To study the effects of age, sex, weight, and their interactions on global self-esteem (GSE) and physical self-concept in teenagers with intellectual disability (ID). A sample of 353 teenagers with ID, aged 12 to 18 years, participated in this study. The Very Short Form of the Physical Self-Inventory—for adolescents with ID (PSI-VSF-ID) was used to assess GSE and physical self-perceptions (physical value perceived [PVP], sport skills [SS], physical condition, physical appearance, and strength). Multivariate covariance analyses show: (i) lower GSE and physical self levels (except for PVP) in females, compared with males; (ii) reduced GSE, PVP, SS, and perceived physical appearance (PPA) scores during adolescence; (iii) lower GSE, PVP, and PPA scores in obese adolescents, compared with overweight or normal weight peers; and (iv) lower PPA scores in obese females, compared with other teenagers. The sex and age results are almost identical to those for the general population, according to the literature. However, they are far from the main effect in the weight category.