“…However, aside from psychological stress, other factors can also affect the immune system. These factors include age and body mass index (Bachour et al, 2012), smoking (Doni et al, 2013;Waszkiewicz et al, 2012), exercise (Groer & Shelton, 2009;Walsh et al, 2011), chronic diseases (e.g., gestational diabetes; Smilowitz et al, 2013), and infectious diseases (Fetherston, Lai, & Hartmann, 2006). Therefore, these factors must be duly considered if SIgA level is used to evaluate stress, and further studies are needed in this area.…”