Table 2 provides a summary of the potential risk factors. Our study found a positive association between BMI, DBP, TC, LDL-C, TG, eGFR, UA, ALT, AST, GGT, FT3, phosphorus, magnesium, and NHHR with NAFLD, indicated by odds ratios (OR) over 1 and p-values under 0.05. Factors like drinking, febuxostat, age, duration of gout, CRP, and ALP were negatively related to NAFLD, with OR values under 1 and p-values less than 0.05. The gene discussed is GPT; the disease is metabolic dysfunction-associated steatotic liver disease.