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The objective of the food safety system is to provide safe and suitable food in New Zealand(1). This is of particular importance for our youngest members– infants and young children. During the first 2000 days of life, food and nutrition have crucial roles. Nutrient requirements are high, and children often have an increased vulnerability to hazards associated with chemical and microbiological contamination. Foods targeted to this age group typically have strict regulations, as the quality and safety of foods for infants and young children is of great concern to caregivers, public health authorities and regulatory bodies worldwide. The recent First Foods New Zealand Study (FFNZ) and Young Foods New Zealand (YFNZ) Study have provided important data into what, and how, we feed our infants and young children under four years of age(2). Insights from the dietary intakes and health of 925 infants and young children from these studies are being used by NZFS to inform its work on food monitoring surveillance and food policy. Currently New Zealand Food Safety (NZFS) is conducting the 2024 New Zealand Total Diet Study (NZTDS) (Infants and Toddlers)(3). The NZTDS is a food monitoring and surveillance programme which aims to evaluate the risk to New Zealanders from exposure to certain chemicals such as agricultural chemicals, contaminants (including from food packaging), and nutrients. The 2024 NZTDS will, for the first time, focus exclusively on infants and young children. The FFNZ and YFNZ studies informed the selection of 117 foods to be tested from four New Zealand regions throughout 2024/2025. The dietary intake data will then be used to estimate the dietary exposure to each of the 362 chemicals analysed. This monitoring programme informs policy decision-making and food standard setting and provides assurance on the safety of our food supply. Concerns around the nutrient quality and labelling of some commercial products for infants and young children have been identified in Australia and New Zealand. Within the joint food regulatory system, consultation is underway to consider regulatory and non-regulatory options for improving commercial foods for infants and young children(4). This presentation will discuss NZFS’s role in monitoring foods and diets of infants and young children in Aotearoa New Zealand, the importance of, and application of evidence to inform policy, food safety, and potential regulatory and non-regulatory options to ensure that the food safety system continues to deliver safe and suitable food in New Zealand.
Diet in the first years of life is a key determinant of lifelong disease risk and is highly affected by socio-economic status (SES). However, the specific relation between SES and food consumption in toddlers and preschoolers is poorly understood. This study assesses SES-related differences in food consumption in 1- to 5-year-olds in Germany using weighed food records (3 + 1 d) of a subsample of 887 children from the cross-sectional Children’s Nutrition Survey to Record Food Consumption (KiESEL) undertaken between 2014 and 2017. Children were categorised as having a low, medium or high SES depending on parental income, education and occupation. A two-step generalised linear model corrected for age and sex was applied to assess differences in food consumption, using bootstrapping to address unequal group sizes. Differences between SES groups were found for unfavourable foods (and the subgroups sugar-sweetened beverages and confectionary/desserts), fruit, bread/cereals and fats/oils (PBoot < 0·05). Mean daily consumption in the low-SES group as compared with the high-SES group was 84 g lower for total fruit, 22 g lower for bread/cereals and 3 g lower for fats/oils, while being 123 g higher for sugar-sweetened beverages and 158 g higher for unfavourable foods in total (based on bootstrap 95 % CI). In conclusion, this study suggests a social gradient in the diet of German toddlers and preschoolers, with lower SES linked to lower diet quality. To prevent adverse health trajectories, public health measures to improve early life nutrition should address all children, prioritising those of lower SES.
Children in their first three years of life learn, develop and grow at a faster rate than at any other time, with early childhood teachers and educators playing a vital role in providing them with the very best learning opportunities. Intentional Practice with Infants and Toddlers focuses on purposeful pedagogical approaches, equipping pre-service and practising early childhood teachers and educators with the professional knowledge and strategies required to implement effective infant and toddler pedagogies in early childhood education settings. Drawing on a growing body of research and evidence, the book covers topics such as educational programs, pedagogy as care, health and physical wellbeing, creating a language-rich environment, establishing social cultures, and documenting, planning for and communicating learning. Features include spotlight boxes to explore relevant research, theories and practices; vignettes to open each chapter; reflection questions; and links to the Early Years Learning Framework and National Quality Standards.
In this chapter, we focus on the implementation of the planning cycle in infant and toddler settings and how it might be co-constructed, documented and shared with key stakeholders. Throughout this book, we have examined how the first three years constitute a foundational period with particular competencies, vulnerabilities and opportunities for growth and learning. Infants and toddlers deserve, and indeed have a right to experience, curriculum that is specifically designed to nurture their unique ways of being, belonging and becoming. At the same time, very young children are not a homogenous group but individuals with their own interests, dispositions, strengths and challenges. Quality curriculum is planned to be responsive to these individual differences. Planning curriculum is an important professional practice requiring educators to act with what the Early Years Learning Framework (EYLF) calls intentionality, meaning their curriculum and practice is deliberate, thoughtful and purposeful.
Infants and toddlers are immersed in the social culture of their family, community and society from before they are born. Every family has distinct social practices and ways of interacting which shape very young children’s holistic physiological, cognitive and emotional learning, development and wellbeing. These practices reflect the values, beliefs, norms and expectations of their community and culture. Over time, through repeated social encounters and experiences, the social culture of their family and community is passed on as infants and toddlers become socialised into these specific ways of engaging with others. Social practices and interactions thus form the basis of the relationships that infants and toddlers form with significant others. As a result, the social opportunities that very young children experience and participate in during their everyday existence have far-reaching consequences for their sense of identify and belonging.
Most simply, the words ‘pedagogy and care’ capture and describe the core work that is done in the earliest years of education with very young children. Early childhood education (ECE) shares the same general aims as primary, secondary and tertiary education, with an overarching focus on learning and development. Educators working with infants and toddlers practice in a space where pedagogy and care are inextricably linked. It could thus be argued that ideas about pedagogy in relation to infants and toddlers are hardest to reconcile. This challenge may be due to the particular history of infants and toddlers as the youngest children in society, driven by discourses of maternalism and inherently tied to an image of their place in the home, where they were for many centuries. However, infants and toddlers are attending ECE settings in ever-increasing numbers and upholding their right to quality pedagogy is a professional responsibility of all ECE services, leaders and educators.
From the moment they are born, infants are active and competent learners. Before birth, they perceive and respond to stimuli from the outside world and the people in it. Newborns recognise and respond socially to other people and pay attention to interesting objects and events. Infants are born ‘ready to learn, and during their first three years, they learn, develop and grow at a faster rate than at any other time in their lives. Rapid physical development enables mobility, exploration and physical manipulation; emerging social and emotional skills foster relationships, wellbeing, and belonging; increasing communication and language competence support social interactions, literacy development and learning; and cognitive advancements cultivate critical ways of thinking and understanding. The skills and understandings that infants and toddlers achieve during their first three years form the cornerstone from which all future learning, development and wellbeing is built.
From the moment of birth, infants are immersed in a world of communication. Attentive adults look into their eyes, smile and coo at them, and use touch, eye contact and simple sentences to connect. In return, newborns respond to the human voices that they have been hearing in utero by looking towards the adult’s face and moving their bodies and faces. They also respond neurologically, with parts of their brains associated with auditory language processing activated by human speech more so than by other human sounds such as humming or non-distinct speech. Within the first six months, they not only use cries, coos and facial expressions to communicate feelings and needs, but also engage in rudimental back and forth exchanges with attending caregivers. The desire to connect with others through language and communication is indeed a very strong and uniquely human trait.
For many adults, the idea that infants and toddlers are ‘knowers, thinkers and theorisers’ is a strange one. Such concepts are often associated with older children whose abilities to build and express understandings are more evident and align more readily with traditional ideas about learning and teaching. Furthermore, cognitive states and processes such as ‘knowing’, ‘thinking’ and ‘understanding’ are not visible in the same way that physical, social and emotional behaviours. This means that they have to be inferred and interpreted, especially when pre-verbal infants and toddlers cannot tell you what is going on in their heads. Together these challenges may result in a deficit view that, instead of seeing infants and toddlers as active and capable learners, positions very young as waiting to learn. Also, an emphasis on meeting physical and emotional needs may come at the cost of overlooking infants and toddlers cognitive capabilities and potentials.
Human emotional responses are a complex mixture of physiological, cognitive, social and communicative activity. Emotional activity occurs in response to inner and outer worlds and is deeply shaped by the social and cultural environments in which it is embedded. Very young children experience (and learn about) emotions by feeling, understanding and showing them. These sophisticated emotional capabilities lay the groundwork for co-creating social affective relationships with important people in their lives. As the Early Years Learning Framework (EYLF) states, when educators tune into and try to understand children’s emotions and feelings within respectful and reciprocal relationships, they support their learning, development and wellbeing. Emotional wellbeing can be seen as the glue that holds children’s learning and development together. Similarly, an educator’s emotional wellbeing can bind their professional learning, development and satisfaction together. Without emotional wellbeing, learning and development for both children and educators can be negatively impacted.
The environments we create for the infants and toddlers in early childhood education (ECE) settings are critically important because they shape the daily lived experience of children and educators, and create the conditions for children’s interactions, wellbeing, engagement, learning and development. ECE environments are not neutral, nor are they natural. They are constructed in specific ways for specific purposes and are a representation of our philosophy that ‘speaks’ to children, educators and families about our image of the child, about the value we place on family, culture and community, and about our beliefs regarding teaching and learning. ECE environments are political because they influence the possibilities for interactions, relationships, empowerment and agency.
This chapter explores the value of the arts in the lives of very young children in early childhood education settings. It is hard to imagine a more joyful or rich opportunity for connection, expression and learning in early childhood than the arts. Humanity has always created art in a range of forms for a range of purposes and the youngest children are innately attracted to engage in music, dance, drama, and visual arts experiences.
In contemporary Australian society, the word ‘quality’ is ever-present in professional and political discussions about early childhood education. Educators and families are told that ‘quality is important’; curriculum documents, such as Australia’s Early Years Learning Framework (EYLF), aim to enhance quality; services are rated for the quality of education and care that they deliver; and governments regulate service conditions and provisions in order to facilitate the provision of high quality practice. Together, these social, professional and political structures communicate a strong message that quality matters for young children’s learning and wellbeing.
This chapter takes a different approach to common ECE perspectives on physical development that, for example, focus on the stages of achievement of fine and gross motor developmental milestones. Instead, we focus on the bodily functions, movement and deep physical learning that are central to infant–toddler pedagogy. This is because embodied health and wellbeing in the first three years of life are the foundations for ongoing holistic learning and lifelong outcomes. The Early Years Learning Framework (EYLF) acknowledges this through its recognition that cognitive, linguistic, physical, social, emotional, personal, spiritual and creative aspects of learning are all intricately interwoven and interrelated. Promoting physical health for holistic wellbeing reflects this view by acknowledging the whole body as the physical home of all these parts. The brain is the ‘control centre’ for many of the complex integrated systems within the body, including the nervous and sensory systems, that establish and guide development.
Across Australia and beyond, early childhood education (ECE) services play a significant role in the everyday lives of infants, toddlers and their families. For some decades, the enrolment of infants and toddlers has increased to the extent that, in today’s Australian society, around 40% of birth to 24-month-olds and nearly 60% of two-year-olds spend at least part of their week in an early childhood service. More still balance ECE service attendance with informal care arrangements with family members and friends. With these figures echoed across many countries worldwide, the widespread uptake of infant and toddler early childhood programs has meant that this generation of infants and toddlers and their families are experiencing a markedly different start to life than previous generations. It is now the norm for infant–toddler care to be spread across multiple contexts both within and outside of the walls of the family home, and for the responsibility for early learning to be shared between family and non-familial adults.
Both the quantity and quality of the maternal language input are important for early language development. However, depression and anxiety can negatively impact mothers’ engagement with their infants and their infants’ expressive language abilities. Australian mother-infant dyads (N = 30) participated in a longitudinal study examining the effect of maternal language input when infants were 24 and 30 months and maternal depression and anxiety symptoms on vocabulary size. Half the mothers had elevated depression and anxiety symptoms during at least one point in the study (at 6, 12, 18, 24, or 30 months). The results showed that only maternal input measures (word tokens, types, and mean length of utterance) predicted vocabulary size. While no evidence was found that brief periods of maternal depression and anxiety negatively impacted early vocabulary development, the findings highlight the critical importance and possible mitigating effects of maintaining good quality mother–infant interactions during early development.
To determine whether gross motor scores of toddlers after complex cardiac surgery were different from fine motor scores and were adequately represented by motor composite scores and, whether acute care predictors and chronic childhood health markers of gross motor scores differed from those of fine motor.
Methods:
This prospective inception-cohort outcomes study included 171 toddlers after complex cardiac surgery with cardiopulmonary bypass at age <6 months, born in Northern Alberta from 2009 to 2019, and without known chromosomal abnormalities. At a mean (standard deviation) age of 21.7 (3.7) months, the Bayley Scales of Infant and Toddler Development-III determined motor composite and scaled scores (normative values, 100 (15), 10 (3), respectively). The same variables from surgery and assessment were analysed using multivariate regression to predict gross and fine motor scores; results expressed as effect size (95% confidence interval) with % variance.
Results:
Composite, fine, and gross motor scores were 89.7 (14.2), 9.4 (2.5), and 7.2 (2.7), respectively. Predictive variables accounted for 21.2% of the variance for fine motor, and 36.9% for gross motor. Multivariate analysis for gross motor scores included toddlers need for cardiac medication, effect size (95% confidence interval) −0.801 (−1.62, −0.02), gastrostomy, −1.35 (−2.39, −0.319), and single ventricle, −0.93 (−1.71, −0.15). These same variables did not predict fine motor scores.
Conclusion:
Gross motor skills commonly were lower than fine motor skills for toddlers after complex cardiac surgery. Predictors for gross motor scores differed from fine motor scores. Separate reporting of gross motor scores could lead to improved identification of predictors of delay and to optimised early intervention.
There has been much debate on the origins of prosocial behavior: do humans come into the world ready to help others, or is this something that must be learned? In this chapter, we approach this question by examining evidence on the ontogenetic and phylogenetic roots of prosocial behavior. First, we examine work with young children, focusing on the earliest developing prosocial behaviors of helping, comforting, and sharing. We then complement this developmental evidence with studies on chimpanzees and bonobos to gain insight into which elements of prosocial behavior might be evolutionarily inherited. Taken together, this evidence suggests that humans have a biological predisposition for prosocial behavior that we share with our ape cousins and that human-specific socialization practices build on this foundation throughout the course of development.
Early forms of empathy and sharing appear before the first birthday. In the second year, toddlers cooperate and help or comfort others, as they begin to recognize other people’s needs. The different types of early prosocial behavior are not necessarily correlated with each other or with measures of infants’ temperament. Individual differences and gender differences in prosocial behavior begin to emerge in early childhood, when prosocial behavior becomes associated with children’s developing skills and their social understanding.
Attention deficit hyperactivity disorder (ADHD) is a neurodevelopmental disorder associated with increased risk for poor educational attainment and compromised social integration. Currently, clinical diagnosis rarely occurs before school-age, despite behavioral signs of ADHD in very early childhood. There is no known brain biomarker for ADHD risk in children ages 2–3 years-old.
Methods
The current study aimed to investigate the functional connectivity (FC) associated with ADHD risk in 70 children aged 2.5 and 3.5 years via functional near-infrared spectroscopy (fNIRS) in bilateral frontal and parietal cortices; regions involved in attentional and goal-directed cognition. Children were instructed to passively watch videos for approximately 5 min. Risk for ADHD in each child was assessed via maternal symptoms of ADHD, and brain data was evaluated for FC.
Results
Higher risk for maternal ADHD was associated with lower FC in a left-sided parieto-frontal network. Further, the interaction between sex and risk for ADHD was significant, where FC reduction in a widespread bilateral parieto-frontal network was associated with higher risk in male, but not female, participants.
Conclusions
These findings suggest functional organization differences in the parietal–frontal network in toddlers at risk for ADHD; potentially advancing the understanding of the neural mechanisms underlying the development of ADHD.