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Physical Development in Early Childhood Chapter 7 Growth Patterns • Height and weight increase rapidly but less rapidly than in infancy • Cephalocaudal trend changes to be more adult-like proportions • As middle childhood is reached, rate of growth slows until adolescence Nutrition • Caloric Intake: – Child (2-3 years old): • 1000 cal sedentary 1400 cal active – Female (4-8 years old): • 1200 cal sedentary 1800 cal active – Male (4-8 years old): • 1400 cal sedentary 2000 cal active – Source: USDA, 2005 Nutrition • Protein: – Amino acids – Supports new growth • Carbohydrates: – Provides energy for muscle activity – Generation of heat – Support brain functioning Nutrition • Fat: – Temperature control – High levels linked to heart disease – Body produces cholesterol • Minerals and Vitamins – Required for bone growth – Deficits linked to physical and mental problems Nutrition • Malnutrition – Lower than necessary caloric intake (undernourished) – Inappropriate nutritional categories (malnourished) Nutrition • Impact of Malnutrition During Early Chhd – Malnutrition in infancy • Increased emotional responses to stress • Lowered thresholds of arousal – Nutritional supplementary programs most effective in early childhood – Recipients of supplements were: • More active, • More talkative, • Less time crying Nutrition • Specific Deficiencies – Iodine—retardation of cognitive capacity and physical growth (particularly during pregnancy—Kyrgyz Case) – Iron—lower levels of performance on infant psychological tests; lower IQ scores among young children; Brain Growth & Development • Changes in the early childhood brain: – Increased rate of mylenation – Increased production of glial cells – Synaptic pruning – Increase in mass of brain – Increase in circumference of the skull Experience and Brain Development • Experience—expectant development: – Readiness to learn based on genetics – Sensitive periods primed for stimulation Experience and Brain Development • Experience—dependent development: – Neural pathways dependent on unique experience – Basis of individual differences – Basis of unique skills – Pruning allows new pathways to mature – Fragile X syndrome—negates pruning • How much is enough stimulation? (Scarr) Brain Lobes and Development • Occipital—visual cortex develops early (e.g. face recognition) • Temporal—language learning; continues to develop across early childhood Brain Lobes and Development • Parietal—movement, orientation, recognition, perception of stimuli (coordination—eye hand) • Frontal—reasoning, planning, parts of speech, movement, emotions, and problem solving (develops into young adulthood) Hippocampus—memories; immaturity related to infantile amnesia Motor Development • Locomotor skills – Gait becomes smoother – Stair climbing—both feet brought to the same step before moving upward or downward – Eye-hand and eye-foot coordination improves – Running and jumping become easier – Balance improves – Based on maturation, experience, and encouragment Motor Development • Fine motor skills: – Require greater precision and control – 2-3 year olds begin stacking blocks, molding clay, scribbling, etc – 3-4 year olds more accurately perform tasks such as writing letters with an adult-like grip, cutting with blunt scissors, open screw-top containers (cause for caution) etc. Physical Activity & Exercise • USDA: – at least 60 minutes each day of vigorous exercise for all with an additional 60 minutes of free activity • Vigorous exercise – Increases pulmonary functioning – Supports bone growth and strength – Play with peers increases opportunity for social, language, and cognitive development – Can support family cohesion (biking, hiking, swimming) • Reduce sedentary time (e.g. computer, t.v.) Developmental Delays & Disorders • Individuals with Disabilities Education Act & Americans with Disabilities Act – Adaptive physical education – Independent living training – Adaptive facilities – Leaning Post Ranch experience Safety and Early Childhood • Car Seats—age and size appropriate correctly installed • Poison control—cabinet locks, removal, healthier alternatives to toxic substances • Illness/Disease—inoculations, food safety, childhood diseases • Pool and Water safety—locked gates, alarms, supervision • Firearm safety—locked in safe, ammunition stored separately, not in the home Child Maltreatment • Physical Abuse: – Striking a child causing some level of physical harm (brusing, etc.) – Can be unintentional arising from punishment that escalated – Can be intentional Child Maltreatment • Neglect: – failure to provide for basic needs (social, emotional, educational, physical) – Includes abandonment, leaving the child alone and unsupervised Child Maltreatment • Sexual: – Fondling a child’s genitals or breasts – Oral, anal, vaginal intercourse – Other sex acts – Exposing child to pornography or other sexual acts – Involving child in pornography production Child Maltreatment • Psychological: – Degrading – Threatening – Isolating • Typically, the categories overlap with multiple types of abuse • Reporting Requirements: any professional or volunteer with reason to believe abuse is taking place must report it. Child Maltreatment • Most likely to inflict abuse: Mother • Most likely to be abused: Infants (> 1yr) • Young boys most likely to be physically abused • Young adolescent girls most likely to be physically abused • Girls most likely to experience sexual abuse Outcomes of Abuse • Physical: – Lowered reactivity to stressors (non-reactive salivarial cortisol) – Hippocampus may be smaller • Psychological: – Move from trust to mistrust (ala Erikson) – Use of violence to deal with conflict – Lack of sympathetic response to others’ distress – Little evidence that a abused kids grow up to be abusive parents Outcomes of Neglect • Lower achievement in academics than abused children • Poor social development with withdrawal • Poor emotional control Factors Impacting Outcomes of Abuse • The child's age and developmental status when the abuse or neglect occurred • The type of abuse (physical abuse, neglect, sexual abuse, etc.) • The frequency, duration, and severity of abuse • The relationship between the victim and his or her abuser (English et al., 2005; Chalk, Gibbons & Scarupa, 2002)