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 |
| . | 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.