This Study Will Evaluate Cardiorespiratory and Muscular Fitness to Examine Associations With Anthropometric Characteristics and Other Indicators of Cardiometabolic Risk Among Patients With or Without Autism Spectrum Disorder
ROACH
Cardiorespiratory Fitness, Handgrip Strength, and Cardiometabolic Health in Obese Children With or Without Autism Spectrum Disorder: a Retrospective Cohort Study
1 other identifier
observational
200
1 country
1
Brief Summary
The goal of this observational study is to evaluate cardiorespiratory and muscular fitness in children with obesity, with and without autism spectrum disorder (ASD), and examine how fitness relates to body measurements, body composition, and cardiometabolic health. The main questions it aims to answer are:
- Do children with and without ASD differ in cardiorespiratory fitness and handgrip strength?
- Are fitness levels related to body composition and measures of cardiometabolic health? Researchers will compare children with ASD to children without ASD to see if there are differences in fitness, body composition, and cardiometabolic health. Participants will have information from their medical records reviewed, including:
- Cardiorespiratory fitness and handgrip strength test results
- Height, weight, BMI, and body composition measurements
- Blood test results, including HbA1c and cholesterol levels
- Age, sex, and other demographic information
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for all trials
Started Aug 2026
Shorter than P25 for all trials
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
Study Start
First participant enrolled
August 5, 2026
CompletedFirst Submitted
Initial submission to the registry
August 18, 2026
CompletedFirst Posted
Study publicly available on registry
September 4, 2026
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 31, 2026
ExpectedStudy Completion
Last participant's last visit for all outcomes
January 31, 2027
September 4, 2026
August 1, 2026
5 months
August 18, 2026
August 31, 2026
Conditions
Keywords
Outcome Measures
Primary Outcomes (3)
Cardiorespiratory Fitness
Cardiorespiratory Fitness as determined by 3-minute step test results, which includes post 1-minute heartrate per Kasch Pulse Recovery Test
January 1 - December 31 2026
Handgrip Strength
As defined by handgrip test using hand dynamometer in kilograms
January 1 - December 31 2026
Aerobic Capacity
Estimation of VO2 max per ml/kg/min derived from results of 3-minute step test
January 1, 2026 to December 31, 2026
Secondary Outcomes (8)
Prediabetes
January 1 - December 31 2026
Cardiometabolic Risk
January 1 - December 31 2026
Pediatric Obesity
January 1 - December 31 2026
LDL
January 1 - December 31 2026
HDL
January 1 - December 31 2026
- +3 more secondary outcomes
Study Arms (2)
Pediatrics with Autism Spectrum Disorder
Obese and Prediabetic
Pediatrics without Autism Spectrum Disorder
Obese and Pediatric
Eligibility Criteria
Obese Pediatrics with or without Autism Spectrum Disorder
You may qualify if:
- Pediatric patients 6-18 years of age who received care at the Pediatric Endocrinology Diabetes Prevention and Fitness Clinic between January 1 and December 31, 2026.
- BMI ≥95th percentile for age and sex, consistent with the definition of pediatric obesity.
- Documented results from cardiorespiratory fitness testing and/or handgrip strength testing.
- Documented HbA1c value, when available.
- Sufficient medical record information to determine ASD status and the primary study outcomes.
You may not qualify if:
- Age \<6 or \>18 years at the time of clinical assessment.
- BMI \<95th percentile for age and sex.
- Absence of documented cardiorespiratory fitness or handgrip strength testing.
- Insufficient medical record information to determine ASD status or primary study outcomes.
- Duplicate or unusable medical records.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
UVA Health
Charlottesville, Virginia, 22903, United States
Related Publications (45)
Bonney E, Ferguson G, Smits-Engelsman B. Relationship between Body Mass Index, Cardiorespiratory and Musculoskeletal Fitness among South African Adolescent Girls. Int J Environ Res Public Health. 2018 May 28;15(6):1087. doi: 10.3390/ijerph15061087.
PMID: 29843388BACKGROUNDKaragianni E, Antoniou V, Dimitriadis Z, Panagiotakos D, Cordovil R, Pepera G. Assessment of Overall Muscle Strength in Children and Adolescents Using Handheld Dynamometry: A Systematic Review of Reference Values and Quality of Data. J Clin Med. 2025 Nov 28;14(23):8454. doi: 10.3390/jcm14238454.
PMID: 41375762BACKGROUNDZarate-Osuna F, Zapico AG, Gonzalez-Gross M. Handgrip Strength in Children and Adolescents Aged 3 to 16 Years and Residing in Spain: New Reference Values. Children (Basel). 2025 Apr 6;12(4):471. doi: 10.3390/children12040471.
PMID: 40310105BACKGROUNDAvitabile CM, Weber DR, Zemel BS. Paediatric dominant and non-dominant handgrip reference curves and the association with body composition. Ann Hum Biol. 2024 Feb;51(1):2298474. doi: 10.1080/03014460.2023.2298474. Epub 2024 Jan 22.
PMID: 38293777BACKGROUNDKangalgil M, Meral B, Tiryaki BK, Bayram H. Paediatric handgrip reference curves and the relationship between lower handgrip strength and clinical outcomes of hospitalised children. J Paediatr Child Health. 2025 Feb;61(2):230-236. doi: 10.1111/jpc.16743. Epub 2024 Dec 12.
PMID: 39663848BACKGROUNDRichardson CG, Opotowsky AR, Chin C, Mays WA, Knecht SK, Powell AW. The Relationship of Handgrip Strength to Body Composition and Cardiopulmonary Fitness in Children and Young Adults. J Pediatr Clin Pract. 2025 Mar 20;16:200144. doi: 10.1016/j.jpedcp.2025.200144. eCollection 2025 Jun.
PMID: 40242788BACKGROUNDJankowski M, Niedzielska A, Brzezinski M, Drabik J. Cardiorespiratory fitness in children: a simple screening test for population studies. Pediatr Cardiol. 2015 Jan;36(1):27-32. doi: 10.1007/s00246-014-0960-0. Epub 2014 Jul 29.
PMID: 25070386BACKGROUNDGupta P, Kumar B, Banothu KK, Jain V. Assessment of Cardiorespiratory Fitness in 8-to-15-Year-Old Children with Overweight/Obesity by Three-Minute Step Test: Association with Degree of Obesity, Blood Pressure, and Insulin Resistance. Indian J Pediatr. 2023 Dec;90(12):1216-1222. doi: 10.1007/s12098-022-04311-z. Epub 2022 Sep 6.
PMID: 36066791BACKGROUNDMaggio ABR, Vuistiner P, Crettenand A, Tabin R, Martin XE, Beghetti M, Farpour-Lambert NJ, Deriaz O. Adapting the "Chester step test" to predict peak oxygen uptake in children. Swiss Med Wkly. 2017 May 10;147:w14435. doi: 10.4414/smw.2017.14435. eCollection 2017.
PMID: 28634968BACKGROUNDWeisstaub G, Gonzalez J, Orizola I, Borquez J, Monsalves-Alvarez M, Lera L, Troncoso R, Sepulveda C. Validity and reliability of the step test to estimate maximal oxygen consumption in pediatric population. Sci Rep. 2025 Jan 2;15(1):592. doi: 10.1038/s41598-024-84336-w.
PMID: 39747315BACKGROUNDHayes RM, Maldonado D, Gossett T, Shepherd T, Mehta SP, Flesher SL. Developing and Validating a Step Test of Aerobic Fitness among Elementary School Children. Physiother Can. 2019 Spring;71(2):187-194. doi: 10.3138/ptc.2017-44.pp.
PMID: 31040514BACKGROUNDAmerican College of Sports Medicine. ACSM's Guidelines for Exercise Testing and Prescription. 12th ed. Ozemek C, Bonikowske AR, Christle JW, Gallo PM, editors. Philadelphia, PA: Wolters Kluwer; 2025.
BACKGROUNDRollo S, Fraser BJ, Seguin N, Sampson M, Lang JJ, Tomkinson GR, Tremblay MS. Health-Related Criterion-Referenced Cut-Points for Cardiorespiratory Fitness Among Youth: A Systematic Review. Sports Med. 2022 Jan;52(1):101-122. doi: 10.1007/s40279-021-01537-3. Epub 2021 Sep 1.
PMID: 34468952BACKGROUNDGriffith GJ, Wang AP, Liem RI, Carr MR, Corson T, Ward K. Reference Values for Cardiorespiratory Fitness in Patients Aged 6 to 18 Years. J Pediatr. 2024 Jan;264:113770. doi: 10.1016/j.jpeds.2023.113770. Epub 2023 Oct 5.
PMID: 37802386BACKGROUNDAli OI, Sarsak HI, Tarshi MM, Marji M, Aljohani ST, Badawood MN, Bamusallam MM, Alharbi K, Ibrahim ZM, Sheeha BB, Amin WM. Assessment of Hand Grip and Pinch Strengths in Children with Autism Spectrum Disorders: A Cross-Sectional Study. Children (Basel). 2025 Mar 1;12(3):320. doi: 10.3390/children12030320.
PMID: 40150602BACKGROUNDBricout VA, Pace M, Dumortier L, Baillieul F, Favre-Juvin A, Guinot M. Reduced Cardiorespiratory Capacity in Children with Autism Spectrum Disorders. J Clin Med. 2018 Oct 16;7(10):361. doi: 10.3390/jcm7100361.
PMID: 30332742BACKGROUNDHaapala EA, Leppanen MH, Lehti M, Lintu N, Tompuri T, Viitasalo A, Schwab U, Lakka TA. Cross-sectional associations between cardiorespiratory fitness and NMR-derived metabolic biomarkers in children - the PANIC study. Front Endocrinol (Lausanne). 2022 Sep 23;13:954418. doi: 10.3389/fendo.2022.954418. eCollection 2022.
PMID: 36213296BACKGROUNDHauser C, Lichtenstein E, Nebiker L, Streese L, Kochli S, Infanger D, Faude O, Hanssen H. Cardiorespiratory fitness and development of childhood cardiovascular risk: The EXAMIN YOUTH follow-up study. Front Physiol. 2023 Aug 23;14:1243434. doi: 10.3389/fphys.2023.1243434. eCollection 2023.
PMID: 37680774BACKGROUNDSteiman De Visser H, Fast I, Brunton N, Arevalo E, Askin N, Rabbani R, Abou-Setta AM, McGavock J. Cardiorespiratory Fitness and Physical Activity in Pediatric Diabetes: A Systemic Review and Meta-Analysis. JAMA Netw Open. 2024 Feb 5;7(2):e240235. doi: 10.1001/jamanetworkopen.2024.0235.
PMID: 38393727BACKGROUNDYu HJ, Cai LB, Yang XH, Yuan S, Li QX, He QQ. Cardiorespiratory Fitness Attenuates the Obesity Risk in Chinese Children Who Have Parents with Overweight/Obesity. J Pediatr. 2018 Sep;200:150-154.e1. doi: 10.1016/j.jpeds.2018.05.015. Epub 2018 Jun 19.
PMID: 29934025BACKGROUNDJohansson L, Putri RR, Danielsson P, Hagstromer M, Marcus C. Associations between cardiorespiratory fitness and cardiometabolic risk factors in children and adolescents with obesity. Sci Rep. 2023 May 5;13(1):7289. doi: 10.1038/s41598-023-34374-7.
PMID: 37147377BACKGROUNDMusalek M, Clark CCT, Kokstejn J, Vokounova S, Hnizdil J, Mess F. Impaired Cardiorespiratory Fitness and Muscle Strength in Children with Normal-Weight Obesity. Int J Environ Res Public Health. 2020 Dec 9;17(24):9198. doi: 10.3390/ijerph17249198.
PMID: 33317083BACKGROUNDGavotto A, Mura T, Rhodes J, Yin SM, Hager A, Hock J, Guillaumont S, Vincenti M, De La Villeon G, Requirand A, Picot MC, Huguet H, Souilla L, Moreau J, Matecki S, Amedro P. Reference values of aerobic fitness in the contemporary paediatric population. Eur J Prev Cardiol. 2023 Jul 12;30(9):820-829. doi: 10.1093/eurjpc/zwad054.
PMID: 36809338BACKGROUNDDykstra BJ, Griffith GJ, Renfrow MS, Mahon AD, Harber MP. Cardiorespiratory and Muscular Fitness in Children and Adolescents with Obesity. Curr Cardiol Rep. 2024 May;26(5):349-357. doi: 10.1007/s11886-024-02036-3. Epub 2024 Mar 9.
PMID: 38460068BACKGROUNDRaudeniece J, Justamente I, Ozolina-Moll L, Sobolevs A, Zolovs M, Dela F, Reihmane D. Cardiorespiratory Fitness and Body Mass Index as Predictors of Metabolic Syndrome in Schoolchildren (PACH Study). Diabetes Metab Syndr Obes. 2024 Dec 7;17:4675-4687. doi: 10.2147/DMSO.S487309. eCollection 2024.
PMID: 39665085BACKGROUNDHenriksson H, Henriksson P, Tynelius P, Ekstedt M, Berglind D, Labayen I, Ruiz JR, Lavie CJ, Ortega FB. Cardiorespiratory fitness, muscular strength, and obesity in adolescence and later chronic disability due to cardiovascular disease: a cohort study of 1 million men. Eur Heart J. 2020 Apr 14;41(15):1503-1510. doi: 10.1093/eurheartj/ehz774.
PMID: 31710669BACKGROUNDMintjens S, Menting MD, Daams JG, van Poppel MNM, Roseboom TJ, Gemke RJBJ. Cardiorespiratory Fitness in Childhood and Adolescence Affects Future Cardiovascular Risk Factors: A Systematic Review of Longitudinal Studies. Sports Med. 2018 Nov;48(11):2577-2605. doi: 10.1007/s40279-018-0974-5.
PMID: 30144022BACKGROUNDKokkinos P, Myers J. Exercise and physical activity: clinical outcomes and applications. Circulation. 2010 Oct 19;122(16):1637-48. doi: 10.1161/CIRCULATIONAHA.110.948349. No abstract available.
PMID: 20956238BACKGROUNDKawano M, Shono N, Yoshimura T, Yamaguchi M, Hirano T, Hisatomi A. Improved cardio-respiratory fitness correlates with changes in the number and size of small dense LDL: randomized controlled trial with exercise training and dietary instruction. Intern Med. 2009;48(1):25-32. doi: 10.2169/internalmedicine.48.1527. Epub 2009 Jan 1.
PMID: 19122353BACKGROUNDLavie CJ, Church TS, Milani RV, Earnest CP. Impact of physical activity, cardiorespiratory fitness, and exercise training on markers of inflammation. J Cardiopulm Rehabil Prev. 2011 May-Jun;31(3):137-45. doi: 10.1097/HCR.0b013e3182122827.
PMID: 21427600BACKGROUNDArsenault BJ, Lachance D, Lemieux I, Almeras N, Tremblay A, Bouchard C, Perusse L, Despres JP. Visceral adipose tissue accumulation, cardiorespiratory fitness, and features of the metabolic syndrome. Arch Intern Med. 2007 Jul 23;167(14):1518-25. doi: 10.1001/archinte.167.14.1518.
PMID: 17646606BACKGROUNDLang JJ, Prince SA, Merucci K, Cadenas-Sanchez C, Chaput JP, Fraser BJ, Manyanga T, McGrath R, Ortega FB, Singh B, Tomkinson GR. Cardiorespiratory fitness is a strong and consistent predictor of morbidity and mortality among adults: an overview of meta-analyses representing over 20.9 million observations from 199 unique cohort studies. Br J Sports Med. 2024 May 2;58(10):556-566. doi: 10.1136/bjsports-2023-107849.
PMID: 38599681BACKGROUNDFarrell SW, Finley CE, Haskell WL, Grundy SM. Is There a Gradient of Mortality Risk among Men with Low Cardiorespiratory Fitness? Med Sci Sports Exerc. 2015 Sep;47(9):1825-32. doi: 10.1249/MSS.0000000000000608.
PMID: 25551401BACKGROUNDBarlow CE, Defina LF, Radford NB, Berry JD, Cooper KH, Haskell WL, Jones LW, Lakoski SG. Cardiorespiratory fitness and long-term survival in "low-risk" adults. J Am Heart Assoc. 2012 Aug;1(4):e001354. doi: 10.1161/JAHA.112.001354. Epub 2012 Aug 24.
PMID: 23130161BACKGROUNDFogelholm M. Physical activity, fitness and fatness: relations to mortality, morbidity and disease risk factors. A systematic review. Obes Rev. 2010 Mar;11(3):202-21. doi: 10.1111/j.1467-789X.2009.00653.x. Epub 2009 Sep 9.
PMID: 19744231BACKGROUNDMcAuley P, Myers J, Emerson B, Oliveira RB, Blue CL, Pittsley J, Froelicher VF. Cardiorespiratory fitness and mortality in diabetic men with and without cardiovascular disease. Diabetes Res Clin Pract. 2009 Sep;85(3):e30-3. doi: 10.1016/j.diabres.2009.05.012. Epub 2009 Jun 12.
PMID: 19524317BACKGROUNDChurch TS, Cheng YJ, Earnest CP, Barlow CE, Gibbons LW, Priest EL, Blair SN. Exercise capacity and body composition as predictors of mortality among men with diabetes. Diabetes Care. 2004 Jan;27(1):83-8. doi: 10.2337/diacare.27.1.83.
PMID: 14693971BACKGROUNDKokkinos PF, Faselis C, Myers J, Panagiotakos D, Doumas M. Interactive effects of fitness and statin treatment on mortality risk in veterans with dyslipidaemia: a cohort study. Lancet. 2013 Feb 2;381(9864):394-9. doi: 10.1016/S0140-6736(12)61426-3. Epub 2012 Nov 28.
PMID: 23199849BACKGROUNDFaselis C, Doumas M, Pittaras A, Narayan P, Myers J, Tsimploulis A, Kokkinos P. Exercise capacity and all-cause mortality in male veterans with hypertension aged >/=70 years. Hypertension. 2014 Jul;64(1):30-5. doi: 10.1161/HYPERTENSIONAHA.114.03510. Epub 2014 May 12.
PMID: 24821944BACKGROUNDKokkinos P, Manolis A, Pittaras A, Doumas M, Giannelou A, Panagiotakos DB, Faselis C, Narayan P, Singh S, Myers J. Exercise capacity and mortality in hypertensive men with and without additional risk factors. Hypertension. 2009 Mar;53(3):494-9. doi: 10.1161/HYPERTENSIONAHA.108.127027. Epub 2009 Jan 26.
PMID: 19171789BACKGROUNDSwift DL, Lavie CJ, Johannsen NM, Arena R, Earnest CP, O'Keefe JH, Milani RV, Blair SN, Church TS. Physical activity, cardiorespiratory fitness, and exercise training in primary and secondary coronary prevention. Circ J. 2013;77(2):281-92. doi: 10.1253/circj.cj-13-0007. Epub 2013 Jan 18.
PMID: 23328449BACKGROUNDMyers J, McAuley P, Lavie CJ, Despres JP, Arena R, Kokkinos P. Physical activity and cardiorespiratory fitness as major markers of cardiovascular risk: their independent and interwoven importance to health status. Prog Cardiovasc Dis. 2015 Jan-Feb;57(4):306-14. doi: 10.1016/j.pcad.2014.09.011. Epub 2014 Sep 28.
PMID: 25269064BACKGROUNDKodama S, Saito K, Tanaka S, Maki M, Yachi Y, Asumi M, Sugawara A, Totsuka K, Shimano H, Ohashi Y, Yamada N, Sone H. Cardiorespiratory fitness as a quantitative predictor of all-cause mortality and cardiovascular events in healthy men and women: a meta-analysis. JAMA. 2009 May 20;301(19):2024-35. doi: 10.1001/jama.2009.681.
PMID: 19454641BACKGROUNDMyers J, Prakash M, Froelicher V, Do D, Partington S, Atwood JE. Exercise capacity and mortality among men referred for exercise testing. N Engl J Med. 2002 Mar 14;346(11):793-801. doi: 10.1056/NEJMoa011858.
PMID: 11893790BACKGROUNDRoss R, Blair SN, Arena R, Church TS, Despres JP, Franklin BA, Haskell WL, Kaminsky LA, Levine BD, Lavie CJ, Myers J, Niebauer J, Sallis R, Sawada SS, Sui X, Wisloff U; American Heart Association Physical Activity Committee of the Council on Lifestyle and Cardiometabolic Health; Council on Clinical Cardiology; Council on Epidemiology and Prevention; Council on Cardiovascular and Stroke Nursing; Council on Functional Genomics and Translational Biology; Stroke Council. Importance of Assessing Cardiorespiratory Fitness in Clinical Practice: A Case for Fitness as a Clinical Vital Sign: A Scientific Statement From the American Heart Association. Circulation. 2016 Dec 13;134(24):e653-e699. doi: 10.1161/CIR.0000000000000461. Epub 2016 Nov 21.
PMID: 27881567BACKGROUND
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Central Study Contacts
Study Design
- Study Type
- observational
- Observational Model
- COHORT
- Time Perspective
- RETROSPECTIVE
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Exercise Physiologist
Study Record Dates
First Submitted
August 18, 2026
First Posted
September 4, 2026
Study Start
August 5, 2026
Primary Completion (Estimated)
December 31, 2026
Study Completion (Estimated)
January 31, 2027
Last Updated
September 4, 2026
Record last verified: 2026-08