Negative correlations were observed between ACR ≥ 30 mg/g and RBC, hemoglobin, albumin, and NAFLD (r = −0.094, p = 0.02; r = −0.130, p = 0.001; r = −0.137, p = 0.001; r = −0.097, p = 0.018). Here, ALB is linked to metabolic dysfunction-associated steatotic liver disease.