Cardiorespiratory fitness protects against stress-related symptoms of burnout and depression

Patient Education and Counseling

Volumn 93, Issue 1, 2013, Pages 146-152

  Gerber, Markus ^a   Lindwall, Magnus ^b   Lindegård, Agneta ^c   Börjesson, Mats ^d,e   Jonsdottir, Ingibjörg H ^c,f  

^a UNIVERSITY OF BASEL   (Switzerland)

^b UNIVERSITY OF GOTHENBURG   (Sweden)

^c Institute of Stress Medicine   (Sweden)

^d SWEDISH SCHOOL OF SPORT AND HEALTH SCIENCES   (Sweden)

^e KAROLINSKA UNIVERSITY HOSPITAL   (Sweden)

^f UNIVERSITY OF GOTHENBURG   (Sweden)

Author keywords

strand bicycle test; Burnout; Cardiorespiratory fitness; Depression; Gender; Mental health; Stress; Submaximal fitness test

Indexed keywords

ADULT; AGED; ARTICLE; ASTRAND BICYCLE TEST; BURNOUT; CARDIORESPIRATORY FITNESS; CARDIOVASCULAR FUNCTION; CONTROLLED STUDY; COPING BEHAVIOR; CROSS-SECTIONAL STUDY; DEPRESSION; DISEASE ASSOCIATION; EXERCISE TEST; FEMALE; FITNESS; HOSPITAL ANXIETY AND DEPRESSION SCALE; HUMAN; LIFESTYLE MODIFICATION; MAJOR CLINICAL STUDY; MALE; MENTAL HEALTH; MOTIVATION; PHYSICAL ACTIVITY; PRIORITY JOURNAL; PROTECTION; QUESTIONNAIRE; RESPIRATORY FUNCTION; SHIROM MELAMED BURNOUT QUESTIONNAIRE; STRESS;

ÅSTRAND BICYCLE TEST; BURNOUT; CARDIORESPIRATORY FITNESS; DEPRESSION; GENDER; MENTAL HEALTH; STRESS; SUBMAXIMAL FITNESS TEST;

ADULT; AGE FACTORS; BURNOUT, PROFESSIONAL; CARDIOVASCULAR DISEASES; CROSS-SECTIONAL STUDIES; DEPRESSION; EXERCISE TEST; FEMALE; HEALTH STATUS; HUMANS; LIFE STYLE; MALE; MIDDLE AGED; PHYSICAL FITNESS; PSYCHIATRIC STATUS RATING SCALES; QUESTIONNAIRES; SEX FACTORS; SOCIOECONOMIC FACTORS; STRESS, PSYCHOLOGICAL; SWEDEN;

EID: 84883206106     PISSN: 07383991     EISSN: 18735134     Source Type: Journal    
DOI: 10.1016/j.pec.2013.03.021     Document Type: Article

References (69)

1. Katzmarzyk P.T., Church T.S., Janssen I., Ross R., Blair S.N. Metabolic syndrome, obesity, and mortality: impact of cardiorespiratory fitness. Diabetes Care 2005, 28:391-397.
2. Gupta S., Rohatgi A., Ayers C.R., Willis B.L., Haskell W.L., Khera A., et al. Cardiorespiratory fitness and classification of risk of cardiovascular disease mortality. Circulation 2011, 123:1377-1383.
3. Laukkanen J.A., Rauramaa R., Salonen J.T., Kurl S. The predictive value of cardiorespiratory fitness combined with coronary risk evaluation and the risk of cardiovascular and all-cause death. J Intern Med 2007, 262:263-272.
4. Ekblom-Bak E., Hellenius M.L., Ekblom O., Engstrom L.M., Ekblom B. Independent associations of physical activity and cardiovascular fitness with cardiovascular risk in adults. Eur J Cardiovasc Prev Rehabil 2010, 17:175-180.
5. Carnethon M.R., Sternfeld B., Schreiner P.J., Jacobs D.R., Lewis C.E., Liu K., et al. Association of 20-year changes in cardiorespiratory fitness with incident type 2 diabetes: the coronary artery risk development in young adults (CARDIA) fitness study. Diabetes Care 2009, 32:1284-1288.
6. Sui X., Lee D.C., Matthews C.E., Adams S.A., Hébert J.R., Church T.S., et al. Influence of cardiorespiratory fitness on lung cancer mortality. Med Sci Sports Exerc 2010, 42:872-878.
7. Peel J.B., Sui X., Matthews C.E., Adams S.A., Hébert J.R., Hardin J.W., et al. Cardiorespiratory fitness and digestive cancer mortality: findings from the aerobics center longitudinal study. Cancer Epidem Biomar 2009, 18:1111-1117.
8. Holtermann A., Mortenson O.S., Burr H., Søgaard K., Gyntelberg F., Suadicani P. Physical demands at work, physical fitness, and 30-year ischaemic heart disease and all-cause mortality in the Copenhagen Male Study. Scand J Work Environ Health 2010, 36:357-365.
9. Hakkinen A., Rinne M., Vasankari T., Santtila M., Hakkinen K., Kyrolainen H. Association of physical fitness with health-related quality of life in Finnish young men. Health Qual Life Outcomes 2010, 8. 10.1186/477-7525-8-15.
10. Aberg M.A., Waern M., Nyberg J., Pedersen N.L., Bergh Y., Aberg N.D., et al. Cardiovascular fitness in males at age 18 and risk of serious depression in adulthood: Swedish prospective population-based study. Br J Psychiatry 2012.
11. Boettger S., Wetzig F., Puta C., Donath L., Müller H.J., Gabriel H.H., et al. Physical fitness and heart rate recovery are decreased in major depressive disorder. Psychosom Med 2009, 71:519-523.
12. Sui X., Laditka J.N., Church T.S., Hardin J.W., Chase N., Davis K., et al. Prospective study of cardiorespiratory fitness and depressive symptoms in women and men. J Psychiatr Res 2009, 43:546-552.
13. Lindwall M., Ljung T., Hadzibajramovic E., Jonsdottir I. Self-reported physical activity and aerobic fitness are differently related to mental health. Ment Health Phys Act 2012, 5:28-34.
14. Carraro A., Scarpa S., Gobbi E., Bertollo M., Robazza C. Burnout and self-perceptions of physical fitness in a sample of Italian physical education teachers. Percept Mot Skills 2010, 111:790-798.
15. Wamala S.P., Mittleman M.A., Horsten M., Schenck-Gustafsson K., Orth-Gomer K. Job stress and the occupational gradient in coronary heart disease risk in women. The Stockholm Female Coronary Risk Study. Soc Sci Med 2000, 51:481-489.
16. Iliceto P., Pompili M., Spencer-Thomas S., Ferracuti S., Erbuto D., Lester D., et al. Occupational stress and psychopathology in health professionals: an explorative study with the Multiple Indicators Multiple Causes (MIMIC) model approach. Stress 2012, 10.3109/10253890.2012.689896.
17. Lee R.T., Ashforth B.E. A meta-analytic examination of the correlates of the three-dimensions of job burnout. J Appl Psychol 1996, 81:123-133.
18. Cropanzano R., Rupp D.E., Byrne Z.S. The relationship of emotional exhaustion to work attitudes, job performance, and organizational citizenshop behaviors. J Appl Psychol 2003, 88:160-169.
19. Ahola K., Vaananen A., Koskinen A., Kouvonen A., Shirom A. Burnout as a predictor of all-cause mortality among industrial employees: a 10-year prospective register-linkage study. J Psychiatr Res 2010, 69:51-57.
20. Kim H., Ji J., Kao D. Burnout and physical health among social workers: a three-year longitudinal study. Soc Work 2011, 56:258-268.
21. Toker S., Biron M. Job burnout and depression: unraveling their temporal relationship and considering the role of physical activity. J Appl Psychol 2012, 97:699-710.
22. Iacovides A., Fountoulakis K.N., Kaprinis S., Kaprinis G. The relationship between job stress, burnout and clinical depression. J Affect Disord 2003, 75:209-221.
23. Norlund S., Reuterwall C., Höög J., Lindahl B., Janlert U., Slunga Birgander L. Burnout, working conditions and gender-results from the northern Sweden MONICA Study. BMC Public Health 2010, 1:10. 10.1186/471-2458-10-326.
24. Ahola K., Honkonen T., Isometsä E., Kalimo R., Nykyri E., Aromaa A., et al. The relationship between job-related burnout and depressive disorders-results from the Finnish Health 2000 Study. J Affect Disord 2005, 88:55-62.
25. Toppinen-Tanner S., Kalimo R., Mutanen P. The process of burnout in white-collar and blue-collar jobs: eight-year prospective study of exhaustion. J Organ Behav 2002, 23:555-570.
26. Ruotsalainen J., Serra C., Marine A., Verbeek J. Systematic review of interventions for reducing occupational stress in health care workers. Scand J Work Environ Health 2008, 34:169-178.
27. Shephard R.J. Worksite fitness and exercise programs: a review of methodology and health impact. Am J Health Promot 1996, 10:436-452.
28. Dumith S.C., Hallal P.C., Reis R.S., Kohl H.W. Worldwide prevalence of physical inactivity and its association with human development index in 76 countries. Prev Med 2011, 53:24-28.
29. Scarborough P., Bhatnagar P., Wickramasinghe K.K., Allender S., Foster C., Rayner M. The economic burden of ill health due to diet, physical inactivity, smoking, alcohol and obesity in the UK: an update to 2006-07 NHS costs. J Public Health 2011, 33:527-535.
30. Pohjonen T., Ranta R. Effects of worksite physical exercise intervention on physical fitness, perceived health status, and work ability among home care workers: five-year follow-up. Prev Med 2001, 32:465-475.
31. Lechner L., de Vries H., Adriaansen S., Drabbels L. Effects of an employee fitness program on reduced absenteeism. J Occup Environ Med 1997, 39:827-831.
32. Gerber M., Pühse U. Do exercise and fitness protect against stress-induced health complaints. A review of the literature. Scand J Public Health 2009, 37:801-819.
33. Ahola K., Pulkki-Raback L., Kouvonen A., Rossi H., Aromaa A., Lönnqvist J. Burnout and behavior-related health risk factors: results from the Population-Based Finnish Health 2000 Study. J Occup Environ Med 2012, 54:17-22.
34. Melamed S., Shirom A., Toker S., Shapira I. Burnout and risk of type 2 diabetes: a prospective study of apparently healthy employed persons. Psychosom Med 2006, 68:863-869.
35. Jonsdottir I., Rödjer L., Hadzibajramovic E., Börjeson M., Ahlborg G. 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.
36. Elo A.L., Lepanen A., Jahkola A. Validity of a single-item measure of stress symptoms. Scand J Work Environ Health 2003, 29:444-451.
37. Jonsdottir I.H., Rödjer L., Hadzibajramovic E., Börjesson M., Ahlborg G.J. 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.
38. Melamed S., Kushnir T., Shirom A. Burnout and risk factors for cardiovascular disease. Behav Med 1992, 18:53-60.
39. Grossi G., Perski A., Evengard B., Blomkvist V., Orth-Gomer K. Physiological correlates of burnout among women. J Psychosom Res 2003, 55:309-316.
40. Lundgren-Nilsson A., Jonsdottir I.H., Pallant J., Ahlborg G. Internal construct validity of the Shirom-Melamed Burnout Questionnaire (SMBQ). BMC Public Health 2012, 10.1186/471-2458-1112-81.
41. Zigmond A.S., Snaith R.P. The hospital anxiety and depression scale. Acta Psychiatr Scand 1983, 67:361-370.
42. Bjelland I., Dahl A.A., Haug T.T., Neckelmann D. The validity of the hospital anxiety and depression scale. An updated literature review. J Psychosom Res 2002, 52:69-77.
43. Åstrand P-O., Rodahl K. Textbook of work physiology: physiological bases of exercise 2003, Human Kinetics, Champaign.
44. Borg G. Perceived exertion as an indicator of somatic stress. Scand J Rehabil Med 1970, 2:92-98.
45. Åstrand P-O., Ryhming I. A nomogram for calculation of aerobic capacity (physical fitness) from pulse rate during submaximal work. J Appl Physiol 1954, 7:218-221.
46. Macsween A. The reliability and validity of the Åstrand nomogram and linear extrapolation for deriving VO2max from submaximal exercise data. J Med Phys Fit 2001, 41:312-317.
47. Roth D.L., Holmes D.S. Influence of physical fitness in determining the impact of stressful life events on physical and psychological health. Psychosom Med 1985, 47:164-173.
48. Sigfusdottir I.D., Asgeirsdottir B.B., Sigurdsson J.F., Gudjonsson G.H. Physical activity buffers the effects of family conflict on depressed mood: a study on adolescent girls and boys. J Adolesc 2011, 34:895-902.
49. Ensel W.M., Lin N. Physical fitness and the stress process. J Comm Psychol 2004, 32:81-101.
50. Brown J.D., Lawton M. Stress and well-being in adolescents: the moderating role of physical exercise. J Human Stress 1986, 12:125-131.
51. Gerber M., Kellmann M., Hartmann T., Pühse U. Do exercise and fitness buffer against stress among Swiss police and emergency response service officers. Psychol Sport Exerc 2010, 11:286-294.
52. Brown J.D. Staying fit and staying well: physical fitness as a moderator of life stress. J Pers Soc Psychol 1991, 60:555-561.
53. Carmack C.L., Boudreaux E., Amaral-Melendez M., Brantley P.J., De Moor C. Aerobic fitness and leisure physical activity as moderators of the stress-illness relation. Ann Behav Med 1999, 21:251-257.
54. Young D.R. Can cardiorespiratory fitness moderate the negative effects of stress on coronary artery disease risk factors. J Psychosom Med 1994, 38:451-459.
55. Danhof-Pont M.B., van Veen T., Zitman F.G. Biomarkers in burnout: a systematic review. J Psychosom Res 2011, 70:505-524.
56. Wang C.Y., Haskell W.L., Farrell S.W., Lamonte M.J., Blair S.N., Curtin L.R., et al. Cardiorespiratory fitness levels among US adults 20-49 years of age: findings from the 1999-2004 National Health and Nutrition Examination Survey. Am J Epidemiol 2010, 171:426-435.
57. Kouvonen A., De Vogli R., Stafford M., Shipley M.J., Marmot M.G., Cox T., et al. Social support and the likelihood of maintaining and improving levels of physical activity: the Whitehall II Study. Eur J Public Health 2011, 10.1093/eurpub/ckr091.
58. Kalak N., Gerber M., Kirov R., Mikoteit T., Yordanova J., Pühse U., et al. Daily morning running for 3 weeks improved sleep and psychological functioning in healthy adolescents compared with controls. J Adolesc Health 2012, 51:615-622.
59. Neissaar I., Raudsepp L. Changes in physical activity, self-efficacy and depressive symptoms in adolescent girls. Ped Exerc Sci 2011, 23:331-343.
60. Bouchard C., Malina R.M., Pérussse L. Genetics of fitness and physical performance 1997, Human Kinetics, Champaign.
61. Acevedo E.O., Ekkekakis P. Psychobiology of physical activity 2006, Human Kinetics, Champaign.
62. Ekkekakis P., Acevedo E.O. Affective responses to acute exercise: toward a psychobiological dose-response model. Psychobiology of physical activity 2006, 91-110. Human Kinetics, Champaign. E.O. Acevedo, P. Ekkekakis (Eds.).
63. Deci E.L., Ryan R.M. The 'what' and 'why' of goal pursuits: human needs and the Self-Determination of behaviour. Psychol Inqu 2000, 11:227-268.
64. Oaten M., Cheng K. Longitudinal gains in self-regulation from regular physical exercise. Brit J Health Psychol 2006, 11:717-733.
65. Lindwall M., Lindgren E-C. The effects of a 6-month exercise intervention programme on physical self-perceptions and social physique anxiety in non-physically active adolescents. Psychol Sport Exerc 2005, 6:643-658.
66. Forcier K., Stroud L.R., Papandonatos G.D., Hitsman B., Reiches M., Krishnamoorthy J., et al. Links between physical fitness and cardiovascular reactivity and recovery to psychological stressors: a meta-analysis. Health Psychol 2006, 25:723-739.
67. Gerber M., Kalak N., Lemola S., Clough J.P., Pühse U., Elliot C., et al. Adolescents' exercise and physical activity are associated with mental toughness. Ment Health Phys Act 2012, 5:35-42.
68. Gerber M., Kalak N., Lemola S., Clough P., Perry J., Pühse U., et al. Are adolescents with high mental toughness levels more resilient against stress?. Stress & Health 2013, 29:164-171.
69. Gerber M., Brand S., Elliot C., Holsboer-Trachsler E., Pühse U., Beck J. Aerobic exercise training and burnout: a pilot study with male participants suffering from burnout. BMC Research Notes 2013, 6. 10.1186/756-0500-6-78.