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A Weighted Multidomain Score for Prioritizing Nutritional Review in Institutionalized Older Adults: Development and
Elena Moreno-Guillamont1, Carmen I Sáez-Lleó2, Maria Auxiliadora Dea-Ayuela3
1Sociosanitary Pharmacy Services, Universal and Public Health Department, Valencian Government, 46015 Valencia, Spain.
Nutrients
|August 13, 2026
Summary
A new VIVA-NIPI score helps prioritize nutritional reviews for institutionalized older adults. While showing good internal consistency, it requires further validation before clinical use.
Area of Science:
- Gerontology
- Nutritional Science
- Biochemistry
Background:
- Institutionalized older adults exhibit complex health issues including functional, cognitive, nutritional, and biochemical abnormalities.
- A need exists to prioritize comprehensive nutritional assessments in this vulnerable population.
Purpose of the Study:
- To develop and assess the internal construct concordance and ranking stability of a weighted multidomain nutritional priority score (VIVA-NIPI).
- To organize the urgency of comprehensive nutritional review for institutionalized older adults.
Main Methods:
- Routine care data from 124 long-term care residents were analyzed.
- A prespecified weighted multidomain score (VIVA-NIPI) was developed using clinical judgment.
- Internal concordance was assessed against overlapping reference constructs, not independent clinical validity.
Main Results:
- The VIVA-NIPI score averaged 24.4 ± 12.2.
- A k-means phenotype yielded an AUC of 0.918, indicating strong discriminatory ability.
- Sensitivity analyses demonstrated high stability of the score with variations in components.
Conclusions:
- VIVA-NIPI is a preliminary research score for nutritional review urgency in older adults.
- Further validation, including external center-aware assessment and stakeholder input, is necessary for clinical implementation.
- Independent clinical adjudication and prospective outcome data are crucial before VIVA-NIPI can be used as a triage tool.
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