Exercise & Training

Association between physical activity and burnout among healthcare providers in Saudi Arabia: A cross-sectional study.

TL;DR

Higher levels of physical activity were associated with significantly lower burnout among healthcare providers in Saudi Arabia, with each additional 1000 MET-min/wk of PA associated with a 50% reduction in the odds of moderate/high burnout.

Key Findings

Higher physical activity levels were associated with lower total and domain-specific burnout scores among healthcare providers in Saudi Arabia.

  • Burnout differed significantly across PA levels for total and all domain scores (all P < .001)
  • Effect sizes were large, with eta-squared values ranging from η² = 0.23 to 0.34
  • The high-PA group showed the lowest burnout across all measured domains (personal, work-related, and client-related)
  • Burnout was assessed using the Copenhagen Burnout Inventory (CBI) with domain-specific subscales

Low physical activity was associated with a 24.55-point higher total CBI score compared to high physical activity in linear regression analysis.

  • B = 24.55, 95% CI: [17.05, 32.05], P < .001 for low PA vs. high PA
  • Moderate PA was associated with a 14.81-point higher total CBI score compared to high PA (B = 14.81, 95% CI: [8.61, 20.99], P < .001)
  • Age, gender, and profession were not statistically significant predictors in the model
  • Analysis used multiple linear regression adjusting for age, gender, and profession

Each additional 1000 MET-min/week of physical activity was associated with a 50% reduction in the odds of moderate or high burnout.

  • Adjusted OR = 0.50, 95% CI: [0.39–0.65], P < .001
  • This association was independent of age, gender, and profession covariates
  • Analysis used logistic regression with PA entered as a continuous variable in MET-min/week units
  • Physical activity was assessed using the International Physical Activity Questionnaire-Short Form (IPAQ-SF)

The majority of study participants reported moderate or low burnout, while high burnout was relatively uncommon.

  • 50.9% of participants reported moderate burnout
  • 41.8% reported low burnout
  • 7.3% reported high burnout
  • Sample consisted of 110 healthcare providers including physicians, pharmacists, nurses, physiotherapists, and occupational therapists

Most healthcare providers in the sample reported high levels of physical activity, with high PA being the most common category.

  • 57.3% of participants were categorized as high PA
  • 26.4% were categorized as moderate PA
  • 16.4% were categorized as low PA
  • PA was categorized using IPAQ-SF criteria into low, moderate, and high levels

The study used a cross-sectional design with convenience sampling, limiting causal inference and generalizability.

  • Total sample size was 110 healthcare providers
  • Data were collected via self-administered survey
  • Authors noted limitations including convenience sampling and unmeasured occupational confounders
  • The authors explicitly stated that 'causality cannot be inferred from this cross-sectional design'

What This Means

This research suggests that healthcare workers in Saudi Arabia who engage in higher levels of physical activity tend to experience lower levels of burnout. The study surveyed 110 healthcare providers — including physicians, nurses, pharmacists, physiotherapists, and occupational therapists — and found that those who exercised more reported significantly less burnout across all measured dimensions: personal, work-related, and client-related. Notably, each additional 1000 MET-minutes per week of physical activity (roughly equivalent to about 3 hours of moderate-intensity exercise) was associated with a 50% reduction in the likelihood of experiencing moderate or high burnout, even after accounting for age, gender, and profession. The findings also revealed that most participants (about 57%) were already physically active at high levels, and only about 7% reported high burnout — though over 90% still experienced some degree of burnout (low or moderate). Interestingly, age, gender, and profession did not significantly predict burnout in this sample, suggesting physical activity may be a more relevant factor than these demographic characteristics. This research suggests that promoting physical activity could be a practical, modifiable strategy for addressing burnout in healthcare settings. However, because the study was cross-sectional — meaning it captured a single snapshot in time — it cannot determine whether physical activity directly causes lower burnout or whether people who feel less burned out simply have more energy and motivation to exercise. Future studies using longitudinal or experimental designs would be needed to establish causality. The relatively small, convenience-based sample also means the findings may not generalize to all healthcare workers in Saudi Arabia or elsewhere.

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Citation

Alghadier M. (2026). Association between physical activity and burnout among healthcare providers in Saudi Arabia: A cross-sectional study.. Medicine. https://doi.org/10.1097/MD.0000000000051148