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Fetal Alcohol Spectrum Disorder (FASD) is a complex neurodevelopmental disorder that arises from prenatal exposure to alcohol. Fetal Alcohol Spectrum Disorder (FASD) is a complex neurodevelopmental disorder that arises from prenatal exposure to alcohol. It is associated with a range of physical, cognitive, and behavioral impairments. This article delves into the intricate relationship between FASD and adaptive behavior, sleep patterns, and physical activity in adolescents. By examining current research and clinical insights, we aim to provide a comprehensive understanding of how FASD impacts these critical aspects of adolescent development. It is associated with a range of physical, cognitive, and behavioral impairments. This article delves into the intricate relationship between FASD and adaptive behavior, sleep patterns, and physical activity in adolescents. By examining current research and clinical insights, we aim to provide a comprehensive understanding of how FASD impacts these critical aspects of adolescent development.