A high NLR as a continuous variable was associated with an increased all-cause mortality (HR, 1.09; 95% CI, 1.05-1.12; p <0.001) and CVD mortality (HR, 1.12; 95% CI, (1.05~1.19) 1.05-1.12; p <0.001) after adjusting for age, sex, marital status, race/ethnicity, educational level, PIR, BMI, smoking status, alcohol drinking status, hypertension, diabetes, CVD, hemoglobin, platelet, ALT, creatinine, albumin and LDH. Here, GPT is linked to diabetes mellitus.