Survey of nutrition-related KAP levels in children and adolescents with early-onset severe obesity in Qinhuangdao city Authors Miao Wang Department of Paediatrics, Maternity and Child Care Center of Qinhuangdao, Qinhuangdao, China Jinlin Han 3rd Year MBBS Student, Maternity and Child Care Center of Qinhuangdao, Qinhuangdao, China Dawei Tian 2nd Year MBBS Student, Maternity and Child Care Center of Qinhuangdao, Qinhuangdao, China Zhi Liang 1st Year MBBS Student, Maternity and Child Care Center of Qinhuangdao, Qinhuangdao, China Ning Chen 2nd Year MBBS Student, Maternity and Child Care Center of Qinhuangdao, Qinhuangdao, China Humeng Wu Department of Oral Surgery, Lulong County Hospital, Qinhuangdao, China DOI: https://doi.org/10.47391/JPMA.25-21507 Keywords: Severe obesity, Children, Adolescents, Knowledge, Attitude, Practice, Influencing factors Abstract Objective: To investigate the nutrition-related knowledge, attitude and practice levels of children and adolescents with early severe obesity, and to analyse the influencing factors. Method: The cross-sectional study was conducted from January 2022 to January 2023 in Qinhuangdao city, China, and comprised children and adolescents with early-onset severe obesity. Based on the median nutrition-related knowledge, attitude and practice level, the subjects were divided into a ‘high’ group A and ‘low’ group B. The baseline data of the two groups was compared, and the relevant factors affecting nutrition-related knowledge, attitude and practice levels were analysed. Data was analysed using SPSS 22. Results: Of the 250 subjects, 127(50.8%) were females, 123(49.2%) were males, 79(31.6%) were aged >14 years, 70(28%) 6-14 years, 69(27.6%) 2-6 years and 32(12.8%) were <2 years. There were 127(50.8%) subjects in group A and 123(49.2%) in group B. The overall mean knowledge, attitude and practice score was 12.52±2.38 (range: 6-19), with median score 13(IQR=4). Body shape assessment, parental obesity, and parents’ education level were the influencing factors of nutrition-related knowledge, attitude and practice levels (p<0.05). Conclusion: Children and adolescents with early-onset severe obesity in Qinhuangdao were found to have a medium level of nutrition-related knowledge, attitude and practice, and the level was influenced by body shape assessment, parental obesity and parental education level. Key Words: Severe obesity, Children. Adolescents, Knowledge, Attitude, Practice, Influencing factors. Downloads Full Text Article Published 2025-11-22 How to Cite Wang, M., Han, J., Tian, D., Liang, Z., Chen, N., & Wu, H. (2025). Survey of nutrition-related KAP levels in children and adolescents with early-onset severe obesity in Qinhuangdao city. Journal of the Pakistan Medical Association, 75(12), 1932–1936. https://doi.org/10.47391/JPMA.25-21507 More Citation Formats ACM ACS APA ABNT Chicago Harvard IEEE MLA Turabian Vancouver Download Citation Endnote/Zotero/Mendeley (RIS) BibTeX Issue Vol. 75 No. 12 (2025): DECEMBER Section KAP Study License Copyright (c) 2025 Journal of the Pakistan Medical Association This work is licensed under a Creative Commons Attribution 4.0 International License.