Job Burnout-Diabetes Link?

(WebMD)  A new study shows that workers suffering from job burnout may be more likely to be diagnosed with type 2 diabetes.

The study, published in Psychosomatic Medicine, comes from Israeli researchers who included Samuel Melamed, Ph.D., of Tel Aviv University's medical school.

The researchers studied 677 employed men and women in Israel for three to five years.

When the study started, participants were about 42 years old, on average. They were "apparently healthy," the researchers note.

The workers, who were employed by several companies, were split into five groups, based on job type:

• Senior management
  
• Middle management
  
• Professionals (including engineers, teachers, lab technicians, and computer workers)
  
• Nonprofessional workers
  
• Self-employed workers

Participants completed a 14-item survey on job burnout, rating how often they felt emotionally exhausted, physically fatigued, and mentally weary.

Their ratings were based on responses to survey statements including: "I feel like my emotional batteries are dead," "I am physically exhausted," and "My thinking process is slow."

The results showed 348 workers had high levels of burnout; the other 329 tested low for burnout.

The workers also completed surveys about their medical history, smoking, drinking, physical activity, height, and weight. Most also got their blood pressure checked.

Over the next three to five years, 17 workers reported being diagnosed with type 2 diabetes, the most common type of diabetes in adults.

The highly burned-out workers were 84 percent more likely to report being diagnosed with type 2 diabetes than those with low burnout levels.

Still, the vast majority of workers — burned out or not — didn't report a diabetes diagnosis. Only 3 percent of the highly burned-out group reported a diabetes diagnosis, compared to less than 2 percent of those with low burnout.

It's not clear exactly how job burnout might make type 2 diabetes more likely.

Melamed's team accounted for other diabetes risk factors, including BMI (body mass index, a measure of overweight), age, and sedentary lifestyles. Also, high blood pressure didn't seem to explain the findings, the researchers note.

Follow-up surveys conducted at the end of the study showed little change in burnout levels.

Further studies should be done to check the findings, write Melamed and colleagues.

Meanwhile, experts say you can better handle job stress by assessing your situation, looking for possible solutions (including a new job), and using stress-busters such as exercise and relaxation techniques.

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SOURCES: Melamed, S. Psychosomatic Medicine, November 2006; vol 68: pp 863-869. WebMD Feature: "Workplace Stress and Your Health." Health Behavior News Service.

By Miranda Hitti
Reviewed by Louise Chang

[nonetoday2]

Stress is a known factor. It alone could possibly account for the increase by inducing altered blood chemistry and/or eating habits. Duh!

[alphaa10-2009]

That diabetes type 2 can be promoted by generalized stress ("burn-out" is an all too apt description) seems logical when other endocrine factors are necessarily at play. In either the classic "fight or flight" stress, as well as the chronic low-grade stress thought to contribute to a number of bodily dysfunctions, including depressed immunity and heart disease precursors, the adrenal cortisols "push" the body systems in a way it cannot sustain indefinitely.