Evidence map›Paper›PMID 39716309›Full record

SynthesisBMC psychology2024

Prevalence of emotional burnout among dietitians and nutritionists: a systematic review, meta-analysis, meta-regression, and a call for action.

Omar A Alhaj, Nour A Elsahoryi, Feten Fekih-Romdhane, Manar Wishah, Dima H Sweidan, Waqar Husain, Ammar Achraf, Khaled Trabelsi, James R Hebert, Haitham Jahrami

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in BMC psychology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  4. Development and baseline findings of a national dataset describing Australian private practice dietetics.Nutrition & dietetics : the journal of the Dietitians Association of Australia · 2026
    Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Omar A AlhajDepartment of Nutrition, Faculty of Pharmacy and Medical Sciences, University of Petra, Amman, Jordan.ORCID http://orcid.org/0000-0003-0082-3843
Nour A ElsahoryiDepartment of Nutrition, Faculty of Pharmacy and Medical Sciences, University of Petra, Amman, Jordan.
Feten Fekih-RomdhaneFaculty of Medicine of Tunis, Tunis El Manar University, Tunis, Tunisia.ORCID http://orcid.org/0000-0002-2569-8017
Manar WishahDepartment of Nutrition, Faculty of Pharmacy and Medical Sciences, University of Petra, Amman, Jordan.
Dima H SweidanDepartment of Nutrition, Faculty of Pharmacy and Medical Sciences, University of Petra, Amman, Jordan.ORCID http://orcid.org/0000-0001-5224-7222
Waqar HusainDepartment of Humanities, COMSATS University Islamabad, Islamabad Campus, Park Road, Islamabad, Pakistan.ORCID http://orcid.org/0000-0003-3047-1834
Ammar AchrafDepartment of Training and Movement Science, Institute of Sport Science, Johannes Gutenberg- University Mainz, Mainz, Germany.ORCID http://orcid.org/0000-0003-0347-8053
Khaled TrabelsiHigh Institute of Sport and Physical Education of Sfax, University of Sfax, Sfax, 3000, Tunisia.ORCID http://orcid.org/0000-0003-2623-9557
James R HebertSouth Carolina Statewide Cancer Prevention and Control Program, University of South Carolina, Columbia, SC, 29208, USA.ORCID http://orcid.org/0000-0002-0677-2672
Haitham JahramiGovernment Hospitals, Manama, Bahrain. haitham.jahrami@outlook.com.ORCID http://orcid.org/0000-0001-8990-1320

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

objectivesDespite anecdotal evidence pointing to the high prevalence of job stress and burnout among dietitians and nutritionists, few studies have been conducted on this topic. Moreover, most studies are from Western countries. The objective of the current study, based on systematic review, meta-analysis, and meta-regression, is aimed to provide systematically graded evidence to assess the prevalence of emotional burnout among dietitians and nutritionists across age, sex, and cultural backgrounds.

methodsTwo reviewers independently conducted a systematic search from 1 January 2000, to 1 April 2024 and was later updated to 15 November 2024, across seven databases: EBSCOhost Research Platform, EMBASE, PubMed/MEDLINE, ProQuest, ScienceDirect, Scopus, and Web of Science. The DerSimonian-Laird method was utilized to pool the data in this meta-analysis. Data from a total of 12,166 dietitians and nutritionists were extracted from 16 datasets (published in twelve research reports) covering a period of approximately 25 years. We measured the pooled prevalence of global burnout syndrome and its individual symptoms among dietitians and nutritionists. Subgroup meta-analyses were also conducted to identify a comprehensive set of moderators, including participants' age and sex.

resultsThe prevalence of global burnout syndrome in dietitians and nutritionists (K = 10, N = 10,081) showed an overall prevalence rate of 40.43% [23.69; 59.74], I² = 99.3%, τ [95% CI] = 1.18 [0.84; 1.97], τ² [95% CI] = 1.38 [0.71; 3.89], H [95% CI] = 12.68 [11.70; 13.74]. The prevalence of burnout dimensions/individual symptoms in dietitians and nutritionists (K = 2, N = 695) is summarized as follows: emotional exhaustion (EE) at 26.11% [15.14; 41.17], I² = 84.0%, τ = 0.21, τ² = 0.46, Q = 6.25, p < 0.001; depersonalization (DP) at 6.59% [1.08; 31.22], I² = 95.0%, τ = 1.72, τ² = 1.31, Q = 20.18, p < 0.001; and personal accomplishment (PA) at 59.29% [39.81; 76.23], I² = 89.3%, τ = 0.29, τ² = 0.54, Q = 9.36, p < 0.001. Meta-regression showed no difference by age or sex, p = 0.80, and p = 0.20, respectively.

conclusionThis meta-analysis revealed that the prevalence of burnout among dietitians and nutritionists is as high as in other medical professionals. Furthermore, age and sex were not significantly associated with emotional burnout among dietitians and nutritionists. This study provides the impetus for policy changes to improve dietitians' and nutritionists' working conditions, as well as the overall quality of nutrition care.

Indexed as

Burnout, ProfessionalNutritionistsDieteticsHumansPrevalenceBurnoutDietitianMeta-analysisNutritionist

Identifiers

PMID39716309
PMCPMC11667849

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.