Table 1.

Summary of IDEAL intervention

	IDEAL intervention
Education topic	Approach
Benefits from diet and exercise during induction	Integrated into physician conference, and assessment of diet (by RD) and activity (by PT)
Food selection and portion control	My Plate (USDA), Traffic Light, individualized menus with portion recommendations
Safe exercise during chemotherapy	Instruction, demonstration, and technique by PT during visits
Diet intervention	Daily intake goal
Caloric deficit*	≥10%
Protein	≥20% of total calories
Fat	<25% of total calories
Carbohydrate	<55% of total calories
Low glycemic load†	<100/2000 kcal
Progression	Caloric goal ± 5% weekly
Exercise intervention	Goals
Caloric expenditure*	≥10%
Frequency	Daily
Intensity‡	Moderate exertion
Time	15- to 30-min sessions (200 min/wk)
Type	Aerobic exercise + resistance training
Location	Home-based§
Progression	As tolerated

RD, registered dietitian.

^*Estimated from calculated estimated energy requirement; see “Methods.”

^†Calculated using glycemic index for consumed foods, threshold adjusted for actual calorie intake.

^‡Calculated for each of a menu of common activities using METs.

^§Continued inpatient for those hospitalized during induction.