4.5. Limitations, Strengths, and Future Study Possibilities
obesity, obese, overweight
OBESITY, OBESE
As limitations of this study, the following points are listed: (i) family involvement and the relationship between adolescents and their responsible adults are factors that can influence the parameters analyzed in this study; (ii) this study was conducted during the COVID-19 pandemic, in which period the world population showed changes in the level of physical activity, school activities (remote classes), and the availability of food (increased consumption of processed and ultra-processed foods); and (iii) a lack of long-term follow-up assessments to verify the behavior and possible differences between the different interventions can reduce the results’ reliability. Strong points are highlighted: (i) the proposal of a low-cost group intervention model that can be implemented in different places and environments, such as schools, community centers, sports centers, basic health units, and hospitals, and (ii) the incorporation of a multi-disciplinary model of primary health care, since obesity has multifactorial causes. Future studies could consider the long-term monitoring responses between the two types of interventions and analyze possible differences between growth stages of development to conduct more assertive interventions for overweight and obese pre-adolescents or adolescents, whether with parents or alone.