GPT and metabolic syndrome: In the univariable model, central obesity (crude OR: 14.5; 95% CI: 2.0–107.5), baseline ALT >30 U/L (crude OR: 15.7; 95% CI: 1.7–146.8), and HOMA-IR >3.16 (crude OR: 9.1; 95% CI: 1.4–58.8) were associated with persistent hepatic abnormalities, whereas HIV-related characteristics, dyslipidemia, and liver biomarkers did not demonstrate any statistically significant associations (P >0.05) (Table 4).