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DOI: 10.1055/s-0037-1617698
„Fit mit Hund”
Tiergestützte Therapie als Baustein eines multimodalen Programms gegen Übergewicht bei Kindern„Fit with a dog”Animal-assisted therapy as modul of a multimodal programme to reduce overweight in childrenPublication History
Publication Date:
29 December 2017 (online)
Zusammenfassung
Die vorliegende Studie untersuchte, ob eine zusätzliche tiergestützte Therapie bei übergewichtigen Kindern, welche an einem erprobten multimodalen Interventionsprogramm teilnehmen, den Therapieerfolg positiv unterstützt. Es wurde der Frage nachgegangen, ob bei adipösen Kindern (n=15) Selbstvertrauen, Körperbewusstsein, Fitness und Teamfä-higkeit durch Anwesenheit eines Hundes während der Bewegungsintervention im Vergleich zu einer Kontrollgruppe (n=14) gestärkt werden können.
Für die Interventionsgruppe konnte eine Abnahme des standardisierten BMIs unter Be-rücksichtigung der unterschiedlichen Ausgangslage während der über 6 Monate dauernden Intervention gezeigt werden. Auch für die sportmotorischen Variablen Ausdauer und Geschicklichkeit konnten positive Effekte tier-gestützter Therapie festgestellt werden. In der Fremdeinschätzung der Eltern fanden sich für die Interventionsgruppe signifikant bessere Werte in den Bereichen „dissoziales Verhalten”, „aggressives Verhalten” und „soziale Probleme”.
Zusammenfassend zeigen die Ergebnisse, dass Tiergestützte Therapie zwar ein wirkungsvoller Therapiebaustein jedoch keine „einfache Therapiemethode” zur Reduktion von Übergewicht bei Kindern zu sein scheint. Tiergestützte Therapie bedarf einer sorgfältigen Planung hinsichtlich der beteiligten Akteure.
Summary
This study examines whether animal-assisted therapy for overweight children who take part in an established multimodal intervention programme provides an additional positive effect. It examines the question of whether the Body Mass Index of obese children (n = 15) can be lowered more using animal-assisted therapy (AAT) than in a control group (n = 14). The effects of AAT on motoric performance and psychosocial aspects were also investigated. Taking into account differences at the start of the animal-assisted intervention between the two groups, a decrease in standardised BMI for the intervention group after six months of intervention was observed. Animal-assisted therapy also had a positive effect on the sport-related motoric variables of endurance and dexterity. External assessments by the parents of the intervention group showed significant improvements with regard to „antisocial behaviour”, „aggressive behaviour” and „social problems”.
Taken together, the results show that while animal-assisted therapy is an effective therapy component it does not appear to be an „easy” therapeutic approach for reducing overweight in children. Animal-assisted therapy requires careful planning regarding the persons involved and the participating children.
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Literatur
- 1 Kurth BM, Schaffrath ARosario. Die Verbreitung von Übergewicht und Adipositas bei Kindern und Jugendlichen in Deutschland. Bundesgesundheits-blatt 2007; 50: 736-743.
- 2 Lobstein T, Felut ML. Prevalence of overweight among children in Europe. Obesity reviews 2003; 04: 195-200.
- 3 Ogden CL, Carroll MD, Kit BK, Flegal KM. Prevalence of Obesity and Trends in Body Mass Index Among US Children and Adolescents. JAMA 2012; 307: 483.
- 4 de Onis M, Blossner M, Borghi E. Globalprevalence and trends of overweight and obesity among preschool children. American Journal of Clinical Nutrition 2010; 92: 1257-1264.
- 5 Wabitsch M. Kinder und Jugendliche mit Adipositas in Deutschland. Bundesgesundheitsblatt – Gesundheitsforschung – Gesundheitsschutz 2004; 47: 251-255.
- 6 Cunningham SA, Kramer MA, Narayan KV. Incidence of childhood obesity in the United States. New England Journal of Medicine 2014; 370: 403-411.
- 7 Korsten-Reck U. Sport zur Prävention und Therapie von Übergewicht bei Kindern. Deutsches Ärzteblatt 2007; 104: 35-39.
- 8 Griffiths L. J., Parsons T. J., Hill A. J.. “Self-esteem and quality of life in obese children and adolescents: A systematic review”. International Journal of Pediatric Obesity vol. 5: 282-304 2010;
- 9 Puder JJ, Munsch S. Psychological correlates of childhood obesity. International Journal of Obesity and Related Metabolic Disorders 2010; 34: 37.
- 10 Gebremariam MK, Totland TH, Andersen LF. et al. Stability and change in screen-based sedentary behaviours and associated factors among Norwegian children in the transition between childhood and adolescence. BMC Public Health 2012; 01: 104.
- 11 Shaw H, Stice E, Marti CN. A meta-analytic review of obesity prevention programs for children and adolescents: The skinny on interventions that work. Psychological Bulletin 2006; 132: 667-691.
- 12 Korsten-Reck U, Kromeyer-Hauschild K, Wolfarth B, Dickhuth H-H, Berg A. Freiburg Intervention Trial for Obese Children (FITOC): results of a clinical observation study. Int J Obesity and Related Metabolic Disorders 2004; 29: 356-361.
- 13 Oude HLuttikhuis, Baur L, Jansen H. et al. Interventions for treating obesity in children. Cochrane Database of Systematic Reviews 2009; 01: CD001872.
- 14 Kreuser F, Kromeyer-Hauschild K, Gollhofer A. et al. Obese Equals Lazy? Analysis of the Association between Weight Status and Physical Activity in Children. Journal of Obesity 2013; 1-8.
- 15 Christian H, Trapp G, Lauritsen C. et al. Understanding the relationship between dog ownership and children’s physical activity and sedentary behaviour. Pediatric Obesity 2013; 08: 392-403.
- 16 Johnson RA, Meadows RL. Dog-Walking: Motivation for Adherence to a Walking Program. Clinical Nursing Research 2010; 19: 387-402.
- 17 Peel E, Douglas M, Parry O, Lawton J. Type 2 diabetes and dog walking: patients’ longitudinal perspectives about implementing and sustaining physical activity. British Journal of General Practice 2010; 60: 570-577.
- 18 Bauman AE, Christian H, Thorpe R, Macniven R. International perspectives on the epidemiology of dog walking. In: Johnson RA, Beck AM, McCune SK. (eds.). The health benefits of dog walking for people and pets. Evidence and case studies. West Lafayette: Purdue University Press; 2011: 25-50.
- 19 Coleman KJ, Rosenberg DE, Conwa TL. et al. Physical activity, weight status, and neighborhood characteristics of dog walkers. Preventive Medicine 2008; 47: 309-312.
- 20 Sirard JR, Patnode CD, Hearst MO, Laska MN. Dog Ownership and Adolescent Physical Activity. American Journal of Preventive Medicine 2011; 40: 334-337.
- 21 Abate SV, Zucconi M, Boxer BA. Impact of Canine-Assisted Ambulation on Hospitalized Chronic Heart Failure Patients’ Ambulation Outcomes and Satisfaction. The Journal of Cardiovascular Nursing 2011; 26: 224-230.
- 22 Friedmann E, Thomas SA. Pet Ownership, Social Support, and One-Year Survival after Acute Myocardial Infarction in the Cardiac Arrhythmia Suppression Trial (CAST). The American Journal of Cardiology 1995; 76: 1213-1217.
- 23 Friedmann E, Thomas SA, Stein PK, Kleiger RE. Relation between pet ownership and heart rate variability in patients with healed myocardial infarcts. The American Journal of Cardiology 2003; 91: 718-721.
- 24 Headey B, Grabka MM. Pets and Human Health in Germany and Australia: National Longitudinal Results. Social Indicators Research 2007; 80: 297-3117.
- 25 Owen CG, Nightingale CM, Rudnicka AR. et al. Physical activity, obesity and cardiometabolic risk factors in 9– to 10-year-old UK children of white European, South Asian and black African-Caribbean origin: the Child Heart And health Study in England (CHASE). Diabetologia 2010; 53: 1620-1630.
- 26 Timperio A, Salmon J, Chu B, Andrianopoulos N. Is dog ownership or dog walking associated with weight status in children and their parents?. Health Promotion Journal of Australia 2008; 19: 60-63.
- 27 Mathers M, Canterford L, Olds T, Waters E, Wake M. Pet ownership and adolescent health: Cross-sectional population study. Journal of Paediatrics and Child Health 2010; 46: 729-735.
- 28 Westgarth C, Liu J, Heron J, Ness AR, Bundred P, Gaskell RM. et al. Dog Ownership during Pregnancy, Maternal Activity, and Obesity: A Cross-Sectional Study. PLoS ONE 2012; 07: e31315.
- 29 Souter MA, Miller MD. Do Animal-Assisted Activities Effectively Treat Depression? A Meta-Analysis. Anthrozoös 2007; 20: 167-180.
- 30 Nimer J, Lundahl B. Animal-Assisted Therapy: A Meta-Analysis. Anthrozoös 2007; 20: 225-238.
- 31 Virués-Ortega J, Pastor-Barriuso R, Castellote JM. et al. Effect of animal-assisted therapy on the psychological and functional status of elderly populations and patients with psychiatric disorders: a meta-analysis. Health Psychology Review 2012; 06: 197-221.
- 32 Wohlfarth R, Mutschler B, Beetz A. et al. Dogs motivate obese children for physical activity: key elements of a motivational theory of animal-assisted interventions. Frontiers of Psychology 2013; 4.
- 33 Wohlfarth R, Mutschler B, Bitzer E. Wirkmechanismen tiergestützter Therapie: Theoretische Überlegungen und empirische Fundierung. In: Strunz IA. (ed.). Tiergestützte Pädagogik in Theorie und Praxis. Baltmannsweiler: Schneider Hohengehren; 2013: 180-214.
- 34 Beetz A, Kotrschal K, Turner DK. et al. The effect of social support by a dog in insecurely attached children: An exploratory study. Anthrozoös 2011; 24: 349-368.
- 35 Julius H, Beetz A, Kotrschal K, Turner DC, Uvnäs-Moberg K. Attachment to pets. An integrative view of human-animal relationships with implications for therapeutic practice. Toronto, Cambridge, MA: Hogrefe Publisher; 2013
- 36 Zilcha-Mano S, Mikulincer M, Shaver PR. Pet in the therapy room: An attachment perspective on Animal-Assisted Therapy. Attachment & Human Development 2011; 13: 541-561.
- 37 Berget B, Ihlebæk C. Animal-Assisted Interventions; Effects on Human Mental Health – A Theoretical Framework. In: Uehara T. (ed.). Psychiatric Disorders – Worldwide Advances. lRijeka, Croatia, InTech; 2011: 121-138.
- 38 Shadish WR, Cook WD, Campbell DT. Experimental and quasi-experimental designs for generalized causal inference. Boston: Houghton Mifflin; 2001
- 39 Kromeyer-Hauschild K, Wabitsch M, Kunze D. et al. Perzentile für den Body-mass-Index für das Kindes- und Jugendalter unter Heranziehung verschiedener deutscher Stichproben. Monatsschrift Kinderheilkunde 2001; 149: 807-818.
- 40 Bös K, Schenker L, Büsch D. et al. Deutscher Moto-rik-Test 6–18 (DMT 6–18). Schriften der Deutschen Vereinigung für Sportwissenschaft. 2009: 186 Hamburg: Czewalina; 2009
- 41 Achenbach TM, Ruffle TM. The Child Behavior Checklist and Related Forms for Assessing Behavioral/Emotional Problems and Competencies. Pediatrics in Review 2000; 21: 265-271.
- 42 Cohen J. Statistical power analysis for the behavioral sciences. 2nd ed.. Hillsdale, N.J: Erlbaum Associates; 1988
- 43 Bandura A. Social learning theory. Englewood Cliffs, NJ: Prentice Hall; 1977
- 44 Weiss MR. Motivating kids in physical activity. Physical Fitness & Activity: Selected Topic 2004; 02: 157-166.
- 45 Olbrich E. Bausteine einer Theorie der Mensch-Tier-Beziehung. In: Otterstedt C, Rosenberger M. (eds.). Gefährten, Konkurrenten, Verwandte. Die Mensch-Tier-Beziehung im wissenschaftlichen Diskurs. Göttingen: Vandenhoeck & Ruprecht; 2009: 158-181.
- 46 Kotrschal K, Ortbauer B. Behavioral effects of the presence of a dog in a classroom. Anthrozoös 2003; 16: 147-159.
- 47 Tissen I, Hergovich A, Spiel C. School-Based Social Training with and without Dogs: Evaluation of Their Effectiveness. Anthrozoös 2007; 20: 365-373.
- 48 Stetina BU, Turner K, Burger E. et al. Learning emotion recognition from canines? Two for the road. Journal of Veterinary Behavior: Clinical Applications and Research 2011; 06: 108-114.
- 49 Zwingmann C, Wirtz M. Regression zur Mitte. Rehabilitation 2005; 44: 244-25.