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By the age of 8, 173 children had either an autism diagnosis (<jats:italic>n<\/jats:italic>\u2009=\u2009108) or parent\u2010reported autism concerns (<jats:italic>n<\/jats:italic>\u2009=\u200965). Gross motor milestones were reported by mothers when children were 9, 24, and 54\u2009months of age. We found that irrespective of autism diagnosis, GMD delays at 24\u2009months of age were more likely among girls, children born preterm, and those whose mothers identified as European. A mixed\u2010effect logistic regression model, controlling for antenatal maternal and child covariates, revealed that the proportion of children with GMD delay (relative to their peers) increased significantly from 9 to 54\u2009months for all three groups, but the increase was greater for those with autism concerns (OR\u2009=\u20091.28, 95% CI\u2009=\u20091.08\u20131.52) or an autism diagnosis (OR\u2009=\u20091.26, 95% CI\u2009=\u20091.10\u20131.43) compared to the no autism group (OR\u2009=\u20091.06, 95% CI\u2009=\u20091.02\u20131.10). Differences in the changes in GMD performance among children with an autism diagnosis compared to those without autism occurred between 9 and 24\u2009months (OR\u2009=\u20092.16, 95% CI\u2009=\u20091.13\u20134.13). No significant GMD delay differences were found at any time between children with an autism diagnosis versus those with autism concerns. Children with a GMD delay should be screened for autism at 24\u2009m. Early identification is the first step toward knowledge\u2010based, effective intervention of developmental difficulties.<\/jats:p>","DOI":"10.1002\/aur.3304","type":"journal-article","created":{"date-parts":[[2025,1,20]],"date-time":"2025-01-20T10:45:01Z","timestamp":1737369901000},"page":"437-448","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Gross Motor Development in Children With Autism: Longitudinal Trajectories From the Growing Up in New\u00a0Zealand Study"],"prefix":"10.1002","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0601-8290","authenticated-orcid":false,"given":"Paula","family":"Araya","sequence":"first","affiliation":[{"name":"School of Psychology, Faculty of Science University of Auckland  Auckland New Zealand"},{"name":"School of Physiotherapy, Faculty of Medicine University of Valparaiso  Valparaiso Chile"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3670-2798","authenticated-orcid":false,"given":"Katrina","family":"Phillips","sequence":"additional","affiliation":[{"name":"School of Psychology, Faculty of Science University of Auckland  Auckland New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7909-0464","authenticated-orcid":false,"given":"Karen","family":"Waldie","sequence":"additional","affiliation":[{"name":"School of Psychology, Faculty of Science University of Auckland  Auckland New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7775-8272","authenticated-orcid":false,"given":"Lisa","family":"Underwood","sequence":"additional","affiliation":[{"name":"COMPASS, Faculty of Arts The University of Auckland  Auckland New 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