Obese PLWH were more likely to have higher TG (aOR 2.56, 95% CI 1.97–3.32), higher ALT (aOR 3.85, 95% CI 2.93–5.05), lower HDL (aOR 2.06, 95% CI 1.54–2.77), and hyperglycemia (aOR 2.68, 95% CI 1.62–4.44). Here, GPT is linked to Hyperglycemia.