Knowledge, Attitude and Practices of Parents Towards Obesity in Children in Aseer Region, Southern of Saudi Arabia

Childhood obesity represents a critical global health concern, with steadily rising prevalence and significant implications for long-term physical and psychological well-being. In Saudi Arabia, the problem is particularly acute, with national data showing high obesity rates among children and adolescents, attributed to sedentary lifestyles and poor dietary habits. Understanding parental influence is vital in addressing this growing epidemic. This study aimed to assess the knowledge, attitudes, and practices (KAP) of parents regarding childhood obesity in the Aseer Region of Saudi Arabia and to identify demographic factors associated with parental knowledge levels. A cross-sectional, web-based survey was conducted for a period of 3 months targeting parents of children aged 18 or younger years living in the Aseer Region. A structured questionnaire assessed sociodemographic data and parental KAP regarding childhood obesity. Descriptive statistics and chi-square tests analyses were used for data analysis, with significance set at p < 0.05. A total of 907 parents participated. While 92.8% recognized that children can be obese and 96.8% acknowledged lack of physical activity as a risk factor, only 67% were familiar with Body Mass Index (BMI), and 80.6% identified genetics as a contributing factor. Despite generally positive attitudes 93.5% agreed that high intake of sweets and fried foods increases obesity risk unhealthy practices were prevalent: 85.1% of children snacked between meals, 73.8% ate while using screens, and 48.7% exceeded three hours of screen time daily. Maternal education (p = 0.001) and employment status (p = 0.048) were significantly associated with higher parental knowledge levels. Positive correlations were also found between knowledge, attitude, and practice scores (p < 0.001). Although parents in the Aseer Region demonstrated high awareness and favorable attitudes, their practices often failed to reflect this knowledge. These findings highlight the need for culturally tailored interventions that support parents in translating awareness into healthier behaviors for their children. Strategies should particularly focus on screen time management, mindful eating, and support for less-educated and non-working mothers.