GPT and metabolic syndrome: No associations were observed for groups with elevated biomarker ratio without MetS (elevated UACR: HR = 1.22, 0.66–2.24; GGT-ALP: HR = 1.60, 0.80–3.21; AST-ALT: HR = 1.40, 0.76–2.58), MetS without elevated biomarker ratio (normoalbuminuria: HR = 0.83, 0.54–1.26; BUN-CR: HR = 1.17, 0.77–1.77; GGT-ALP: HR = 1.11, 0.77–1.61; AST-ALT: HR = 0.88, 0.62–1.24), or MetS with elevated biomarker ratio (BUN-CR: HR = 0.81, 0.40–1.64; GGT-ALP: HR = 0.81, 0.45–1.48), compared to referent.