TED2006
Dean Ornish: The killer American diet that's sweeping the planet
Mangiare (e morire) come gli americani: Dean Ornish@TED
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Preoccupati per l'AIDS, il cancro e l'aviaria? Sappiate che le malattie cardiovascolari uccidono più persone delle altre messe assieme, e perlopiù sono prevenibili. Il Dr. Dean Ornish spiega come cambiare le nostre abitudini alimentari permetterà di salvare vite.
Dean Ornish - Physician, author
Dean Ornish is a clinical professor at UCSF and founder of the Preventive Medicine Research Institute. He's a leading expert on fighting illness -- particularly heart disease with dietary and lifestyle changes. Full bio
Dean Ornish is a clinical professor at UCSF and founder of the Preventive Medicine Research Institute. He's a leading expert on fighting illness -- particularly heart disease with dietary and lifestyle changes. Full bio
Double-click the English transcript below to play the video.
00:25
With all the legitimate concerns
about AIDS and avian flu --
about AIDS and avian flu --
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Con tutte le preoccupazioni per L'AIDS
00:28
and we'll hear about that from the
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e l'influenza aviaria, di cui più tardi parlerà il Dott. Brilliant, voglio
00:30
brilliant Dr. Brilliant later today --
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e l'influenza aviaria, di cui più tardi parlerà il Dott. Brilliant, voglio
00:32
I want to talk about the other
pandemic, which is
pandemic, which is
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parlare di un'altra epidemia:
le malattie cardiovascolari, il diabete, l'ipertensione,
00:34
cardiovascular disease,
diabetes, hypertension --
diabetes, hypertension --
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00:37
all of which are completely
preventable for at
preventable for at
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ognuna delle quali é completamente prevenibile per almeno il 95% delle persone,
00:40
least 95 percent of people
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semplicemente cambiando dieta e stile di vita.
00:42
just by changing diet and lifestyle.
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semplicemente cambiando dieta e stile di vita.
00:43
And what's happening is that there's a
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Anche la malattia si sta globalizzando:
00:44
globalization of illness
occurring, that people
occurring, that people
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Anche la malattia si sta globalizzando:
tutti stanno cominciando a mangiare, vivere e morire come noi.
00:46
are starting to eat like us,
and live like us, and
and live like us, and
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00:49
die like us. And
in one generation, for example,
in one generation, for example,
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Per esempio, l'Asia é passata
00:52
Asia's gone from having
one of the lowest rates of
one of the lowest rates of
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in una sola generazione da uno dei più bassi tassi di malattie cardiache, obesità, e diabete,
00:54
heart disease and obesity
and diabetes to one
and diabetes to one
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in una sola generazione da uno dei più bassi tassi di malattie cardiache, obesità, e diabete,
ad uno dei più alti. E in molti paesi africani,
00:56
of the highest. And in Africa,
cardiovascular disease
cardiovascular disease
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00:59
equals the HIV and AIDS deaths
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le malattie cardiovascolari fanno tanti morti quanto HIV ed AIDS.
01:02
in most countries.
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le malattie cardiovascolari fanno tanti morti quanto HIV ed AIDS.
01:03
So there's a critical
window of opportunity we
window of opportunity we
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Quindi viviamo in una "finestra" temporale
01:05
have to make an important
difference that can
difference that can
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in cui possiamo cambiare la vita
01:07
affect the lives of literally
millions of people,
millions of people,
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a milioni di persone, e praticare
01:09
and practice preventive
medicine on a global
medicine on a global
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medicina preventiva su scala globale.
medicina preventiva su scala globale.
01:11
scale.
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01:12
Heart and blood vessel
diseases still kill more
diseases still kill more
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Le malattie cardiovascolari fanno
più morti, non solo in questo paese, ma
01:14
people -- not only in this
country, but also
country, but also
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in tutto il mondo, della somma di tutte le altre e tuttavia
01:16
worldwide -- than everything
else combined, and yet
else combined, and yet
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01:19
it's completely preventable
for almost everybody.
for almost everybody.
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sono completamente prevenibili per quasi tutti.
01:22
It's not only preventable; it's actually
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E non sono solo prevenibili,
01:24
reversible. And for the last
almost 29 years,
almost 29 years,
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ma reversibili. Negli ultimi 29 anni,
grazie a strumenti high-tech costosi e allo stato dell'arte,
01:26
we've been able to show
that by simply changing
that by simply changing
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abbiamo dimostrato quanto una soluzione
01:28
diet and lifestyle, using
these very high-tech,
these very high-tech,
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01:31
expensive, state-of-the-art
measures to prove how
measures to prove how
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semplice, economica e low-tech, come cambiare
dieta e stile di vita, possa essere efficace.
01:33
powerful these very simple
and low-tech and low-cost
and low-tech and low-cost
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01:36
interventions can be like -- quantitative
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Arteriografia Quantitativa, prima e dopo un anno, ed una Tomografia Cardiaca.
01:38
arteriography,
before and after a year, and
before and after a year, and
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Arteriografia Quantitativa, prima e dopo un anno, ed una Tomografia Cardiaca.
Arteriografia Quantitativa, prima e un anno dopo, ed una Tomografia Cardiaca.
01:40
cardiac PET scans.
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01:41
We showed a few months
ago -- we published the
ago -- we published the
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Qualche mese fa, abbiamo pubblicato
01:43
first study showing you
can actually stop or
can actually stop or
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il primo studio che mostra come in effetti si possa
fermare o far regredire il cancro alla prostata
01:45
reverse the progression
of prostate cancer by
of prostate cancer by
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cambiando dieta e stile di vita. 70% dei casi
01:47
making changes in diet
and lifestyle, and 70 percent
and lifestyle, and 70 percent
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01:50
regression in the tumor
growth, or inhibition of
growth, or inhibition of
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con crescita del tumore invertita o almeno inibita,
01:54
the tumor growth, compared
to only nine percent in the
to only nine percent in the
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contro il solo 9% del gruppo di controllo.
01:56
control group.
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contro il solo 9% del gruppo di controllo.
01:57
And in the MRI and MR
spectroscopy here, the
spectroscopy here, the
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Guardate nella RM come
l'attività del tumore alla prostata (in rosso)
01:59
prostate tumor activity
is shown in red -- you can
is shown in red -- you can
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é diminuita dopo un anno.
02:01
see it diminishing after a year.
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02:03
Now there is an epidemic
of obesity: two-thirds of
of obesity: two-thirds of
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Ora c'é un'epidemia di obesità. Due terzi degli adulti
02:06
adults and 15 percent of kids.
What's really concerning
What's really concerning
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ed il 15% dei ragazzi. Quello che davvero
02:09
to me is that diabetes has
increased 70 percent in the
increased 70 percent in the
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mi preoccupa é l'aumento del 70% del diabete
02:12
past 10 years, and this may be the first
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negli ultimi 10 anni. Questa potrebbe essere
02:14
generation in which our kids
live a shorter life
live a shorter life
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la prima generazione in cui i figli vivranno
02:16
span than we do. That's pitiful, and it's
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meno dei genitori. E' drammatico, e si può evitare.
02:18
preventable.
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meno dei genitori. E' drammatico, e si può evitare.
02:19
Now these are not election
returns, these are the
returns, these are the
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Questi non sono risultati elettorali,
02:22
people -- the number
of the people who are obese
of the people who are obese
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ma il numero di obesi,
stato per stato. Vengono dal sito della CDC.
02:24
by state, beginning in '85,
'86, '87 -- these are
'86, '87 -- these are
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02:28
from the CDC website --
'88, '89, '90, '91 -- you
'88, '89, '90, '91 -- you
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'85, '86, '87, '88, '89, '90, '91,
02:32
get a new category --
'92, '93, '94, '95, '96,
'92, '93, '94, '95, '96,
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-ecco una nuova categoria- '92, '93, '94, '95, '96,
02:36
'97, '98, '99, 2000, 2001
-- it gets worse. We're
-- it gets worse. We're
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... 2000, 2001, insomma, peggiora. E' l'involuzione della specie.
02:41
kind of devolving. (Laughter)
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... 2000, 2001, insomma, peggiora. E' l'involuzione della specie.
02:46
Now what can we do about this?
Well, you know, the
Well, you know, the
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Che cosa ci possiamo fare? La dieta
02:49
diet that we've found
that can reverse heart
that can reverse heart
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che sembra poter invertire malattie cardiache e cancro é quella Asiatica.
02:50
disease and cancer is an Asian diet.
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che sembra poter invertire malattie cardiache e cancro é quella Asiatica.
02:52
But the people in Asia
are starting to eat like we
are starting to eat like we
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Ma la gente in Asia sta iniziando
02:54
are, which is why they're
starting to get sick
starting to get sick
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a mangiare come noi, e quindi ad ammalarsi come noi.
02:55
like we are.
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a mangiare come noi, e quindi ad ammalarsi come noi.
02:56
So I've been working
with a lot of the big food
with a lot of the big food
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Perciò ho lavorato con molte compagnie alimentari,
02:58
companies. They can make
it fun and sexy and hip
it fun and sexy and hip
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perchè rendessero divertente, accattivante e conveniente
03:00
and crunchy and convenient
to eat healthier foods,
to eat healthier foods,
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mangiare cibo più sano.
Sono nell'advisory board di McDonald's, PepsiCo, Conagra, Safeway, presto
03:02
like -- I chair the advisory
boards to McDonald's,
boards to McDonald's,
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03:05
and PepsiCo, and ConAgra,
and Safeway, and soon
and Safeway, and soon
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Sono nell'advisory board di McDonald's, PepsiCo, Conagra, Safeway, presto
03:07
Del Monte, and they're
finding that it's good
finding that it's good
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la Del Monte, e tutte trovano che sia un buon business.
la Del Monte, e tutte trovano che sia un buon business.
03:09
business.
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03:10
The salads that you see
at McDonald's came from
at McDonald's came from
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Le insalate di McDonalds
03:11
the work -- they're going
to have an Asian salad. At
to have an Asian salad. At
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nascono da questa iniziativa, uscirà anche un'insalata Asiatica,
03:13
Pepsi, two-thirds
of their revenue growth came
of their revenue growth came
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e alla Pepsi, due terzi della loro crescita viene dal cibo più sano.
03:15
from their better foods.
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e alla Pepsi, due terzi della loro crescita viene dal cibo più sano.
03:16
And so if we can do that,
then we can free up
then we can free up
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Comportandoci così, potremo liberare risorse
da destinare a farmaci
03:18
resources for buying drugs
that you really do need
that you really do need
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03:21
for treating AIDS and HIV
and malaria and for
and malaria and for
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per trattare l'AIDS, l'HIV, la malaria
03:24
preventing avian flu. Thank you.
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e l'influenza aviaria. Grazie.
ABOUT THE SPEAKER
Dean Ornish - Physician, authorDean Ornish is a clinical professor at UCSF and founder of the Preventive Medicine Research Institute. He's a leading expert on fighting illness -- particularly heart disease with dietary and lifestyle changes.
Why you should listen
Dr. Dean Ornish wants you to live longer, and have more fun while you're at it. He's one of the leading voices in the medical community promoting a balanced, holistic approach to health, and proving that it works. The author of Eat More, Weigh Less and several other best-selling books, Ornish is best known for his lifestyle-based approach to fighting heart disease.
His research at the Preventive Medicine Research Institute (the nonprofit he founded) clinically demonstrated that cardiovascular illnesses -- and, most recently prostate cancer -- can be treated and even reversed through diet and exercise. These findings (once thought to be physiologically implausible) have been widely chronicled in the US media, including Newsweek, for which Ornish writes a column. The fifty-something physician, who's received many honors and awards, was chosen by LIFE Magazine as one of the most influential members of his generation. Among his many pursuits, Ornish is now working with food corporations to help stop America's obesity pandemic from spreading around the globe.
Dean Ornish | Speaker | TED.com