Increased MedDietScore was a protective factor against 10-year CVD risk in univariable analysis (OR = 0.882, 95% CI: 0.843, 0.923), when adjusted for NAFLD at baseline (OR = 0.989, 95% CI: 0.847, 0.935) and in the fully adjusted model for age, gender, sedentary lifestyle, CRP levels, smoking status and education level (OR = 0.873 = 95% CI: 0.795, 0.959). Here, CRP is linked to metabolic dysfunction-associated steatotic liver disease.