INS and fatty liver disease: In this analysis, we compared the groups that were submitted to US, comparing the one with and the one without hepatic steatosis, and found a statistically significant difference between both with BMI z-score, WHtR, BFM percentage, SUA, ALT, triglycerides, hs-CRP, fast insulin, and HOMA-IR being higher in the steatosis group (p < 0.001, Table 1).