Associação entre síndrome de Burnout e obesidade: um estudo transversal

Abstract

Introduction: Burnout Syndrome (BS) is a state of physical and mental exhaustion resulting from chronicity of work-related stress. Chronic stressors play an important role in developing metabolic diseases. The specialized literature addresses the possible relationship between burnout syndrome and changes in the Hypothalamic-Pituitary-Adrenal (HPA) axis. Objective: estimating the association between burnout and obesity in primary health care nurses in the state of Bahia, Brazil. Methodology: a cross-sectional, analytical, confirmatory, population-based study was carried out and it is integrated with a multicenter research entitled “Burnout and Metabolic Syndromes in Primary Health Care (PHC) Nursing Workers”. This research was conducted in 43 municipalities, covering 455 nurses in 7 mesoregions of Bahia, Brazil. The Maslach Burnout Inventory was used to identify burnout. Obesity was considered by Body Mass Index (≥ 30.0 Kg/m2). A descriptive, bivariate analysis and logistic regression were performed. Results: The prevalence of burnout and obesity was 17.7% and 12.7%, respectively. The following factors were associated with burnout: sex, age, smoking, sleep pattern, work outside PHC, PHC time. Burnout was associated with obesity, even after adjustment and statistical significance (adjusted PR 1.85 - 95% CI = 1.11 – 3.06 – p = 0.01). Conclusion: Strategies are needed to identify, treat, and prevent burnout. Occupational health programs become an alternative to control stress and, thus, burnout and its health aggravations.