SHBG and metabolic dysfunction-associated steatotic liver disease: In model a, after adjusted for age, sex, duration of diabetes (quartiles), smoking status, and alcohol use, the ORs and 95%CI for presence of MS was 2.26 (95%CI 1.91, 2.68) and for presence of NAFLD was 6.36 (95%CI 4.87, 8.31) with per one SD decrease in serum SHBG (SD = 17.27 nmol/L) (both P < 0.001).