ArticleFrontiers in public health2026
Motor skills influence social function through health-related fitness in children with autism: a cross-sectional study.
Article in Frontiers in public health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Objective: To examine whether health-related physical fitness mediates the association between fundamental motor skills (FMS) and social functioning in school-age children with autism spectrum disorder (ASD). Methods: A total of 117 school-age children with ASD were recruited from special education schools. FMS were assessed using the Test of Gross Motor Development-3 (TGMD-3). Social functioning was evaluated using the Social Responsiveness Scale-2 (SRS-2), with higher scores indicating greater social impairment. Health-related physical fitness was assessed via body mass index, flexibility (sit-and-reach), muscular strength (handgrip), muscular power (standing long jump), balance (one-leg stance), and vital capacity. Pearson correlation analyses and structural equation modeling with bias-corrected bootstrapping (5,000 resamples) were conducted to test mediation effects. Results: Higher FMS scores were associated with lower SRS-2 scores, indicating better social functioning ( Conclusion: Health-related physical fitness, especially muscular strength and flexibility, appears to be a key mechanism linking motor skill proficiency to social functioning in children with ASD. Interventions that integrate strength and mobility training with motor-skill practice may enhance social outcomes in this population.
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