Brain Development
Brain development starts in utero, and while the cognitive, social, and emotional parts of the brain will continue to develop across the lifespan, a great deal of the brain’s ultimate structure and capacity is shaped early in life before 3 years of age[1].
From birth to 6 months of age, the brain’s prefrontal cortex has a growth spurt. This area of the brain is involved in complex processing behaviours, attention, and multitasking. The hippocampus is also growing at a rapid rate, developing a baby’s recognition and memory.
Myelination is a process that helps the brain develop the flexibility needed for electrical impulses involved in neurotransmission. This process accelerates around 32 weeks of gestation and continues during the first 2 years of life.
DHA from omega-3 fatty acids is a critical nutrient needed for myelination and healthy neurosignaling, and while breastmilk contains DHA, levels are dependent on the mother’s dietary intake. Western countries such as Australia, the USA, and the UK have shown lower levels of breastmilk DHA compared to countries with high fish consumption, such as Japan[2].
Key Nutrients for Brain Development
| Nutrient | Function | Dietary Sources |
| DHA | Brain development and function: structural component of grey matter, development and function of myelin. | Breastmilk or Infant Formula |
| ARA | Developing brain and nerve pathways. | |
| Choline | Needed for cell division & growth, particularly in the foetal brain & continuing until 3-5 years of age. Provides structural integrity of membranes and neurotransmission[3]. | |
| Iron | Brain development, neurotransmitter production & red blood cells. | |
| Folate | Brain development, neurotransmitter production & cell division. | |
| Zinc | Brain development, neurotransmitter production & myelination. Behaviourally, early life zinc deficiency results in poorer learning, attention, memory, and mood[4]. | |
| Vitamin D | Deficiency may cause behavioural, memory, and learning disorders later in life[5]. | |
| Vitamin B12 | Brain development & nervous system function. |
Eye Development
A baby is not born with perfect vision; in fact, it takes a few months for a baby’s eyes and vision to develop properly. Newborn babies primarily focus on objects 8 to 10 inches from their face, roughly the distance to the parent’s face.
By 2 months of age, babies can focus their eyes better on the object or person in front of them, and by 3 months, they can follow and reach for objects. As a baby’s brain is making new connections and the eyes and vision are improving, the baby will start noticing his own hands, turn his head towards a sound, and reach for and hold toys[6].
The ability for babies to see colour develops over the first 6 months of life. When babies are born, they can only see shades of colour, but by about 5 months, babies generally have good colour vision[7].
Key Nutrients Needed for Eye Development
| Nutrient | Function | Dietary Sources |
| Vitamin A | Required for vision and retina development. Infants accumulate stores in the 3rd trimester of pregnancy and rely on breast milk for continued supply until the introduction of solid foods[8]. | Breastmilk or Infant Formula
|
| Lutein | A carotenoid that accumulates in the retina, where it prevents damage from reactive oxygen species. | |
| DHA | Needed for the growth and development of the brain and retina, where it accumulates[9]. |
Bone and Teeth Development
Babies are born with 20 baby teeth (also known as primary teeth), which stay under the gums until about 6 months of age when babies’ first teeth begin to appear. Teeth can start moving under the gums, causing teething symptoms as early as 2 months of age[10].
Babies are born with soft, flexible bones and spaces between the bones on the skull, known as fontanelles (soft spots), which help delivery through the birth canal. The newborn skeleton contains a lot of cartilage, which begins to harden into bone at around 3 months of age.
Sufficient vitamin D stores passed on from the mother during gestation are critical for bone development. Preterm babies and babies born to mothers with vitamin D deficiency are usually given infant vitamin D drops to prevent Rickets and support normal bone development.
Key Nutrients Needed
| Nutrient | Function | Dietary Sources |
| Calcium | Mineralization and growth of bones and teeth occur as cartilage is replaced with solid bone | Breastmilk or Infant Formula |
| Vitamin D | Needed for normal bone formation, absorption of calcium from the diet, and prevention of Rickets. | Breastmilk, Infant Formula, or infant supplement |
| Vitamin K | Absorption of calcium within bone during development and elongation. | Administered at birth. Breastmilk or Infant Formula |
| Phosphorus | Maintain bone mineralisation | Breastmilk or Infant Formula |
| Manganese | Bone formation | Breastmilk or Infant Formula |
Intestinal, Gut Microbiota, and Immune Development
While scientists have always believed that babies are born with a sterile gut[11], this topic is being debated[12]. Whether or not the infant gut is sterile, babies are born with a very limited microbiome, which begins to develop rapidly after birth.
Babies born vaginally acquire bacteria passed on through the birth canal, which begins colonization of the infant microbiome. Colostrum and early breastmilk contain high levels of beneficial bacteria, prebiotic sugars, and immune-stimulating compounds that begin the microbiome and immune system development.
Newborns have a permeable gut, sometimes referred to as an ‘open gut’. The gaps between the cells of the intestine allow for the transfer of immunoglobulins passed on from breastmilk to stimulate early immune system development. Intestinal permeability gradually decreases over the first 2 months of life and is complete by the time solids are introduced (not before 4 months of age)[13].
Key nutrients needed for digestive and immune development
| Nutrient | Function | Dietary Sources |
| Vitamin A | Formation and maintenance of mucous membranes (intestines), immune system development, and function. | Breastmilk or Infant Formula |
| Zinc | Formation and maintenance of mucous membranes (intestines), immune system development, and function. | |
| Vitamin C | Formation of collagen and connective tissue, immune system development, and function. | |
| EPA & DHA | Immune system development and function. | |
| Galacto-oligosaccharides (GOS), Human milk oligosaccharides (HMO) | Prebiotics – help to feed beneficial bacteria that colonize and reside in the gut. | |
| Lactoferrin | Stimulates the immune system, promotes the growth of gut microbes, antibiotic properties. | |
| Nucleotides | Immune system development, growth, and repair of the gut. |
Developmental Milestones: Birth to 6 months
- Gross motor skills: lift head, straighten legs on flat surface, roll on tummy, sit briefly unsupported.
- Fine motor skills: hold an object, reach for dangling objects, notice own hands and play with fingers, pass a toy from one hand to another.
- Self-help skills: open mouth when seeing breast or bottle, bring toy to mouth, place both hands on breast or bottle during feeds.
- Cognitive skills: looks at people’s faces, eyes follow moving objects, focuses eyes on sound, finds a toy partially hidden under a cloth[6].
See more: 6-12 months development | 12-18 months development
Reference
- Fox SE, et al. Child Development. 2010; 81:28 40.
- Mosca F, et al. Pediatr Med Chir. 2017; Jun 28;39(2).
- Derbyshire E, Obeid R. Nutrients. 2020 Jun 10;12(6):1731.
- Cusick SE, Georgieff MK. The Journal of Pediatrics. 2016 Aug;175:16-21.
- Cerdó T, et al.Curr Opin Clin Nutr Metab Care. 2019 Nov;22(6):434-441.
- http://www.childrensmn.org/references/pfs/rehabpublic/developmental-milestones-birth-6-months.pdf
- https://www.aoa.org/healthy-eyes/eye-health-for-life/infant-vision?sso=y
- https://www.rch.org.au/immigranthealth/clinical/Vitamin_A/
- Huang HL, et al. Lipids Health Dis. 2013 Mar;12:27.
- Http://www.pregnancybirthbaby.org.au/how-your-babys-teeth-develop
- Khan S, et al Archives of Disease in Childhood. 2015;100:A50-A51.
- Willis KA, et al. FASEB J. 2019 Nov;33(11):12825-12837.
- Castellaneta, et al. Journal Pediatric Gastro Nutr: 2005 May;40(5):632
This guide is for informational purposes only and should not be used to diagnose health conditions or make changes to medical treatments. Always consult with your healthcare professional for advice.
