Effect of baby swimming lessons on infants' avoidance of bodies of water.

Despite the popularity of infant swimming programs, no evidence exists to determine whether they influence infants' judgments and behavior when confronted with bodies of water. We conducted two separate studies examining if the total number of swimming sessions an infant participated in predicted whether they avoided a body of water they could enter via an edge (Study 1-Water Cliff: n = 101 infants) or a slope (Study 2-Water Slope: n = 77 infants). The results revealed a significant interaction between number of sessions and type of entry into the water. Infants who participated in 10 or more sessions were more likely to avoid falling on the edge leading into the water but entered the water significantly more if they could access it via a slope. These findings suggest that while experience in baby swimming programs can promoted more adaptive behaviors on drop-offs leading into bodies of water, sloped entries may heighten drowning risks for young children with greater familiarity with water. Because we tested the two groups of infants in different countries, further research is warranted to determine if cultural differences in child rearing practices or variations in the content and/or teaching of the swimming programs might explain these intriguing findings.

Effects of Exposure to Formal Aquatic Activities on Babies Younger Than 36 Months: A Systematic Review.

This systematic review investigated the possible effects of exposing infants to formal activities in aquatic environments. A literature search of eight databases was concluded on 12 December 2022. Studies were eligible if they: (i) focused on 0-36 months of age infants, (ii) addressed the exposure of infants to formal aquatic activities, and (iii) compared the 'same condition of aquatic exposure with the control' or 'before and after exposure'. The PRISMA protocol was used. Articles considered for inclusion (n = 18) were clustered in the health, development, and physiological outcome domains. The results show that research is focused on indoor activities, mainly in baby swimming programs and baby aquatic therapy interventions. Swimming and aquatic therapy practices are generally safe for babies' health, and there are benefits to preterm and newborns exposed to aquatic therapy once the physiological parameters are maintained in normal and safe patterns. A positive effect is also suggested in general gross and fine motor skills, visual motion perception, cognitive flexibility, and response selection accuracy for infants who participated in aquatic programs. Further investigation with high-quality experimental designs is required to establish the effect of exposure of infants to formal aquatic activities (Systematic Review Registration: CRD42021248054).

Infant Drowning Prevention: Insights from a New Ecological Psychology Approach.

Drowning causes significant mortality and morbidity globally, and infants (0-4 years of age) are disproportionately impacted. In a groundbreaking approach to pediatric drowning prevention, ecological psychology has been used to investigate the relationship between infants' perceptual-motor development and their behavior around bodies of water. In this review, we summarize recent research findings in the field of ecological psychology and apply these to the prevention of infant drowning. Studies have linked infants' avoidance of falls into the water with locomotor experience and type of accessway into bodies of water. Through crawling experience, infants learn to perceive the risk of falling into water and start adapting their behavior to avoid drop-offs leading into water. Infants tend to enter deep water more when the access is via a slope than via a drop-off. We propose that ecological psychology can enhance infant drowning prevention interventions. The aim is to create an additional layer of protection, the perceptual information layer, in addition to existing strategies, such as supervision and barriers. This new protective layer can be a powerful tool to further highlight the risk of entering the water and reduce infant drowning-related mortality and morbidity.

The Influence of Equipment and Environment on Children and Young Adults Learning Aquatic Skills.

Learning aquatic skills is an important component of developing physical literacy in children. Aquatic skills such as floating, swimming and safe entry/exit promote engagement in different water environments and may help preserve lives in an emergency. This scoping review was conducted to evaluate the influence of task constraints (i.e., equipment) and environmental constraints (i.e., physical and social) on how children learn foundational aquatic skills. In developed countries, children are typically taught in swimming pools under direct supervision. It is also not uncommon to see children and infants learning to swim with assistive equipment (e.g., buoyancy aids). However, perhaps surprisingly, the evidence on how and where children learn aquatic skills does not uniformly promote such practices. For example, the use of flotation devices has not been proven to aid skill learning. Some researchers have advocated that children should learn aquatic skills whilst wearing outdoor clothing. One benefit of children wearing clothing is an increased capacity to practice in colder water (such as the ocean, rivers, or lakes). Overall, whilst practitioners often use equipment for various reasons it seems that not all equipment is equally useful in promoting the acquisition of aquatic skills. In less developed countries, with limited access to swimming pools and fewer resources for private instruction, a range of different open water aquatic environments and practices, such as swimming in temporarily flooded areas, have been reported. Such strategies are in urgent demand of further research given that drowning rates in less developed countries around the world exceed those in developed nations. It can be argued that learning in pools does not afford the opportunities to develop the whole range of adaptive skills that may be required in different open water environments such as navigating currents and waves, floating whilst clothed, or making life-saving decisions. Consequently, a shift toward teaching in open water environments has occurred in several countries. This review provides an evidence-base upon which practitioners can design more effective aquatic education programs for children.

Do infants avoid a traversable slope leading into deep water?

Ramps used to access swimming pools are designed with a shallow slope that affords easy access for all including infants. Locomotor experience has been linked to infants' avoidance of falling into the water from drop-offs; however, the effect of such experience on infants' behavior when a slope is offered to access the water has not been addressed. Forty-three crawling infants (Mage  = 10.63 ± 1.91 months; Mcrawling  = 2.38 ± 1.77 months) and 34 walking infants (Mage  = 14.90 ± 2.18 months; Mwalking  = 2.59 ± 1.56 months) were tested on a new Water Slope paradigm, a sloped surface (10°) leading to deep water. No association between infants' avoidance of submersion and locomotor experience was found. Comparison with the results of infants' behavior on the water cliff revealed that a greater proportion of infants reached the submersion point on the water slope than fell into the water cliff. Collectively, these results indicate a high degree of specificity in which locomotor experience teaches infants about risky situations. Importantly, sloped access to deep water appears to increase the risk of infants moving into the water thereby making them more vulnerable to drowning.

Experienced crawlers avoid real and water drop-offs, even when they are walking.

Crawling experience was recently linked to crawling and walking infants' avoidance of falling on real and water cliffs, whereas walking experience had no effect on walkers' avoidance behavior (Burnay et al., 2021). In the current study, the behavior of 25 infants was analyzed on the Real Cliff/Water Cliff apparatus using a longitudinal study design. Infants were tested as experienced crawlers (Mcrawling = 2.93 months, SD = 1.07), novice walkers (Mwalking = 0.68 months, SD = 0.29), and experienced walkers (Mwalking = 4.90 months, SD = 0.92). Infants avoided falling on both cliffs when tested as experienced crawlers and their behavior was not different when tested as novice or experienced walkers. These findings confirmed the effect of crawling experience on crawling and walking infants' avoidance of falls from heights and into water and the transfer of perceptual learning from crawling to walking postures.

The effect of specific locomotor experiences on infants' avoidance behaviour on real and water cliffs.

Infants' avoidance of drop-offs has been described as an affordance learning that is not transferable between different locomotor postures. In addition, there is evidence that infants perceive and act similarly around real and water cliffs. This cross-sectional study investigated the effects of specific locomotor experiences on infants' avoidance behaviour using the Real Cliff/Water Cliff paradigm. The experiments included 102 infants, 58 crawling, but pre-walking, infants (Mage  = 11.57 months, SD = 1.65) with crawling experience ranging between 0.03 and 7.4 months (M = 2.16, SD = 1.71) and 44 walking infants (Mage  = 14.82 months, SD = 1.99), with walking experience ranging between 0.13 and 5.2 months (M = 1.86, SD = 1.28). The association between crawling experience and crawlers' avoidance of the real and water cliffs was confirmed. Importantly, crawling and total self-produced locomotor experience, and not walking experience, were associated with walkers' avoidance behaviour on both cliffs. These results suggest that some degree of perceptual learning acquired through crawling experience was developmentally transferred to the walking posture. A longer duration of crawling experience facilitates a more rapid recalibration to the new walking capability. In addition, there was no difference in infants' avoidance of falling on the real and the water cliff. However, infants explored the water cliff more than the real cliff, revealing more enticement to examine bodies of water than for drop-offs. A video abstract of this article can be viewed at https://youtu.be/23LXIGiLhHI.