Journal of Human Sport and Exercise

Effects of combined exercise training on work-related burnout symptoms and psychological stress in the helping professionals

Gianpiero Greco


This study aimed to evaluate the effects of eight-week Combined Exercise Training on burnout symptoms and perceived stress among workers in the helping professions. Forty-two men (46.3 ± 8.1 years) suffering from burnout were randomly allocated into an intervention (n = 21) or waitlist control (n = 21) group. The intervention group performed a combined circuit resistance training and agility training (60 min, 3d·wk-1) at a local fitness centre. At baseline and after the intervention, the Maslach Burnout Inventory and Perceived Stress Scale were administered. Results showed that the intervention group significantly reduced emotional exhaustion, depersonalization and perceived stress, and increased personal accomplishment (p < .001). The magnitude of the effects was large, revealing changes of crucial practical relevance. Adherence and satisfaction with the intervention were high. No significant changes were found in the control group. The findings support the evidence that Combined Exercise Training may reduce occupational burnout and psychological stress in the helping professions.


Occupational burnout; Workplace; Worker; Job stress


American College of Sports Medicine (2018). ACSM’s Guidelines for Exercise Testing and Prescription (10th ed.). Philadelphia, PA, USA: Wolters Kluwer.

Bianchi, R., Schonfeld, I.S., & Laurent, E. (2015a) Burnout-depression overlap: a review. Clinical Psychology Review 36, 28–41.

Bianchi, R., Schonfeld, I.S., & Laurent, E. (2015b). Is it time to consider the “burnout syndrome” a distinct illness? Frontiers in public health, 3, 158.

Brand, S., Beck, J., Hatzinger, M., Harbaugh, A., Ruch, W., & Holsboer-Trachsler, E. (2010). Associations between satisfaction with life, burnout-related emotional and physical exhaustion, and sleep complaints. The World Journal of Biological Psychiatry, 11(5), 744-754.

Bretland, R. J., & Thorsteinsson, E. B. (2015). Reducing workplace burnout: The relative benefits of cardiovascular and resistance exercise. PeerJ, 3, e891.

Chirico, F. (2017). Is it time to consider Burnout Syndrome an occupational disease? British Journal of Psychiatry, eLetter July, 17.

Cohen, J. (1992). A Power Primer. Psychological Bulletin, 112(1), 155-159.

Cohen, L., Manion, L., & Morrison, K. (2011). Research Methods in Education (7th edition). Oxford, UK: Routledge.

Cohen, S., Kamarck, T., & Mermelstein, R. (1983). A global measure of perceived stress. Journal of Health and Social Behavior, 24, 386-396.

de Vries, J.D., van Hooff, M.L., Guerts, S.A.E., & Kompier, M.A.J. (2017) Exercise to reduce work-related fatigue among employees. A randomized controlled trial. Scandinavian Journal of Work, Environment & Health 43(4), 337-349.

Ekstedt, M., Söderström, M., Åkerstedt, T., Nilsson, J., Søndergaard, H.P., & Aleksander, P. (2006) Disturbed sleep and fatigue in occupational burnout. Scandinavian Journal of Work, Environment & Health, 32(2), 121-131.

Eskilsson, T., Slunga Järvholm, L., Malmberg Gavelin, H., Stigsdotter Neely, A. and Boraxbekk, C.J. (2017). Aerobic training for improved memory in patients with stress-related exhaustion. A randomized controlled trial. BMC Psychiatry 17(1), 322.

Faul, F., Erdfelder, E., Lang, A.G., & Buchner, A. (2007). G*Power 3: a flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behavior Research Methods, 39, 175–191.

Fischetti, F., & Greco, G. (2017). Multilateral training as an innovative didactic method to support continuous education in police. Form@re, 17(3), 303-315.

Fischetti, F., Cataldi, S., Latino, F., & Greco, G. (2019). Effectiveness of multilateral training didactic method on physical and mental wellbeing in law enforcement. Journal of Human Sport and Exercise, 14(4proc), S900-S909.

Gerber, M., Best, S., Meerstetter, F., Isoard-Gautheur, S., Gustafsson, H., Bianchi, R., ... & Brand, S. (2018). Cross-Sectional and Longitudinal Associations Between Athlete Burnout, Insomnia, and Polysomnographic Indices in Young Elite Athletes. Journal of Sport and Exercise Psychology, 40(6), 312-324.

Gerber, M., Brand, S., Elliot, C., Holsboer-Trachsler, E., Puhse, U., & Beck, J. (2013). Aerobic exercise training and burnout: a pilot study with male participants suffering from burnout. BMC Research Notes 6, 78.

Greco, G., & Fischetti, F. (2018). Physical, technical and tactical training and stress management in law enforcement. Journal of Physical Education and Sport, 18(2), 555-560.

Haff, G. G., & Triplett, N. T. (Eds.). (2016). Essentials of strength training and conditioning 4th edition. Champaign, IL: Human kinetics.

Heiden, M., Lyskov, E., Nakata, M., Sahlin, K., Sahlin, T., & Barnekow-Bergkvist, M. (2007) Evaluation of cognitive behavioural training and physical activity for patients with stress-related illnesses: a randomized controlled study. Journal of Rehabilitation Medicine 39(5), 366-373.

ICD-11. (2019). International Classification of Diseases 11th Revision. Retrieved from: [Accessed 8 September 2019].

Iwasaki, Y., Mannell, R. C., Smale, B. J., & Butcher, J. (2005). Contributions of leisure participation in predicting stress coping and health among police and emergency response services workers. Journal of Health Psychology, 10(1), 79-99.

Kakiashvili, T., Leszek, J., & Rutkowski, K. (2013) The medical perspective on burnout. International Journal of Occupational Medicine and Environmental Health 26(3), 401-412.

Kim, W.H., Ra, Y.A., Park, J.G., & Kwon, B. (2017). Role of burnout on job level, job satisfaction, and task performance. Leadership & Organization Development Journal, 38(5), 630-645.

Lee, E. H. (2012). Review of the psychometric evidence of the perceived stress scale. Asian nursing research, 6(4), 121-127.

Lennemann, L.M., Sidrow, K.M., Johnson, E.M., Harrison, C.R., Vojta, C.N., & Walker, T.B. (2013). The influence of agility training on physiological and cognitive performance. The Journal of Strength & Conditioning Research, 27, 3300–3309.

Maslach, C., & Jackson, S.E. (1981). The measurement of experienced burnout. Journal of Occupational Behaviors, 2, 99-113.

Maslach, C., Jackson, S.E., & Leiter, M.P. (1996). Maslach Burnout Inventory Manual (3rd ed.). Palo Alto, CA: Consulting Psychologist Press.

Maslach, C., Schaufeli, W. B., & Leiter, M. P. (2001). Job burnout. Annual review of psychology, 52(1), 397-422.

Mealer, M., Conrad, D., Evans, J., Jooste, K., Solyntjes, J., Rothbaum, B., & Moss, M. (2014) Feasibility and acceptability of a resilience training program for intensive care unit nurses. American Journal of Critical Care 23(6), e97-105.

Mohren, D.C.L., Swaen, G.M.H., Kant, I., van Amelsvoort, L.G.P.M., Borm, P.J.A., & Galama, J.M.D. (2003). Common infections and the role of burnout in a Dutch working population. Journal of Psychosomatic Research 55(3), 201-208.

Mondo, M., Sechi, C., & Cabras, C. (2019). Psychometric evaluation of three versions of the Italian Perceived Stress Scale. Current Psychology, 1, 9.

Mutkins, E., Brown, R. F., & Thorsteinsson, E. B. (2011). Stress, depression, workplace and social supports and burnout in intellectual disability support staff. Journal of Intellectual Disability Research, 55(5), 500-510.

Norvell, N., & Belles, D. (1993). Psychological and physical benefits of circuit weight training in law enforcement personnel. Journal of consulting and clinical psychology, 61(3), 520-527.

Salvagioni, D. A. J., Melanda, F. N., Mesas, A. E., González, A. D., Gabani, F. L., & de Andrade, S. M. (2017). Physical, psychological and occupational consequences of job burnout: A systematic review of prospective studies. PloS one, 12(10), e0185781.

Schaufeli, W.B., & Buunk, B.P. (2003). Burnout: An overview of 25 years of research and theorizing. In M.J. Schabracq, J.A.M. Winnubst, & C.L. Cooper (Eds.), Handbook of work and health psychology (pp. 383-342). Chicester, UK: Wiley.

Shirom A. (2003). Job-related burnout. In J.C. Quick, & L.E. Tetrick (Eds), Handbook of occupational health psychology (pp. 245-265). Washington, USA: American Psychological Association.

Sirigatti S., & Stefanile S. (1993). MBI Maslach Burnout Inventory. Firenze, IT: Organizzazioni speciali.

Soderfeldt, M., Soderfeldt, B., Ohlson, C. G., Theorell, T., & Jones, I. (2000). The impact of sense of coherence and high-demand/low-control job environment on self-reported health, burnout and psychophysiological stress indicators. Work & stress, 14(1), 1-15.

Stenlund, T., Birgander, L.S., Lindahl, B., Nilsson, L., & Ahlgren, C. (2009). Effects of Qigong in patients with burnout: a randomized controlled trial. Journal of Rehabilitation Medicine 41(9), 761-767.

Stenlund, T., Nordin, M. and Jarvholm, L.S. (2012) Effects of rehabilitation programmes for patients on long-term sick leave for burnout: a 3-year follow-up of the REST study. Journal of rehabilitation medicine 44(8), 684-690.

Tanaka, H., Monahan, K. D., & Seals, D. R. (2001). Age-predicted maximal heart rate revisited. Journal of the american college of cardiology, 37(1), 153-156.

Toker, S., Melamed, S., Berliner, S., Zeltser, D., & Shapira, I. (2012). Burnout and risk of coronary heart disease: a prospective study of 8838 employees. Psychosomatic Medicine 74(8), 840-847.


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