Author

Year of publication

Country

Number of participants

GI symptoms

Outcomes

El Ansari et al. [4]

2014

UK

Egypt

6977

Diarrhea

Constipation

Abdominal problems

With increasing levels of perceived stress, the frequency of symptoms increased. More females reported more stress than males.

Younger students were more prone to suffer from stress.

Effective coping/preventive mechanisms need to be considered by students to minimize the level of stress and its impact on health.

Lee et al. [5]

2011

Korea

715

Upper dysmotility

Bowel symptoms

Students who experienced higher perceived stress complained of more than one gastrointestinal symptom.

No significant gender difference.

High levels of perceived stress are regarded as a threat to gastrointestinal symptoms, and effective interventions need to be developed to reduce the stress the students’ encounter

Jahan et al. [7]

2020

Oman

81

Post-meal fullness

Bloating

Abdominal pain

Diarrhea

Constipation

Irritable bowel syndrome

There is a link between stress and two signs of upper dysmotility.

Gastrointestinal symptoms are more prevalent among females than males.

Nur et al. [8]

2015

Turkey

449

Upper dysmotility

Bowel symptoms

Gastrointestinal symptoms are prevalent among students with a high level of perceived stress.

Balmus et al. [9]

2019

Rome

50

Functional gastrointestinal symptoms

Stress-exposed students reported a higher occurrence of gastrointestinal symptoms.

Females experienced more stress and gastrointestinal symptoms.

Perceived stress levels and gastrointestinal symptoms decreased with age.

Functional gastrointestinal symptoms are almost certainly a reaction to stress.

Chu et al. [10]

2012

China

5000

Functional dyspepsia

Irritable bowel syndrome

Functional constipation

Psychological disorders such as anxiety provide a significant risk for irritable bowel syndrome.

The symptoms were mostly seen in female students.

Gomathi et al. [11]

2012

UAE

125

Not specified

The stressors can be academic, psychosocial, or health-related.

No significant association between academic stress and health complaints or gastrointestinal symptoms