The study found that when the SUA/Scr ratio increased by 1 unit, the risk of NAFLD increased by 18.2% (OR = 1.182, 95% CI: 1.066–1.311) after adjusting for sex, DBP, smoking, SBP, FPG, ALT, TC, AST, HDL-c, GGT, TG, and LDL-c. Here, GPT is linked to metabolic dysfunction-associated steatotic liver disease.