Dutch Infants Research Articles

The effect of the still‐face paradigm on infant behavior: A cross‐cultural comparison between mothers and fathers

Most still-face paradigm (SFP) studies have been done in Western families with infant-mother dyads. The present study investigated the SFP pattern in 123 Dutch and 63 Chinese 4-month-old infants with mothers and fathers. The classic SFP effect was found for positive affect and gaze in both countries. For negative affect, Chinese infants showed a different SFP pattern than Dutch infants. With fathers, infants displayed a less pronounced SFP pattern for positive affect and an increase from the still face to the reunion for negative affect. Only a minority of infants showed the expected SFP pattern across episodes. Our findings support that infant emotion expression is influenced by parent gender and cultural context. An interesting avenue for further study is the exploration of the origins of within- and between-gender and culture differences in affective communication between parents and infants.

Language-general and language-specific influences on Dutch and Japanese infants’ perception of place of articulation

Perceptual asymmetries provide a window into the role of language-general biases and language-specific experiences in early phonetic development. We assessed infant perception of two asymmetries related to coronal place of articulation and documented across the inventories of languages. To disentangle the role of language-general tendencies and experiential factors, we compared early perception of infants learning Dutch (where the input is consistent with language-general tendencies) and Japanese (where this is not the case). First, we document that both Dutch and Japanese infants start out with asymmetric discrimination of labial-coronal consonant contrasts consistent with language-general predictions at 4–6 months of age, but that, consistent with input-based predictions, this pattern declines in Japanese, but not Dutch toddlers by 18 months of age. Second, we show that infants from both language groups develop phonotactic preferences consistent with their input but with different timelines, with French infants developing a labial-coronal preference by 10 months, and Japanese infants a delayed coronal-labial preference by 13 months of age. Together, these results demonstrate that language-specific input characteristics start overriding language-general tendencies, but also suggest that these language-general tendencies continue playing a role in perception. We speculate about sources of these biases on the acoustic, perceptual, and articulatory level.

Commentary on "Cross-Cultural Validity: Canadian Norm Values of the Alberta Infant Motor Scale Evaluated for Dutch Infants".

Commentary on "Cross-Cultural Validity: Canadian Norm Values of the Alberta Infant Motor Scale Evaluated for Dutch Infants".

Prevalence and determinants of vitamin D deficiency in infants and toddlers in the Netherlands: a pilot study

Background Little is known of the vitamin D status of young infants and toddlers and its determinants in West Europe. The prevalence and determinants of vitamin D deficiency of children aged 6–48 months in the centre of the Netherlands (52°N) is investigated. Methods In a cross-sectional population study, randomly recruited infants and toddlers ( n = 150) were studied using an online questionnaire and a physical examination either in late summer ( n = 52) or in late winter ( n = 98). Vitamin D analysis was performed by capillary blood sampling using dried bloodspots plus LC-MS/MS. Results In late winter, 32% of the children were vitamin D deficient (<50 nmol/L 25OH vitamin D3) with 5% severely deficient (<25 nmol/L). In late summer, 2% were deficient. The odds of vitamin D deficiency were higher in children aged 24–48 months, for those not using formula milk and those not adhering to the supplementation guidelines. Conclusion One-third of Dutch infants and toddlers were found to be vitamin D deficient in late winter. Suggested strategies for raising the vitamin D status may include improving the adherence to supplementation, a sensible sun exposure or the use of fortified foods. Special attention is needed for the children aged 24–48 months.

Factors associated with early introduction of complementary feeding and consumption of non-recommended foods among Dutch infants: the BeeBOFT study

BackgroundTiming and types of complementary feeding in infancy affect nutritional status and health later in life. The present study aimed to investigate the factors associated with early introduction of complementary feeding (i.e., before age 4 months), and factors associated with infants consumption of non-recommended foods, including sweet beverages and snack foods.MethodsThis study used cross-sectional data from the BeeBOFT study (n = 2157). Data on complementary feeding practices and potential determinants were obtained by questionnaire at infant’s age of 6 months. Logistic regression models were used to investigate factors associated with early introduction of complementary feeding and infants’ consumption of non-recommended foods.Results21.4% of infants had received complementary feeding before 4 months of age. At the age of 6 months, 20.2% of all infants were consuming sweet beverages daily and 16.5% were consuming snack foods daily. Younger maternal age, lower maternal educational level, absence or shorter duration of breastfeeding, parental conviction that “my child always wants to eat when he/she sees someone eating” and not attending day-care were independently associated with both early introduction of complementary feeding and the consumption of non-recommended foods. Higher maternal pre-pregnancy BMI and infant postnatal weight gain were associated only with early introduction of complementary feeding.ConclusionsWe identified several demographical, biological, behavioral, psychosocial, and social factors associated with inappropriate complementary feeding practices. These findings are relevant for designing intervention programs aimed at educating parents.Trial registrationThe trail is registered at Netherlands Trial Register, trail registration number: NTR1831. Retrospectively registered on May 29, 2009.

Coupling tonetics and perceptual attunement: The psychophysics of lexical tone contrast salience

As with the coupling phonetics and psycholinguistics by such luminaries as Sereno and Jongman, we couple (a) discrepant cross-lab results in infant lexical tone perceptual attunement studies and (b) an adult cross-language lexical tone perception study. Three trajectories of lexical tone perception over infants’ first year have been found over labs, in which infants from differing language backgrounds have been tested with differing stimulus materials, viz., (i) Incremental (Singh’s lab—Singaporean Mandarin vs Singaporean English language background infants, Singaporean Mandarin tone contrasts; Tsao’s lab-Taiwanese and English language infants, Taiwanese Mandarin contrasts); (ii) Decremental (Burnham’s lab—Australian English but not for Cantonese or Mandarin language infants, Thai contrasts; Yeung/Werker’s lab—American English but not for Mandarin and Cantonese language infants, Cantonese contrasts); and (iii) U-shaped (Kager’s lab—Dutch infants, Mainland Mandarin contrasts). To investigate these discrepancies, we tested discrimination of Singaporean Mandarin, Beijing Mandarin, Hong Kong Cantonese, and Bangkok Thai tone contrasts by Singaporean Mandarin, Beijing Mandarin, Hong Kong Cantonese, Bangkok Thai, and Sydney Australian English listeners. Despite some discrepancies, this coupling revealed some congruences between psychophysical level of difficulty of tone contrasts within and between languages in the adult study, and the different developmental trajectories in the infant studies.

Infants’ sensitivity to rhyme in songs

Children’s songs often contain rhyming words at phrase endings. In this study, we investigated whether infants can already recognize this phonological pattern in songs. Earlier studies using lists of spoken words were equivocal on infants’ spontaneous processing of rhymes (Hayes et al., 2000; Jusczyk et al., 1999). Songs, however, constitute an ecologically valid rhyming stimulus, which could allow for spontaneous processing of this phonological pattern in infants. Novel children’s songs with rhyming and non-rhyming lyrics using pseudo-words were presented to 35 9-month-old Dutch infants using the Headturn Preference Procedure. Infants on average listened longer to the non-rhyming songs, with around half of the infants however exhibiting a preference for the rhyming songs. These results highlight that infants have the processing abilities to benefit from their natural rhyming input for the development of their phonological abilities.

Outpatient antibiotic use in Dutch infants after 10-valent pneumococcal vaccine introduction: a time-series analysis

ObjectiveThis population-based cohort study assesses the impact of switching from a 7-valent pneumococcal conjugate vaccine (PCV) to a 10-valent PCV on outpatient antibiotic use in Dutch infants, and whether geographical...

Perception of Lexical Neutral Tone Among Adults and Infants.

Neutral tone (T0) is a special tone form in Mandarin that contains tonal and stress information. Compared with canonical tones, T0 has a much shorter duration and reduced pitch contour. Its tonal contour is determined by the preceding canonical tone. However, not much is known about the perception of tonal and stress information in T0. In the current study, we investigate (1) whether T0 can be perceived as lexically unstressed by stress-language listeners; and (2) how Mandarin (tone language)- and Dutch (stress language)-learning infants perceive T0. Three experiments were conducted. In Experiment 1, Dutch adults identified T0 as unstressed when presented with disyllabic sequences ending in T0. In Experiment 2, we used the visual fixation paradigm to test 4- to 6-month-old and 10- to 12-month-old Dutch and Mandarin infants on pseudoword discrimination (/pan1san4/ [high-level + high-falling] and /pan1san0/ [high-level + mid-falling]). T4 and T0 each exhibit a similar falling contour. The results show that (1) after being habituated to neutral tone sequences (/pan1san0/), Dutch infants discriminated the T1T0–T1T4 contrast; and (2) neither age groups of Mandarin infants discriminated the tone contrast. Assuming Mandarin infants’ lack of discrimination might be due to the similar F0 contours, we tested Mandarin infants in Experiment 3 using a more salient contrast, /pan1san2/ (high-level + mid-rising) and /pan1san0/. While no overall discrimination was observed, those who were habituated to /pan1san0/ demonstrated discrimination. The continuous discrimination of Dutch infants suggests that they might process neutral–canonical tone contrast as lexical stress rather than as tonal information. Overall, Mandarin infants’ failure implies that the representation of T0 is not complete during their 1st year of life; the acquisition of tonal categories may therefore take longer than we expected.

Human Parechovirus 1, 3 and 4 Neutralizing Antibodies in Dutch Mothers and Infants and Their Role in Protection Against Disease.

Human parechoviruses (HPeVs) are common pathogens in young children, and in the Netherlands, HPeV1, HPeV3 and HPeV4 are the most frequently detected genotypes. HPeV3 in particular has been associated with severe disease in young infants below 3 months of age while the other genotypes more often infect older children and elicit mild symptoms. We investigated if maternal neutralizing antibodies (nAbs) against HPeV1, HPeV3 and HPeV4 protect young Dutch infants from severe disease related to HPeV infection. We conducted a prospective case-control study of Dutch mother-infant pairs. Thirty-eight HPeV-infected infants and their mothers were included as cases, and 65 HPeV-negative children and their mothers as controls. In control infants, we observed nAb seropositivity rates of 41.4%, 33.3% and 27.6%, with median nAb titers of 1:16, 1:12 and 1:8, against HPeV1, HPeV3 and HPeV4, respectively. In control mothers, nAb seropositivity rates were 84.6%, 55.4% and 60.0% with median nAb titers of 1:128, 1:32 and 1:45 against HPeV1, HPeV3 and HPeV4, respectively. The HPeV3 nAb seroprevalence was significantly lower in HPeV3-infected infants and their mothers (0.0% with P < 0.05 and 10.0% with P < 0.001, respectively). In contrast, no differences in nAb seroprevalence against HPeV1 or HPeV4 could be detected between case and control infants or mothers. Our results suggest that young Dutch infants are protected against severe disease related to HPeV1 and HPeV4 by maternal nAbs, but less so against HPeV3 explaining the distinct age distributions and disease severity profiles of children infected with these HPeV genotypes.

Long-term BMI and growth profiles in offspring of women with gestational diabetes

Aims/hypothesisGestational diabetes mellitus (GDM) is reported to be associated with childhood obesity, however the magnitude of this association and relation to intrauterine growth is uncertain. We, therefore, aimed to assess whether the growth trajectories of large for gestational age (LGA) and non-LGA offspring of mothers with GDM (OGDM) are different until early adolescence. We also aimed to explore whether growth trajectories of OGDM differ from those of offspring of mothers with type 1 or 2 diabetes (ODM1, ODM2).MethodsWe studied height and BMI standard deviation score (SDS) of the OGDM group, up to the age of 14 years, with subgroup analysis comparing LGA with non-LGA at birth as a reflection of the intrauterine environment. All mothers with GDM who delivered at the University Medical Center Utrecht between 1990 and 2006 were contacted to participate; informed consent was received for 104 OGDM of 93 mothers. Offspring data were collected through Dutch infant welfare centres. Recorded height and weight were converted to BMI and age- and sex-specific SDS values for Dutch children. Additionally, we compared the OGDM group with ODM1 and ODM2 groups in order to identify those offspring with the highest risk of becoming overweight. Growth trajectories were compared between non-LGA and LGA OGDM and between OGDM, ODM1 and ODM2, using a random-effects model. In the longitudinal follow-up a mean of 7.4 ± 2 measurements per infant were available.ResultsMothers had a prepregnancy BMI of 25.8 kg/m2 and 24% of their infants were LGA at birth. Heights of OGDM were no different from those of the Dutch Growth Study. Non-LGA OGDM showed a BMI SDS comparable with that of the reference population, with a slight increase in early adolescence. LGA OGDM had a higher BMI SDS trajectory than non-LGA OGDM and the reference population, which plateaued at around 10 years of age. Comparison of growth trajectories of OGDM, ODM1 and ODM2 showed ODM2 to have the highest trajectory followed by ODM1 and OGDM, with the LGA counterparts of all three offspring groups in the highest BMI SDS ranges.Conclusions/interpretationUntil early adolescence, OGDM have a BMI that is 0.5 SDS higher than that of the Dutch background population. LGA OGDM appear to be at particularly higher risk of being overweight in adolescence compared with non-LGA OGDM, putting them also at a higher lifetime risk of being overweight and developing obesity. ODM2 showed the highest BMI SDS values and had an average BMI SDS of +1.6 until the age of 14, when it became +2 SD. These results emphasize the importance of adequate recognition and timely treatment of maternal gestational diabetes to prevent fetal macrosomia in obstetrics.

Development of the Hand Assessment for Infants: evidence of internal scale validity.

The aim of this study was to develop a descriptive and evaluative assessment of upper limb function for infants aged 3 to 12 months and to investigate its internal scale validity for use with infants at risk of unilateral cerebral palsy. The concepts of the test items and scoring criteria were developed. Internal scale validity and aspects of reliability were investigated on the basis of 156 assessments of infants at 3 to 12 months corrected age (mean 7.2mo, SD 2.5) with signs of asymmetric hand use. Rasch measurement model analysis and non-parametric statistics were used. The new test, the Hand Assessment for Infants (HAI), consists of 12 unimanual and five bimanual items, each scored on a 3-point rating scale. It demonstrated a unidimensional construct and good fit to the Rasch model requirements. The excellent person reliability enabled person separation to six significant ability strata. The HAI produced an interval-level measure of bilateral hand use as well as unimanual scores of each hand, allowing a quantification of possible asymmetry expressed as an asymmetry index. The HAI can be considered a valid assessment tool for measuring bilateral hand use and quantifying side difference between hands among infants at risk of developing unilateral cerebral palsy. The Hand Assessment for Infants (HAI) measures the use of both hands and quantifies a possible asymmetry of hand use. HAI is valid for infants at 3 to 12 months corrected age at risk of unilateral cerebral palsy.

Cross-cultural differences in temperament: Comparing paternal ratings of US and Dutch infants

This study conducted longitudinal comparisons of US and Dutch paternal ratings of temperament, measured via the Infant Behaviour Questionnaire-Revised, at 4 months (US n = 99; Dutch n = 127) and 12 months (US n = 66; Dutch n = 112) of age. US fathers rated their infant higher in the broad temperament trait Surgency, and its subscales vocal reactivity, high-intensity pleasure, and activity level. US fathers also rated their infants higher in negative emotionality, and its subscales of sadness, distress to limitations, and fear. Dutch infants received higher ratings in falling reactivity. Though the cultures did not differ in ratings of Orienting/regulatory capacity, US infants were higher on the subscale duration of orienting, and lower in soothability. Significant culture-by-age and culture-by-gender interactions were also noted. Overall, results are largely consistent with those reported for Dutch mothers and speak to considerable differences in early temperament development between cultures viewed as largely similar because of their Western/individualistic orientations.

Statistical learning of speech sounds is most robust during the period of perceptual attunement

Although statistical learning has been shown to be a domain-general mechanism, its constraints, such as its interactions with perceptual development, are less well understood and discussed. This study is among the first to investigate the distributional learning of lexical pitch in non-tone-language-learning infants, exploring its interaction with language-specific perceptual attunement during the first 2years after birth. A total of 88 normally developing Dutch infants of 5, 11, and 14months were tested via a distributional learning paradigm and were familiarized on a unimodal or bimodal distribution of high-level versus high-falling tones in Mandarin Chinese. After familiarization, they were tested on a tonal contrast that shared equal distributional information in either modality. At 5months, infants in both conditions discriminated the contrast, whereas 11-month-olds showed discrimination only in the bimodal condition. By 14months, infants failed to discriminate the contrast in either condition. Results indicate interplay between infants' long-term linguistic experience throughout development and short-term distributional learning during the experiment, and they suggest that the influence of tonal distributional learning varies along the perceptual attunement trajectory, such that opportunities for distributional learning effects appear to be constrained in the beginning and at the end of perceptual attunement. The current study contributes to previous research by demonstrating an effect of age on learning from distributional cues.

No perceptual reorganization for Limburgian tones? A cross-linguistic investigation with 6- to 12-month-old infants.

Despite the fact that many of the world's languages use lexical tone, the majority of language acquisition studies has focused on non-tone languages. Research on tone languages has typically investigated well-known tone languages such as Mandarin and Cantonese Chinese. The current study looked at a Limburgian dialect of Dutch that uses lexical pitch differences, albeit in a rather restricted way. Using a visual habituation paradigm, 6- to 12-month-old Limburgian and Dutch infants were tested for their ability to discriminate Limburgian tones. The results showed that both Limburgian and Dutch infants discriminate the Limburgian tones throughout their first year of life. The role of linguistic experience, acoustic salience, and the degree of similarity to the native prosodic system are discussed.

The more, the better? Behavioral and neural correlates of frequent and infrequent vowel exposure.

A central assumption in the perceptual attunement literature holds that exposure to a speech sound contrast leads to improvement in native speech sound processing. However, whether the amount of exposure matters for this process has not been put to a direct test. We elucidated indicators of frequency-dependent perceptual attunement by comparing 5-8-month-old Dutch infants' discrimination of tokens containing a highly frequent [hɪt-he:t] and a highly infrequent [hʏt-hø:t] native vowel contrast as well as a non-native [hɛt-haet] vowel contrast in a behavioral visual habituation paradigm (Experiment 1). Infants discriminated both native contrasts similarly well, but did not discriminate the non-native contrast. We sought further evidence for subtle differences in the processing of the two native contrasts using near-infrared spectroscopy and a within-participant design (Experiment 2). The neuroimaging data did not provide additional evidence that responses to native contrasts are modulated by frequency of exposure. These results suggest that even large differences in exposure to a native contrast may not directly translate to behavioral and neural indicators of perceptual attunement, raising the possibility that frequency of exposure does not influence improvements in discriminating native contrasts.

Pitch Perception in the First Year of Life, a Comparison of Lexical Tones and Musical Pitch.

Pitch variation is pervasive in speech, regardless of the language to which infants are exposed. Lexical tone is influenced by general sensitivity to pitch. We examined whether the development in lexical tone perception may develop in parallel with perception of pitch in other cognitive domains namely music. Using a visual fixation paradigm, 100 and one 4- and 12-month-old Dutch infants were tested on their discrimination of Chinese rising and dipping lexical tones as well as comparable three-note musical pitch contours. The 4-month-old infants failed to show a discrimination effect in either condition, whereas the 12-month-old infants succeeded in both conditions. These results suggest that lexical tone perception may reflect and relate to general pitch perception abilities, which may serve as a basis for developing more complex language and musical skills.

Zinc protoporphyrin/heme ratio as parameter of iron status in moderately preterm infants: natural course and associations in the first 4 months.

To determine the natural course of zinc protoporphyrin/heme ratio (ZnPP/H) and its role in the detection of iron deficiency (ID) and iron-deficiency anemia (IDA) in the first 4 months of life in moderately preterm infants. ZnPP/H was measured at 1 week, 6 weeks and 4 months postnatal age in a prospective cohort of 161 Dutch infants born at a gestational age of 32+0 to 36+6 weeks who did not receive an erythrocyte transfusion or iron supplementation. ZnPP/H levels decreased in the first 6 weeks and increased thereafter. At 4 months postnatal age, ZnPP/H was higher in the 11 (8.5%) infants with IDA (mean (s.d.): 260.8 (16.1)) but not in the 27 (21.3%) infants with ID (mean (s.d.): 177.0 (15.1)) compared with normal infants (mean (s.d.): 157.3 (12.5)). In moderately preterm infants, ZnPP/H can be of additional value to detect infants at risk for IDA due to iron-deficient erythropoiesis at 4 months of age.

Health related quality of life in Dutch infants, toddlers, and young children

BackgroundThe purpose of this study is to provide Dutch normative data and to assess internal consistency and known-groups validity for the TNO AZL Preschool Children Quality of Life (TAPQOL) and the acute version of the generic Pediatric Quality of Life Inventory (PedsQL 4.0) in Dutch young children aged 0–7 years.MethodsParticipants were selected from a panel of a large Dutch market research agency. A sample of 794 parents (response rate 61%, 39% fathers) of children (53% boys) from the general Dutch population, completed an electronic version of the TAPQOL (N = 227 infants aged 0–1 years) or PedsQL 4.0 (N = 293 toddlers aged 2–4 years and N = 274 young children aged 5–7 years).ResultsExcept for the ‘stomach’ scale (α = .39), the TAPQOL showed acceptable to excellent internal consistency (α = .60-.88). The PedsQL 4.0 showed acceptable to excellent reliability in children aged 2–4 years (α = .60–.88) and in children aged 5–7 years (α = .76–.90). Children with a chronic health condition had lower scores than healthy children on 3 out of 12 domains of the TAPQOL (p = .001–.013) and on 2 out of 6 domains of the PedsQL 4.0 for children aged 2–4 years (p = .016–.04). The PedsQL 4.0 differentiated on all domains (p < .05) between children aged 5–7 years with and without a chronic health condition.ConclusionIn Dutch children aged 0–7 years old, HRQoL can be reliably measured with the TAPQOL and the PedsQL 4.0. However, it remains unclear whether these HRQoL instruments can distinguish between healthy children and children with a chronic health condition under the age of 5.

Parental beliefs and practices concerning motor development: Testing new tools

The parental beliefs on motor development (PB-MD) and the motor habits (MOHAB) questionnaires are new instruments measuring parental beliefs, practices, infant MOHAB, and environmental features regarding motor development. Psychometric properties of these questionnaires were tested using data of parents of 268 Dutch and Israeli infants aged 1-to-8-months. Face- and convergent validity of both questionnaires, as well as internal consistency and test–retest reliability of the PB-MD were satisfactory. Exploratory factor analysis revealed five factors in the PB-MD. Altogether, both questionnaires are valid, reliable and culturally sensitive instruments potentially useful for research and clinical practice.