Third, our present study had excluded patients who had self-reported taking anti-hypertensive, anti-diabetic, lipid lowering or hypouricemic agents on the day of medical examination, those patients were at higher risk of NAFLD; Fourth, the cross-sectional nature of our study cannot test the causal relationship between SUA, ALT and NAFLD risk, further well-designed and large-scaled prospective studies are required to speculate on our conclusions. This evidence concerns the gene GPT and metabolic dysfunction-associated steatotic liver disease.