After adjustment, higher HOMA-IR (adjusted odds ratio [aOR] = 1.20, 95% CI 1.01–1.43; p = 0.03) and ALT (aOR = 2.39, 95% CI 1.50–3.79; p<0.001) were independent predictors of NASH. This evidence concerns the gene GPT and metabolic dysfunction-associated steatohepatitis.