{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,23]],"date-time":"2026-09-23T13:59:24Z","timestamp":1790171964652,"version":"4.1.0"},"reference-count":15,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"3","license":[{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Context:<\/jats:title>\n                    <jats:p>Physician burnout is an occupational hazard driven by workload, fatigue, and poor recovery. Exercise and sleep enhance resilience, yet Indian data integrating behavioral and workplace factors are scarce.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aims:<\/jats:title>\n                    <jats:p>To examine how exercise, workload, stress, sleep quality, and job satisfaction interact to predict burnout among Indian doctors.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Settings and Design:<\/jats:title>\n                    <jats:p>Nationwide cross-sectional, web-based survey conducted from January to June 2025.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods and Materials:<\/jats:title>\n                    <jats:p>Four thousand and four hundred doctors (880 each from orthopedics, general surgery, anesthesiology, psychiatry, and internal medicine) were surveyed with equal gender and public\u2013private distribution. A validated 24-item questionnaire (Cronbach\u2019s \u03b1 = 0.86) assessed exercise, stress, sleep quality, job satisfaction, and burnout.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Statistical Analysis Used:<\/jats:title>\n                    <jats:p>SPSS 27.0; Chi-square, ANOVA, Pearson r, and multivariate regression (VIF &lt;2).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Regular exercise was reported by 78.2%. Orthopedic surgeons were most active (90%), psychiatrists least (68%). Burnout correlated positively with stress (r = 0.61) and workload (r = 0.29), and negatively with exercise (r = \u22120.36), sleep (r = \u22120.43), and satisfaction (r = \u22120.48). Moderate exercise (30\u201360 min\/day) provided optimal sleep improvement and burnout reduction, with diminishing gains beyond 60 min. Job satisfaction buffered 38% of the exercise\u2019s effect on burnout.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Exercise, sleep, and satisfaction independently protect against burnout, while excessive work and stress increase vulnerability. Balanced lifestyle and institutional wellness policies may improve occupational health and sustainability.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/ijoem.ijoem_375_25","type":"journal-article","created":{"date-parts":[[2026,9,23]],"date-time":"2026-09-23T07:01:04Z","timestamp":1790146864000},"page":"220-223","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Exercise, Stress, Sleep, Job Satisfaction, and Burnout Among Indian Doctors: A Nationwide Occupational Health Study of 4,400 Physicians"],"prefix":"10.4103","volume":"30","author":[{"given":"Sai S. D.","family":"Pydi","sequence":"first","affiliation":[{"name":"Department of Orthopeadics Surgery, Post Graduate Institute of Medical Education and Research (PGIMER), Chandigarh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2026,9,22]]},"reference":[{"key":"R1-20260923","doi-asserted-by":"crossref","first-page":"103","DOI":"10.1002\/wps.20311","article-title":"Understanding the burnout experience: Recent research and its implications for psychiatry","volume":"15","author":"Maslach","year":"2016","journal-title":"World Psychiatry"},{"key":"R2-20260923","doi-asserted-by":"crossref","first-page":"513","DOI":"10.1016\/S0002-9343(03)00117-7","article-title":"The well-being of physicians","volume":"114","author":"Shanafelt","year":"2003","journal-title":"Am J Med"},{"key":"R3-20260923","first-page":"182","article-title":"Burnout syndrome among medical practitioners across India","volume":"41","author":"Langade","year":"2016","journal-title":"Indian J Community Med"},{"key":"R4-20260923","doi-asserted-by":"crossref","first-page":"413","DOI":"10.1249\/MSS.0b013e31815ff399","article-title":"Physical activity levels and counseling practices of U. 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