Association between body mass index and burnout among nurses in China: a cross-sectional study.

Liangzhuang Miao, Xiaogui Niu, Minxiang Huang, Gaofang Cao, Chang Fu
Author Information
  1. Liangzhuang Miao: Binzhou Medical University, Yantai, China.
  2. Xiaogui Niu: Department of Pediatric Hematology, Binzhou Medical University Hospital, Binzhou, China.
  3. Minxiang Huang: Department of Pediatric Surgery, Binzhou Medical University Hospital, Binzhou, China.
  4. Gaofang Cao: School of Health and Management, Binzhou Medical University, Yantai, China.
  5. Chang Fu: School of Health and Management, Binzhou Medical University, Yantai, China fuchang2019@126.com. ORCID

Abstract

OBJECTIVES: Body mass index (BMI) can affect an individual's health. The night shift is a characteristic of the nursing profession, which is associated with an abnormal BMI. However, few studies have investigated the association between BMI and burnout in Chinese nurses. This study examined the association between BMI and burnout among Chinese nurses.
METHODS: A total of 1863 nurses from 12 tertiary hospitals in Shandong Province of China were selected. BMI was calculated as body weight divided by height squared. The Maslach burnout Service Inventory General Survey (MBI-GS) was used to measure the level of burnout among nurses. Ordinal logistic regression was used to analyse the association between BMI and burnout.
RESULTS: In this study, the prevalence of normal BMI, underweight, overweight, and obesity was 69.2%, 7.5%, 18.2%, and 5.2%, respectively. The prevalence of high emotional exhaustion, high cynicism, and low personal accomplishment among nurses was 26.1%, 38.7%, and 35.6%, respectively. Nurses who were obese were more likely to have high levels of emotional exhaustion (OR=1.493, 95% CI: 1.011 to 2.206) and cynicism (OR=1.511, 95% CI: 1.014 to 2.253), and nurses who were underweight were more likely to have high levels of cynicism (OR=1.593, 95% CI: 1.137 to 2.232) compared with those who were normal weight.
CONCLUSIONS: obesity was positively associated with emotional exhaustion and cynicism, and being underweight was only positively associated with cynicism among Chinese nurses. Hospital administrators should consider BMI when taking effective measures to reduce burnout among nurses.

Keywords

References

  1. Arch Gen Psychiatry. 2010 Mar;67(3):220-9 [PMID: 20194822]
  2. J Occup Health Psychol. 2008 Jan;13(1):43-57 [PMID: 18211168]
  3. Proc Nutr Soc. 2000 Aug;59(3):331-6 [PMID: 10997648]
  4. Annu Rev Psychol. 2019 Jan 4;70:703-718 [PMID: 29927688]
  5. Lancet. 2016 Apr 2;387(10026):1377-1396 [PMID: 27115820]
  6. BMC Public Health. 2013 Dec 20;13:1204 [PMID: 24354395]
  7. Am J Public Health. 2010 Jun;100(6):1019-28 [PMID: 20075322]
  8. Curr Opin Pulm Med. 2019 Nov;25(6):602-608 [PMID: 31589189]
  9. Am J Public Health. 2016 Dec;106(12):2103-2110 [PMID: 27831775]
  10. J Affect Disord. 2021 Oct 1;293:29-35 [PMID: 34166906]
  11. Int J Behav Med. 2003;10(1):44-55 [PMID: 12581947]
  12. BMC Nurs. 2021 Aug 17;20(1):147 [PMID: 34404401]
  13. Health Qual Life Outcomes. 2017 Oct 2;15(1):191 [PMID: 28969649]
  14. Int J Nurs Stud. 2016 Jan;53:126-33 [PMID: 26559483]
  15. J Occup Environ Med. 2010 Jan;52 Suppl 1:S52-8 [PMID: 20061888]
  16. J Pain. 2017 Dec;18(12):1542-1550 [PMID: 28847734]
  17. BMC Nurs. 2021 Jul 7;20(1):123 [PMID: 34233678]
  18. Nurs Clin North Am. 2021 Dec;56(4):479-493 [PMID: 34749889]
  19. Int J Adolesc Med Health. 2018 Mar 3;32(3): [PMID: 29500920]
  20. Int J Nurs Stud. 2020 Dec;112:103757 [PMID: 32921429]
  21. J Am Acad Nurse Pract. 2008 May;20(5):259-65 [PMID: 18460166]
  22. BMC Nurs. 2020 Apr 15;19:25 [PMID: 32313450]
  23. Sleep Med Disord. 2017;1(4): [PMID: 29517065]
  24. Ann Agric Environ Med. 2018 Dec 20;25(4):714-719 [PMID: 30586961]
  25. J Adv Nurs. 2018 May;74(5):1030-1042 [PMID: 29171076]
  26. BMJ. 2012 Mar 20;344:e1717 [PMID: 22434089]
  27. J Cachexia Sarcopenia Muscle. 2021 Apr;12(2):331-338 [PMID: 33619889]
  28. Nurs Manag (Harrow). 2021 Jun 1;28(3):34-40 [PMID: 33755372]
  29. BMC Health Serv Res. 2014 Nov 29;14:603 [PMID: 25432798]
  30. Early Interv Psychiatry. 2018 Oct;12(5):935-937 [PMID: 28786526]
  31. Arch Intern Med. 2005 Apr 25;165(8):910-5 [PMID: 15851643]
  32. Int Emerg Nurs. 2023 Sep;70:101321 [PMID: 37515995]
  33. Int J Occup Med Environ Health. 2019 Apr 03;32(2):229-244 [PMID: 30855601]
  34. J Psychosom Res. 1993 Dec;37(8):881-90 [PMID: 7905533]
  35. Int J Nurs Pract. 2021 Dec;27(6):e12908 [PMID: 33336456]
  36. J Adv Nurs. 2021 Aug;77(8):3286-3302 [PMID: 33764561]
  37. Hum Reprod. 2019 Jan 01;34(1):155-162 [PMID: 30407511]
  38. Appl Nurs Res. 2019 Oct;49:77-79 [PMID: 31178333]

MeSH Term

Humans
Body Mass Index
Cross-Sectional Studies
Thinness
Burnout, Professional
Burnout, Psychological
Emotional Exhaustion
China
Obesity
Surveys and Questionnaires
Nurses

Word Cloud

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