After stratification by the quintiles of SUA levels, the prevalence of hyper-ALT and the prevalence of NAFLD in men were elevated along with the increase of uric acid quintiles from 3.8%/16.3% at Q1 to 12.4%/48.2% at Q5 (P-values for trend< 0.001). Here, GPT is linked to metabolic dysfunction-associated steatotic liver disease.