After adjusting for age, sex, BMI, WC, HOMA-IR, CRP, FPG, 2hPG, ALT, AST, GGT, hypertension, diabetes, and dyslipidemia, higher NC at baseline was a negative factor for the remission of MAFLD (OR 0.57, 95% CI: 0.40–0.80, p < 0.01). The gene discussed is GPT; the disease is metabolic syndrome.