Evidence map›Paper›PMID 41737341›Full record

ArticleFrontiers in nutrition2026

Association between serum PLP levels and the natural resolution of nausea and vomiting in pregnancy: a secondary analysis.

Zhuwei Gao, Hong Yu, Jiannan Yu, Jing Cong, Jiaxing Feng, Yu Yao, Zihan Li, Baichao Shi, Fengjuan Lu, Xiaoke Wu and 1 more

Abstract read
In one paragraph

Article in Frontiers in nutrition, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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

What it found

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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

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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

1 citing paper in PubMed.

  1. Review
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

11 authors.

Zhuwei Gao *Graduate School, Heilongjiang University of Chinese Medicine, Harbin, Heilongjiang, China.
Hong Yu *Zhejiang Provincial Hospital of Chinese Medicine and Zhejiang Chinese Medical University, Zhejiang, Hangzhou, China.
Jiannan YuGraduate School, Heilongjiang University of Chinese Medicine, Harbin, Heilongjiang, China.
Jing CongDepartment of Gynecology, First Affiliated Hospital, Heilongjiang University of Chinese Medicine, Harbin, Heilongjiang, China.
Jiaxing FengDepartment of Gynecology, First Affiliated Hospital, Heilongjiang University of Chinese Medicine, Harbin, Heilongjiang, China.
Yu YaoGraduate School, Heilongjiang University of Chinese Medicine, Harbin, Heilongjiang, China.
Zihan LiGraduate School, Heilongjiang University of Chinese Medicine, Harbin, Heilongjiang, China.
Baichao ShiGraduate School, Heilongjiang University of Chinese Medicine, Harbin, Heilongjiang, China.
Fengjuan LuGraduate School, Heilongjiang University of Chinese Medicine, Harbin, Heilongjiang, China.
Xiaoke WuZhejiang Provincial Hospital of Chinese Medicine and Zhejiang Chinese Medical University, Zhejiang, Hangzhou, China.
Jingshu GaoZhejiang Provincial Hospital of Chinese Medicine and Zhejiang Chinese Medical University, Zhejiang, Hangzhou, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Nausea and vomiting in pregnancy (NVP) are common clinical symptoms in early gestation. Although vitamin B6 supplementation has been shown to alleviate NVP, the physiological significance of its active form, pyridoxal 5'-phosphate (PLP), and its association with the natural course of symptom resolution remain unclear. Objective: To investigate the association between serum PLP levels in early pregnancy and the natural resolution of NVP, and to elucidate its potential physiological mechanisms to support individualized intervention strategies. Methods: 352 pregnant women with NVP symptoms were enrolled at ≤12 gestational weeks. The exposure variable was serum PLP concentration, categorized into quartiles (Q1-Q4). The primary outcome was the time to spontaneous NVP resolution, defined by a "7-day confirmation criterion." Cumulative remission rates were compared across quartiles using Kaplan-Meier analysis. Multivariate Cox proportional hazards models were constructed with stratified control for treatment arms (A-D), and restricted cubic spline (RCS) functions were applied to examine potential dose-response relationships. Results: Kaplan-Meier analysis revealed significant differences in cumulative remission rates among PLP quartiles (log-rank Conclusion: Higher serum PLP levels in early pregnancy were significantly associated with a faster rate of spontaneous remission of NVP. The observed linear association suggests that the active form of vitamin B6 may regulate NVP progression, reflecting the biochemical basis of natural symptom resolution. PLP may be a potential biomarker for evaluating NVP severity and predicting individualized therapeutic response.

Indexed as

dose–response relationshipnausea and vomiting in pregnancypyridoxal 5′-phosphate (PLP)survival analysisvitamin B6

Identifiers

PMID41737341
PMCPMC12926342

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