5 Physical Development
Health and Wellness
Tanessa Sanchez and Kerry Diaz
Learning Objectives
After completing this chapter, you should be able to:
Physical development encompasses a range of growth processes that are critical for children’s overall well-being. This section explores the health and wellness characteristics of children across various age groups, focusing on what to expect in terms of physical growth, health standards, and nutrition. Understanding these milestones helps educators and caregivers support children’s physical development effectively.
Age Groups and Physical Development Overview
5-7 Years Old
Physical Growth: During this age, children experience steady growth in height and weight. By age 6, the average child weighs about 45 pounds and stands approximately 3.5 feet tall. Growth spurts typically occur, leading to increased energy and activity levels.
Motor Skills: Fine motor skills improve significantly, allowing for better control of small movements, such as writing and using scissors. Gross motor skills also develop, enabling children to run, jump, and engage in organized sports.
Health & Nutrition: At this stage, children require a balanced diet that includes fruits, vegetables, whole grains, protein, and dairy. The USDA recommends that children ages 4-8 consume about 1,200-1,800 calories daily, depending on activity levels (USDA, 2020).
Example: Encouraging participation in physical activities like soccer or dance helps enhance coordination and promotes cardiovascular health.
Standards and Expectations: Adherence to health, safety, and nutrition guidelines is critical. The National Health Education Standards (NHES) emphasizes the importance of personal health practices and the role of nutrition in health (CDC, 2020).
7-9 Years Old
Physical Growth: Children in this age group continue to grow steadily, typically gaining about 5 pounds per year and growing about 2-3 inches annually. Their bodies become more proportionate as they approach middle childhood.
Motor Skills: Enhanced gross motor skills allow for greater participation in sports and physical activities, while fine motor skills enable children to write more legibly and perform tasks like tying shoelaces.
Health & Nutrition: A well-balanced diet remains essential. Children should receive adequate protein, calcium, and iron to support growth. The recommended daily caloric intake is approximately 1,400-2,000 calories, depending on activity levels (USDA, 2020).
Example: Schools should offer physical education programs that include a variety of activities, encouraging students to find sports they enjoy.
Standards and Expectations: Title 22 regulations outline the requirements for health and safety in child care facilities, emphasizing nutrition and physical activity as components of health education (California Department of Social Services, 2020).
9-11 Years Old
Physical Growth: This age group often experiences a pre-adolescent growth spurt. Children may gain up to 10 pounds and grow 2-3 inches during this period, with boys typically growing faster than girls.
Motor Skills: Fine and gross motor skills are well-developed, allowing for complex physical activities. Children can participate in team sports, dance, and other organized activities, fostering social skills and teamwork.
Health & Nutrition: Adequate hydration and balanced nutrition are crucial, particularly as children engage in more physical activities. A diet rich in fruits, vegetables, whole grains, and lean proteins supports healthy growth and energy levels (USDA, 2020).
Example: Introducing nutrition education in schools helps children make informed choices about their diets, contributing to lifelong healthy habits.
Standards and Expectations: The National Association for Sport and Physical Education (NASPE) recommends that children engage in at least 60 minutes of moderate to vigorous physical activity daily (NASPE, 2015).
Puberty Age (Up to 12 Years)
Physical Growth: The onset of puberty typically occurs between ages 9 and 12 for girls and 10 and 13 for boys. This stage is marked by significant physical changes, including rapid height and weight gain, and the development of secondary sexual characteristics.
Motor Skills: Coordination and strength increase, enabling more advanced sports skills and physical challenges. Puberty often leads to a greater interest in competitive sports and physical activities.
Health & Nutrition: Nutritional needs change dramatically during puberty. Increased caloric intake is essential to support growth spurts, with a focus on calcium, protein, and iron. Adolescents should consume around 1,800-2,200 calories daily, depending on their activity levels (USDA, 2020).
Example: Schools can support physical development by offering a variety of sports and physical activities that cater to diverse interests, helping students to stay active.
Standards and Expectations: Compliance with health, safety, and nutrition standards is vital. The Centers for Disease Control and Prevention (CDC) promotes guidelines for school health programs, focusing on physical activity and nutrition education as essential components (CDC, 2020).
Fine Motor Skill Development
Fine motor skill development is a gradual process that evolves from early childhood through adolescence, allowing children to refine hand strength, dexterity, and coordination. From ages 3 to 5, children begin mastering basic fine motor skills, such as grasping crayons, using scissors, and buttoning clothes. At this stage, their hand muscles are still developing, and they often use the palmar grasp before transitioning to more refined grips like the quadrupod grip (using four fingers) or the tripod grip (using three fingers). Activities such as coloring, stringing beads, and playing with clay help strengthen hand muscles and improve coordination. Additionally, early pre-writing activities, such as tracing letters and drawing shapes, set the foundation for proper handwriting skills. Encouraging activities that require pinching, grasping, and controlled hand movements helps children develop the strength needed for more advanced fine motor tasks.
By ages 6 to 10, fine motor skills become more refined, and handwriting plays a crucial role in development. Children transition from printing letters to cursive writing and work on improving speed, control, and legibility. At this stage, the tripod grip becomes the standard for holding a pencil efficiently, allowing for better control and reduced hand fatigue. Proper pencil grip, wrist stability, and finger strength are key factors in writing endurance. Schools and parents can support this development with activities such as handwriting exercises, arts and crafts, playing musical instruments, and puzzles that require precision and dexterity. Additionally, with the rise of technology, children begin using keyboards more frequently, which requires a different set of finger coordination and movement patterns. Ensuring a balance between traditional handwriting practice and digital tools helps maintain well-rounded fine motor development.
Between ages 11 and 16, fine motor skills continue to mature, allowing for increased precision and control in handwriting, typing, and intricate tasks such as playing musical instruments, sewing, and technical drawing. By this stage, most adolescents have developed a consistent tripod grip for writing and other fine motor tasks, ensuring efficient and comfortable control. However, with the increased use of digital devices, traditional handwriting practice often declines, which can impact fine motor endurance. Encouraging activities such as calligraphy, sketching, model-building, and playing sports that require grip strength can help maintain dexterity and coordination. Additionally, tasks that emphasize hand-eye coordination, like gaming, knitting, or playing an instrument, further strengthen fine motor skills. A combination of digital and hands-on activities ensures that adolescents continue developing fine motor control for lifelong functional skills.
Large Motor Skill Development
Early Childhood (Ages 4-6): Building the Foundation
Between the ages of 4 and 6, large motor skills develop rapidly as children refine balance, coordination, and motor planning. At this stage, the cerebellum, which controls movement and coordination, is maturing, allowing for improved stability and postural control. Children learn to balance on one foot, hop, and begin riding a bike with training wheels. Midline orientation, the ability to coordinate movements across the center of the body, strengthens as kids refine skills like skipping and alternating leg movements while climbing stairs. Hand-eye coordination also improves, allowing them to catch larger balls and start using playground equipment more effectively. However, movements are still somewhat uncoordinated, requiring practice and repetition.
Middle Childhood (Ages 7-9): Refining Skills and Control
By ages 7 to 9, children experience significant improvements in coordination, reaction time, and strength, which enhances their ability to engage in more complex physical activities. Motor planning, the brain’s ability to organize and execute movement sequences, becomes more efficient, helping children participate in sports, dance, and obstacle courses. Balance and midline orientation continue to strengthen, enabling smoother and more controlled movements, such as riding a bike without training wheels, jumping rope, and swimming with greater ease. Reaction time begins to improve, allowing for quicker adjustments when catching, dodging, or kicking a moving ball. These advancements result in more fluid movements, but skills still require refinement through play and structured activities.
Late Childhood (Ages 10-12): Increased Precision and Speed
Between 10 and 12 years old, large motor skills become more refined, with faster reaction times, greater agility, and improved endurance. Strength increases due to natural muscle growth, and children develop better motor planning and spatial awareness, allowing them to execute multi-step athletic movements with greater ease. Hand-eye coordination is now precise enough for activities like dribbling a basketball, hitting a baseball, and playing video games that require quick reflexes. Balance and midline orientation are fully developed, allowing for complex movements like gymnastics, skateboarding, or dancing. This stage is also when kids become more competitive in sports, as their coordination and reaction time allow for faster, more strategic play.
Early Adolescence (Ages 13-14): Growth Spurts and Adjustments
During early adolescence, rapid growth spurts can temporarily affect balance and coordination, as the body adjusts to changes in height and limb length. While reaction time and strength continue to improve, some teens may experience a brief period of clumsiness as their motor planning adapts to their changing body. However, hand-eye coordination and midline orientation remain strong, allowing for continued success in sports and physical activities. Strength development accelerates, especially in boys, due to increased muscle mass, improving performance in activities requiring power, such as sprinting, jumping, and weightlifting.
Late Adolescence (Ages 15-16): Peak Physical Control
By ages 15 to 16, most teenagers have developed adult-like motor skills, with fully matured balance, coordination, motor planning, and reaction time. Strength increases significantly, particularly in those engaging in regular physical training, enhancing athletic performance. Hand-eye coordination is at its peak, allowing for precision in sports like tennis, basketball, and soccer. Reaction time is now fast enough for split-second decisions in competitive games. At this stage, midline orientation and coordination allow for advanced movements like complex dance routines, advanced gymnastics, or martial arts. With their fully developed large motor skills, teenagers can master high-level physical activities, demonstrating speed, agility, endurance, and control.
Organized Sports
Pros of Organized Sports
Organized sports offer numerous physical, cognitive, and social benefits for children and adolescents. Participation in sports helps develop strength, coordination, balance, and endurance, aligning with natural motor skill growth. It also fosters teamwork, discipline, and goal-setting, teaching young athletes how to collaborate, handle challenges, and stay committed. Additionally, sports can enhance mental health, as physical activity reduces stress, improves mood, and boosts self-confidence. For teenagers, structured athletics provide a sense of belonging, helping them build friendships, stay engaged in school, and develop leadership skills. Long-term participation can also encourage a lifelong appreciation for fitness, reducing the risk of obesity and other health issues.
Cons of Organized Sports
Despite the benefits, organized sports also have potential downsides, especially when competition and pressure outweigh enjoyment. At younger ages (5-10), some children may struggle with over-scheduling, burnout, or stress if pushed too hard too soon. Injuries, particularly in adolescence, become a concern as intense training and repetitive movements can lead to overuse injuries. The emphasis on winning over enjoyment can sometimes cause anxiety, low self-esteem, or frustration, particularly for children who feel they are not performing at the same level as their peers. Additionally, as teenagers (ages 15-18) balance academics, social life, and sports, time management pressures can create stress or lead to early dropout from sports due to burnout or conflicting commitments. For sports to be truly beneficial, the focus should remain on skill development, fun, and personal growth rather than just competition.
Recess and the Link Project
Recess and unstructured play are essential during the elementary years because they support physical, cognitive, social, and emotional development. Research shows that movement and free play improve attention span, problem-solving skills, and emotional regulation, which are crucial for young learners. Regular breaks help children process information better, allowing for greater focus and engagement in the classroom. The Liink Project was created by Dr. Debbie Rhea, a professor at Texas Christian University (TCU). She developed the program to promote whole-child development by integrating more unstructured outdoor play and character education into school schedules. Her inspiration came from observing the Finnish education system, which emphasizes frequent breaks and holistic learning.. The Liink Project advocates for multiple short recesses throughout the school day, rather than one long break. Schools that implement Liink’s model, four 15-minute recesses per day, have reported improvements in student behavior, academic performance, and emotional well-being. By allowing children to reset and recharge, recess reduces stress, improves mood, and enhances overall learning.
Beyond academics, unstructured play fosters creativity, problem-solving, and social skills in ways structured activities cannot. When children engage in self-directed play, they learn how to negotiate, collaborate, and resolve conflicts—key skills for lifelong success. Free play also enhances motor skills, as children run, climb, and jump, strengthening their balance, coordination, and agility. The Liink Project emphasizes that young brains need these breaks to develop executive function and self-regulation, preventing burnout and increasing motivation for learning. Unfortunately, many schools reduce recess time to focus on academics, despite evidence that more play leads to better focus and learning outcomes. Prioritizing recess and unstructured play ensures that children develop holistically, benefiting both their brains and bodies.
PE Requirements in California
In California, physical education (PE) requirements are established by the California Education Code to ensure students engage in regular physical activity. Elementary students (grades 1–6) must receive at least 200 minutes of PE every 10 school days (an average of 20 minutes per day), while middle and high school students (grades 7–12) are required to have at least 400 minutes every 10 school days (40 minutes per day). Class sizes in PE can vary widely, but California does not have a specific cap on PE class sizes, often leading to large class enrollments that can affect instruction quality. Some high school PE classes may have 40 to 50 students or more per teacher, making individualized instruction and safety supervision challenging. While these PE requirements are designed to promote physical fitness, motor skill development, and overall health, many schools face difficulties in meeting them due to large class sizes, scheduling conflicts, and resource limitations. Ensuring smaller class sizes and adequate PE minutes is essential for fostering lifelong healthy habits and combating issues like childhood obesity and mental health concerns.
Nutrition for Elementary and Middle School Students
Proper nutrition is essential for elementary and middle school students as it directly affects their growth, energy levels, and ability to focus in school. A balanced diet should include a variety of whole foods such as fruits, vegetables, whole grains, lean proteins, and healthy fats. However, many school meals and snacks often contain high amounts of sugar and processed foods, which can contribute to poor health outcomes. Excess sugar, commonly found in breakfast cereals, granola bars, and flavored yogurts, can lead to energy crashes, difficulty concentrating, and an increased risk of obesity and type 2 diabetes. Children should consume less than 25 grams (about 6 teaspoons) of added sugar per day, according to the American Heart Association, yet many exceed this amount due to sugary snacks and drinks.
Processed foods are another major concern in children’s diets. Many school lunches and packaged snacks contain preservatives, artificial flavors, and unhealthy fats, which can contribute to long-term health issues such as high blood pressure and heart disease. These foods are often calorie-dense but lack essential nutrients like fiber, vitamins, and minerals. Instead of processed foods like chips, cookies, and frozen meals, children should be encouraged to eat more whole, nutrient-dense foods. Schools and parents can work together to provide healthier options, such as fresh fruit, nuts, yogurt, and whole-grain crackers, to support better eating habits and long-term well-being.
Caloric intake is another important factor in children’s nutrition. Elementary school students typically need 1,200 to 2,000 calories per day, while middle school students may require 1,600 to 2,600 calories per day, depending on age, gender, and activity levels. However, many children consume too many empty calories from sugary snacks and fast food, while others do not eat enough nutrient-dense meals. Drinks play a major role in calorie consumption—sodas, fruit punches, and sports drinks often contain excessive sugar and unnecessary calories. Water and unsweetened milk are much healthier choices, helping to maintain hydration without the negative effects of added sugars. Schools should consider limiting access to sugary drinks in cafeterias and vending machines to encourage better beverage choices.

Advertising plays a powerful role in shaping children’s food preferences. Companies aggressively market sugary cereals, fast food, and processed snacks to young audiences through television, social media, and even in schools. Bright packaging, cartoon mascots, and celebrity endorsements make unhealthy foods seem fun and appealing. Research shows that children who are exposed to more junk food advertisements are more likely to crave and consume unhealthy foods. To combat this, schools and parents should promote media literacy by teaching children how to recognize persuasive advertising tactics. Additionally, policies that limit junk food ads targeting children and promote healthier food marketing can help create a food environment that supports better nutrition and long-term health.
Elementary and middle school students should drink 5 to 8 cups (40 to 64 ounces) of water per day, depending on their age, activity level, and climate. Proper hydration is essential for maintaining energy, focus, and overall health, yet many children do not drink enough water, often opting for sugary drinks instead. Sodas, fruit punches, and sports drinks are heavily marketed to kids but contain excessive sugar, artificial ingredients, and empty calories, contributing to obesity, tooth decay, and increased risk of type 2 diabetes. The American Heart Association recommends that children consume no more than 25 grams (6 teaspoons) of added sugar per day, but a single soda or flavored drink can exceed this limit. Encouraging students to drink plain water, milk, or unsweetened beverages instead of sugary drinks helps support better hydration, healthier weight management, and long-term well-being. Schools and parents can play a key role by limiting access to sugary drinks and promoting water consumption through refill stations and reusable water bottles.
School Lunch in California
California provides free school lunch to all public school students, regardless of income, through the Universal Meals Program, which began in the 2022-2023 school year. This program ensures that every student in grades K-12 has access to two free meals per day—breakfast and lunch—without needing to apply for the National School Lunch Program (NSLP) based on financial eligibility. The meals must meet federal nutrition guidelines, including a balance of fruits, vegetables, whole grains, and lean proteins, while limiting sodium, saturated fats, and added sugars. Additionally, schools are required to avoid competitive foods, meaning that outside vendors or school fundraisers cannot sell unhealthy foods during meal times, ensuring students are more likely to choose the nutritious meals provided.
Despite the benefits of free school lunches, challenges such as cost and food waste remain concerns. California’s program is state-funded, with additional federal reimbursements, making it one of the largest investments in school nutrition nationwide. However, with the expansion of free meals, food waste has increased, as not all students eat the meals provided. Schools must serve pre-set portions that meet guidelines, but students may discard unwanted items, particularly fruits, vegetables, and milk. To combat waste, some schools have implemented strategies such as “share tables” where students can leave unopened food for others to take. Educating students on food waste reduction, offering more customizable meal options, and improving meal appeal can help ensure that free school lunch remains both accessible and sustainable.
Sleep
Sleep is essential for learning and brain development, especially in elementary-aged students. During sleep, the brain processes new information, strengthens memory, and clears out toxins that build up during the day. For young students, getting enough sleep helps with concentration, problem-solving, emotional regulation, and overall cognitive function. Lack of sleep can lead to difficulty focusing in class, trouble remembering lessons, and increased irritability or stress.
How Sleep Supports Learning and Brain Development:
- Memory Consolidation: Sleep helps the brain store and organize information learned throughout the day, making it easier for children to recall facts, vocabulary, and problem-solving techniques.
- Cognitive Function: Adequate rest enhances attention, reasoning, and creativity, all of which are important for school performance.
- Emotional Regulation: Children who get enough sleep are better at managing emotions, reducing the likelihood of mood swings, anxiety, or behavioral issues.
- Physical Growth and Health: Growth hormones are released during deep sleep, supporting overall development and immune system function.
Recommended Sleep Duration by Age:
- 6-year-old: 9–12 hours per night
- 10-year-old: 9–12 hours per night
- 13-year-old: 8–10 hours per night
- 16-year-old: 8–10 hours per night
Younger children typically require more sleep because their brains are still rapidly developing. As children reach adolescence, their sleep needs slightly decrease, but getting a full night’s rest remains crucial for academic performance and emotional well-being. However, many teenagers struggle with sleep due to biological shifts in their circadian rhythms, leading to later sleep times and early school start times, which can negatively impact learning.
Tips for Healthy Sleep Habits:
- Establish a consistent bedtime routine.
- Limit screen time before bed to reduce blue light exposure.
- Encourage physical activity during the day.
- Create a quiet, dark, and cool sleep environment.
- Avoid caffeine and heavy meals before bedtime.
Ensuring children and teenagers get enough rest helps them perform better in school, retain information, and develop essential problem-solving and emotional skills. Prioritizing sleep is just as important as studying and attending class for academic success!
Conclusion
Physical development during childhood is a dynamic process influenced by various factors, including health, nutrition, and activity levels. By understanding the characteristics and needs of children at different stages, educators and caregivers can foster environments that promote health and wellness, setting the foundation for a lifetime of healthy habits.
References
- American Heart Association. (2016). Children should consume less than six teaspoons of added sugars per day. https://newsroom.heart.org/news/children-should-consume-less-than-six-teaspoons-of-added-sugars-per-day
- California Department of Social Services. (2020). Title 22 Regulations for Child Care Facilities. https://cdss.ca.gov/.
- Centers for Disease Control and Prevention (CDC). (2020). National Health Education Standards. https://www.cdc.gov/healthyyouth/healtheducationpartnerships/nationalhealtheducationstandards.htm.
- National Association for Sport and Physical Education (NASPE). (2015). Physical Activity for Children: A Statement of Guidelines for Children Ages 5-12. https://www.shapeamerica.org/.
- Liink Project. (n.d.). Home. Texas Christian University. https://liinkproject.tcu.edu
- United States Department of Agriculture (USDA). (2020). Dietary Guidelines for Americans. https://www.dietaryguidelines.gov/.
Media Attributions
- Cajas_de_cereales_en_un_Supermercado_Soriana,_Mazatlán,_27_de_julio_de_2023 © El Nuevo Doge adapted by El Nuevo Doge, CC0, via Wikimedia Commons is licensed under a CC BY-SA (Attribution ShareAlike) license