Both baseline ALT >30 U/L (aOR: 29.1; 95% CI: 1.7–511.8), and HOMA-IR >3.16 (aOR: 17.9; 95% CI: 1.1–289.7) remained independently associated with persistent abnormalities, while central obesity lost the significant association after adjusting for confounding factors (Table 4). Here, GPT is linked to Abdominal obesity.