Nutrition for Older Adults

Active Longevity Method

Behavioral nutrition focused on prevention and management, with individualized, evidence-based care that supports health, independence, and quality of life.

MSc MSc in Physiology
CRN-8 19944 Brazilian registration
3 phases Active Longevity Method
Deise Wolff Nunes, Dietitian Nutritionist specializing in geriatric nutrition
Dietitian Nutritionist · CRN-8 19944 (Brazil)
Biomedical Scientist · MSc in Physiology
Clinical Research · Evidence-based practice

Care that goes beyond
food choices

I am a Dietitian Nutritionist whose work focuses on the health of older adults. My approach combines individualized care, attentive listening, and nutrition science applied to the reality of each patient and their family.

“Nutrition goes far beyond telling someone what to eat: it means considering each person’s history, feelings, habits, and stage of life.”

I work to strengthen independence in food-related decisions, prevent nutrition-related complications, and promote longevity with well-being.

Training as a biomedical scientist, an MSc in Physiology, and experience in Clinical Research broaden the way I assess each case. This path allows me to combine scientific knowledge, clinical reasoning, and sensitivity in care that considers both the patient and their family.

Geriatric Nutrition Evidence-based practice Active Longevity

Active Longevity Method

A structured three-phase approach that combines nutritional diagnosis, individualized intervention, and continuous follow-up to care for the older adult’s health and guide their family.

01

Phase 01

Mapping

Before any guidance is given, it is important to understand what is happening at that moment. The older adult completes a pre-consultation questionnaire, sends recent test results, and attends the Diagnostic Consultation. I assess weight and dietary history, underlying conditions, medications, chewing and swallowing ability, laboratory tests, and the family context to establish the nutritional diagnosis and define care priorities.

02

Phase 02

Intervention

Once the nutritional diagnosis is established, we develop strategies and define nutrition guidance adapted to the household routine, preferences, health conditions, and the older adult’s needs. Family members and caregivers receive guidance, while WhatsApp support helps monitor how the recommendations are applied and identify necessary adjustments.

03

Phase 03

Maintenance

When clinical goals are reached, follow-up moves into the maintenance phase. Every 3 months, I reassess weight, muscle strength, dietary intake, laboratory tests, and other nutritional and functional indicators relevant to the case. The recommendations are adjusted as health, medications, or routine change. WhatsApp support and family guidance remain available. Care does not end—it matures.

What your family can
expect from this care

At every stage, care combines nutritional assessment, strategies adapted to the older adult’s reality, and family guidance to make food-related decisions safer and practical in everyday life.

Individualized nutrition strategies

Strategies and individualized nutrition guidance are developed with the older adult and their family, considering the household routine, habits, preferences, underlying conditions, and what can realistically be applied—including how to handle exceptions without losing dietary balance.

Complete nutritional assessment and diagnosis

Weight, anthropometric measurements, muscle-strength assessment, dietary intake, laboratory tests, signs, and symptoms are considered together. This information supports the nutritional diagnosis and the monitoring of risks such as malnutrition and sarcopenia.

Evidence-based supplementation

When the assessment indicates a need, supplementation is defined individually, considering laboratory tests, diet, underlying conditions, medications, and the older adult’s nutritional goals.

Follow-up and nutrition education

Biweekly WhatsApp questionnaires help monitor difficulties and changes between consultations. Guides and e-books give older adults, family members, and caregivers clear nutrition guidance they can apply in everyday life.

Find the most suitable care for your family member

From the initial assessment to 6 months of follow-up, each option provides a level of care designed to turn nutrition guidance into practical changes for the older adult and their family.

All care options are available online in Brazil and abroad, and in person in Londrina and the surrounding area.

Clarity to begin

Diagnostic Consultation

In the Diagnostic Consultation, I assess the older adult’s current nutritional status, clarify concerns, and identify which aspects of care require attention. The family receives the nutritional diagnosis, initial guidance, and a clearer path for deciding the next steps.

See what is included
Change with follow-up

Three-Month Care

For older adults who need to turn guidance into practical everyday changes, especially when underlying conditions, nutritional risk, or eating difficulties are present. Over 3 months, I follow how the guidance is applied, assess the older adult’s response, and make the necessary adjustments, giving the family greater confidence throughout the process.

See what is included
Progress under review

Six-Month Care

For older adults with more complex nutritional needs, multiple underlying conditions, or a higher risk of sarcopenia. Over 6 months, I monitor progress, adjust the guidance, and guide family members and caregivers. This follow-up period helps consolidate changes and prepare the family to sustain care over the long term.

See what is included

Compare the care options

Review the assessments, follow-up, and support included in each option to understand which one best meets your family member’s needs.

Three-Month Care

3 consultations over 3 months + support throughout the period

  • Diagnostic Consultation included — Establishes the nutritional diagnosis, care priorities, and starting point for follow-up.
  • 2 monthly follow-up consultations — Weight, muscle-strength assessment, dietary intake, and clinical progress are reassessed to guide necessary adjustments.
  • Written, individualized nutrition guidance — Developed around the household routine, preferences, underlying conditions, and the older adult’s needs.
  • Observation of chewing and swallowing — Helps identify limitations that may affect food intake and functional health.
  • Nutrition materials — Recipes, guides, and e-books help the older adult and their family apply the guidance in everyday life.
  • 90 days of WhatsApp support — A channel for questions about foods, substitutions, and unexpected situations during follow-up.

Six-Month Care

6 consultations over 6 months + support throughout the period

  • Diagnostic Consultation + 5 monthly consultations — Six months of follow-up to monitor progress and adjust care at every stage.
  • All Three-Month Care resources — Includes written nutrition guidance, monitoring of chewing and swallowing, screening for risk of malnutrition and sarcopenia, and nutrition materials.
  • Bioimpedance assessment — Adds body-composition information to the nutritional follow-up.
  • Quarterly clinical progress reports — The family receives a clear update on progress, areas requiring attention, and the next steps.
  • Guidance for family members and caregivers — An educational guide and support for recognizing warning signs and managing eating difficulties in everyday life.
  • Recipe e-books — Practical ideas for varying meals within the established guidance.
  • 180 days of WhatsApp support — An active channel throughout the period for questions, substitutions, and unexpected situations.

Fees and payment options are provided directly during service.

Why follow-up over time makes a difference

A consultation shows the nutritional situation at that moment. Over the following months, changes in appetite, health, medications, or routine may alter the older adult’s needs. Follow-up makes it possible to monitor progress, adjust the guidance, and guide the family at each stage, helping turn recommendations into care that can be sustained in everyday life.

Clarity at every stage

At each consultation, the family receives a clear update: what is working, what needs adjustment, and what the next steps are. This helps everyone understand the reasoning behind the guidance and take part in care with greater confidence.

Nutrition care wherever your family is

I provide all care options online in Brazil and abroad. In Londrina and the surrounding area, I also provide care at my office or in the patient’s home, depending on the older adult’s location and needs.

Online consultations, wherever you are

I conduct online consultations by video call, using a link sent in advance. For the first consultation, I need the responsible family member or caregiver to participate, complementing information about the older adult’s routine and helping take the measurements I guide them through. After this assessment, I determine whether the older adult can attend future consultations independently.

A family member in another city can also join the same video call.

During online consultations, I guide measurements such as weight, height, and body circumferences. Muscle-strength assessment requires suitable equipment. If the patient has a compatible scale, I provide instructions for bioimpedance testing under the supervision of a family member or caregiver. When necessary, I can coordinate anthropometric and bioimpedance assessments with a professional in the patient’s city.

In-person care at my office

I provide in-person consultations at my office in Gleba Palhano, where I can carry out assessments that require specific equipment, according to each patient’s needs.

Address

Av. Madre Leônia Milito, 1500
sala 904 · Edifício Atsushi
Gleba Palhano
Londrina - PR, 86050-482

Accessibility and arrival

The building offers wheelchair access, spacious elevators, underground parking, and a reception desk for identification and information.

Get directions on Google Maps

In-home care

I also provide in-home care in Londrina and in cities within 20 km of Londrina, depending on the older adult’s needs. For patients in Londrina, I can also perform bioimpedance testing at home.

How to schedule your consultation

When you get in touch, let my assistant know which city the patient lives in. They will guide your family through the available online, office, or in-home care options.

Book via WhatsApp

Nutrition for Older Adults

Longevity
begins with
genuine care.

Take the first step for the

well-being of someone you love.

Book a Diagnostic Consultation and begin nutrition care suited to your family member’s needs—before a new difficulty requires rushed decisions.

Book via WhatsApp