Nutrition, growth, and other factors associated with early cognitive and motor development in Sub-Saharan Africa: a scoping review.

BACKGROUND: Food insecurity, poverty and exposure to infectious disease are well-established drivers of malnutrition in children in Sub-Saharan Africa. Early development of cognitive and motor skills - the foundations for learning - may also be compromised by the same or additional factors that restrict physical growth. However, little is known about factors associated with early child development in this region, which limits the scope to intervene effectively. To address this knowledge gap, we compared studies that have examined factors associated with early cognitive and/or motor development within this population. METHODS: Predetermined criteria were used to examine four publication databases (PsycInfo, Embase, Web of Science and Medline) and identify studies considering the determinants of cognitive and motor development in children aged 0-8 years in Sub-Saharan Africa. RESULTS: In total, 51 quantitative studies met the inclusion criteria, reporting on 30% of countries across the region. Within these papers, factors associated with early child development were grouped into five themes: Nutrition, Growth and Anthropometry, Maternal Health, Malaria and HIV, and Household. Food security and dietary diversity were associated with positive developmental outcomes, whereas exposure to HIV, malaria, poor maternal mental health, poor sanitation, maternal alcohol abuse and stunting were indicators of poor cognitive and motor development. DISCUSSION: In this synthesis of research findings obtained across Sub-Saharan Africa, factors that restrict physical growth are also shown to hinder the development of early cognitive and motor skills, although additional factors also influence early developmental outcomes. The study also reviews the methodological limitations of conducting research using Western methods in sub-Saharan Africa.

Conceptualization of perceptual attributes: a special case for color?

Young children experience difficulties establishing conceptual representations of color compared with everyday objects. We argue that comparing the development of color cognition to that of familiar objects is inappropriate since color is a perceptual attribute that can be abstracted from an object and by itself lacks functional significance. Instead, we compared the recognition, perceptual saliency, and naming of color to that of three other perceptual object attributes (motion, form, and size) in 47 children aged 2 to 5 years as a function of language age. Results revealed that, although color was perceptually salient relative to the other visual attributes, no selective impairment to color cognition (recognition and naming) was found relative to the three other visual attributes tested. Thus, when the appropriate comparisons are made, we find no special delay in the development of color conceptualization. Furthermore, the striking disparity between perceptual saliency and cognition of color in our youngest age groups suggests that perceptual saliency has little influence on the conceptual development of color.

Phonological awareness in French-speaking children at risk for reading disabilities.

We report the phonological awareness abilities of preliterate French-speaking children. The performance of a group of children identified At Risk (n = 26) for reading disabilities was compared to that of normally developing age-matched controls (n = 22) on a range of standardised and experimental tests. Results showed the At Risk children to have a selective impairment in expressive relative to receptive language, whereas Controls performed at equivalent levels on both measures. Although the children At Risk performed at a significantly lower level than Controls on all but one of the metaphonological tests, their pattern of performance was similar to that of Controls, suggesting a developmental delay. Interestingly, both groups showed a superiority of awareness for syllables over phonemes, reflecting the phonological structure of the French language.

Spoken language correlates of reading impairments acquired in childhood.

This study reports the reading difficulties of five children following unilateral left hemisphere stroke sustained either before or during the early stages of literacy acquisition. Although each of the children experienced a period of disturbed language processing in the initial stages postonset, at the time of testing none of the children were considered to be clinically aphasic. Yet, on a standardized test of oral reading each of the children achieved a reading age that lagged behind chronological age and marked reading impairments were disclosed in four of the five children. A set of standardized and nonstandardized tests, aimed at measuring aspects of cognitive and spoken language processing that are considered to be important for normal reading acquisition, was administered. Where nonstandardized tests were used, performance of each of the stroke children was compared to that of groups of normally developing control children, closely matched for chronological age. A range of residual deficits in cognitive and spoken language processing was disclosed among the five brain-damaged children that appeared to be associated with their reading impairments. Two children had expectedly poor reading due to a selective impairment in verbal IQ; a specific phonological reading disorder was revealed in two children, each of which had a residual impairment to phonological awareness; and delayed reading acquisition was observed in one child with a general language deficit. It is suggested that when a child suffers damage to the left hemisphere in the early stages of reading acquisition, difficulties with learning to read are likely to ensue and may arise as a consequence of an underlying cognitive or linguistic deficit.