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. 2026 Apr 6;16:11735. doi: 10.1038/s41598-026-42241-4

Table 4.

Predictive performance of the metabolite ratio-based model.

Time Point Ratio AUC
[95% CI]
Accuracy
[95% CI]
F1 Score
[95% CI]
Association with High Stress
Rest N-acetyl-β-alanine/ADMA

0.845

[0.669 – 0.971]

0.815

[0.640 – 0.938]

0.833

[0.667 – 0.952]

↓
N-acetyl-β-alanine/7-Methylguanine

0.829

[0.678 – 0.955]

0.777

[0.576 – 0.906]

0.785

[0.558 – 0.917]

↓
Ile/7-Methylguanine

0.793

[0.648 – 0.936]

0.768

[0.577 – 0.906]

0.770

[0.586 – 0.929]

↓
Glycerate/6-Phosphogluconate

0.787

[0.607 – 0.907]

0.744

[0.546 – 0.891]

0.749

[0.544 – 0.912]

↓
Val/ADMA

0.783

[0.628 – 0.946]

0.759

[0.563 – 0.923]

0.743

[0.527 – 0.925]

↓
7-Methylguanine/Val

0.771

[0.623 – 0.935]

0.741

[0.563 – 0.938]

0.757

[0.519 – 0.951]

↑
His/Glu

0.760

[0.614 – 0.896]

0.729

[0.531 – 0.875]

0.707

[0.531 – 0.889]

↑
Post-UK Progesterone/25-OHD

0.835

[0.630 – 0.968]

0.825

[0.625 – 0.954]

0.817

[0.604 – 0.956]

↓
Thr/25-OHD

0.833

[0.639 – 0.986]

0.801

[0.594 – 0.954]

0.796

[0.586 – 0.959]

↓
25-OHD/Inosine

0.833

[0.628 – 0.982]

0.778

[0.546 – 0.954]

0.777

[0.533 – 0.960]

↑
25-OHD/Adenine

0.827

[0.624 – 0.975]

0.781

[0.531 – 0.938]

0.775

[0.522 – 0.946]

↑
Hypoxanthine/25-OHD

0.827

[0.648 – 0.962]

0.826

[0.688 – 0.969]

0.823

[0.664 – 0.966]

↓
Gln/25-OHD

0.826

[0.647 – 0.949]

0.776

[0.577 – 0.906]

0.767

[0.505 – 0.917]

↓
25-OHD/Adenosine

0.815

[0.622 – 0.950]

0.763

[0.531 – 0.906]

0.754

[0.530 – 0.907]

↑
1,3-Diaminopropane/25-OHD

0.807

[0.646 – 0.958]

0.746

[0.513 – 0.923]

0.757

[0.516 – 0.932]

↓
25-OHD / β-Ala

0.802

[0.616 – 0.963]

0.756

[0.563 – 0.923]

0.759

[0.579 – 0.923]

↑
11-Deoxycorticosterone/25-OHD

0.801

[0.605 – 0.957]

0.755

[0.546 – 0.891]

0.770

[0.563 – 0.911]

↓
Tetrahydrocortisol/Homovanillate

0.801

[0.634 – 0.939]

0.738

[0.546 – 0.875]

0.758

[0.584 – 0.898]

↓
Glu/25-OHD

0.800

[0.631 – 0.935]

0.780

[0.563 – 0.923]

0.769

[0.509 – 0.929]

↓
Leu/25-OHD

0.794

[0.609 – 0.945]

0.744

[0.515 – 0.891]

0.752

[0.593 – 0.916]

↓
Tetrahydrocortisol/Lithocholic acid

0.785

[0.651 – 0.940]

0.746

[0.594 – 0.906]

0.754

[0.503 – 0.925]

↓
Recover Ser/His

0.806

[0.646 – 0.962]

0.801

[0.640 – 0.938]

0.792

[0.613 – 0.949]

↓
Glu/His

0.805

[0.652 – 0.945]

0.821

[0.640 – 0.938]

0.829

[0.636 – 0.943]

↓
Tyr/Val

0.794

[0.627 – 0.925]

0.748

[0.531 – 0.906]

0.756

[0.517 – 0.918]

↑
His/Estrone

0.786

[0.628 – 0.912]

0.756

[0.563 – 0.906]

0.749

[0.542 – 0.921]

↑
His/N-acetylglucosamine 6-phosphate

0.779

[0.625 – 0.920]

0.752

[0.563 – 0.891]

0.723

[0.533 – 0.900]

↑
Tyr/Estrone

0.777

[0.611 – 0.919]

0.777

[0.594 – 0.923]

0.777

[0.547 – 0.922]

↑
Tyr/Ser

0.774

[0.603 – 0.907]

0.774

[0.577 – 0.906]

0.747

[0.535 – 0.907]

↑
Trp/AICAR

0.769

[0.611 – 0.912]

0.750

[0.594 – 0.906]

0.751

[0.540 – 0.916]

↓
Glycerate/N-acetylglucosamine 6-phosphate

0.762

[0.613 – 0.913]

0.792

[0.671 – 0.906]

0.775

[0.618 – 0.918]

↑
Post-WM 4-Methyl-2-oxopentanoate/N6,N6,N6-trimethyllysine

0.867

[0.735 – 0.981]

0.807

[0.656 – 0.938]

0.786

[0.582 – 0.939]

↑
Ile/N-ε-acetyllysine

0.849

[0.727 – 0.952]

0.788

[0.577 – 0.938]

0.785

[0.538 – 0.947]

↓
Val/N-ε-acetyllysine

0.834

[0.685 – 0.968]

0.821

[0.688 – 0.938]

0.822

[0.677 – 0.956]

↓
4-Methyl-2-oxopentanoate/Val

0.834

[0.686 – 0.950]

0.764

[0.531 – 0.906]

0.762

[0.508 – 0.932]

↑
Agmatine/ N6,N6,N6-trimethyllysine

0.831

[0.705 – 0.941]

0.751

[0.563 – 0.906]

0.747

[0.539 – 0.909]

↑
His/ N6,N6,N6-trimethyllysine

0.828

[0.700 – 0.946]

0.771

[0.515 – 0.906]

0.758

[0.524 – 0.925]

↑
Leu/N-ε-acetyllysine

0.820

[0.686 – 0.961]

0.815

[0.625 – 0.938]

0.818

[0.583 – 0.951]

↓
Cortisol/N-acetylglucosamine 1-phosphate

0.807

[0.655 – 0.918]

0.767

[0.546 – 0.906]

0.762

[0.516 – 0.909]

↓
2AB/N-ε-acetyllysine

0.805

[0.656 – 0.959]

0.832

[0.688 – 0.938]

0.829

[0.664 – 0.949]

↓
All 4-Methyl-2-oxopentanoate/Choline

0.724

[0.563 – 0.850]

0.684

[0.523 – 0.789]

0.703

[0.501 – 0.821]

↑
Choline/Azelate

0.653

[0.514 – 0.773]

0.671

[0.550 – 0.789]

0.720

[0.573 – 0.834]

↓

The table shows the top-performing models, which were selected if the lower bound of the 95% confidence interval for their performance metrics exceeded the following thresholds: AUC > 0.60, Accuracy > 0.50, and F1 Score > 0.50 (for Post-WM: AUC > 0.65; for All time points: AUC > 0.50).

Association with High Stress: ↑ indicates that a higher model output is associated with the high-stress group; ↓ indicates that a higher model output is associated with the control group.

UK, Uchida–Kraepelin test; WM, working memory test; AUC, area under the receiver operating characteristic curve; CI, confidence interval.

25-OHD, 25-hydroxyvitamin D; ADMA, asymmetric dimethylarginine; Glu, glutamic acid; His, histidine; Ile, isoleucine; Leu, leucine; Ser, serine; Thr, threonine; Trp, tryptophan; Tyr, tyrosine; Val, valine.