Physical health in children with neurodevelopmental disorders
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Updated: Feb 7, 2026

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Setareh Alabaf1, Christopher Gillberg2, Sebastian Lundström2,3
1Gillberg Neuropsychiatry Centre, Institute of Neuroscience and Physiology, University of Gothenburg, Gothenburg, Sweden. setareh.alabaf@gu.se.
Insights
Children with neurodevelopmental disorders (NDDs) experience a high prevalence of physical health issues. This includes conditions like epilepsy, asthma, and digestive problems, especially when multiple NDDs are present.
Area of Science:
- Pediatric Health
- Neurodevelopmental Disorders
- Twin Studies
Background:
- Growing diagnoses of neurodevelopmental disorders (NDDs) highlight the need to examine physical health in affected children.
- Previous research has not comprehensively assessed the range of physical conditions co-occurring with NDDs in pediatric populations.
Purpose of the Study:
- To determine the prevalence of specific physical problems in 9- and 12-year-old twins with and without indications of NDDs.
- To investigate if combinations of NDDs are associated with a higher burden of physical health issues.
Main Methods:
- Utilized data from a nationwide twin registry, including 28,058 participants.
- Conducted validated telephone interviews with parents to gather information on children's mental health and physical conditions.
- Assessed a predefined list of physical problems: epilepsy, migraine, asthma, cancer, diabetes, psoriasis, lactose intolerance, celiac disease, diarrhea, constipation, daytime enuresis, and encopresis.
Main Results:
- Children with indications of NDDs exhibited a significantly higher rate of physical problems compared to their peers without NDDs.
- The prevalence of physical ailments was particularly elevated in children diagnosed with multiple NDDs.
- Specific conditions like epilepsy, asthma, and gastrointestinal issues were frequently reported.
Conclusions:
- Children with neurodevelopmental disorders face a substantial burden of physical health conditions.
- Early identification and integrated management of physical health are crucial for children with NDDs, especially those with complex presentations.
Abstract:
With increasing numbers of children being diagnosed with neurodevelopmental disorders (NDDs) attention has been drawn to these children's physical health. We aimed to identify the prevalence of defined physical problems (epilepsy, migraine, asthma, cancer, diabetes, psoriasis, lactose intolerance, celiac disease, diarrhea, constipation, daytime enuresis, encopresis) in a nationwide population of 9- and 12-year-old twins subdivided into those with and without indications of NDDs. Parents of 28,058 twins participated in a well-validated telephone interview regarding their children's mental health and answered questions about their physical problems. The results indicate a high rate of physical problems in children with NDDs, particularly in those with indications of the presence of combinations of several NDDs.
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