Table 2. Comparison of receiver operating characteristic (ROC)–areas under the curve for testosterone and the candidate biomarkers in relation to the prediction of hypogonadism and its sequelae in patients.
| Analyte | Low T | Low T* | Low cFT | IR | DM | LBD | CVRLP | MetS | ||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| (T ≤ 8 nmol/l) | (T ≤ 8 nmol/l) | (cFT <220 pmol/l) | (HOMA-IR >2.5) | - | (z-score <−1) | (ApoB/ApoA1 ≥0.9) | ||||||||||
| AUC (Sp,Se) | p | AUC (Sp,Se) | p | AUC (Sp,Se) | p | AUC (Sp,Se) | p | AUC (Sp,Se) | p | AUC (Sp,Se) | p | AUC (Sp,Se) | p | AUC (Sp,Se) | p | |
| 4HPPD | 0.75(85,59) | 8.38E−04 | 0.77(86,59) | 2.66E−04 | 0.69(83,57) | 5.14E−03 | 0.79(84,70) | 1.20E−04 | 0.89(93,75) | 9.00E−03 | 0.64(76,61) | 2.24E−02 | 0.74(46,90) | 5.79E−03 | 0.74(95,50) | 5.31E−03 |
| ALDOB | 0.69(68,73) | 8.25E−03 | 0.70(67,73) | 5.39E−03 | 0.66(67,71) | 1.56E−02 | 0.73(71,75) | 2.85E−03 | 0.85(63,100) | 1.80E−02 | 0.57(98,27) | 1.93E−01 | 0.71(83,55) | 4.64E−02 | 0.74(82,64) | 6.02E−03 |
| IGFBP6 | 0.69(77,59) | 1.05E−02 | 0.70(81,59) | 4.89E−03 | 0.63(44,81) | 7.24E−02 | 0.57(42,80) | 3.50E−01 | 0.59(39,100) | 5.40E−01 | 0.63(43,78) | 2.75E−01 | 0.59(48,80) | 1.87E−01 | 0.65(45,93) | 8.45E−02 |
| Testosterone | - | - | - | - | - | - | 0.71(76,70) | 4.96E−03 | 0.55(32,100) | 7.24E−01 | 0.75(74,74) | 5.12E−04 | 0.66(65,85) | 6.55E−03 | 0.56(72,57) | 5.08E−01 |
| MMA | 0.79(74,82) | 9.23E−05 | 0.80(72,86) | 3.86E −05 | 0.70(69,71) | 3.90E−03 | 0.79(82,70) | 1.46E−04 | 0.92(84,100) | 5.00E−03 | 0.78(82,65) | 1.40E−02 | 0.75(73,75) | 3.65E−03 | 0.78(63,86) | 1.57E−03 |
Significant p values are highlighted in bold and underlined. *Excluding patients with testosterone values from the borderline low testosterone (8 < BL_T ≤ 12).
cFT: calculated free testosterone; IR: insulin resistance; DM: diabetes mellitus type 2; LBD: low bone density; CVRLP: cardiovascular risk lipid profile ;MetS: metabolic syndrome; AUC:area under the curve; Spe: specificity in %; Se: sensitivity in %.