• The growing body during Middle Childhood A. Physical Body

Slow, steady growth

Height and weight changes

Less rounded

Girls taller than boys on average (only time in lifespan)

11 – girls 4’10” boys 4’9” more muscular

variability; genetically determined but also environmental factors that will affect (SES, disease, nutrition)

  • Nutrition

Better nutrition – more physically active, better cognitive performance, more socially engaged, happier, lower levels of anxiety (all correlational) Need fewer calories than during infancy

  • Childhood Obesity

20% above average for person of given height and weight

1 in 8 kids are obese (3xs rate of the 1960s)

gallstones, type 2 diabetes, high blood pressure, high cholesterol and triglycerides, coronary artery disease (CAD), a stroke, and sleep apnea, among other conditions

caused by mixture of genetic and social factors

Twin studies – compare identical/fraternal twins. Same environment, differing genetic similarity identical – 100% common DNA; correlations of 74% fraternal – 50% common DNA; correlations of 32% Adopted studies

adoptees more similar in weight to biological parents than adoptive parents parental behaviors

time management – turn to pre­packaged foods more fat, sugar, salt fresh fruits/veggies are expensive exercise

school­age children tend to engage in little exercise recess cancelled because of “no child left behind” over protective parents concern about safety strong correlation between TV and obesity passive replaces play

more snacking while watching TV more ads for food Treating obesity

maintain current weight will eventually stabilize relative to height

  • Health During Middle Childhood

Generally good

Colds/respiratory infections – uncomfortable but boost immune system

Over 90% will experience at least 1 serious medical condition

Most illness is short­term

Asthma

More than 7% under age 18 suffer

Chronic condition – attacks of wheezing, coughing, shortness of breath

Constriction of airways leading to lungs; terrifying

Triggers

Respiratory infections

Air pollution

Activity

Occurrence has almost doubled in last 10 years

Better diagnoses

Poverty – more likely to be exposed to triggers

Dust mites, roach feces, rodent feces

  • Psychological Disorders

Bipolar Disorder

Person cycles back and forth between unrealistically high mood/energy and depression

Many disorders have been neglected in kids

Some manifest differently in kids than adults

Childhood Depression 5% in preteens

can be treated with medications

developed for adults; confusion over dosing for kids long­term effects unknown – brains still developing

ADD/ADHD medication can increase risk of stimulant abuse as adults

Increased suicide risk

While depressed, person has low motivation/drive; treatment may give them energy to complete suicide plan

Kids/teens more impulsive than adults

Symptoms more likely to be anger/irritability

Anxiety Disorder

Intense, uncontrollable anxiety about things most people don’t find disturbing

Social situations, achievement, free­floating

  • Motor Development and Safety A. Motor Skills

Gross and fine motor skills improve

Better muscular coordination

Gender differences in gross motor skills

Cultural expectations – boys more likely to play organized sports

Compare sporty girls to sporty boys and differences are minimized

Differing expectations – place more emphasis on sports for boys

No reason to separate sexes for sports until puberty

Fine Motor Skills

Increase in myelinization in the brain

Faster coordination of small muscles

Social Benefits

Kids who perform well psychically often more accepted/liked

Especially pronounced for boys – more importance

Physical maturity determine athletic performance

Taller, stronger, heavier

Don’t overemphasize significance of physical ability

Sports should be fun

Maintain physical fitness

Learning new skills associated with sports

Becoming comfortable with bodies

  • Threats to Children’s Safety

More independence, mobility, new safety issues

Walking more alone

Not able to judge speed and distance of cars

More time on bikes not wearing helmets

Clear rules about acceptable places to ride

Bike lanes next to busy roads

Accidents

Auto injuries most common

Proper restraint system important

Kids should ride in the back

Always model proper seat belt use

Cyberspace

Many dangers online

Warn kids not to meet face­to­face with anyone they have met online without parent present

  • Sensory Difficulties: Visual, Auditory, and Speech Problems

Can lead to academic and social problems

Visual Impairments

Blindness (less than 20/200 after correction), partial sightedness (20/70 after correction)

Also inability to see up­close

Disabilities in color, depth, light perception

Warning Signs

Frequent eye irritation

Blinking/facial contortions while reading

Holding reading material too close

Frequent headaches

Auditory impairments

Loss of hearing

1­2%

certain frequencies loss of oral language abilities

can affect abstract thinking

Speech Impairments

Calls attention to speaker, interferes with communication, produces maladjustments

3­5%

stuttering – substantial disruption in rhythm/fluency of speech; most common Learning disabilities

difficulties listening, speaking, reading, writing, reasoning, math

Dyslexia reading disability

Dysgraphia writing disability

Dyscalculia math disability

  • ADD/ADHD

Another form of special need

Inattention, impulsiveness, failure to complete tasks, lack of organization, excessive uncontrollable activity Drug treatments controversial

3­5% suffer

ADHD medications are stimulants – paradoxical effect

May predispose kids to stimulant abuse as adults

  1. Developmental Diversity: Mainstreaming and Full Inclusion of Children With Special Needs

Public Law 94­142

Least restrictive environment – setting most similar to that of kids without special needs

Mainstreaming – kids with special needs integrated to the fullest extent possible

No special advantages for kids with special needs placed in separate classes