This association of GGT and NAFLD persisted despite adjustment for age, gender, BMI, SBP and DBP (HR 1.013, 95%CI 1.011, 1.015) (model I) or inclusion of the baseline mentioned above characteristics and TC, TG, HDL-C, LDL-C, ALT, AST, ALP, ALB, GLB, TB, DBIL, BUN, Cr, UA and FBG (model II) (HR 1.010, 95%CI 1.007, 1.012) (Table 3). This evidence concerns the gene ALB and metabolic dysfunction-associated steatotic liver disease.