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Learning portal / CHW 103

CHW 103: Health Across the Lifespan

103.6 Healthy Living I: Healthy Eating and Food Access

The 2025-2030 Dietary Guidelines, food labels, budgets and food access

3 classroom hoursOhio rule items (C)(5)(a), (C)(4)(b)

Your materials

Slides (PowerPoint) Handout (Word)

For instructors

Facilitator guide Printable pre and post tests Quiz (LMS import)

What you will learn

  • Explain the main messages of the 2025-2030 Dietary Guidelines
  • Read a Nutrition Facts label for sodium and added sugars
  • Plan low-cost, lower-sodium meals with a client
  • Connect families to SNAP, WIC, pantries and other food assets

Start here

Think about the closest place to your home that sells fresh vegetables. How long does it take to get there?
LessonVideoStudy sheetVocabularySituationsActivityPost-testSources

Lesson

Eat real food: the 2025-2030 guidelines

The Dietary Guidelines for Americans, 2025-2030, came out in January 2026.

  • Whole foods first: Build meals on vegetables, fruits, protein foods, dairy, healthy fats and whole grains.
  • Limit highly processed foods: Cut back on packaged, ready-to-eat foods high in added sugars, refined carbs and sodium.
  • Water as the main drink: Have a glass of water with every meal. Avoid soda, fruit drinks, energy drinks and sugary coffee.
  • Watch salt and fat: Keep sodium under 2,300 mg a day and saturated fat at 10% or less of calories.

Reading a Nutrition Facts label

Teach clients to check these in order:

  • Serving size: All numbers are for one serving. Count how many servings you really eat.
  • Sodium: Look for 5% Daily Value or less. 20% or more is high.
  • Added sugars: Check the grams. The guideline is 10 grams or less at a meal.
  • Saturated fat: Use the same rule: 5% Daily Value is low and 20% is high.
  • Compare two items: Pick the one with less sodium and added sugar, such as no-salt-added canned beans.

A busy week meal plan, made lower in sodium

Original mealLower-sodium, budget swap
Bacon, lettuce and tomato pizzaHomemade pita pizza with vegetables, light cheese
Italian sausage veggie skilletChicken or bean veggie skillet with herbs
Breakfast pitas with hamEgg, pepper and onion pitas, no ham
Blue cheese chicken salad sandwichHome-cooked chicken salad, yogurt dressing
Brown sugar banana oatmealPlain oatmeal with banana and cinnamon
Boiled eggs, fruit, plain yogurtKeep these: cheap, whole and filling

Why fresh food is hard to reach

  • What we see: Ms. Tasha Greene in the Kinsman area feeds her three kids mostly from the corner store and fast food, and her son's weight is rising.
  • Why it happens (upstream): Grocery stores left the neighborhood, bus trips take an hour with kids, wages do not stretch, and cheap processed food is everywhere.
  • What we can build on (assets): SNAP and WIC, farmers markets that take SNAP, food pantries, urban farms and community gardens, church meal programs, and neighbors who carpool to the store.

Food help in Greater Cleveland

  • SNAP: Monthly food benefits on an Ohio Direction (EBT) card. Apply online at Ohio Benefits or at county Job and Family Services.
  • WIC: Healthy foods, nutrition help and breastfeeding support for pregnant and new parents, babies and children under 5.
  • Greater Cleveland Food Bank: Help Center: 216-738-2067. Finds nearby pantries, hot meals and mobile pantries, and helps with sign-ups.
  • United Way 211: Call 211 for food, utility and housing help near you.

Eating well on a tight budget

  • Plan, then shop: Plan meals for the week and shop with a list built around sales.
  • Frozen and canned count: Frozen vegetables without sauce and no-salt-added canned beans are healthy and cheap. Rinse canned foods.
  • Cook once, eat twice: Make a big pot of soup, beans or rice and use it for lunches.
  • Grow and share: Community gardens and neighbors swapping extra produce stretch every dollar.

Situation: told to cut salt

Situation: Mr. Victor Morales in Clark-Fulton was told by his doctor to eat less salt for his blood pressure. He says he already never uses the salt shaker. He eats canned soup, deli meat sandwiches and frozen dinners most days.

How should the CHW help?

  • Affirm that skipping the shaker is a good step
  • Read the sodium on his soup and deli labels together
  • Plan two easy swaps he likes, within his budget
  • Share his goals with his care team and follow up

Talk it over

  • What foods from your family or culture would you keep in a healthy plan?
  • What gets in the way of healthy eating on your street?
  • Which food asset in your neighborhood could do more with a new partner?

Video

Healthy Eating: Making Meals With Less Sodium (Healthwise (Michigan Medicine Health Library), 2:25 minutes)

Watch for:

  • Where on a food package can you find how much sodium is in one serving?
  • Name two swaps that lower sodium without giving up a favorite meal.
  • What can you do to canned beans or vegetables to remove some of the salt?

Study sheet

The big idea: Healthy eating starts with real, whole food, and our job is to make that food reachable for every family.

Key points

  • The 2025-2030 Dietary Guidelines say to eat real food and limit highly processed foods.
  • Adults should keep sodium under 2,300 mg a day and added sugars to 10 grams or less at a meal.
  • Make water the main drink and avoid soda, fruit drinks, energy drinks and sugary coffee.
  • On a label, 5% Daily Value is low and 20% is high; check serving size first.
  • Most sodium comes from packaged and restaurant food, not the salt shaker.
  • Food deserts grow from upstream decisions; SNAP, WIC, pantries, gardens and neighbors are assets that answer them.

Remember

  • Sodium: under 2,300 mg a day for adults
  • Added sugars: 10 grams or less at each meal
  • Labels: 5% DV low, 20% DV high
  • Greater Cleveland Food Bank Help Center: 216-738-2067; United Way: 211

Ask yourself

  • What is one swap I could make this week that fits my own budget and culture?
  • Where do people on my block actually buy their food, and why?

Vocabulary

WordWhat it means
Dietary Guidelines for AmericansFederal advice on healthy eating from HHS and USDA, updated every five years.
Highly processed foodPackaged, ready-to-eat food made with added sugars, refined grains, extra sodium or additives.
Added sugarsSugars put into food or drinks when made or prepared, not sugars found naturally in fruit or milk.
SodiumA mineral in salt. Adults should keep it under 2,300 mg a day.
Percent Daily Value (%DV)How much of a day's amount of a nutrient one serving gives. 5% is low, 20% is high.
Serving sizeThe amount of food that all the numbers on a Nutrition Facts label are based on.
Food insecurityNot having steady access to enough food for an active, healthy life.
Food desertAn area where it is hard to get affordable, healthy food nearby.
SNAPSupplemental Nutrition Assistance Program: monthly food benefits on an EBT card.
WICA program giving healthy foods and nutrition support to pregnant and new parents, babies and young children.
Food as medicineUsing food and nutrition programs to help prevent and manage diet-related diseases.

Real-life situations

New baby, empty fridge

Ms. Kiara Johnson in Glenville just had a baby and has a 3-year-old. She lost her job hours and says there is little food in the house until payday.

What to do

  1. Ask if she has food for today, and if not, connect her to a pantry or hot meal today
  2. Tell her about WIC for her, the baby and her toddler, and help her apply
  3. Help her check SNAP eligibility and start an application
  4. Follow up in a few days to see if the help came through

Why: Urgent food needs come first, then longer-term benefits. Following up closes the loop.

The sweet drinks

Mr. Darnell Price in Hough drinks four sodas a day. He says water tastes like nothing and the tap water in his old building looks rusty.

What to do

  1. Listen to his concerns about the water without judging
  2. Share the guideline to make water the main drink, and ideas like adding fruit slices
  3. Help him connect with the city water department or his landlord about the water quality
  4. Set a small goal he chooses, such as swapping one soda a day

Why: His drink choice is tied to an upstream housing and water concern. Addressing both builds trust and lasting change.

Ask for a diet

Mrs. Rosa Delgado in Lorain has kidney disease and asks you to write her a diet listing what she can and cannot eat.

What to do

  1. Thank her for asking and explain that kidney diets are set by her care team
  2. Help her ask her provider for a referral to a registered dietitian
  3. Help her write down her favorite foods to bring to that visit
  4. Offer label-reading and shopping support once she has her plan

Why: Medical diets for conditions like kidney disease need a provider or dietitian. The CHW supports the plan they set.

Activity: Three-day budget meal plan

About 30 minutes.

  1. Pick a family you know or make one up: name, neighborhood, people in the home, weekly food budget.
  2. Using the Easy Meal Plan for 7 Days as a starting point, plan three days of meals that are lower in sodium.
  3. Use at least two frozen or canned items with 5% DV sodium or less.
  4. List where the family could shop or get food help nearby, including one community asset.
  5. Post your plan and explain one swap you made and why.

Post-test

Ten questions. You need 75% to pass, with one retake. Your result is saved in this browser.

Sources

  • ODPHP, Current Dietary Guidelines (2025-2030)
  • ODPHP, Dietary Guidelines for Americans
  • Dietary Guidelines 2025-2030, Healthy Eating for Adults and Older Adults fact sheet
  • MyHealthfinder, Eat Less Sodium: Quick Tips
  • MyHealthfinder, Lower-Sodium Foods Shopping List
  • ODPHP, Food Is Medicine
  • Greater Cleveland Food Bank, Get Help
  • USDA Food and Nutrition Service, WIC Frequently Asked Questions
  • Summit County Job and Family Services (Ohio), SNAP: Ohio Direction Card and how to apply
  • NCOA, How Does an EBT Card Work? (monthly SNAP deposits)
  • Signal Cleveland, Where SNAP shoppers can still get Produce Perks (September 2026)
  • United Way of Greater Cleveland, United Way 211 (2025 annual report)
  • FDA, Daily Value on the Nutrition and Supplement Facts Labels
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The Citizenship Health Institute is the public name of CHANGE (Citizenship Health Advancing and Nurturing Global Education), a nonprofit based in Cleveland, Ohio.

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© 2026 Gina Z. Weisblat. Citizenship Health™, the Asset-Based Paradigm, the IDEAS process, the CIRCLE model, and related frameworks, measures, and analytic methods are the intellectual property of Gina Z. Weisblat and are used by the Citizenship Health Institute and partner organizations under license. All rights reserved. Proprietary methods are described on this site but not published. The Ten Commandments of Violence Interruption belong to LaRon Douglas Sr. and RDGIP and are taught only under written license. CHW Academy build 2026-10-29