A new study has investigated the impact of diet quality in mid-to-late-adulthood on visceral and liver fat not solely relying on Body Mass Index (BMI). Four different measures of diet quality were used to evaluate dietary intake of the multiethnic population over a twenty-year span. Maintaining a high quality diet during mid-to-late adulthood may prevent adverse metabolic consequences related to visceral adipose tissue (VAT) and non-alcoholic fatty liver (NAFL).