The prevalence of NAFLD across the quartiles of HEI scores ranged from 32.3 to 35.4% (p = 0.407), which was surprising given the BMI range of 26.3–26.9 kg/m2, diabetes prevalence of 6.8–7.2% and alanine aminotransferase (ALT) range of 17.2–17.8 IU/L across the quartiles. Here, GPT is linked to diabetes mellitus.