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Body Growth- Trends
Growth ‘spurts’ are real
An infant or toddler can grow up to ¼ of an inch overnight
Infant growth are tied to sleep-periods of increased sleep are correlated with small bursts of growth
patterns of growth: Cephalocaudal development:
the head grows before the other body parts
patterns of growth: Proximodistal development:
body grows from the center, out
Internal organs -> arms and legs -> hands and feet
Benefits to baby of breastfeeding for infant
Right amount of fat, suagr, water, and protein needed for the baby’s growth
Immunizing agent against infections
Easier to digest. Fewer allergies and GI symptoms
Reduced risk of obesity and childhood cancer
benefits of breastfeeding for mother
Lower rates of diabetes, cardiovascular disease, depression
Post menopause: lower risk for ovarian, breast cancer, and bone fractures
Breastfeeding tied to privilege: The US low SES =
decreased breastfeeding rates
Breastfeeding in the US
Low-income jobs often do not support parental leave and breastfeeding upon return to work
Formula
supplementation is readily available
Fed is best
in developing countries low SES =
higher breastfeeding rates
Breastfeeding in developing countries
Educated women shun breastfeeding: associate with poverty
Access to formula is more limited: only available for more privivldged mothers
Infants are more likely to be cared for at home by low income women than in the US
Paid maternity leave for 1st year =
= very high rates of breastfeeding
breastfeeding and maternity leave
Access to lactation support
If baby is with you breastfeeding is more convenient than formula feeding, once established
malnutrition: growth stunting
= reduced growth rate
Effects 1 in 4 children globally
Predominantly due to food insecurity
Marasmus:
wasting disease associated w/chornically inusfficent calories, nutrients, and protein
Marasmus characteristics:
Body’s fat and muscle are depleted
Growth stops, skin becomes wrinkly and aged looking, the abdomen shrinks, and the body takes on a hollow appearance
More typical in infants
Kwashiorkor:
disease associated w/protein deficiency
Kwashiorkor characteristics
Lethargy wrinkled skin, and fluid retention which causes bloating of the belly
More typical of older infants, young children
Malnutrition associated with reduced growth and significant cognitive deficits
Impairments in cognitive development including language, motivation, curiosity, interaction with environment
food insecurity
Malnutrition is not limited to developing countries
16% of US households classified as food insecure-lack consistent access to healthy food
Food insecurity linked with:
Growth stunting
Reduced academic achievement
Health and behavior problems
growth faltering
AKA failure to thrive
Weight < 5th %ile for age
Calorie intake is insufficient to maintain growth
Untreated can lead to delays in cognitive, verbal, and behavioral skills
growth faltering causes
Medical conditions
Abuse and neglect
Food insecurity
Sudden infant death syndrome:
unexpected death of an infant less than 1 year of age during sleep
Leading cause of death for infants under age of 1
Sids is dx when no other cause of death can be determined
sudden death infant syndrome causes
Biological vulnerabilities + environment
Sleep
Unsafe sleep environment
UK study: ⅓ of SIDS cases were infants co-sleeping with parents
Soft bedding
Sleep position
Stomach or side sleeping increases risk
Back to sleep campaign saw dramatic reductions in SIDS
critical period
most occur between 2 and 5 months; critical period
vaccines
doses of inactive virus injected into the body to stimulate the production of antibodies
vaccine characteristics
10 vaccines are standard for children birth-10 years
Vaccines prevent dangerous infectious diseases; dramatic decline in measles, mumps, whooping cough over last 60 years
Swinging the other direction
Decline in vaccination
2001: 99.7% of children received at least one vaccine, 2015 down to 98.3% in 2015
Failure to vaccinate as high as 20% in some places
failure to vaccinate
Declining awareness of risk associated with disease
Myths about autism chemicals in vaccines
Complicated immunization schedules and lack of access
religious/philosophical reasons
Some cannot be vaccinated due to medical conditions, depends on herd immunity
axon
Long tube-like structure that extends from the neuron and carries electrical signals to other neurons
dendrites
Branching receptors that receive chemical messages
synapses
Gaps between neurons
axons
Coated with fatty bustance called myelin, which speeds the transmission of electrical impulses and neurological function
Neurogenesis
development of new neurons Begins in embryo’s neural tube
Born with >100 billion neurons; most we will ever have at one time
Neurons die and new are formed, but never develop at prenatal rate again
Glial cells:
another type of brain cell that:
Provide a physical structure
Nourishes the brain
Instructs neurons to form connections
Synaptogenesis:
dendrites grow and branch out, increasing synapses (i.e., connections) with other neurons
Synaptogensis is concentrated in different regions at different periods in life: 3-4 months
visual cortex
Slowly through childhood- prefrontal cortex- planning, higher order thinking)
Synaptogensis is concentrated in different regions at different periods in life: 1st 5 weeks
sensorimotor and subcortal areas of brain (respiration and essential survival processes)
Loss of unused neural connections is called
synaptic pruning
Cerebral cortex:
the wrinkled and folded outermost layer of the brain is known as the cortex; makes up 85% of the brain
Prefrontal cortex:
part of the brain responsible for higher thought
lateralization
R and l hemispheres specialize to carry out different functions
Influenced by genes and early experiences
Through childhood, one becomes stronger; most adults experience left hemispheric dominance
Begins prenatal-babies facing left
Experience-expectant brain development
The brain depends on experiencing certain basic events and stimuli at key points in time to develop normally
Blindfold an animal for the first several weeks after birth and they will never develop normal vision b/c those neural connections never develop
Experience-dependent brain development
Growth that occurs in response to learning experiences
Learn to crawl in the dirt, roll a baby, play peek-a-boo
More stimulation leads to substantial brain development
Sleep and Brain Development
Newborns wake every 2 hours to eat; continue night feeds through 4-5 months
Newborns sleep 16-18 hours a day
Promotes physical growth and development
Associated with increased connections among neurons
Infants spend ½ their sleep time in REM compared to 20% in adults
Provides stimulation and promotes cognitive growth and brain development
Associated with memory formation
Habituation
Repeated exposure to a stimulus results in the fradual decline in the intensity, frequency, or duration of infant’s response
What response? Physiological response, direction of attention
Dishabituation
reaction to new stimulus
Indicates that infant recognizes that stimulus is different from the first
If they don't dishabituate, we assume they don’t perceive a difference
Older babies habituate faster -> their processing the new info ore quickly with fewer exposures
classical conditioning
The older they get, the more quickly they become conditioned
Neutral stimulus paired with unconditioned stimulus - mom’s PJs smell liker her
operant conditioning: reinforcement
Behavior - child acts, says “dada”
Reinforcement - desirable outcome, parents cheer
Behavior increases - child more likely to do the same things again, repeats word
operant conditioning: punishment
Behavior - child acts, bites while nursing
Punishment - undesirable outcome, mom stops nursing
Behavior decreases - child less likely to do the same thing again, child learns not to bite
imitation
Mirror neuron system
The capacity to make associations and respond to actions of others by mirroring their actions
Preferential looking tasks:
: experiments designed to determine whether infants prefer to look at one stimulus or another
Useful for determining visual acuity (sharpness of vision)
Capacity for habitation
: if the infant does not react to the new stimulus by showing dishabituation, it is assumed that the infant does not perceive the difference between the two stimuli
vision
Fetus respons to bright light as early as 28 weeks gestation
Infants reach adult levels of visual acuity between 6 months and 1 year of age
Improvement in vision due to maturation of the eye structures and the visual cortex
Infants show preferences for:
Female faces when their caregivers are female; no preference when caregivers are male
Same race faces: can distinguish between faces of frequently experienced groups more easily
Get better at distinguishing within group with age
Get worse at disengaging out-group with age -perceptual narrowing
color vision
Newborns see color but cannot distinguish between them
Exposure to color necessary for normal development
Improve over first few months; fully operative by 7 months
object exploration
Externality effect
Visual tracking; fully operative by 7 months
depth perception
ability to perceive the distance of objects from each other and from ourselves
Newborns prefer to look at 3D vs 2D objects- therefore we know we can perceive depth at birth
visual cliff
3 month old babies show changes in HR
Crawling babies refuse to go to the deep side
If they both perceive the difference, why don’t they avoid it til’ they’re crawling?
At first-b/c they know they can’t navigate it
Later, fear
Brain activity in the cortex is response to auditory stimuli indicates that newborns can discriminate speech patterns
Infants localize sound days after birth
Prefer speech over non-speech sounds
Prefer mother’s voice
From birth, prefer their native language-this is early language development
This is why it is so important we do hearing screenings early
hearing
Hearing is the most well-developed sense at birth
touch
Touch, using the mouth, is a critical learning tool for infants
Massages can reduce stress response
Skin-to-skin contact with a caregiver has an analgesic effect
Capacity to feel pain develops even before birth
Medical benefits debated for circumcision
Reduced risk of UTI, penile cancer, HIV
HIV can be presented through behavior
AAP + AMA: not enough evidence to recommend routine circumcision, but enough benefit that insurance should cover it?
smell and taste
Well developed at birth
Hours after birth, infants show disgust response to offensive smells
Familiar scents are reinforcing and can reduce stress responses in infants
Infants are calmed by their mother’s sent
Newborns show taste preferences
Show preference for breastfeeding, regardless of how they are typically fed
Prefer sugar to other substances; sugar works as an anesthetic
Experience can modify taste preferences
Protein based formula - prefer sour flavors at 4 years
Soy based formula - prefer bitter at 4 years
Intermodal Perception
Process of combining information from more than one sensory system is intermodal perception
Sensitivity to intermodal relations among stimuli is critical to perceptual development and learning
Neonates can coordinate auditory and visual stimuli to recognize their mother
Turn their heads to sound- tells us they understand that a sound will also have a visual stimulus
Infants integrate touch and vision very early in life
When they see something they reach out to touch it
gross motor
ability to control the large movements of the body
dynamic systems
Motor development reflects interaction among development domains, maturation and environment
Separate abilities blend to provide complex effective ways of exploring and controlling the environment
Social and cultural influences provide context to movements
context
Opportunities to practice skills are critical
Tummy Time
Iran orphanage – 1st 2 years on their backs in a crib; can’t walk
Cultural variations
African tribal cultures
train sitting and walking; achieve before NA counterparts
De-emphasize crawling; almost nonexistent
Clothing
Piaget’s Cognitive Developmental Theory
50’s and 60’s-
first systematically examine children’s thinking
Viewed infants and children as active explorers who learn by interacting with the world
Interaction with the environment is key to cognitive development
Recognized that cognition and motor action are linked: cannot have one without the other
schema
an organized understanding of a concept, idea, or way of interacting with the environment
How do we update our schema?
through accommodation and assimilation
accommodation
Modify schema to include new experience
assimilation
Include a new experience in with our existing schema
cognitive equilibrium
when our schemas clearly match the outside world
sensorimotor stage
0 to 2 year old:
Characteristics: motor activity without use of symbols
proportional stage
2 to 7 years old
Characteristics: development of language, memory, and imagination
concrete operational stage
7 to 11 years old
Characteristics: more logical and methodical manipulation of symbols
formal operational stage
12 year to up
Characteristics: use of symbols to relate to abstract concepts
Reflexes (Birth to 1 Month)
Newborns use reflexes, such as sucking, to react to stimuli
Assimilation: suck all things
Nipple
Bottle
Pacifier
Finger
Accommodation (about 1 month): suck some things differently
Suck pacifier without swallowing
Primary circular Reactions (1 to 4 months)
Babies engage in disorganized random movements
Cause them to accidentally discover interesting or pleasurable sensations
Then they repeat what they did, trying to achieve the same outcome
Example: flailing and grasping
Grab hold of own feet
Continue same motor sequence till it happens again
Learn to do it intentionally
Secondary Circular Reactions (4 to 8 months)
Babies engage in repeated movements that trigger reactions in the environment
This tells us:
Their awareness has expanded to their environment
They understand their actions can impact the world outside their body
Coordination of Secondary Circular Reactions
No longer discovered by accident -
Represents true means-end behavior
Beginning of intentional behavior
Baby purposefully coordinates 2+ secondary circular reactions to achieve a goal
Baby discovers object permanence
Object Permanence:
the ability to think about an object outside sensory awareness
Out of sight no longer = out of mind
This demonstrates the capacity for internal thought
Important for language: sound symbols stand for language
Tertiary Circular Reactions (12 to 18 months)
Toddler experiments with behavior to see results
“Little scientist”
Dropping different objects
Rolling toys/balls
Banging different things
Also beginning of testing limits
Mental Representation (18 to 24 months)
Transition from sensorimotor to preoperational stage
Develop representational thought
Ability to use words and mental pictures to represent objects
Memory of objects, experiences
Can think about how to solve a problem rather than solve it through trial and error
Children use objects to represent other things. E.g., ‘talking’ on a hairbrush as if it were a phone
Violation of expectation tasks:
if ifnant has expectations about how an object should move because of its physical properties, then it can mentally represent the object. Infant’s gaze can show they are looking for expected outcome
Violation of expectation tasks: age groups
4 and 5 months old: watch a ball roll behind a screen -will look to where they expect it to appear
6 months old: infant sees an object and then lights are turned off-infant will reach for it where they last saw it
A-Not-B Tasks:
error occurs when infants search for an object at its old location even after it has been moved.
The infant learns that a ball hides one blanket. If it’s moved to other blanket in front of him, will still look under blanket for the ball
Evidence that infant actually correctly looks to blanket despite reaching under , been suggested that the error is due to inability to suppress impulse
Deferred Imitation: tasks:
deferred imitation is the ability to repeat an act performed some time ago
Piaget thought infants could not do this before 18 months b/cthey lacked mental representation
Evidence against: 6 wks old infant watch an unfamiliar adult’s facial expressions and then mimic when they see them again the next day
Deferred imitation requires stored representations of actions
Imitation improves with age-gradual, not stage based like Piaget thought
core knowledge theory
Infants are born with core domains of thought that promote early rapid learning and adaptation; for example, newborns understand
Objects do not disappear out of existence
Objects cannot pass through other objects
Objects will fall when you drop them
Liquids are nonsolids
Differences in large and small quantities of things
Belief is that babies are statistical learners who quickly identify patterns in the world around them
information processing theory
Cognition is a set of interrelated components that permit people to process information
Notice
Take in
Manipulate
Store
Retrieve
Infants are born ready to learn because they have information processors
attention: infants
show more attentiveness to dynamic and complex stimuli.
sensory memory
first step in getting information to the mind.
◦ Visual information lasts 1/4th a second
◦ Auditory information lasts 4 seconds
working memory
holds and processes information that is being ‘worked on’
◦ Has a limited capacity
◦ Responsible for:
◦ manipulating information (consider, comprehend)
◦ encoding (transforming into a memory)
◦ Recalling from long term
infant’s thinking: categorization
Grouping different stimuli into a common class.
◦ Studied using habituation and sequential touching tasks.
◦ E.g. infants looking at fruit; presented with a new fruit and a cat. Which do they habituate to faster?
◦ E.g. infants presented w/four trucks and four animals. Sequentially touch within category more than expected by
chance
◦ Ability to organize becomes more sophisticated w/age (all vehicles; all cars; all red cars)
Bayley Scales of Infant Development III (1-42 mos)
Motor Scale – gross, fine motor
◦ Cognitive Scale – attending to stimulus, search for hidden toy
◦ Language Scale – comprehension and production of language; following directions, naming objects
◦ Social-Emotional Scale – parent report on behavior
◦ Adaptive Behavior Scale – parent report on skills in day-to-day tasks
Challenges
◦ Scores vary from one session to another
◦ Highly dependent on infant arousal and motivation
◦ Don’t predict intelligence scores on adult measures
Primarily used as a screening tool
If they at are above age-level, then
◦ If they don’t do well, we just know we need to re-evaluate. Doesn’t mean they are behind, but it might