---
_id: '13617'
abstract:
- lang: eng
text: Early weight gain is a primary goal in the treatment of anorexia nervosa (AN)
and associated with more favorable discharge weights and clinical outcomes. Activity
urges, that is, a motivational state to engage in activity, have been suspected
to delay early weight gain, but their prognostic role remains barely explored.
Here, we investigated whether acute (state‐like) activity urges at treatment onset
would predict within‐person weight gain in patients with AN during the initial
2 weeks of inpatient treatment. Adults with AN from an inpatient unit (N = 53)
completed an activity urges measure at treatment onset, and weight changes were
monitored for the duration of their treatment. Regression analyses, controlling
for admission body mass index and other patient variables (i.e., patient age and
AN subtype), found that higher state activity urges were associated with lower
initial weight gain. Mediation analyses showed that differences in early weight
changes further linked higher activity urges at admission to lower discharge weights.
An activity urge cutoff value of 2.76 for distinguishing between cases with optimal
and suboptimal initial weight gain is proposed. We discuss potential mechanisms
of the link between activity urges and early weight gain and the implications
of activity urges as a prognostic factor for improving weight restoration during
AN treatment.
author:
- first_name: Georg
full_name: Halbeisen, Georg
id: '85780'
last_name: Halbeisen
orcid: 0000-0002-9529-2215
- first_name: Lina
full_name: Amin, Lina
last_name: Amin
- first_name: Karsten
full_name: Braks, Karsten
last_name: Braks
- first_name: Thomas J.
full_name: Huber, Thomas J.
last_name: Huber
- first_name: Georgios
full_name: Paslakis, Georgios
last_name: Paslakis
citation:
ama: Halbeisen G, Amin L, Braks K, Huber TJ, Paslakis G. Acute Activity Urges Predict
Lower Early Weight Gain During Inpatient Treatment for Anorexia Nervosa. International
Journal of Eating Disorders. 2024;57(12):2452-2460. doi:10.1002/eat.24305
apa: Halbeisen, G., Amin, L., Braks, K., Huber, T. J., & Paslakis, G. (2024).
Acute Activity Urges Predict Lower Early Weight Gain During Inpatient Treatment
for Anorexia Nervosa. International Journal of Eating Disorders, 57(12),
2452–2460. https://doi.org/10.1002/eat.24305
bjps: Halbeisen G et al. (2024) Acute Activity Urges Predict Lower
Early Weight Gain During Inpatient Treatment for Anorexia Nervosa. International
Journal of Eating Disorders 57, 2452–2460.
chicago: 'Halbeisen, Georg, Lina Amin, Karsten Braks, Thomas J. Huber, and Georgios
Paslakis. “Acute Activity Urges Predict Lower Early Weight Gain During Inpatient
Treatment for Anorexia Nervosa.” International Journal of Eating Disorders
57, no. 12 (2024): 2452–60. https://doi.org/10.1002/eat.24305.'
chicago-de: 'Halbeisen, Georg, Lina Amin, Karsten Braks, Thomas J. Huber und Georgios
Paslakis. 2024. Acute Activity Urges Predict Lower Early Weight Gain During Inpatient
Treatment for Anorexia Nervosa. International Journal of Eating Disorders
57, Nr. 12: 2452–2460. doi:10.1002/eat.24305,
.'
din1505-2-1: 'Halbeisen, Georg ; Amin, Lina ; Braks,
Karsten ; Huber, Thomas J.
; Paslakis, Georgios: Acute Activity
Urges Predict Lower Early Weight Gain During Inpatient Treatment for Anorexia
Nervosa. In: International Journal of Eating Disorders Bd. 57, Wiley (2024),
Nr. 12, S. 2452–2460'
havard: G. Halbeisen, L. Amin, K. Braks, T.J. Huber, G. Paslakis, Acute Activity
Urges Predict Lower Early Weight Gain During Inpatient Treatment for Anorexia
Nervosa, International Journal of Eating Disorders. 57 (2024) 2452–2460.
ieee: 'G. Halbeisen, L. Amin, K. Braks, T. J. Huber, and G. Paslakis, “Acute Activity
Urges Predict Lower Early Weight Gain During Inpatient Treatment for Anorexia
Nervosa,” International Journal of Eating Disorders, vol. 57, no. 12, pp.
2452–2460, 2024, doi: 10.1002/eat.24305.'
mla: Halbeisen, Georg, et al. “Acute Activity Urges Predict Lower Early Weight Gain
During Inpatient Treatment for Anorexia Nervosa.” International Journal of
Eating Disorders, vol. 57, no. 12, 2024, pp. 2452–60, https://doi.org/10.1002/eat.24305.
short: G. Halbeisen, L. Amin, K. Braks, T.J. Huber, G. Paslakis, International Journal
of Eating Disorders 57 (2024) 2452–2460.
ufg: 'Halbeisen, Georg u. a.: Acute Activity Urges Predict Lower Early Weight
Gain During Inpatient Treatment for Anorexia Nervosa, in: International Journal
of Eating Disorders 57 (2024), H. 12, S. 2452–2460.'
van: Halbeisen G, Amin L, Braks K, Huber TJ, Paslakis G. Acute Activity Urges Predict
Lower Early Weight Gain During Inpatient Treatment for Anorexia Nervosa. International
Journal of Eating Disorders. 2024;57(12):2452–60.
date_created: 2026-03-25T14:39:29Z
date_updated: 2026-03-27T08:10:14Z
department:
- _id: DEP1500
doi: 10.1002/eat.24305
intvolume: ' 57'
issue: '12'
keyword:
- anorexia nervosa
- inpatient treatment
- physical activity
- psychotherapy
- restlessness
- urge for movement
language:
- iso: eng
page: 2452-2460
publication: International Journal of Eating Disorders
publication_identifier:
issn:
- 0276-3478
- 1098-108X
publication_status: published
publisher: Wiley
status: public
title: Acute Activity Urges Predict Lower Early Weight Gain During Inpatient Treatment
for Anorexia Nervosa
type: scientific_journal_article
user_id: '83781'
volume: 57
year: '2024'
...
---
_id: '12758'
abstract:
- lang: eng
text: 'hapter 6 explores the multifaceted relationship between NBS and human health
in urban environments. It begins by discussing the interconnectedness of nature
and human well-being, highlighting the potential of NBS in reducing environmental
stressors, restoring capacities and inviting for a more (inter-)active lifestyle.
The chapter then delves into specific aspects of health addressed by NBS, such
as the mitigation of air pollution and the enhancement of thermal comfort. Additionally,
it examines the role of allotment gardens in promoting well-being and social cohesion
within urban communities. Furthermore, the chapter explores how NBS can encourage
healthy behaviour among urban residents, offering insights into understanding
behavioural patterns. Concluding with recommendations for practitioners, the chapter
underscores the importance of effectively implementing NBS to improve health and
well-being in urban settings. '
author:
- first_name: Marcel
full_name: Cardinali, Marcel
id: '58462'
last_name: Cardinali
orcid: 0000-0002-8841-9345
- first_name: Philippe
full_name: Bodenan, Philippe
last_name: Bodenan
- first_name: Angel
full_name: Burov, Angel
last_name: Burov
- first_name: Katia
full_name: Chancibault, Katia
last_name: Chancibault
- first_name: Ghozlane
full_name: Fleury, Ghozlane
last_name: Fleury
- first_name: Sophie
full_name: Herpin, Sophie
last_name: Herpin
- first_name: Jude Le
full_name: Roy-Lisneuf, Jude Le
last_name: Roy-Lisneuf
- first_name: Arnaud
full_name: Sapin, Arnaud
last_name: Sapin
- first_name: Milena Tasheva
full_name: Petrova, Milena Tasheva
last_name: Petrova
- first_name: Irina
full_name: Mutafchiiska, Irina
last_name: Mutafchiiska
citation:
ama: 'Cardinali M, Bodenan P, Burov A, et al. How Nature-based Solutions Promote
Health & Wellbeing. In: Ferreira I, Caitana B, Nunes N, Ribal E, eds. Urban
Inclusive and Innovative Nature - Fundaments and Practices for the Co-Creation
of Nature-Based Cities. Fondazione Giangiacomo Feltrinelli; 2024:302-369.'
apa: Cardinali, M., Bodenan, P., Burov, A., Chancibault, K., Fleury, G., Herpin,
S., Roy-Lisneuf, J. L., Sapin, A., Petrova, M. T., & Mutafchiiska, I. (2024).
How Nature-based Solutions Promote Health & Wellbeing. In I. Ferreira, B.
Caitana, N. Nunes, & E. Ribal (Eds.), Urban Inclusive and Innovative Nature
- Fundaments and Practices for the Co-creation of Nature-based Cities (pp.
302–369). Fondazione Giangiacomo Feltrinelli.
bjps: 'Cardinali M et al. (2024) How Nature-Based Solutions Promote
Health & Wellbeing. In Ferreira I et al. (eds), Urban Inclusive and Innovative
Nature - Fundaments and Practices for the Co-Creation of Nature-Based Cities.
Mailand: Fondazione Giangiacomo Feltrinelli, pp. 302–369.'
chicago: 'Cardinali, Marcel, Philippe Bodenan, Angel Burov, Katia Chancibault, Ghozlane
Fleury, Sophie Herpin, Jude Le Roy-Lisneuf, Arnaud Sapin, Milena Tasheva Petrova,
and Irina Mutafchiiska. “How Nature-Based Solutions Promote Health & Wellbeing.”
In Urban Inclusive and Innovative Nature - Fundaments and Practices for the
Co-Creation of Nature-Based Cities, edited by Isabel Ferreira, Beatriz Caitana,
Nathalie Nunes, and Eddine Ribal, 302–69. Mailand: Fondazione Giangiacomo Feltrinelli,
2024.'
chicago-de: 'Cardinali, Marcel, Philippe Bodenan, Angel Burov, Katia Chancibault,
Ghozlane Fleury, Sophie Herpin, Jude Le Roy-Lisneuf, Arnaud Sapin, Milena Tasheva
Petrova und Irina Mutafchiiska. 2024. How Nature-based Solutions Promote Health
& Wellbeing. In: Urban Inclusive and Innovative Nature - Fundaments and
Practices for the Co-creation of Nature-based Cities, hg. von Isabel Ferreira,
Beatriz Caitana, Nathalie Nunes, und Eddine Ribal, 302–369. Mailand: Fondazione
Giangiacomo Feltrinelli.'
din1505-2-1: 'Cardinali,
Marcel ; Bodenan, Philippe
; Burov, Angel ; Chancibault,
Katia ; Fleury, Ghozlane
; Herpin, Sophie ; Roy-Lisneuf,
Jude Le ; Sapin, Arnaud ;
u. a.: How Nature-based Solutions Promote Health & Wellbeing. In: Ferreira, I. ; Caitana,
B. ; Nunes, N. ; Ribal,
E. (Hrsg.): Urban Inclusive and Innovative Nature - Fundaments and Practices
for the Co-creation of Nature-based Cities. Mailand : Fondazione Giangiacomo
Feltrinelli, 2024, S. 302–369'
havard: 'M. Cardinali, P. Bodenan, A. Burov, K. Chancibault, G. Fleury, S. Herpin,
J.L. Roy-Lisneuf, A. Sapin, M.T. Petrova, I. Mutafchiiska, How Nature-based Solutions
Promote Health & Wellbeing, in: I. Ferreira, B. Caitana, N. Nunes, E. Ribal
(Eds.), Urban Inclusive and Innovative Nature - Fundaments and Practices for the
Co-Creation of Nature-Based Cities, Fondazione Giangiacomo Feltrinelli, Mailand,
2024: pp. 302–369.'
ieee: 'M. Cardinali et al., “How Nature-based Solutions Promote Health &
Wellbeing,” in Urban Inclusive and Innovative Nature - Fundaments and Practices
for the Co-creation of Nature-based Cities, I. Ferreira, B. Caitana, N. Nunes,
and E. Ribal, Eds. Mailand: Fondazione Giangiacomo Feltrinelli, 2024, pp. 302–369.'
mla: Cardinali, Marcel, et al. “How Nature-Based Solutions Promote Health &
Wellbeing.” Urban Inclusive and Innovative Nature - Fundaments and Practices
for the Co-Creation of Nature-Based Cities, edited by Isabel Ferreira et al.,
Fondazione Giangiacomo Feltrinelli, 2024, pp. 302–69.
short: 'M. Cardinali, P. Bodenan, A. Burov, K. Chancibault, G. Fleury, S. Herpin,
J.L. Roy-Lisneuf, A. Sapin, M.T. Petrova, I. Mutafchiiska, in: I. Ferreira, B.
Caitana, N. Nunes, E. Ribal (Eds.), Urban Inclusive and Innovative Nature - Fundaments
and Practices for the Co-Creation of Nature-Based Cities, Fondazione Giangiacomo
Feltrinelli, Mailand, 2024, pp. 302–369.'
ufg: 'Cardinali, Marcel u. a.: How Nature-based Solutions Promote Health
& Wellbeing, in: Ferreira, Isabel u. a. (Hgg.): Urban Inclusive and
Innovative Nature - Fundaments and Practices for the Co-creation of Nature-based
Cities, Mailand 2024, S. 302–369.'
van: 'Cardinali M, Bodenan P, Burov A, Chancibault K, Fleury G, Herpin S, et al.
How Nature-based Solutions Promote Health & Wellbeing. In: Ferreira I, Caitana
B, Nunes N, Ribal E, editors. Urban Inclusive and Innovative Nature - Fundaments
and Practices for the Co-creation of Nature-based Cities. Mailand: Fondazione
Giangiacomo Feltrinelli; 2024. p. 302–69.'
date_created: 2025-04-04T06:32:08Z
date_updated: 2025-04-08T06:36:12Z
department:
- _id: DEP1000
- _id: DEP1055
editor:
- first_name: Isabel
full_name: Ferreira, Isabel
last_name: Ferreira
- first_name: Beatriz
full_name: Caitana, Beatriz
last_name: Caitana
- first_name: Nathalie
full_name: Nunes, Nathalie
last_name: Nunes
- first_name: Eddine
full_name: Ribal, Eddine
last_name: Ribal
keyword:
- Nature-based Solutions
- Public health
- Air pollution
- Thermal comfort
- Social cohesion
- Physical activity
language:
- iso: eng
main_file_link:
- open_access: '1'
url: https://fondazionefeltrinelli.it/scopri/urban-inclusive-and-innovative-nature/
oa: '1'
page: 302–369
place: Mailand
publication: Urban Inclusive and Innovative Nature - Fundaments and Practices for
the Co-creation of Nature-based Cities
publication_identifier:
isbn:
- 978-88-6835-519-7
publication_status: published
publisher: Fondazione Giangiacomo Feltrinelli
status: public
title: How Nature-based Solutions Promote Health & Wellbeing
type: book_chapter
user_id: '83781'
year: '2024'
...
---
_id: '13581'
abstract:
- lang: eng
text: ObjectiveMany people, including patients with eating disorders (EDs), experience
an increased urge for physical activity. "Trait"-like activity in patients with
EDs is assessed by existing questionnaires, but there are few clinically validated
assessments of a "state" urge to be physically active. Here, we developed and
validated the State Urge to be Physically Active-Questionnaire (SUPA-Q). MethodsAfter
developing and piloting the items, N = 126 patients with EDs (mostly anorexia
nervosa and bulimia nervosa) took part in our mixed-longitudinal validation study
with one primary assessment for all patients and a secondary assessment for a
subsample of patients. Cronbach's & alpha; and split-half-methods served as measures
of consistency and reliability. Correlations with other questionnaires were used
to determine convergent and divergent validity, and confirmatory factor analysis
was used for investigating factorial validity. We used paired-samples t-tests
for repeated assessments to investigate change sensitivity. ResultsWe found the
SUPA-Q to be highly consistent, and reliable and to demonstrate convergent, divergent,
and factorial validity. The comparison of SUPA-Q scores from repeated assessments
within a subsample of patients demonstrated the questionnaire's change sensitivity,
Cohen's d = 0.48. Moreover, an increase in SUPA-Q scores was associated with a
less positive mood, more anxiety, more body dissatisfaction, more tenseness, less
feelings of control, and more stress. DiscussionThe newly developed SUPA-Q may
help to accentuate the necessity to evaluate and address the acute urge to engage
in physical activity in patients with EDs in clinical practice and ultimately
support tailoring treatments to patients' unique symptom patterns. The questionnaire
is available at .
article_number: e3220
author:
- first_name: Lina
full_name: Amin, Lina
last_name: Amin
- first_name: Georg
full_name: Halbeisen, Georg
id: '85780'
last_name: Halbeisen
orcid: 0000-0002-9529-2215
- first_name: Karsten
full_name: Braks, Karsten
last_name: Braks
- first_name: Thomas J.J.
full_name: Huber, Thomas J.J.
last_name: Huber
- first_name: Georgios
full_name: Paslakis, Georgios
last_name: Paslakis
citation:
ama: 'Amin L, Halbeisen G, Braks K, Huber TJJ, Paslakis G. The State Urge to be
Physically Active-Questionnaire (SUPA-Q): Development and validation of a state
measure of activity urges in patients with eating disorders. Brain and Behavior.
2023;13(10). doi:10.1002/brb3.3220'
apa: 'Amin, L., Halbeisen, G., Braks, K., Huber, T. J. J., & Paslakis, G. (2023).
The State Urge to be Physically Active-Questionnaire (SUPA-Q): Development and
validation of a state measure of activity urges in patients with eating disorders.
Brain and Behavior, 13(10), Article e3220. https://doi.org/10.1002/brb3.3220'
bjps: 'Amin L et al. (2023) The State Urge to Be Physically Active-Questionnaire
(SUPA-Q): Development and Validation of a State Measure of Activity Urges in Patients
with Eating Disorders. Brain and Behavior 13.'
chicago: 'Amin, Lina, Georg Halbeisen, Karsten Braks, Thomas J.J. Huber, and Georgios
Paslakis. “The State Urge to Be Physically Active-Questionnaire (SUPA-Q): Development
and Validation of a State Measure of Activity Urges in Patients with Eating Disorders.”
Brain and Behavior 13, no. 10 (2023). https://doi.org/10.1002/brb3.3220.'
chicago-de: 'Amin, Lina, Georg Halbeisen, Karsten Braks, Thomas J.J. Huber und Georgios
Paslakis. 2023. The State Urge to be Physically Active-Questionnaire (SUPA-Q):
Development and validation of a state measure of activity urges in patients with
eating disorders. Brain and Behavior 13, Nr. 10. doi:10.1002/brb3.3220,
.'
din1505-2-1: 'Amin, Lina ; Halbeisen,
Georg ; Braks, Karsten ;
Huber, Thomas J.J. ; Paslakis,
Georgios: The State Urge to be Physically Active-Questionnaire (SUPA-Q):
Development and validation of a state measure of activity urges in patients with
eating disorders. In: Brain and Behavior Bd. 13. Malden, Mass., Wiley (2023),
Nr. 10'
havard: 'L. Amin, G. Halbeisen, K. Braks, T.J.J. Huber, G. Paslakis, The State Urge
to be Physically Active-Questionnaire (SUPA-Q): Development and validation of
a state measure of activity urges in patients with eating disorders, Brain and
Behavior. 13 (2023).'
ieee: 'L. Amin, G. Halbeisen, K. Braks, T. J. J. Huber, and G. Paslakis, “The State
Urge to be Physically Active-Questionnaire (SUPA-Q): Development and validation
of a state measure of activity urges in patients with eating disorders,” Brain
and Behavior, vol. 13, no. 10, Art. no. e3220, 2023, doi: 10.1002/brb3.3220.'
mla: 'Amin, Lina, et al. “The State Urge to Be Physically Active-Questionnaire (SUPA-Q):
Development and Validation of a State Measure of Activity Urges in Patients with
Eating Disorders.” Brain and Behavior, vol. 13, no. 10, e3220, 2023, https://doi.org/10.1002/brb3.3220.'
short: L. Amin, G. Halbeisen, K. Braks, T.J.J. Huber, G. Paslakis, Brain and Behavior
13 (2023).
ufg: 'Amin, Lina u. a.: The State Urge to be Physically Active-Questionnaire
(SUPA-Q): Development and validation of a state measure of activity urges in patients
with eating disorders, in: Brain and Behavior 13 (2023), H. 10.'
van: 'Amin L, Halbeisen G, Braks K, Huber TJJ, Paslakis G. The State Urge to be
Physically Active-Questionnaire (SUPA-Q): Development and validation of a state
measure of activity urges in patients with eating disorders. Brain and Behavior.
2023;13(10).'
date_created: 2026-03-25T13:36:10Z
date_updated: 2026-04-08T13:06:01Z
department:
- _id: DEP1500
doi: 10.1002/brb3.3220
extern: '1'
external_id:
isi:
- '001044780200001'
pmid:
- '37559422'
intvolume: ' 13'
isi: '1'
issue: '10'
keyword:
- eating disorders
- physical activity
- psychopathology
- psychotherapy
- symptom assessment
language:
- iso: eng
place: Malden, Mass.
pmid: '1'
publication: Brain and Behavior
publication_identifier:
eissn:
- 2162-3279
publication_status: published
publisher: Wiley
quality_controlled: '1'
status: public
title: 'The State Urge to be Physically Active-Questionnaire (SUPA-Q): Development
and validation of a state measure of activity urges in patients with eating disorders'
type: scientific_journal_article
user_id: '83778'
volume: 13
year: '2023'
...