Many aspects of infant development are assessed using infant looking times to visual and audiovisual stimuli. In this article, we describe a stand-alone software package that allows simultaneous stimulus presentation to infants and recording of their looking times via a keypress by a human observer. The software was developed to run both on 64-bit Intel-based Macs running Mac OS/X 10.10 (Yosemite) or later and on 64-bit Windows 7 and 10. It can present a variety of visual and/or auditory stimuli; is customizable with respect to how trials are initiated, how trial lengths are defined, and the phases of the experiment; and can be used to record looking times online or after the fact, as well as to assess the reliability of coding. The software is freely available at http://habit.ucdavis.edu.

Research using eye tracking methods has revealed that when viewing faces, between 6 to 10 months of age, infants begin to shift visual attention from the eye region to the mouth region. Moreover, this shift varies with stimulus characteristics and infants' experience with faces and languages. The current study examined the eye movements of a racially diverse sample of 98 infants between 7.5 and 10.5 months of age as they viewed movies of White and Asian American women reciting a nursery rhyme (the auditory component of the movies was replaced with music to eliminate the influence of the speech on infants' looking behavior). Using an analytic approach inspired by the multiverse analysis approach, several measures from infants' eye gaze were examined to identify patterns that were robust across different analyses. Although in general infants preferred the lower regions of the faces, i.e., the region containing the mouth, this preference depended on the stimulus characteristics and was stronger for infants whose typical experience included faces of more races and for infants who were exposed to multiple languages. These results show how we can leverage the richness of eye tracking data with infants to add to our understanding of the factors that influence infants' visual exploration of faces.

We investigated limitations in young infants' visual short-term memory (VSTM). We used a one-shot change detection task to ask whether 4- and 8.5-month-old infants (N = 59) automatically encode fixated items in VSTM. Our task included trials that consisted of the following sequence: first a brief (500 ms) presentation with a sample array of two items, next a brief (300 ms) delay period with a blank screen, and finally a test array (2,000 ms) identical to the sample array except that the color of one of the two items is changed. In Experiment 1, we induced infants to fixate one item by rotating it during the sample (the other item remained stationary). In Experiment 2, none of the items rotated. In both experiments, 4-month-old infants looked equally at the fixated item when it did and did not change color, providing no evidence that they encoded in VSTM the fixated item. In contrast, 8.5-month-old infants in Experiment 1 preferred the fixated item when it changed color from sample to test. Thus, 4-month-old infants do not appear to automatically encode fixated items in VSTM.

Background

Eggs are a rich source of nutrients important for brain development, including choline, riboflavin, vitamins B-6 and B-12, folate, zinc, protein, and DHA.

Objective

Our objective was to evaluate the effect of the consumption of 1 egg per day over a 6-mo period on child development.

Methods

In the Mazira Project randomized controlled trial, 660 children aged 6-9 mo were randomly allocated into an intervention or control group. Eggs were provided to intervention households during twice-weekly home visits for 6 mo. Control households were visited at the same frequency. At enrollment, blinded assessors administered the Malawi Developmental Assessment Tool (MDAT), and 2 eye-tracking tasks using a Tobii-Pro X2-60 eye tracker: a visual paired comparison memory task and an Infant Orienting with Attention task. At endline, 6-mo later, blinded assessors administered the MDAT and eye-tracking tasks plus an additional elicited imitation memory task.

Results

At endline, intervention and control groups did not significantly differ in any developmental score, with the exception that a smaller percentage of children were delayed in fine motor development in the intervention group (10.6%) compared with the control group (16.5%; prevalence ratio: 0.59, 95% CI: 0.38-0.91). Among 10 prespecified effect modifiers for the 8 primary developmental outcomes, we found 7 significant interactions demonstrating a consistent pattern that children who were less vulnerable, for example, those with higher household wealth and maternal education, showed positive effects of the intervention. Given multiple hypothesis testing, some findings may have been due to chance.

Conclusion

The provision of 1 egg per day had no overall effect on child development in this population of children, however, some benefits may be seen among children in less vulnerable circumstances. This trial was registered at clinicaltrials.gov as NCT03385252.

Choline is an essential micronutrient that may influence growth and development; however, few studies have examined postnatal choline status and children's growth and development in low- and middle-income countries. The aim of this observational analysis was to examine associations of plasma choline with growth and development among Malawian children aged 6-15 months enrolled in an egg intervention trial. Plasma choline and related metabolites (betaine, dimethylglycine and trimethylamine N-oxide) were measured at baseline and 6-month follow-up, along with anthropometric (length, weight, head circumference) and developmental assessments (the Malawi Developmental Assessment Tool [MDAT], the Infant Orienting with Attention task [IOWA], a visual paired comparison [VPC] task and an elicited imitation [EI] task). In cross-sectional covariate-adjusted models, each 1 SD higher plasma choline was associated with lower length-for-age z-score (-0.09 SD [95% confidence interval, CI -0.17 to -0.01]), slower IOWA response time (8.84 ms [1.66-16.03]) and faster processing speed on the VPC task (-203.5 ms [-366.2 to -40.7]). In predictive models, baseline plasma choline was negatively associated with MDAT fine motor z-score at 6-month follow-up (-0.13 SD [-0.22 to -0.04]). There were no other significant associations of plasma choline with child measures. Similarly, associations of choline metabolites with growth and development were null except higher trimethylamine N-oxide was associated with slower information processing on the VPC task and higher memory scores on the EI task. In this cohort of children with low dietary choline intake, we conclude that there were no strong or consistent associations between plasma choline and growth and development.