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Effect of Maturational Factors on the Development and Learning Many physiological factors affect the development of babies and young children. These dictate which kinds of learning activities are appropriate or ineffective for certain ages. For example, providing a newborn with visual stimuli from several feet away is wasted, as newborns cannot yet focus on distant objects. Adults cannot expect infants younger than about 5 months to sit up unsupported, as they have not yet developed the strength for it. Adults cannot expect toddlers who have not yet attained stable walking gaits to hop or balance upon one foot successfully. It is not coincidental that first grade begins at around 6 years: younger children cannot physically sit still for long periods and have not developed long enough attention spans to prevent distraction. This is also why kindergarten classes feature varieties of shorter term activities and more physical movement. Younger children also have not yet developed the self-regulation to keep from shouting out on impulse, getting up and running around, etc.—behaviors disruptive to formal schooling but developmentally normal.
Nutritional Factors in Diet Affecting Early Childhood Development Babies are typically nourished via mother’s milk or infant formula, and then with baby food; however, young children mostly eat the same foods as adults by the age of 2 years. Though they eat smaller quantities, young children have similar nutritional needs to those of adults. Calcium can be more important in early childhood to support the rapid bone growth occurring during this period; young children should receive 2–3 servings of dairy products and/or other calcium-rich foods. For all ages, whole-grain foods are nutritionally superior for their fiber and nutrients than refined flours, which have had these removed. Refined flours provide “empty calories” causing wider blood-sugar fluctuations and insulin resistance—Type 2 diabetes risks—than whole grains, which stabilize blood sugar and offer more naturally occurring vitamins and minerals. Darkly and brightly colored produce are most nutritious. Adults should cut foods into small, bite-sized pieces to prevent choking in young children, who have not yet perfected their biting, chewing, and swallowing skills.
Considerations for Early Childhood Nutrition Raw or lightly steamed vegetables are best because excess heat destroys nutrients and frying adds fat calories. Fresh, in-season and flash-frozen fruits are more nutritious/less processed than canned. Adults should monitor young children’s diets to limit highly processed produce, which can have excessive sugar, salt, or preservatives. Good protein sources include legumes, nuts, lean poultry, and fish. Adults should take care with young children to avoid choking hazards by cutting foods into bite-sized pieces. Serving nut butters instead of whole nuts is safer, but spread thinly on whole-grain breads/crackers or vegetable pieces, because young children can choke on large globs of nut butter as well. Omega-3 fatty acids from salmon, mackerel, herring, flaxseeds, and walnuts control inflammation, prevent heart arrhythmias, and lower blood pressure. Monounsaturated fats from avocados, olives, peanuts, their oils, and canola oil prevent heart disease, lower bad cholesterol, and raise good cholesterol. Polyunsaturated fats from nuts, seeds, and corn, soy, sesame, sunflower, and safflower oils lower cholesterol. These fats/oils should be served in moderation, avoiding saturated fats.
Considerations for Feeding Young Children Saturated fats from meats and full-fat dairy should be limited; they can cause health problems like high cholesterol, cardiovascular disease, obesity, and diabetes. Trans fats are produced chemically by hydrogenating normally liquid unsaturated fats and converting them to solid, saturated fats as in margarine and shortening used in many baked goods. These are considered even unhealthier than regular saturated fats and should be avoided. (The words “partially hydrogenated” in the ingredients signal trans fats.) Infants derive enough water from mother’s milk/formula, but young children should be given plenty of water and/or milk in “sippy cups” to stay hydrated. The common practice of giving young children fruit juice should be avoided. Even without added sugars, fruit juices crowd out room in small stomachs for food nutrients and cause dental cavities and weaken permanent teeth before they erupt. Children can also gain weight, as juice calories do not replace food calories the way actual fruit does with its fiber and solids. Young children should eat two-thirds of adult-sized portions.
Characteristics of Young Children’s Nutritional Needs Young children have smaller stomachs than adults and cannot eat as much at one time as teens or adults. However, it is common practice for today’s restaurants to provide oversized portions. The historical tradition of encouraging young children to “clean their plates” is ill-advised considering these excessive portions and the abundance of food in America today. Adults can help young children by teaching them instead to respond to their own bodies’ signals and eat only until they are satisfied. Adults can also place smaller portions of food on young children’s plates and request to-go containers at restaurants to take leftovers home. Because young children cannot eat a lot at once, they must maintain their blood sugar and energy throughout the day by snacking between meals. However, “snack foods” need not be high in sugar, salt, and unhealthy fats. Cut pieces of fresh fruits and vegetables, whole-grain crackers and low-fat cheeses, and portable yogurt tubes make good snacks for young children.
Feeding Strategies Supporting Development of Nutritious Eating Habits and Attitudes Early childhood is an age range often associated with “finicky” eaters. Adults can experiment by substituting different foods that are similar sources of protein or other nutrients to foods young children dislike. Preparing meals to look like happy faces, animals, or have appealing designs can entice young children to eat varied foods. Engaging children age-appropriately in selecting and preparing meals with supervision can also motivate them to consume foods when they have participated in their preparation. Adults should model healthy eating habits for young children, who imitate admired adults’ behaviors. Early childhood is when children form basic food-related attitudes and habits and so is an important time for influencing these. Children are exposed to unhealthy foods in advertising, at school, in restaurants, and with friends, so adult modeling and guidance regarding healthy choices are important to counteract these influences. However, adults should also impart the message early that no foods are “bad”/forbidden, allowing some occasional indulgences in small amounts, to prevent the development of eating disorders.
Relationship of Sleep Quality to Blood Sugar Control in Children with Type 1 Diabetes Researchers find blood sugar stability problematic for many children with Type 1 (juvenile) diabetes, despite all efforts by parents and children to follow diabetic health care rules, because of sleep differences. Diabetic children spend more time in lighter than deeper stages of sleep compared to nondiabetic children. This results in higher levels of blood sugar and poorer school performance. Lighter sleep and resulting daytime sleepiness tend to increase blood sugar levels. Sleep apnea is a sleep disorder that causes a person’s breathing to be interrupted often during sleeping. These breathing interruptions result in poorer sleep quality, fatigue, and daytime sleepiness. Sleep apnea has previously been associated with Type 2 diabetes—historically adult-onset, though now children are developing it, too. It is now known that apnea is also associated with Type 1 diabetes in children: roughly one-third of diabetic children studied have sleep apnea, regardless of their weight (being overweight can contribute to apnea). Sleep apnea is additionally associated with much higher blood sugars in diabetic children.
General Sleep Needs and Behaviors of Young Children Sleep allows the body to become repaired and recharged for the day and is vital for young children’s growth and development. Children aged 2–5 years generally need 10–12 hours of sleep daily. Children 5–7 years old typically need 9–11 hours of sleep. Their sleep schedules should be fairly regular. While occasionally staying up later or missing naps for special events is not serious, overall inconsistent/disorganized schedules cause lost sleep and lethargic and/or cranky children. Some young children sleep fewer hours at night but need long daytime naps, while others need longer, uninterrupted nighttime sleep but seldom nap. Young children are busy exploring and discovering new things; they have a lot of energy and are often excited even when tired. Because they have not developed much self-regulation, they need adult guidance to calm down enough to go to sleep and will often resist bedtimes. Adults should plan bedtime routines. These can vary, but their most important aspect is consistency. Children then expect routines’ familiar steps, and anticipating these comfort them.
Components and Characteristics of Good Bedtime Routines Bedtime routines serve as transitions from young children’s exciting, adventurous daytime activities to the tranquility needed for healthful rest. Adults should begin routines by establishing and enforcing a rule that daytime activities like rough-and-tumble physical play or TV watching stop at a specific time. While preschoolers may be less interested in computer/video games than older children, establishing limits early will help parents enforce stopping these activities at bedtime when they are older, too. Bath time is one good way to begin bedtime routines. Toys and games make baths fun, and bath washes with lavender and other soothing ingredients are now available to relax young children. Also, since young children eat smaller meals, healthy bedtime snacks are important. Too much/too little food will disrupt sleep, and too much liquid can cause bedwetting. Adults should plan nighttime snacks appropriately for the individual child. Bedtime reading promotes interest in books and learning, adult-child/family bonding, and calms children. Singing lullabies, hugging, and cuddling also support bonding, relax children, and make them feel safe and secure.
Helping Young Children Transition from Cribs to Regular Beds One of young children’s significant transitions from infancy is moving from a crib to a “big bed.” Some become very motivated to escape cribs. For example, some bright, adventurous toddlers and even babies have untied padded crib bumpers, stacked them, and climbed out of the crib. For such children, injury is a greater danger from a crib than a bed. Others, whose cognitive and verbal skills are more developed than motor skills, may stand/jump up and down, repeatedly calling, “Hey, I’m up!” until a parent comes. These children should be moved to regular beds, with guardrails and/or body pillows to prevent rolling/falling-out accidents. If a child is moved to a bed to free the crib for a new baby, this should be done weeks ahead of the infant’s arrival if possible, to separate these two significant life events. Most young children are excited about “grown-up” beds. Some, if hesitant, can sleep in the crib and nap in the bed for a gradual transition until ready for the bed full-time.
Considerations in Children’s Bedrooms and Family Beds The majority of early childhood experts think young children should not have adults in their rooms every night while they fall asleep. They believe this can interfere with young children’s capacity for “self-soothing” and falling asleep on their own, making them dependent on an adult presence to fall asleep. Parents/caregivers are advised to help children relax until sleepy, and then leave, saying “Good night” and “I love you.” Young children frequently feel more comfortable going to bed with a favorite blanket or stuffed animal and/or a night light. Regardless, fears and nightmares are still fairly common in early childhood. “Family beds,” i.e. children sleeping in the same bed or adjacent beds with parents, are subject to controversy. However, this is traditional in many developing countries and was historically so in America. Whatever the individual family choice, it should be consistent as young children will be frustrated by inconsistent practices and less likely to develop good sleeping habits.
Hygiene in Early Childhood Importance of Hand-Washing A major change during early childhood is that hygiene transforms from something adults do for children to something children learn to do themselves. Toddlers are typically learning toilet-training, getting many germs on their hands. Preschoolers today are also often exposed to germs in daycare or school settings. Adults must explain to young children using concrete, easily understood terms how germs spread; how hand-washing removes germs; and when and how to wash their hands. Adults also need to remind children frequently to wash their hands until it becomes a habit. Remind them hand-washing is required before eating, after toileting, after being outdoors, after sneezing/coughing, and after playing with pets. Because young children have short attention spans and can be impatient, they are unlikely to wash long or thoroughly enough. Adults can encourage this by teaching children to sing “Happy Birthday” or other 15- to 20-second songs/verses while washing, both assuring optimal hand-washing duration and making the process more fun.
Bathing While infants are bathed by adults, by the time they are toddlers or preschoolers, they generally have learned to sit in a bathtub and wash themselves. However, regardless of their ability to bathe, young children should never be left unsupervised by adults in the bath. Young children can drown very quickly, even in an inch of water; an adult should always be in the bathroom. Also, adults should not let young children run bathwater: they are likely to make it too cold or hot. Adults can prevent scalding accidents by turning down the water heater temperature. The adult should adjust water temperature and test it on his/her own inner arm (an area with more sensitive skin). Parents/caregivers should choose baby shampoos, soaps, and washes that do not irritate young eyes or skin, and keep adult bath products out of children’s reach and sight. Very active children may need to bathe daily; others suffering dry, itchy skin should bathe every other day and/or have parents/caregivers apply mild moisturizing lotion.
Promoting and Teaching Dental Hygiene Even while young children still have their deciduous/“baby” teeth, dental hygiene practices can affect their permanent/adult teeth before they erupt. For example, excessive sugar can weaken adult teeth before they even appear above the gumline. Adults should not only teach young children how important it is to brush their teeth twice and floss once daily at a minimum; moreover, they should model these behaviors. Children are far more likely to imitate parents’ dental hygiene practices than do what parents only tell them but do not do themselves. Integrating tooth brushing into morning and bedtime routines promotes the habit. Adults can help motivate resistant children with entertaining toothbrushes that play music, spin, light up, and/or have cartoon illustrations. Young children have not developed the fine motor skills sufficient for flossing independently and will need adult supervision until they are older. Individual flossers are easier for them to use with help than traditional string dental floss.
Exercise Benefits for Young Children Young children need daily physical exercise to strengthen their bones, lungs, hearts, and other muscles. Throwing, catching, running, jumping, kicking, and swinging actions develop young children’s gross motor skills. Children sleep better with regular physical activity and are at less risk for obesity. Playing actively with other children also develops social skills, including empathy, sharing, cooperation, and communication. Family playtimes strengthen bonding and let parents model positive exercise habits. Outdoor play is fun for youngsters; running and laughing lift children’s moods. Pride at physical attainments moreover boosts children’s self-images and self-esteem. At least 60 minutes of physical activity most days is recommended for children. This includes jungle gyms, slides, swings, and other playground equipment; family walks, bike-riding, playing backyard catch, baseball, football, or basketball; adult-supervised races or obstacle courses; and age-appropriate community sports activities/leagues. Adults should plan and supervise activities to prevent injuries. They should also provide repeated sunscreen applications for outdoor activities to prevent sunburn and long-term skin damage.
Exposure to TV/Other Media and Optimal Environmental Conditions for Leisure Activities Preschool-aged children are not yet cognitively able to distinguish between reality and fantasy. Therefore, overly violent or intense content in TV or other media can frighten them. Additionally, exposure to video violence has been proven to increase aggressive behaviors in young children. Moreover, using TV as a babysitter for long times excludes more cognitively stimulating and interactive pursuits. Parents/caregivers can provide young children with paints, crayons, and modeling clay. They can play board games and simple card games, do puzzles, sing songs, and read stories with young children. Pretend/make-believe play develops during early childhood, so adults can encourage their playing “house,” “dress-up,” or “auto shop.” Park/playground trips afford outdoor play and physical activity/exercise. Visiting local museums, zoos, or planetariums combine education and entertainment with outings. In multiple-child families, it is important for each child to get some one on one time with parents regularly, even in unstructured activities like going to the hardware store with Daddy or keeping Mommy company while she washes dishes.
Disadvantages/Advantages and Risk/Protective Factors in Economically Deprived and Culturally Diverse Environments Historically, disadvantages of poverty have been the focus of research; e.g. lack of toys, inadequate verbal interactions limiting visual discrimination and linguistic development or risk factors like less education, poorer nutrition, family stressors, medical illness, inadequate social stimulation, and insufficient social-service support leading to school dropouts, delinquency, unemployment, and perpetuated poverty. However, more recent research also identifies poverty’s advantages, including opportunities for young children to play with peers and older children with little adult intervention, promoting empathy, cooperation, self-control, self-reliance, and sense of belonging; experience with multiple teaching styles, especially modeling, observation, and imitation; and language acquisition within a culturally-specific context through rich cultural traditions of stories, songs, games, and toys. These findings illuminate the resiliency or stress resistance of some children. Recent research also identifies protective factors against risk factors. These protections contribute to child resiliency, including the child’s personality traits; having stable, supportive, cohesive family units; and having external support systems promoting positive values and coping skills.
Influence of Cultures and Cultural Values on Early Childhood Development The culture in a society influences, even determines, our individual values, as do both historical and current social and political occurrences. Our values then influence the ways in which children are valued and raised. As American educators, we can understand the “American” perspective on early childhood better through understanding cultural diversity. We tend to fixate on our own culture’s beliefs of truth as the only existing reality, but depending on our personal histories and values and current conditions, there can actually be multiple right ways of doing things. For example, Western cultures value children’s early attainment of independence and individuality, but Eastern cultures value interdependence and group harmony more than individualism. In affluent societies, letting children explore the environment early and freely is valued, but in poor and/or developing societies, parents protect children, keeping them close and even carrying them while working, and thus do not value early freedom and exploration.
Effect of Age, Ethnicity, and Income on Health and School Outcomes Research traces many variations in well-being and health to early childhood. These differences come from inequities in service access and treatment, congenital health problems, and early exposure to greater familial and community risk factors. Child groups at risk that are overrepresented in our population include young children, low-income children, and minority children. More young children than older children are likely to live in economically disadvantaged families. As of 2005, more than 10 million children aged 0–5 years lived in the U.S. 20 percent of these were in families classified as poor, i.e. with income below the federal poverty level (FPL), and 42 percent were in families designated low-income, i.e. with income below double the FPL. Of more than 2 million American children aged 0–5 living in families identified as extremely poor, i.e. with income less than half the FPL, minority groups were also overrepresented. The younger the children are, the greater the adverse effects of poverty are on their developmental outcomes.
Environment, Social and Emotional Support, Self-Image, and Success Researchers have recently found that a child’s sense of self is significant in predicting success in life. Even when a child’s family environment involves multiple stressors, having a good relationship with one parent mitigates a child’s psychosocial risks. As a child grows older, a close, supportive, lasting relationship with an adult outside the family can confer similar protection. Such relationships promote self-esteem in a child. Children with positive self-esteem are more able to develop feelings of control, mastery, and self-efficacy to achieve tasks, and they are more able to manage stressful life experiences. Such children demonstrate more initiative in forming relationships and accomplishing tasks. They reciprocally derive more positive experiences from their environments. Children with positive self-concepts pursue, develop, and sustain experiences and relationships that support success. Their positive self-images are further enhanced by these successes, generating additional supportive relationships and experiences. While we often hear about negative cycles of poverty, abuse, or failure, positive cycles of success can be equally as self-perpetuating.
Individualistic Versus Collectivistic Cultures Anthropologists have classified various world cultures along a continuum of how individualistic or interdependent their structures and values are. Investigating these differences is found to afford much insight and application for early childhood education. The predominant culture in America is considered very individualistic. Children are encouraged to assert themselves and make their own choices to realize their highest potentials, with the ultimate goal of individual self-fulfillment. Collectivistic/sociocentric cultures, however, place the highest importance on group well-being; if collective harmony is disrupted by individual assertiveness, such self-assertion is devalued. Some educators characterize this contrast as the difference between standing out (individualist) and fitting in (collectivist). Researchers note that when asked to finish “I am…” statements, members of interdependent cultures tend to supply a family role, religion, or organization (e.g. “a father/a Buddhist”); whereas members of individualistic cultures cite personal qualities (e.g. “intelligent/hardworking”). Research finds American culture most individualistic, Latin American and Asian cultures most interdependent, and European cultures in the middle.
Health Risks and Results Related to Racial and Ethnic Origins Children are at higher risk for inadequate development when they are born prematurely or with low birth weights. Recent research found racial and ethnic disparities in these birth conditions. For example, rates of low birth weights in 2004 were almost double for African-Americans as for whites (13.4 percent versus 7.1 percent). Latinos had similar but slightly lower risk than whites for low birth weight (6.9 percent versus 7.1 percent). Native American/Alaska Natives had slightly higher risk than white (7.5 percent versus 7.1 percent), as did Asian/Pacific Islanders (7.9 percent versus 7.1 percent). In oral health, 28 percent of preschoolers have had tooth decay. Moreover, data show that in children aged 2–5 years, oral disease increased 15.2 percent from 1994–2002, equaling 600,000 more children. It was found 13.9 percent of children aged 2–5 years were overweight or obese. Risk for overweight/obesity is higher for low-income and minority children. These groups are also at higher risk for poorer quality and continuity in asthma treatment. Asthma’s prevalence as well as asthma-related morbidity and deaths are higher in African-American children than white children.
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