In the current study, although the median of ALT and AST showed significant differences between NAFLD and non-NAFLD children, it was generally within the normal limit (30 vs. 16, 29 vs. 23 U/L, p = 0.001), respectively. Similarly, Yavuz Özer et al. [33] in their study on 155 obese children (6–18 years) reported that the median ALT and AST in NAFLD and non-NAFLD children were 28 vs. 17 and 25 vs. 19 U/L, p = 0.001, respectively. Here, GPT is linked to metabolic dysfunction-associated steatotic liver disease.