As mentioned previously, hyperuricemia was associated with the severity of steatosis, lobular inflammation in NAFLD, but not with liver fibrosis [5, 10].These findings were consistent with ours, we found that hyperuricemia individuals had higher odds of serious hepatic steatosis and elevated ALT (serious hepatic steatosis, 1.74[1.09–2.79], elevated ALT, 2.17[1.38–3.41]), but not of advanced fibrosis (1.61[0.91–2.85]). Here, GPT is linked to fibrosis.