Upon adjusting for traditional cardiovascular risk factors (age, gender, smoking, family history of CVD, diabetes, hypertension, TG, HDL-C, LDL-C), as well as ALT and AST, logistic regression analysis indicated a continued significant correlation between NAFLD and carotid intima thickening (1.58, 95 % CI 1.04‒2.40; p = 0.034), as well as non-calcified plaque (1.56, 95 % CI 1.03‒2.37; p = 0.038). Here, GPT is linked to metabolic dysfunction-associated steatotic liver disease.