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Bright Futures in Practice: Physical Activity

INFANCY

Counseling

Health professionals can use the following information to provide anticipatory guidance to families. Anticipatory guidance provides information on the infant's physical status and on what to expect as the infant enters the next developmental period, and fosters the promotion of physical activity.

General

  • Encourage parents to attend classes to learn about promoting physical activity during infancy. Suggest that they participate in parent-infant play groups.

  • Infants need the opportunity to move. Encourage parents to provide objects and toys and to play games to encourage their infants to move and do things for themselves.

  • Gently turning, rolling, bouncing, and swaying infants are excellent ways to increase their muscle strength and to help them develop important connections between the brain and muscles.

  • Tell parents that rough-and-tumble activities are not appropriate for infants. Infants usually signal their distress (e.g., by crying) if the physical activity is too vigorous, overwhelming, or disconcerting. Parents should pay attention to these signals and stop the physical activity if needed.

  • Encourage parents to ask the child care provider how much time the infant spends moving around (i.e., not sitting in an infant safety seat or sleeping).

Physical Development

  • Infants need physical activity from the time they are born. Encourage parents to nurture their infants' motor skill development and to promote physical activity.

  • Infants need to develop head and trunk control. When infants are 3 months old, parents can encourage this control by (1) placing the infant on their laps, facing them; (2) holding the infant's hands and encouraging the infant to stand; and (3) pulling the infant up into a standing position. When the infant is pulled up, the infant should stand with the parent's support. If the infant can hold the upright posture, the parent can gently sway the infant side to side.

Safety

  • Infants need a safe environment for physical activity.

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