Physical Fitness Profiles Among Children and Adolescents With ADHD and ASD : A Comparison With Typically Developing Peers

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Main Authors: Nerea Blanco‐Martínez, Rocío Carballo‐Afonso, Joel Estévez‐Agudo, Carlos Ayán‐Pérez, José Carlos Diz‐Gómez
Format: Artículo Open Access
Published: Wiley 2026
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author Nerea Blanco‐Martínez
Rocío Carballo‐Afonso
Joel Estévez‐Agudo
Carlos Ayán‐Pérez
José Carlos Diz‐Gómez
author_facet Nerea Blanco‐Martínez
Rocío Carballo‐Afonso
Joel Estévez‐Agudo
Carlos Ayán‐Pérez
José Carlos Diz‐Gómez
Nerea Blanco‐Martínez
Rocío Carballo‐Afonso
Joel Estévez‐Agudo
Carlos Ayán‐Pérez
José Carlos Diz‐Gómez
collection Wiley Open Access
contents Physical Fitness Profiles Among Children and Adolescents With ADHD and ASD : A Comparison With Typically Developing Peers Nerea Blanco‐Martínez Rocío Carballo‐Afonso Joel Estévez‐Agudo Carlos Ayán‐Pérez José Carlos Diz‐Gómez Autism Research ABSTRACT Children and adolescents with autism spectrum disorder (ASD) and attention deficit hyperactivity disorder (ADHD) often present physical and motor challenges that may compromise health, yet direct comparisons between these neurodevelopmental conditions and typically developing (TD) peers remain limited. This study aimed to examine the physical fitness profiles of these three groups. A total of 1537 school‐aged participants were recruited from mainstream educational settings. The assessment included selected tests from the EUROFIT battery and body mass index (BMI). Composite indices of physical fitness and motor coordination were computed using age‐ and sex‐adjusted Z ‐scores. Both the ADHD ( n  = 80) and ASD ( n  = 36) groups showed significantly lower cardiorespiratory fitness, balance, and upper‐body coordination compared with TD peers ( n  = 1413). Lower‐body muscular strength was reduced only in the ASD group, which also performed worse than the ADHD group. Flexibility and BMI distributions did not differ significantly across groups. Plate Tapping and Flamingo Balance test indices were markedly lower in both clinical groups relative to TD peers. Children and adolescents with ADHD and ASD had lower physical fitness than TD peers. Direct comparisons between ADHD and ASD revealed generally similar profiles, except for lower muscular strength in ASD. These findings highlight the need for early screening and tailored interventions to support healthier developmental trajectories and enhance functional outcomes in neurodevelopmental populations. 10.1002/aur.70261 http://creativecommons.org/licenses/by-nc-nd/4.0/
doi_str_mv 10.1002/aur.70261
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institution Wiley Open Access
license_str_mv http://creativecommons.org/licenses/by-nc-nd/4.0/
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publisher Wiley
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spellingShingle Physical Fitness Profiles Among Children and Adolescents With ADHD and ASD : A Comparison With Typically Developing Peers
Nerea Blanco‐Martínez
Rocío Carballo‐Afonso
Joel Estévez‐Agudo
Carlos Ayán‐Pérez
José Carlos Diz‐Gómez
Autism Research
Physical Fitness Profiles Among Children and Adolescents With ADHD and ASD : A Comparison With Typically Developing Peers Nerea Blanco‐Martínez Rocío Carballo‐Afonso Joel Estévez‐Agudo Carlos Ayán‐Pérez José Carlos Diz‐Gómez Autism Research ABSTRACT Children and adolescents with autism spectrum disorder (ASD) and attention deficit hyperactivity disorder (ADHD) often present physical and motor challenges that may compromise health, yet direct comparisons between these neurodevelopmental conditions and typically developing (TD) peers remain limited. This study aimed to examine the physical fitness profiles of these three groups. A total of 1537 school‐aged participants were recruited from mainstream educational settings. The assessment included selected tests from the EUROFIT battery and body mass index (BMI). Composite indices of physical fitness and motor coordination were computed using age‐ and sex‐adjusted Z ‐scores. Both the ADHD ( n  = 80) and ASD ( n  = 36) groups showed significantly lower cardiorespiratory fitness, balance, and upper‐body coordination compared with TD peers ( n  = 1413). Lower‐body muscular strength was reduced only in the ASD group, which also performed worse than the ADHD group. Flexibility and BMI distributions did not differ significantly across groups. Plate Tapping and Flamingo Balance test indices were markedly lower in both clinical groups relative to TD peers. Children and adolescents with ADHD and ASD had lower physical fitness than TD peers. Direct comparisons between ADHD and ASD revealed generally similar profiles, except for lower muscular strength in ASD. These findings highlight the need for early screening and tailored interventions to support healthier developmental trajectories and enhance functional outcomes in neurodevelopmental populations. 10.1002/aur.70261 http://creativecommons.org/licenses/by-nc-nd/4.0/
title Physical Fitness Profiles Among Children and Adolescents With ADHD and ASD : A Comparison With Typically Developing Peers
topic Autism Research
url https://onlinelibrary.wiley.com/doi/10.1002/aur.70261