The higher prevalence of severe NAFLD was among 65 years and older, had high school education, obese, former smokers, did not meet physical activity guideline, eat poor quality diet, had high waist -to-hip ratio, HDL <40 mg/dL, triglyceride >200 mg/dL, CRP >10 mg/dL, AST >40 U/L, ALT >56 U/L, and HbA1c >6.5% (p < 0.05). This evidence concerns the gene GPT and metabolic dysfunction-associated steatotic liver disease.