article-title":"Establishing a full support system for female athletes","volume":"4701","author":"Editorial","year":"2014","journal-title":"Japan Med J"},{"key":"e_1_2_11_31_1","doi-asserted-by":"publisher","DOI":"10.1002\/1098-108X(198909)8:5<499::AID-EAT2260080502>3.0.CO;2-A"},{"key":"e_1_2_11_32_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471-244X-12-157"},{"key":"e_1_2_11_33_1","doi-asserted-by":"publisher","DOI":"10.1080\/07315724.1992.12098236"}],"container-title":["Journal of Obstetrics and Gynaecology Research"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jog.15637","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,8,17]],"date-time":"2023-08-17T13:21:21Z","timestamp":1692278481000},"score":1,"resource":{"primary":{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/10.1111\/jog.15637"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,4,23]]},"references-count":32,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2023,7]]}},"alternative-id":["10.1111\/jog.15637"],"URL":"https:\/\/doi.org\/10.1111\/jog.15637","archive":["Portico"],"relation":{},"ISSN":["1341-8076","1447-0756"],"issn-type":[{"type":"print","value":"1341-8076"},{"type":"electronic","value":"1447-0756"}],"subject":[],"published":{"date-parts":[[2023,4,23]]},"assertion":[{"value":"2022-06-03","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-03-07","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-04-23","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}