The pressures and demands of running a business can not only negatively impact profits and productivity, but also the health and well-being of those at the top.
From stress-related disorders to lifestyle diseases, the range of health problems affecting business leaders is extensive.
Here, Harley Street GP, Dr. Sophia Khaliquediscusses how to better understand this challenge and proactive measures entrepreneurs can take to protect their health, providing insights into fostering a healthier and sustainable leadership culture.
What are the most common health issues you see among senior leaders?
“Stress-related illnesses such as anxiety and insomnia are very common as leaders often struggle with the enormous pressures of their roles.
“Then there are musculoskeletal issues like back pain and repetitive strain injuries that come from sitting for long periods of time and perhaps not having the best posture.
“Lifestyle diseases such as obesity, high blood pressure and diabetes are also common, likely due to a hectic schedule that makes it difficult to eat well and exercise regularly. And let’s not forget mental health — problems like depression and burnout are unfortunately not uncommon given the constant decision-making and heavy responsibilities they face.
“Dealing with all of this requires a balanced approach – helping them optimize their lifestyle, find ways to reduce stress and provide them with personalized care that fits their busy lives.”
How does the stressful environment of business management contribute to physical health problems?
“The stressful environment of running a business can have a major impact on physical health.
“Chronic stress triggers the release of hormones such as cortisol and adrenaline, which over time can lead to increased blood pressure, increased risk of heart disease and impaired immune function.
“The constant pressure and long working hours can also disrupt sleep patterns and lead to conditions such as insomnia, worsening fatigue and affecting cognitive function.
“Stress often leads to unhealthy coping strategies such as poor diet and lack of exercise, which puts executives at higher risk for weight gain, diabetes and other lifestyle-related ailments.”
Can you explain the impact of long working hours and poor work-life balance on the mental health of CEOs?
“Long working hours and poor work-life balance can significantly impact the mental health of CEOs and other executives. The relentless demands of their roles can lead to chronic stress, feelings of being overwhelmed and an increased sense of responsibility. This can lead to anxiety disorders, depression and burnout syndrome.
“Sleep disorders are common and affect mood regulation and cognitive function. The lack of time for relaxation and meaningful social interactions can increase feelings of isolation and emotional exhaustion, further impacting mental well-being.”
What strategies or interventions do you recommend for CEOs to manage stress and maintain psychological well-being?
“For CEOs looking to manage stress and maintain their mental well-being, I recommend prioritizing regular physical activity such as aerobic exercise or yoga, which can help reduce stress and improve mood.
“Second, using mindfulness or relaxation techniques such as meditation or breathing exercises can improve resilience to stressors.
“It is also very important to set clear boundaries between work and home life and delegate responsibilities where possible to promote a healthier work-life balance.
“Seeking support from a therapist or counselor can also be valuable tools for managing stress and treating underlying mental health issues.”
What specific cardiovascular risks are increased in high-level business people and why?
“High-level business professionals are at increased cardiovascular risk, primarily due to chronic stress, sedentary lifestyles and poor dietary habits. Stress contributes to increased blood pressure and heart rate, which over time can lead to high blood pressure and an increased risk of heart disease.
“Prolonged sitting and lack of physical activity are associated with weight gain, higher cholesterol levels and insulin resistance, all risk factors for cardiovascular diseases such as heart attack and stroke.”
“In addition, frequent travel and irregular meal times can impact metabolic health, further exacerbating these risks.”
How can managers recognize early signs of burnout and take steps to prevent it?
“Business leaders can identify early signs of burnout by paying attention to physical, emotional and behavioral signs such as chronic fatigue, irritability, reduced motivation and difficulty concentrating.
“It is important to recognize when work-related stress becomes overwhelming and impacts personal well-being. To prevent burnout, leaders should prioritize self-care, set realistic goals, and set boundaries to protect personal time and re-energize.
“Regularly pursuing hobbies, spending time with loved ones, and seeking professional support when needed can also reduce the risk of burnout.”
What role does diet and nutrition play in the health of leaders and what nutritional habits should they adopt?
“Diet and nutrition play a critical role in maintaining executive health. A balanced diet rich in fruits, vegetables, lean proteins and whole grains supports optimal energy levels, cognitive function and a healthy immune system.
“Avoiding excessive caffeine, sugar and processed foods can help stabilize energy levels and reduce the risk of weight gain and metabolic disorders. Regular meals and healthy snacks throughout the day can prevent low blood sugar levels and maintain concentration during demanding work hours.
“Hydration is also important — drinking plenty of water supports overall health and cognitive function.”
Do you have anything else you would like to promote?
“The most important thing for business leaders is to recognize the impact of stress, long work hours and lifestyle factors on their physical and mental health. This is essential for sustainable leadership.
“Proactive measures such as regular check-ups and check-ups play a crucial role in the early detection and prevention of potential health problems.
“By taking responsibility for their health through preventative care, leaders can ensure they maintain optimal well-being and performance over the long term, benefiting both themselves and their organization.”

