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The MeDi score was calculated based on data collected from the Willett\u2019s semiquantitative food frequency questionnaire. The multivariable-adjusted Cox regression model was applied to examine the association of MeDi score with risks of disability in basic (BADL) and instrumental ADL (IADL), as well as the overall ADL (B-IADL).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Eight hundred and thirty-two participants with incident ADL disability were identified over a median follow-up of 5.39 years. The continuous MeDi score was significantly associated with decreased risk of disability in B-IADL (hazard ratio = 0.95, 95% confidence interval = 0.91\u20130.99, p = .018) in a model adjusted for age, sex, race\/ethnicity, educational level, and dietary calories intake but was no longer significant after additionally adjusted for multiple comorbidities and physical activities (0.97 [0.93, 1.01], p = .121). The continuous MeDi score was significantly associated with decreased risk of disability in B-IADL (0.92 [0.85, 1.00], p = .043) and BADL (0.90 [0.82, 0.99], p = .030) in non-Hispanic Whites, but not in non-Hispanic Blacks and Hispanics (p &amp;gt; .05 for all).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Higher MeDi score was associated with decreased risk of ADL disability, particularly in non-Hispanic Whites.<\/jats:p><\/jats:sec>","DOI":"10.1093\/gerona\/glac011","type":"journal-article","created":{"date-parts":[[2022,1,14]],"date-time":"2022-01-14T14:50:51Z","timestamp":1642171851000},"page":"1873-1881","source":"Crossref","is-referenced-by-count":10,"title":["Association Between Mediterranean Diet and Functional Status in Older Adults: A Longitudinal Study Based on the Washington Heights\u2013Inwood Columbia Aging Project"],"prefix":"10.1093","volume":"77","author":[{"given":"Jing","family":"Guo","sequence":"first","affiliation":[{"name":"The Taub Institute for Research in Alzheimer\u2019s Disease and the Aging Brain, Columbia University , New York, New York , USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nicole","family":"Schupf","sequence":"additional","affiliation":[{"name":"The Taub Institute for Research in Alzheimer\u2019s Disease and the Aging Brain, Columbia University , New York, New York , USA"},{"name":"The Department of Neurology, Columbia University , New York, New York , USA"},{"name":"The Department of Epidemiology, Joseph P. 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