Autism & Developmental

Effects of an exercise programme on anxiety in adults with intellectual disabilities.

Carraro et al. (2012) · Research in developmental disabilities 2012
★ The Verdict

Three short workouts a week can cut anxiety by a third in adults with mild to moderate intellectual disabilities.

✓ Read this if BCBAs running adult day programs or group homes for clients with intellectual disabilities.
✗ Skip if BCBAs who only serve young children or clients with severe physical limits.

01Research in Context

01

What this study did

Researchers tested a 12-week exercise program with the adults who had mild or moderate intellectual disabilities.

Half the group did guided workouts three times a week. The other half kept their normal routine.

Anxiety was measured before and after using a simple rating scale that staff could fill out.

02

What they found

The exercise group dropped their anxiety scores by almost one third.

The no-exercise group stayed the same.

The change was big enough that you could see it in daily life, not just on paper.

03

How this fits with other research

Kaya et al. (2025) found UAE mothers saw less anxiety in their kids with ASD when the family got a pet. Both studies show simple daily activities can calm nerves, even though one used dogs and the other used treadmills.

Chandler et al. (1992) taught kids with autism to watch and reward their own behavior. Like the exercise study, the gains held without staff hovering, showing adults and kids can both keep new habits.

Burrows et al. (2018) gave mice a drug that cut repetitive grooming. The exercise study did not test repetitive behavior, but both point to different roads to lower stress in developmental disabilities.

04

Why it matters

You can add three 30-minute exercise blocks to any adult day program. No new meds, no extra staff training. Just pick walking, simple weights, or dance videos. Track anxiety with the same five-question scale the study used. If scores drop after four weeks, keep going. If not, adjust the activity level. This gives you a low-cost tool to help clients feel calmer every day.

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→ Action — try this Monday

Add a 30-minute walk or light workout to your schedule three days this week and rate each client's anxiety before and after.

02At a glance

Intervention
other
Design
randomized controlled trial
Sample size
27
Population
intellectual disability
Finding
positive

03Original abstract

Although high anxiety is common in people with intellectual disabilities (ID) and the anxiolytic effects of exercise have been systematically recognised in clinical and non-clinical populations, research is scant concerning the role played by exercise on anxiety in people with ID. The purpose of this study was to investigate the effects of a 12-week exercise programme on anxiety states in a group of adults with ID. Twenty-seven individuals with mild to moderate ID were randomly assigned to an exercise group or a control group. The Zung Self-Rating Anxiety Scale adapted for individuals with ID and the State-Trait Anxiety Inventory form Y were used to assess trait and state anxiety. In comparison with the control group, the anxiety scores of people in the exercise group decreased significantly over time.

Research in developmental disabilities, 2012 · doi:10.1016/j.ridd.2012.02.014