GPT and metabolic syndrome: In fully adjusted models using prevalent MetS as the referent group (Table 3) there was a positive association between elevated biomarker ratio without MetS (elevated UACR: HR = 2.03, 1.56–2.63, and elevated AST-ALT: HR = 1.46, 1.13–1.89), and elevated biomarker ratio with MetS (elevated UACR: HR = 2.46, 1.96–3.11, and elevated AST-ALT: HR = 1.89, 1.40–2.57), and all-cause mortality.