After adjustment for age, sex, race, hypertension, diabetes, education level, smoking, alcohol consumption, the family income to poverty ratio, physical activity, hepatitis B or C and HDL, ALB, GLB, ALT, AST, LDH, TBIL, and TG values, the FMI1 value had the significantly highest OR for both hepatic steatosis (6.40 [4.91–8.38]) and fibrosis (6.06 [5.00, 7.37]) among the seven indicators (Table 3). This evidence concerns the gene ALB and hepatitis B virus infection.