GPT and metabolic dysfunction-associated steatohepatitis: The summarized proportion of NASH patients with normal ALT value in North America was 0.25 (95%CI: 0.19–0.33), which higher than in Asia 0.04 (95%CI: 0.01–0.24, I2 = 85.0%) and Europe 0.19 (95%CI: 0.11–0.30, I2 = 81.0%).