Subjects with NAFLD had significantly higher body mass index, waist circumference, hip circumference, waist to hip ratio, subcutaneous fat, visceral fat, diastolic blood pressure, postload glycemia, triglycerides, HDL, basal insulin, uric acid, GGT, HOMA-IR, TyG index, and TG/HDL ratio. Here, INS is linked to metabolic dysfunction-associated steatotic liver disease.