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. 2026 Sep 3;17:1905144. doi: 10.3389/fendo.2026.1905144

Table 2.

Performance metrics of the prediction models validated on the NHANES cohort.

Model Accuracy Precision Recall F1-score AUC (95% CI) DeLong’s test P
LR 0.743 0.326 0.602 0.423 0.767 (0.758, 0.777) <0.001
LR (+enzymes) 0.762 (+1.9%) 0.340 (+1.4%) 0.559 (−4.3%) 0.423 (0%) 0.775 (0.765, 0.784)
CART 0.562 0.244 0.859 0.380 0.709 (0.699, 0.719) 0.002
CART (+enzymes) 0.554 (−0.8%) 0.243 (−0.1%) 0.876 (+1.7%) 0.381 (+0.1%) 0.698 (0.688, 0.708)
RF 0.631 0.279 0.863 0.422 0.794 (0.785, 0.803) <0.001
RF (+enzymes) 0.667 (+3.6%) 0.300 (+2.1%) 0.849 (−1.4%) 0.443 (+2.1%) 0.810 (0.801, 0.818)
GBDT 0.709 0.316 0.737 0.442 0.792 (0.783, 0.800) <0.001
GBDT (+enzymes) 0.717 (+0.8%) 0.328 (+1.2%) 0.773 (+3.6%) 0.461 (+1.9%) 0.808 (0.799, 0.816)
SVM 0.641 0.237 0.584 0.337 0.651 (0.640, 0.662) 0.090
SVM (+enzymes) 0.649 (+0.8%) 0.242 (+0.5%) 0.586 (+0.2%) 0.343 (+0.6%) 0.660 (0.648, 0.673)
KNN 0.619 0.270 0.840 0.408 0.771 (0.763, 0.780) 0.030
KNN (+enzymes) 0.607 (−1.2%) 0.265 (−0.5%) 0.853 (+1.3%) 0.404 (−0.4%) 0.778 (0.769, 0.788)
LightGBM 0.678 0.300 0.799 0.437 0.798 (0.790, 0.806) <0.001
LightGBM (+enzymes) 0.745 (+6.7%) 0.344 (+4.4%) 0.698 (−10.1%) 0.461 (+2.4%) 0.810 (0.801, 0.818)
XGBoost 0.696 0.314 0.797 0.450 0.803 (0.794, 0.811) <0.001
XGBoost (+enzymes) 0.743 (+4.7%) 0.346 (+3.2%) 0.723 (−7.4%) 0.468 (+1.8%) 0.814 (0.805, 0.822)