PRAL and Insulin resistance: After multivariable adjustment, insulin resistance (1.51; 95% CI: 0.43 to 2.58; p = 0.006), GFR (2.99; 95% CI: 1.95 to 4.02; p < 0.001), and PRAL (1.78; 95% CI: 0.62 to 2.94; p = 0.003), among others, remained associated with higher NAE.