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BackgroundThis study explored the influence of cigarette smoking and food consumption patterns on BMI after adjusting for various socio-demographic characteristics. Since weight-based stereotypes may have an impact on smoking behaviour and both obesity and smoking have been associated with detrimental health effects, an interdependency between them is quite possible.MethodsCross-sectional data were collected via a formal standardized questionnaire administered in personal interviews and two additional self-completion questionnaires from a random sample of 3471 German adults. The empirical framework considered potential endogeneity between smoking and body weight by employing an endogenous treatment effects model with an ordered outcome. The estimations derived from the endogenous treatment effects approach were also compared to the univariate ordered probit model results.ResultsOur findings showed that ignoring potential endogeneity may affect both the statistical significance of the smoking estimate and the direction of the influence of smoking on BMI. Smoking was positively associated with BMI in both male (β = 1.236, p < 0.01) and female (β = 0.634, p < 0.10) participants. Smokers presented a 23.1% higher risk of obesity and a 24.3% lower likelihood of being within a healthy weight range. Male smokers also appeared to have a considerably augmented probability of being obese compared to their female counterparts (23.6% vs 15.1%). The relationship between smoking and BMI may be attributed to dietary practices, since smoking was correlated with poor dietary habits characterized by the frequent intake of more energy-dense foods (meat products and white-toasted bread) and less frequent consumption of healthy food items, such as whole-grain bread, vegetables and fruits. Concerning the impact of eating habits on body weight, frequent consumption of meat products and confectionery was found to have a direct association with BMI in both genders. Furthermore, white-toasted bread consumption was negatively linked with body weight in males (β = − 0.337, p < 0.01).ConclusionsOur findings raised questions about the general belief that smoking is an effective weight control tool. Health interventions should be oriented toward a simultaneous decrease in smoking and obesity, since both behaviours seem to be interdependent. Nutrition programmes should also be designed according to the characteristics of different target groups in order to promote a healthy lifestyle.

The creation of a psychologically friendly outdoor environment has important quality-of-life implications for urban residents who live in cities with extremely high population density, such as Hong Kong. Prospect Refuge Theory is the most widely recognized theory that explains environmental emotional influence by referring to urban planning and architecture, and it can be quantified by applying isovist indicators. We aim to (a) conduct field measurements that record dynamic psycho-physiological stress, (b) calculate isovist indicators by introducing a new indicator-isovist time difference and then analyse their effects on stress, and (c) draw on findings to provide recommendations for urban planning and design. The experiment is conducted for the first time in a high-density city where 30 participants are asked to walk a predefined route. Each participant wears a portable smart band that records skin conductance response and a global positioning system (GPS) that records geographic coordinates. The results demonstrate that (1) an open space with a visual target set at a distance is the dominant factor that creates positive emotions in Hong Kong; (2) the new indicator-isovist time difference (D1) is valuable, as it is more significantly related to stress than the isovist level; (3) the living environment and cultural differences play an important role in the final result, i.e. people in Europe prefer relatively closed spaces while people in Hong Kong feel stress when the space is highly enclosed.

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This research investigates whether a short mindfulness exercise can reduce children’s psychophysiological stress reactions in the face of a performance task. To answer the question, a randomized controlled trial with 106 elementary school children, aged between 5 and 11 years, was conducted. An intervention group completed a two-minute breathing exercise, whilst a comparison group watched a short video, before both groups performed a stress-evoking Stroop test. The stress levels of both groups were measured via galvanic skin response and compared. It was hypothesized that the comparison group would show a higher stress reaction during the stress-evoking task than the intervention group. Contrary to the hypothesis, results show that the intervention group had a higher psychophysiological stress reaction during the task than the comparison group. However, the stress reaction to the announced difficulty of the task was smaller in the mindfulness group than in the comparison group. Results are discussed based on different theoretical mechanisms of mindfulness. Directions for future research include the use of different techniques and durations of mindfulness interventions, different control group activities and stress-test operationalizations, as well as the distinction between age groups.