TED2006
Dean Ornish: The killer American diet that's sweeping the planet
Dean Ornish: 談全球致命疾病與飲食
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唔好再過度擔心愛滋病、癌症同埋禽流感喇。要知道心血管疾病所殺死嘅人數多過佢地嘅總和 — 而且多數其實係可以避免嘅。而家Dean Ornish 醫生講下點樣用改變飲食習慣來挽救生命。
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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所有對於愛滋病同禽流感嘅擔心都係好合理嘅，
00:28
and we'll hear about that from the
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而我地稍後亦會從優秀的 Brilliant 醫生
00:30
brilliant Dr. Brilliant later today --
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聽到有關嘅事宜。
00:32
I want to talk about the other
pandemic, which is
pandemic, which is
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不過，而家我想講嘅係另一啲流行病，就係
心血管疾病、糖尿病同高血壓－
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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只要改變飲食習慣同生活作息，
00:40
least 95 percent of people
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對於95% 以上嘅患者來講，
00:42
just by changing diet and lifestyle.
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佢地完全係可以預防嘅。
00:43
And what's happening is that there's a
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而現正發生嘅事就係
00:44
globalization of illness
occurring, that people
occurring, that people
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疾病開始全球化，
啲人嘅飲食同生活方式，甚至死亡方式
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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都開始同我地相似。例如短短一個世代亞洲已經
00:52
Asia's gone from having
one of the lowest rates of
one of the lowest rates of
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由其中一個心臟病、肥胖同糖尿病
00:54
heart disease and obesity
and diabetes to one
and diabetes to one
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發病率極低嘅地區，變成發病率極高嘅地區之一
而喺非洲，患心血管疾病嘅人數
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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已等同於喺大多數國家
01:02
in most countries.
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因患愛滋病而死嘅人數。
01:03
So there's a critical
window of opportunity we
window of opportunity we
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因此呢個係一個關鍵時刻
01:05
have to make an important
difference that can
difference that can
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我地必須做一個重要嘅改變
01:07
affect the lives of literally
millions of people,
millions of people,
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去影響過百萬人嘅生命，
01:09
and practice preventive
medicine on a global
medicine on a global
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同埋以一個全球嘅規模
去實施預防性醫學。
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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唔單止喺我地嘅國家，全世界亦一樣，
心血管疾病導致嘅死亡人數
01:14
people -- not only in this
country, but also
country, but also
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比其他所有疾病加起來仲要高
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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不過對絕大多數人來講，佢係完全可以避免嘅。
01:22
It's not only preventable; it's actually
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佢唔單止係可以避免，事實上
01:24
reversible. And for the last
almost 29 years,
almost 29 years,
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佢係可以得到改善。喺過去接近二十九年，
我們已經能夠透過改變飲食同生活作息
01:26
we've been able to show
that by simply changing
that by simply changing
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來證明呢點。
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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我地以一啲高科技、昂貴、前衛嘅方法來證明
呢啲非常簡單、原始及低成本嘅治療方法
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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有幾大嘅威力。
01:38
arteriography,
before and after a year, and
before and after a year, and
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例如一年前同一年後嘅定量動脈造影術，
同埋心臟正子掃描。
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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幾個月前，我們發表左首篇研究
01:43
first study showing you
can actually stop or
can actually stop or
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顯示你能夠停止
或者逆轉前列腺癌嘅擴散，
01:45
reverse the progression
of prostate cancer by
of prostate cancer by
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--只須透過改變飲食及生活習慣，
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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70%嘅癌細胞縮少
01:54
the tumor growth, compared
to only nine percent in the
to only nine percent in the
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或者停止生長，
01:56
control group.
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相對之下，對照組只有9%
01:57
And in the MRI and MR
spectroscopy here, the
spectroscopy here, the
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喺呢度嘅磁力共振造影同埋光譜分析中，
紅色嘅係前列腺癌細胞活動，
01:59
prostate tumor activity
is shown in red -- you can
is shown in red -- you can
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可以見到佢喺一年後縮少左。
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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現時癡肥非常流行，影響到三份之二嘅成人
02:06
adults and 15 percent of kids.
What's really concerning
What's really concerning
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同15%嘅兒童。特別令我擔心嘅係
02:09
to me is that diabetes has
increased 70 percent in the
increased 70 percent in the
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在過往十年糖尿病人數已上升左70%
02:12
past 10 years, and this may be the first
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呢個可能係第一個年代
02:14
generation in which our kids
live a shorter life
live a shorter life
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我地嘅細路會短命過我地。
02:16
span than we do. That's pitiful, and it's
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咁係好可悲，而且
02:18
preventable.
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佢其實係可以避免。
02:19
Now these are not election
returns, these are the
returns, these are the
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呢啲並唔係選舉結果報告，
02:22
people -- the number
of the people who are obese
of the people who are obese
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而係各州肥胖人口統計，
由85，86，87年起，呢啲資料取自
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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美國疾病管制暨預防中心網站-- '88, '89, '90, '91
02:32
get a new category --
'92, '93, '94, '95, '96,
'92, '93, '94, '95, '96,
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一個新嘅分類 -- '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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'97, '98, '99, 2000, 2001 -- 越來越差，
02:41
kind of devolving. (Laughter)
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我地一直喺度退化。
02:46
Now what can we do about this?
Well, you know, the
Well, you know, the
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而家我地可以為此做啲乜呢？你都知道，
02:49
diet that we've found
that can reverse heart
that can reverse heart
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我地發現可以扭轉心臟病
02:50
disease and cancer is an Asian diet.
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同癌症嘅係亞洲嘅飲食，
02:52
But the people in Asia
are starting to eat like we
are starting to eat like we
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但亞洲人都開始食得好似我地咁，
02:54
are, which is why they're
starting to get sick
starting to get sick
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因此佢地都開始
02:55
like we are.
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病到好似我地咁。
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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我一直有同好多大型飲食公司合作，
02:58
companies. They can make
it fun and sexy and hip
it fun and sexy and hip
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佢地可以令食用健康食品變得有趣、性感、
03:00
and crunchy and convenient
to eat healthier foods,
to eat healthier foods,
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流行、有口感又方便，
例如，我擔任麥當勞諮詢董事會嘅主席，
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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仲有百事可樂、康尼格拉食品、Safeway、
03:07
Del Monte, and they're
finding that it's good
finding that it's good
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即將仲有台爾蒙食品，
佢地發現呢個市場充滿商機。
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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你喺麥當勞見到嘅沙律就係我地嘅成果，
03:11
the work -- they're going
to have an Asian salad. At
to have an Asian salad. At
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佢地將會有亞洲式沙律。
03:13
Pepsi, two-thirds
of their revenue growth came
of their revenue growth came
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喺百事可樂公司、三分二嘅營業增長
03:15
from their better foods.
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係來自佢地改良左嘅食品。
03:16
And so if we can do that,
then we can free up
then we can free up
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所以如果我地可以這麼做，我地就可以
慳返好多資源去買我地真正需要嘅藥物
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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去治療愛滋病、瘧疾
03:24
preventing avian flu. Thank you.
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或者禽流感。多謝各位！
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