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Growth and Development

                         4 years              16.7                 102.9

                         5 years              18.7                 109.9
                         6 years              20.7                 116.1                        Notes

                         7 years              22.9                 121.7
                         8 years              25.3                 127.0


               Source: ICMR (1990) Nutrient Requirements and Recommended Dietary Allowances
               for Indians.

               Physical growth is measured by increase in height and weight at regular intervals.
               The height of a newborn child ranges from 47 cms to 52 cms. The weight  can
               range from 2.4 kg to 3.2 kg. On an average, increment in weight is 2.0–2.5 kg
               per year. Boys tend to be heavier and taller than girls during infancy and even as
               toddlers. A steady increase in both height and weight is a good indicator of
               satisfactory physical growth. A height and weight chart is a good way of assessing
               health and physical development of children. Growth charts that monitor growth
               should be maintained regularly for all children.
               Along with an increase in height and weight, body proportions of children also
               undergo changes. You must have noticed that the head of a newborn looks bigger
               compared to the rest of the body. The top of the head appears to be large and the
               face remains small. Later body proportions change and the head does not look
               that big. However, throughout infancy and toddler hood, the lower portion
               continues to remain small and underdeveloped. The growth of the head is
               proportionately much less after birth as compared to the growth of the other
               parts of the body. The head increases in size and accounts for one-fourth of a
               child’s length at two years of age. Its width-wise grow this almost ninety percent
               complete by the age of three years. However, functional development of the
               brain continues into adolescence.

               Compared to the first year, the trunk and limbs begin to grow at a faster pace
               during toddlerhood. When children are born, their arms appear to be longer in
               proportion to their legs. At birth, the legs are short and face each other. As they
               grow in length, they straighten out. During the first and second years, the height
               of infants increases approximately by 40 percent and 60-75 percent respectively,
               greater than at birth. As a result of this change, the body of a child looks more
               proportionate than it did in the first year. This also helps children attain better
               balance. This pattern of growth remains the same for both boys and girls, but on
               an average, baby girls are slightly smaller than baby boys in size.

               Let us now understand what development is.


               6.2 WHAT IS DEVELOPMENT?

               Development refers to qualitative changes in the body as well as changes in

               EARLY CHILDHOOD CARE AND EDUCATION                                                               77
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