Abstract

Objective

Burnout constitutes a health risk, and interventions are needed to reduce it. The aim of this study was to synthesize evidence regarding the relationship between physical activity and burnout by conducting a systematic review of longitudinal and intervention studies.

Methods

A literature search resulted in the identification of a final set of ten studies: four longitudinal and six intervention studies. In separate analyses for each category, evidence was synthesized by extracting the study characteristics and assessing the methodological quality of each study. The strength of evidence was calculated with the standardized index of convergence (SIC).

Results

In longitudinal studies, we found moderately strong evidence (SIC (4) = – 1) for a negative relationship between physical activity and the key component of burnout, i.e., exhaustion. We found strong evidence (SIC (6) = – 0.86) for the effect of physical activity on reducing exhaustion in intervention studies. As only one study could be classified as a high quality study, these results of previous studies need to be interpreted with some caution.

Conclusions

This systematic review suggests that physical activity constitutes an effective medium for the reduction of burnout. Although consistent evidence was found, there is a lack of high quality longitudinal and intervention studies considering the influence of physical activity on burnout. Therefore, future research should be conducted with the aim to produce high quality studies, to develop a full picture of physical activity as a strategy to reduce burnout.

References

1

Maslach
 
C
,
Jackson
 
SE
.
Maslach burnout inventory
: second edition.
Palo Alto, CA
:
Consulting Psychologists Press
;
1986
.

2

Brenninkmeijer
 
V
,
Van Yperen
 
N
.
How to conduct research on burnout: advantages and disadvantages of an unidimensional approach to burnout
.
Occup Environ Med
 
2003
;
60
:
16
21
. (https://doi.org/10.1136/oem.60.suppl_1.i16).

3

Kristensen
 
MB
,
Borritz
 
M
,
Villadsen
 
E
,
Christensen
 
KB
.
The copenhagen burnout inventory: a new tool for the assessment of burnout
.
Work & Stress
 
2005
;
19
:
192
207
. (https://doi.org/10.1080/02678370500297720).

4

Schaufeli
 
WB
,
Leiter
 
MP
,
Maslach
 
C
.
Burnout: 35 years of research and practice
.
Career Development International
 
2009
;
14
:
204
220
. (https://doi.org/10.1108/13620430910966406).

5

Alarcon
 
G
,
Eschleman
 
KJ
,
Bowling
 
NA
.
Relationships between personality variables and burnout : a meta-analysis
.
Work & Stress
 
2009
;
23
:
244
263
. (https://doi.org/10.1080/02678370903282600).

6

Ekstedt
 
M
,
Söderström
 
M
,
Åkerstedt
 
T
,
Nilsson
 
J
,
Søndergaard
 
H-P
,
Aleksander
 
P
.
Disturbed sleep and fatigue in occupational burnout
.
Scand J Work Environ Health
 
2006
;
32
:
121
131
. (https://doi.org/10.5271/sjweh.987).

7

Deligkaris
 
P
,
Panagopoulou
 
E
,
Montgomery
 
AJ
,
Masoura
 
E
.
Job burnout and cognitive functioning: a systematic review
.
Work & Stress
 
2014
;
28
:
107
123
. (https://doi.org/10.1080/02678373.2014.909545).

8

Oosterholt
 
BG
,
Van der Linden
 
D
,
Maes
 
JH
,
Verbraak
 
MJ
,
Kompier
 
MA
.
Burned out cognition: cognitive functioning of burnout patients before and after a period with psychological treatment
.
Scand J Work Environ Health
 
2012
;
38
:
358
369
. (https://doi.org/10.5271/sjweh.3256).

9

Arvidson
 
E
,
Börjesson
 
M
,
Ahlborg
 
G
,
Lindegård
 
A
,
Jonsdottir
 
IH
.
The level of leisure time physical activity is associated with work ability - a cross sectional and prospective study of health care workers
.
BMC Public Health
 
2013
;
13
:
855
. (https://doi.org/10.1186/1471-2458-13-855).

10

Melamed
 
S
,
Shirom
 
A
,
Toker
 
S
,
Berliner
 
S
,
Shapira
 
I
.
Burnout and risk of cardiovascular disease: evidence, possible causal paths, and promising research directions
.
Psychol Bull
 
2006
;
132
:
327
353
. (https://doi.org/10.1037/0033-2909.132.3.327).

11

Demerouti
 
E
,
Le Blanc
 
PM
,
Bakker
 
AB
,
Schaufeli
 
WB
,
Hox
 
J
.
Present but sick: a three-wave study on job demands, presenteeism and burnout
.
Career Dev Int
 
2009
;
14
:
50
68
. (https://doi.org/10.1108/13620430910933574).

12

Ricci
 
JA
,
Chee
 
E
,
Lorandeau
 
AL
,
Berger
 
J
.
Fatigue in the U.S. workforce : prevalence and implications for lost productive work time
.
J Occup Environ Med
 
2007
;
49
:
1
10
. (https://doi.org/10.1097/01.jom.0000249782.60321.2a).

13

Toppinen-Tanner
 
S
,
Ojajärvi
 
A
,
Väänänen
 
A
,
Kalimo
 
R
,
Jäppinen
 
P
.
Burnout as a predictor of medically certified sick-leave absences and their diagnosed causes
.
Behav Med
 
2005
;
31
:
18
27
. (https://doi.org/10.3200/BMED.31.1.18-32).

14

Eurofound
.
Fifth European working conditions survey [EWCS]
.
Luxembourg
:
Publications Office of the European Union
. [Online].
2012
. Available from: URL: https://www.eurofound.europa.eu/nl/publications/report/2012/working-conditions/fifth-european-working-conditions-survey-overview-report

15

Caspersen
 
CJ
,
Powell
 
KE
,
Christenson
 
GM
.
Physical activity, exercise, and physical fitness: definitions and distinctions for health-related research
.
Public Health Rep
 
1985
;
100
:
126
131
(PMCID: PMC1424733).

16

Warburton
 
DER
,
Nicol
 
CW
,
Bredin
 
SS
.
Health benefits of physical activity: the evidence
.
CMAJ
 
2006
;
174
:
801
809
. (https://doi.org/10.1503/cmaj.051351).

17

Geurts
 
SA
,
Sonnentag
 
S
.
Recovery as an explanatory mechanism in the relation between acute stress reactions and chronic health impairment
.
Scand J Work Environ Health
 
2006
;
32
:
482
492
. (https://doi.org/10.5271/sjweh.1053).

18

Sonnentag
 
S
.
Psychological detachment from work during leisure time: the benefits of mentally disengaging from work
.
Current Directions in Psychological Science
 
2012
;
22
:
114
118
. (https://doi.org/10.1177/0963721411434979).

19

Craft
 
LL
.
Exercise and clinical depression: examining two psychological mechanisms
.
Psychol Sport Exerc
 
2005
;
6
:
151
171
. (https://doi.org/10.1016/j.psychsport.2003.11.003).

20

Joseph
 
RP
,
Royse
 
KE
,
Benitez
 
TJ
,
Pekmezi
 
DW
.
Physical activity and quality of life among university students: exploring self-efficacy, self-esteem, and affect as potential mediators
.
Qual Life Res
 
2014
;
23
:
659
667
. (https://doi.org/10.1007/s11136-013-0492-8).

21

Feuerhahn
 
N
,
Sonnentag
 
S
,
Woll
 
A
.
Exercise after work, psychological mediators, and affect: a day-level study
.
Eur J Work Organ Psy
 
2014
;
23
:
62
79
. (https://doi.org/10.1080/1359432X.2012.709965).

22

Rook
 
JW
,
Zijlstra
 
FR
.
The contribution of various types of activities to recovery
.
Eur J Work Organ Psy
 
2006
;
15
:
218
240
. (https://doi.org/10.1080/13594320500513962).

23

Hockey
 
RV
.
The psychology of fatigue: work, effort and control
.
Cambridge
:
Cambridge University Press
;
2013
.

24

Colcombe
 
S
,
Kramer
 
AF
.
Fitness effects on the cognitive function of older adults : a meta-analytic study
.
Psychol Sci
 
2003
;
14
:
125
130
(PMID: 12661673).

25

Jackson
 
EM
,
Dishman
 
RK
.
Cardiorespiratory fitness and laboratory stress : a meta-regression analysis
.
Psychophysiology
 
2006
;
43
:
57
72
. (https://doi.org/10.1111/j.1469-8986.2006.00373.x).

26

Klaperski
 
S
,
Von Dawans
 
B
,
Heinrichs
 
M
,
Fuchs
 
R
.
Effects of a 12-week endurance training program on the physiological response to psychosocial stress in men: a randomized controlled trial
.
J Behav Med
 
2014
;
37
:
1118
1133
. (https://doi.org/10.1007/s10865-014-9562-9).

27

Schuch
 
FB
,
Vancampfort
 
D
,
Richards
 
J
,
Rosenbaum
 
S
,
Ward
 
PB
,
Stubbs
 
B
.
Exercise as a treatment for depression: a meta-analysis adjusting for publication bias
.
J Psychiatr Res
 
2016
;
77
:
42
51
. (https://doi.org/10.1016/j.jpsychires.2016.02.023).

28

Chang Un
 
P
,
Hyun
 
Jung K
.
Measurement of inter-rater reliability in systematic review
.
Hanyang Medical Reviews
 
2015
;
35
:
44
49
. (https://doi.org/10.7599/hmr.2015.35.1.44).

29

Kompier
 
MAJ
,
Kristensen
 
TS
. Organizational work stress interventions in a theoretical, methodological and practical context. In:
Dunham
 
J
, editor.
Stress in the workplace: past, present and future
.
London
:
Whurr Publishers
;
2000
. p.
164
190
.

30

Tetrick
 
LE
,
Quick
 
JC
. Prevention at work: public health in occupational settings. In:
Quick
 
JC
,
Tetrick
 
LE
, editors.
Handbook of occupational health psychology
.
Washington DC (US)
:
American Psychological Association
;
2003
. p.
3
17
.

31

Van Laethem
 
M
,
Beckers
 
DG
,
Kompier
 
MA
,
Dijksterhuis
 
A
,
Geurts
 
SA
.
Psychosocial work characteristics and sleep quality: a systematic review of longitudinal and intervention research
.
Scand J Work Environ Health
 
2013
;
39
:
535
549
. (https://doi.org/10.5271/sjweh.3376).

32

Wielenga-Meijer
 
EG
,
Taris
 
TW
,
Kompier
 
MA
,
Wigboldus
 
DH
. From
task characteristics to learning: a systematic review
.
Scand J Psychol
 
2010
;
51
:
363
375
. (https://doi.org/10.1111/j.1467-9450.2009.00768.x).

33

Bernaards
 
CM
,
Jans
 
MP
,
Van den Heuvel
 
SG
,
Hendriksen
 
IJ
,
Houtman
 
IL
,
Bongers
 
PM
.
Can strenuous leisure time physical activity prevent psychological complaints in a working population?
 
Occup Environ Med
 
2006
;
63
:
10
16
. (https://doi.org/10.1136/oem.2004.017541).

34

De Vries
 
JD
,
Claessens
 
BJ
,
Van Hooff
 
ML
,
Geurts
 
SA
,
Van den Bossche
 
SN
,
Kompier
 
MA
.
Disentangling longitudinal relations between physical activity, work-related fatigue, and task demands
.
Int Arch Occup Environ Health
 
2016
;
89
:
89
101
. (https://doi.org/10.1007/s00420-015-1054).

35

Jonsdottir
 
IH
,
Rödjer
 
L
,
Hadzibajramovic
 
E
,
Börjesson
 
M
,
Ahlborg
 
G
 Jr
.
A prospective study of leisure-time physical activity and mental health in Swedish health care workers and social insurance officers
.
Prev Med
 
2010
;
51
:
373
377
. (https://doi.org/10.1016/j.ypmed.2010.07.019).

36

Lindwall
 
M
,
Gerber
 
M
,
Jonsdottir
 
IH
,
Börjesson
 
M
.
The relationship of change in phyiscal activity with change in depression, anxiety, and burnout: a longitudinal study of Swedish healthcare workers
.
Health Psychol
 
2014
;
33
:
1309
1318
. (https://doi.org/10.1037/a0034402).

37

Schaufeli
 
WB
,
Van Dierendonck
 
D
.
The construct validity of two burnout measures
.
J Organ Behav
 
1993
;
14
:
631
647
. (https://doi.org/10.1002/job.4030140703).

38

Melamed
 
S
,
Kushnir
 
T
,
Shirom
 
A
.
Burnout and risk factors for cardiovascular diseases
.
Beh Med
 
1992
;
18
:
53
60
. (https://doi.org/10.1080/08964289.1992.9935172).

39

Grimby
 
G
,
Börjesson
 
M
,
Jonsdottir
 
IH
,
Schnohr
 
P
,
Thelle
 
DS
,
Saltin
 
B
.
The “Saltin-Grimby Physical Acticity Scale” and its application to health research
.
Scand J Med Sci Sports
 
2015
;
25
:
119
125
. (https://doi.org/10.1111/sms.12611).

40

Bretland
 
RJ
,
Thorsteinsson
 
EB
.
Reducing workplace burnout: the relative benefits of cardiovascular and resistance exercise
.
Peer J
 
2015
;
9
:
e891
. (https://doi.org/10.7717/peerj.891).

41

Freitas
 
AR
,
Carneseca
 
EC
,
Paiva
 
CE
,
Paiva
 
BS
.
Impact of a physical activity program on the anxiety, depression, occupational stress and burnout syndrome of nursing professionals
.
Rev Latino-Am Enfermagem
 
2014
;
22
:
332
336
. (https://doi.org/10.1590/0104-1169.3307.2420).

42

Gerber
 
M
,
Brand
 
S
,
Elliot
 
C
,
Holsboer-Trachsler
 
E
,
Pühse
 
U
,
Becl
 
J
.
Aerobic exercise training and burnout: a pilot study with male participants suffering from burnout
.
BMC Res Notes
 
2013
;
6
:
78
. (https://doi.org/10.1186/1756-0500-6-78).

43

Lindegard
 
A
,
Jonsdottir
 
IH
,
Börjesson
 
M
,
Lindwall
 
M
,
Gerber
 
M
.
Changes in mental health in compliers and non-compliers with physical activity recommendations in patients with stress-related exhaustion
.
BMC Psychiatry
 
2015
;
15
:
272
. (https://doi.org/10.1186/s12888-015-0642-3).

44

Tsai
 
HH
,
Yeah
 
CY
,
Su
 
CT
,
Chen
 
CJ
,
Peng
 
SM
,
Chen
 
RY
.
The effects of exercise program on burnout and metabolic syndrome components in banking and insurance workers
.
Ind Health
 
2013
;
51
:
3
. (https://doi.org/10.2486/indhealth.2012-0188).

45

Van Rhenen
 
W
,
Blonk
 
RW
,
Van der Klink
 
JJ
,
Van Dijk
 
RJ
,
Schaufeli
 
WB
.
The effect of a cognitive and a physical stress-reducing programme on psychological complaints
.
Int Arch Occup Environ Health
 
2005
;
78
:
139
148
. (https://doi.org/10.1007/s00420-004-0566-6).

46

De Lange
 
AH
,
Taris
 
TW
,
Kompier
 
MA
,
Houtman
 
IL
,
Bongers
 
PM
.
“The very best of the millennium”: longitudinal research and the demand-control-(support) model
.
J Occup Health Psychol
 
2003
;
8
:
282
305
. (https://doi.org/10.1037/1076-8998.8.4.282).

47

Mohr
 
DC
,
Spring
 
B
,
Freedland
 
KE
 et al.  
The selection and design of control conditions for randomized controlled trials of psychological interventions
.
Psychother Psychosom
 
2009
;
78
:
275
284
. (https://doi.org/10.1159/000228248).

48

Ekkekakis
 
P
.
Honey, I schrunk the pooled SMD! Guide to critical appraisal of systematic reviews and meta-analyses using the Cochrane review on exercise for depression as example
.
Ment Health Phys Act
 
2015
;
8
:
21
36
. (https://doi.org/10.1016/j.mhpa.2014.12.001).

49

Gupta
 
SK
.
Intention-to-treat concept : a review
.
Perspect Clin Res
 
2011
;
2
:
109
112
. (https://doi.org/10.4103/2229-3485.83221).

50

Ahola
 
K
,
Pulkki-Raback
 
L
,
Kouvonen
 
A
,
Rossi
 
H
,
Aromaa
 
A
,
Lonnyvist
 
J
.
Burnout and behaviour-related health risk factors results from the population-based Finnish health 2000 study
.
J Occup Environ Med
 
2012
;
54
:
17
22
. (https://doi.org/10.1097/JOM.0b013e31823ea9d9).

51

Krogh
 
J
,
Nordentoft
 
M
,
Sterne
 
JA
,
Lawlor
 
DA
.
The effect of exercise in clinically depressed adults: systematic review and meta-analysis of randomized controlled trails
.
J Clin Psychiatry
 
2011
;
72
:
529
538
. (https://doi.org/10.4088/JCP.08r04913blu).

52

Armstrong
 
T
,
Bull
 
F
.
Development of the World Health Organization Global Physical Activity Questionnaire (GPAQ)
.
J Public Health
 
2006
;
14
:
66
. (https://doi.org/10.1007/s10389-006-0024-x).

53

Craig
 
CL
,
Marshall
 
AL
,
Sjostrom
 
M
 et al.  
International physical activity questionnaire: 12-country reliability and validity
.
Med Sci Sports Exerc
 
2003
;
35
:
1381
1395
. (https://doi.org/10.1249/01.MSS.0000078924.61453.FB).

54

Steckler
 
AB
,
Linnan
 
L
.
Process evaluation for public health interventions and research
.
San Francisco
:
Jossey Bass
;
2002
.

55

Durlak
 
JA
. What everyone should now about implementation. In:
Durlak
 
JA
,
Domitrovich
 
CE
,
Weissberg
 
RP
,
Gullotta
 
TP
, editors.
Handbook of social and emotional learning: Research and practice
.
New York
:
Guilford
;
2015
.

56

Kompier
 
M
,
Aust
 
B
.
Organizational stress management interventions: is it the singer not the song?
 
Scand J Work Environ Health
 
2016
;
42
:
355
358
. (https://doi.org/10.5271/sjweh.3578).

57

Murta
 
SG
,
Sanderson
 
K
,
Oldenburg
 
B
.
Process evaluation in occupational stress management programs: a systematic review
.
Am J Health Prom
 
2005
;
21
:
248
254
. (https://doi.org/10.4278/0890-1171-21.4.248).

58

Ament
 
W
,
Verkerke
 
GJ
.
Exercise and fatigue
.
Sports Med
 
2009
;
39
:
389
422
. (https://doi.org/10.2165/00007256-20093905000005).

59

Meijman
 
TF
. The theory of the stop-emotion: on the functionality of fatigue. In:
Pogorski
 
D
,
Karwowski
 
W
, editors.
ergonomics and safety for Global Business Quality and Production
.
Warschaw
:
CIOP
;
2000
.

60

Moher
 
D
,
Liberati
 
A
,
Tezlaff
 
J
,
Altman
 
DG
,
The PRIMSA Gruop. Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement
.
Ann Intern Med
 
2009
;
151
:
264
269
. (https://doi.org/10.7326/0003-4819-151-420090818000135).

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