Among females, past‐smoker was associated with abnormal ALT using ACG definition [2.21(1.36–3.59)], while other variables including age categories, central obesity, prediabetes/diabetes, non‐HDL‐C ≥3.37 mmol/L, and lipid‐lowering medication were associated with abnormal ALT using both thresholds (Tables S3 and S5). Here, GPT is linked to prediabetes syndrome.