GPT and metabolic dysfunction-associated steatotic liver disease: The summarized proportion of NAFLD patients with normal ALT value in Asia was 0.30 (95%CI: 0.25–0.35, I2 = 52.0%), which higher than in North America 0.24 (95%CI: 0.16–0.36, I2 = 97.0%) and Europe 0.19 (95%CI: 0.14–0.26, I2 = 72.0%).