At multivariate logistic regression analysis (shown in table 3), high risk for OSAS with sleepiness was associated with both NASH (OR 7.13, 95% c.i 1.70–51.30) and fibrosis stage >1 (OR 14.03, 95% c.i. 3.45–70.11) independently of age, gender, hyperglycemia, BMI, and ALT levels. Here, GPT is linked to metabolic dysfunction-associated steatohepatitis.