GPT and metabolic dysfunction-associated steatotic liver disease: Those participants with the highest quintile of SUA had high risks of hyper-ALT and NAFLD, which increased from 1.6 to 9.4% for hyper-ALT and from 9.4 to 49.6% for NAFLD as the SUA levels increased from Q1 to Q5 (all P-values< 0.001).