Results of two rounds of Delphi showing levels of agreement with items for PFD in female athletes to include in the screening tool for referral.
| Items | Round 1 Agreement* (%) | Round 2 Agreement* (%) | |
| 1 | Age <18 years | 43.9 | – |
| 2 | Age ≥28 years | 53.7 | 32.3 |
| 3 | BMI >30 (kg/m2) | 80.5 | – |
| 4 | BMI <18.5 (kg/m2) | 87.8 | – |
| 5 | Childbirth | 82.9 | – |
| 6 | Type of delivery: caesarean section | – | 55.9 |
| 7 | Type of delivery: vaginal birth | – | 94.1 |
| 8 | Menopause | 82.9 | – |
| 9 | Medications (eg, psychotropic medications, ACE inhibitors, diuretics) | 58.5 | 70.6 |
| 10 | Smoking | 63.4 | 55.9 |
| 11 | Higher age of menarche | 46.3 | – |
| 12 | Irregular menstrual cycle | 70.7 | – |
| 13 | Hormonal therapy, oestrogen deficiency states | 70.7 | – |
| 14 | History of urinary tract infections (LUTS) | 82.9 | – |
| 15 | Family history of urinary incontinence | 68.3 | – |
| 16 | Family history of pelvic organ prolapse | – | 76.5 |
| 17 | Constipation | 78.0 | – |
| 18 | Nerve, muscle damage, tissue disruption (pelvic floor) | 90.2 | – |
| 19 | Pelvic surgery, radiation | 92.7 | – |
| 20 | Lung disease | 63.4 | 50 |
| 21 | Diabetes mellitus | 58.5 | 70.6 |
| 22 | Connective tissue disease | 87.8 | – |
| 23 | Hypermobility syndrome | 90.2 | – |
| 24 | Relative energy deficiency in sport (RED-s; Mountjoy, 2014) | 90.2 | – |
| 25 | Eating disorders | 80.5 | – |
| 26 | Other musculoskeletal disorders (eg, low back pain, hip pain) | 78.0 | – |
| 27 | Daily drinking carbonated beverages | 29.3 | – |
| 28 | Excessive caffeine consumption | 34.1 | – |
| 29 | High-impact sports (eg, volleyball, gymnastics, powerlifting) | 95.1 | – |
| 30 | Medium-impact sports (karate, triathlon) | 92.7 | – |
| 31 | Low-impact sports (eg, swimming, cycling) | 58.5 | 32.3 |
| 32 | Age at start of training <14 years | 58.5 | 70.6 |
| 33 | Years of training/sports practice ≥9 | 70.7 | – |
| 34 | Training hours/day ≥2 | 78.0 | – |
| 35 | Training hours/week ≥8 | 82.9 | – |
| 36 | Training frequency/week ≥4 | 80.5 | – |
| 37 | High-level sports/Athlete’s national ranking | 82.9 | – |
*Green indicates >67% of agreement to include the item in the tool.
Red indicates ≤67% of agreement to include the item in the tool.
In case of 50%–67% of agreement during round 1, items were presented again in round 2 for rating.
BMI, body mass index; LUTS, lower urinary tract symptoms; PFD, pelvic floor dysfunction.