After adjusting for sex, age, BMI, ALP, TG, GGT, HDL-C, ALT, BUN, AST, Cr, UA, FPG, SBP, LDL-C, and DBP, the HR for the new-onset NAFLD was 6.40 (95% CI: 4.06-10.08, P < 0.001) in Q4 versus Q1. The gene discussed is GPT; the disease is metabolic dysfunction-associated steatotic liver disease.