INS and metabolic dysfunction-associated steatotic liver disease: In the multivariate stepwise regression analysis; APRI score (β=0.917, p<0.001) was positively correlated with carotid IMT in the NAFLD group even after adjusting for age, sex, BMI, systolic and diastolic blood pressures, total cholesterol, triglycerides, LDL-cholesterol and HDL-cholesterol, fasting glucose and insulin, HOMA-IR as co-factors with the total variance explained being 84.1%.