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Participants were a subset of Chinese population, including adults, children, and adolescents.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>A total of 3015 questionnaires were returned. Children and adolescents with overweight and obesity accounted for 16.6% and 9.4%. Gender, education, occupation and age were associated with the perceptions and attitudes of Chinese residents toward obesity and weight loss in children and adolescents; age, occupation and BMI were associated with the perceptions and attitudes toward MBS in children and adolescents. There are 10.8% of the respondents thought MBS was the most suitable method for children and adolescents, and 34.7% were unwilling to have MBS for their children. The percentage of respondents who thought it was appropriate for children and adolescents to undergo bariatric surgery at the age of 12\u201318 was 18.6%; 60.96% said they did not know enough about the surgery; most were aware that the effects of the surgery included weight loss (84.78%), improved self-confidence\/ improved self-image (78.97%), improved disease (e.g., reduced drug use) (70.3%) and better performance in interpersonal interactions (51.70%).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>A subset of Chinese residents are not fully aware of the harm of obesity among children and adolescents and its related complications. They have insufficient knowledge and trust in MBS and underestimate the benefits of the procedure. More health education is still required in these areas.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1186\/s12889-026-28495-7","type":"journal-article","created":{"date-parts":[[2026,7,18]],"date-time":"2026-07-18T16:56:10Z","timestamp":1784393770000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Perceptions and attitudes towards obesity and metabolic and bariatric surgery for weight loss in children and adolescents: a survey among a subset of Chinese residents"],"prefix":"10.1186","volume":"26","author":[{"given":"YuRou","family":"Yang","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wenhuan","family":"He","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"GuoQiang","family":"Wang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Biao","family":"Huang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,7,18]]},"reference":[{"issue":"5","key":"28495_CR1","doi-asserted-by":"crossref","first-page":"321","DOI":"10.1111\/ijpo.12185","volume":"11","author":"T Lobstein","year":"2016","unstructured":"Lobstein T, Jackson-Leach R. 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Ethical approval (KY-2022-252) was obtained from the Medical Ethics Committee of the First Affiliated Hospital of Jinan University.Dear Sir\/Madam,Hello! We are graduate students from Jinan University. We cordially invite you to participate in a questionnaire survey regarding attitudes and awareness towards obesity in children and adolescents, as well as metabolic and bariatric surgery. Before you decide whether to participate, please read the following information carefully to understand the purpose and process of this study, as well as your rights.This study aims to understand the attitudes and awareness of Chinese residents towards obesity in children and adolescents, and metabolic and bariatric surgery. Through this research, we hope to provide a reference for public education on childhood and adolescent obesity, weight loss methods, and the promotion of metabolic and bariatric surgery.If you agree to participate, you will need to complete an electronic questionnaire, which will take approximately 10 min. The questionnaire mainly covers your personal information and opinions. This questionnaire is conducted anonymously. All information you provide will be used solely for academic\/statistical analysis and research and will not be used for any commercial purposes. Your participation is entirely voluntary. You have the right to refuse participation or withdraw at any time during the process without any liability. If you decide to withdraw, the data you have provided will not be included in the research analysis.I have carefully read the above content and fully understand the purpose, process, confidentiality measures, and my rights regarding this study. I am aware that I have the right to withdraw at any time without any liability. I voluntarily agree to participate in this study.If you agree to participate, please click the \u201cAgree and Start Filling\u201d button below (or check the \u201cI Agree\u201d checkbox) to proceed with the questionnaire.If you do not agree, you may close this page (or exit the questionnaire) at any time.","order":1,"name":"Ethics","label":"Ethics approval and consent to participate","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"Not Applicable.","order":2,"name":"Ethics","label":"Consent for publication","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The authors declare no competing interests.","order":3,"name":"Ethics","label":"Competing interests","group":{"name":"EthicsHeading","label":"Declarations"}}],"article-number":"2958"}}