Model 3: Fully adjusted model was adjusted by age, gender, race/ethnicity, education level, poverty income ratio, ALT, AST, SCr, total cholesterol, triglycerides, LDL-C, HDL-C, serum uric acid, albumin, glycohemoglobin, eGFR, BMI, SBP, DBP, waist circumference, physical activity (MET-based rank), current cigarette use, now taking prescribed medicine for HBP, now taking prescribed medicine for high cholesterol level, had at least 12 alcohol drinks/1 year, hypertension history, NAFLD, diabetes history, coronary heart disease. Here, ALB is linked to metabolic dysfunction-associated steatotic liver disease.