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The Impact of Exercise on Mental Well-being and Burnout among Thai Medical Students in 2020-2021: A Cross-Sectional Online Survey | BMC Medical Education

Medical students face a myriad of challenges throughout their academic journey, including high levels of stress, demanding coursework, and long hours of study. A recent study has shed light on the impact of insufficient exercise on the mental health and well-being of medical students in Thailand. The study revealed a significant association between inadequate physical activity and a range of negative outcomes, including depression, anxiety, insomnia, social dysfunction, and burnout.

The study focused on medical students in their clinical years, who reported lower levels of exercise compared to their preclinical counterparts. This discrepancy can be attributed to the rigorous demands of clinical rotations, night shifts, and a highly stressful environment. As a result, many clinical students found themselves with limited time for regular exercise, leading to a cascade of negative mental health outcomes.

The Covid-19 pandemic further exacerbated the situation, with preclinical students studying from home and clinical students facing social distancing measures and restricted access to facilities. This disruption to their daily routines had a profound impact on their mental well-being, contributing to increased levels of anxiety, depression, and burnout. Studies have shown that the pandemic has taken a toll on the mental health of medical students worldwide, highlighting the need for targeted interventions to support their well-being.

Depression was found to be prevalent among the medical students in the study, with a significant number reporting moderate to severe symptoms. Depressed students experienced a range of negative outcomes, including somatic symptoms, poor quality of life, and burnout. The association between depression and insufficient exercise underscores the importance of physical activity in maintaining mental well-being.

Burnout, a common issue among medical trainees, was also identified in the study. Reduced personal accomplishment, a key component of burnout, was significantly correlated with insufficient exercise. Students who felt less competent academically were less likely to engage in physical activity, further exacerbating their feelings of burnout. Strategies to address burnout among medical students include increasing social support, engaging in recreational activities, and promoting healthy lifestyles that include regular exercise.

While the study provides valuable insights into the link between exercise and mental health among medical students, it is important to acknowledge its limitations. The cross-sectional design of the study limits the ability to establish causation or track longitudinal outcomes. Additionally, the study may not be representative of all medical students in Thailand, and potential selection biases in the online survey could impact the accuracy of the data.

In conclusion, the study highlights the importance of promoting healthy lifestyles among medical students, particularly during their clinical years. Monitoring quality of life, promoting regular exercise, and fostering a positive learning environment are crucial steps in supporting the mental well-being of medical students. Further research is needed to explore the intensity of exercise and its impact on mental health, as well as to investigate the relationship between exercise and burnout in a more diverse sample. By addressing these issues, we can better support the mental health and well-being of medical students, ultimately enhancing their academic success and professional development.

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