Motor Skills, and Sexual Development. “Few aspects of development are more interesting to the casual observer than the rapid transformation” AN OVERVIEW OF MATURATION AND GROWTH Change in HEIGHT and WEIGHT Babies grow very rapidly during the first 2 years, often doubling their birth weight by 4 to 6 months of age and tripling it (to about 21 to 22 pounds) by the end of the first year. “Growth is very uneven in infancy.” • From age 2 until puberty, children gain about 2 to 3 inches in height and 6 to 7 pounds in weight each year. During middle childhood (ages 6 to 11), children may seem to grow very little; over an entire year, gains of 2 inches and 6 pounds are hard to detect on a child who stands 4 to 4½ feet tall and weighs 60 to 80 pounds (Eichorn, 1979). Changes in Body Proportion To a casual observer, newborns may appear to be “all head”— and for good reason. The newborn’s head is already 70 percent of its eventual adult size and represents one-quarter of total body length, the same fraction as the legs. As a child grows, body shape rapidly changes (see Figure 6.2). Development proceeds in a cephalocaudal (head downward) direction. The trunk grows fastest during the first year. At 1 year of age, a child’s head now accounts for only 20 percent of total body length. While children grow upward, they are also growing outward in a proximodistal (center outward) direction (Kohler & Rigby, 2003). During prenatal development, for example, the chest and internal organs form first, followed by the arms and legs, then the hands and feet. Skeletal Development • The skeletal structures that form during the prenatal period are initially soft cartilage that will gradually ossify (harden) into bony material. At birth, most of the infant’s bones are soft, pliable, and difficult to break. The neonate’s skull consists of several soft bones that can be compressed to allow the child to pass through the cervix and the birth canal, making childbirth easier for the mother and the baby. Other parts of the body— namely the ankles and feet and the wrists and hands—develop more (rather than fewer) bones as the child matures. In Figure 6.3, we see that the wrist and hand bones of a 1-year-old are both fewer and less interconnected than the corresponding skeletal equipment of an adolescent. One method of estimating a child’s level of physical maturation is to X-ray his or her wrist and hand (as in Figure 6.3). The X-ray shows the number of bones and the extent of their ossification, which is then interpretable as a skeletal age. Muscular Development Newborns are born with all the muscle fibers they will ever have (Tanner, 1990). At birth, muscle tissue is 35 percent water, and it accounts for no more than 18 to 24 percent of a baby’s body weight (Marshall, 1977). However, muscle fibers soon begin to grow as the cellular fluid in muscle tissue is bolstered by the addition of protein and salts. Variations in • Physical development is a very uneven process in which Physical different bodily systems display unique growth Development patterns. Individua Not only is the development of body systems an uneven or l asynchronous process, but there Variation are sizable individual variations in the rates at which children s grow (Kohler & Rigby, 2003). People from Asia, South America, and Africa tend to be smaller than Cultural those from North America, Northern Europe, and Australia.and Asian-American African Variations American children, for example, tend to mature faster than European American and European children (Berkey et al., 1994; Herman- Giddens et al., 1997)