The effectiveness of aerobic training in leisure time on burnout of midwives: A Randomized Clinical Trial

Document Type : Original Article


1 M.Sc. of Midwifery, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran.

2 Lecture of Midwifery, Evidence-Based Care Research Centre, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran.

3 Associate Professor, Department of Exercise Physiology, School of Physical Education And Sport Sciences, Ferdowsi University of Mashhad, Mashhad, Iran.

4 Lecture of Nursing Training, School of Nursing and Midwifery, Mashhad University Of Medical Sciences, Mashhad, Iran.


Introduction: Burnout is associated with serious negative health consequences. Midwifes due to stressful work are more likely to experience burnout. This study was performed with the aim to determine the effect of aerobic exercise training in leisure time on burnout of midwives.
Methods: This randomized clinical trial was performed on 60 midwives working in Health Centers of Mashhad in 2013. The subjects were randomly divided in to two groups of cases and control. Maslach Burnout questionnaire was completed before and after aerobic training. The subjects in intervention group participated in exercise training as group in exercise club for 45 minutes, three times a week, for 8 weeks with intensity of 30 to 60 percent of maximum oxygen consumption. Data were analyzed with SPSS software (version 19) and using Independent t-student, Paired t-test, Mann-Whitney and Chi square test. PResults: Mean of emotional exhaustion (14.3±9.8 at the baseline and 7.4±8.1 at the end of the study) and depersonalization (5.4±2.3 at the baseline and 2.0±1.5 at the end of the study) were reduced after 8-weeks of aerobic exercise (P<0.05). Also, mean of personal accomplishment (35.0±9.0 at the baseline and 41.3±7.2 at the end of the study) was increased (P<0.05).
Conclusions: Performance of exercise program reduces burnout in midwives. Therefore, preventive measures through performance of exercise programs should be done.


  1. Maslach C, Schaufeli WB, Leiter MP. Job burnout. Annu Rev Psychol 2001; 52(1):397-422.
  2. Soltaniyan M.A, Aminbeidokhti A.A. The role of sport on job bournout of employees. Journal semnan university of medical science 2009; 10(4): 281-286.
  3. Schaufeli WB, Leiter MP, Maslach C, Jackson SE. Maslach Burnout Inventory-General Survey. In The Maslach Burnout Inventory-Test Manual. 3rd ed. Palo Alto: Consulting Psychologists Press; 1996.p.19–26.
  4. Alparslan O, Doganer G. Relationship between levels of burnout of midwives who work in Sivas, Turkey province center and identified socio-demographic characteristics. International Journal of Nursing and Midwifery 2009; 1(2): 19-28.
  5. Skinner V, Agho K, Lee-White T, Harris J. The development of a tool to assess levels of stress and burnout. Australian Journal of Advanced Nursing 2007; 24(4):8-13.
  6. Mollart L, Skinner V, Newing C, Foureur M. Factores that may influence midwives work-related stress and burnout. J women and birth 2013;26(1):26-32.
  7. Ekstedt M, Soderstrom M, Akerstedt T, Nilsson J, Sondergaard HP, Aleksander P. Disturbed sleep and fatigue in occupational burnout. Scand J Work Environ Health 2006; 32(2):121–131.
  8. Brand S, Beck J, Hatzinger M, Harbaugh A, Ruch W, Holsboer-Trachsler E. Associations between satisfaction with life, burnout-related emotional and physical exhaustion, and sleep complaints. World J Biol Psychiatry 2010, 11(5):744–54.
  9. Gerber M, Brand S, Elliot C, Holsboer E, Puhse U, Beck J. Aerobic exercise training and burnout: a pilot study with male participants suffering from burnout. BMC Research Notes 2013;6(1):78.
  10. Gorter RC, Eijkman MAJ, Hoogstraten J. Burnout and health among Dutch dentists. Eur J Oral Sci 2000, 108(4):261–67.
  11. Soderfeldt M, Soderfeldt B, Ohlson CG, Theorell T, Jones I. The impact of sense of coherence and high-demand/low-control job environment on self-reported health, burnout and psychophysiological stress indicators. Work and Stress 2000, 14(1):1–15.
  12. Cropanzano R, Rupp DE, Byrne ZS. The relationship of emotional exhaustion to work attitudes, job performance, and organizational citizenshop behaviors. J Appl Psychol 2003, 88(1):160–69.
  13. Yoshida Y, Sandall J. Occupational burnout and work factors in community and hospital midwives: A survey analysis. Midwifery 2013; 29(8):921-26.
  14. Bahri N, Moghimian M, Attarbashi Z, Gharche M. The survey of relationship between job burnout and health status of midwives and nurses. Ofogh-E-Danesh, Journal of Gonabad University of Medical Sciences and Health Services 2003, 9(1): 99-104.
  15. Zandi A, Kohandel M, Kiaye A. Effects of exercise on the rate of job burnout and job satisfaction staff Islamic Azad University Shahr Quds Branch. Annal of biological research 2013;4(6):29-35.
  16. Ciolac E, Edimar B, Bortolotto L, Carvalho V, Julia G, Guimariaes G. Effects of high-intensity aerobic interval training vs. moderate exercise on hemodynamic, metabolic and neuro-humoral abnormalities of young normotensive women at high familial risk for hypertension. Hypertension Research 2010; 33(8):836-43.
  17. Karimian R, Rahnama N, Karimi A, Karimian M, Janbozorgi A, Nasirzadeh F. The effect of physical training on the burnout of nurses in Al-Zahra hospital. J Res Rehabil Sci 2012; 8(5): 870-6.
  18. Maslach C, Jackson SE. Manual of the Maslachburnout inventory. AntoniouAS, Cooper CL,Editors Research companion to organizational healthpsychology. London: Edward Elgar Publishing; 2005
  19. Zeighami Mohammad I Sh, Asgharzadeh Haghighi,. Relation between Job Stress and Burnout among Nursing Staff. 3. 0; 19 (2) :42-52.
  20. Filian E. Evaluation of burnout and its correlation with coping mechanisms in nurses of educationalhospitals of Tehran [Phd thesis]. Tehran Univ of Med Sci.1993.[Persian]
  21. Tsai HH, Yeh CH, Su CT, Chen CJ, Peng SM, Chen RY.The effects of exercise program on burnout and metabolic syndrome components in backing and insurance workers. Industrial Health 2013; 51(3), 336–46.
  22. Sharma A, Shavp DM, Walker LG, & Manson JRT. Stress and burnout working in the National Health service.Anaesthesia 2006; 61(9):856-66.
  23. Payne N. Occupational stressors and coping as determinants of burnout in female hospice nurses. Journal of Advanced Nursing 2001;33(3):396-405.
  24. Maunz, S. Steyer, J. Burnout syndrome in nursing, etiology, complications ,prevention.Wien Klin Wochenschr 2001;113(7-8):296-300.
  25. Ehiakonandeh M, Shafie Abadi A, Soudani M. The relationship between health and burnout staffs in islamic azad university branch behbahan. Journal of Thought and Behavior 2009;3(10):99-107.[Persian]
  26. Zarghami M, Valizadeh R, Beshlideh K, Ghanbarzadeh M.The effect of eight  weeks aerobic exercise on the mental health of male students of shahid chamran university of ahvaz. J of education and psychology 2011;4(2):121-142. [ Persian].
  27. Dunn AL, Trivedi MH, Kampert JB, Clark CG, Chambliss HO. Exercise treatment for depression efficacy and dose response. American Journal of Preventive Medicine. 2005; 28 (1):1-8.
  28. Peluso, MAM,  Andrade LHSGD. Physical activity and mental health: The association between exercise and mood. J Clinics 2005;60(1):61-71.