TED2006
Dean Ornish: The killer American diet that's sweeping the planet
Dean Ornish: La dieta assessina dels EUA que està aniquilant el món
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Pareu de posar el crit al cel per la SIDA, el càncer i la grip aviar. Les malalties cardiovasculars maten més gent que la resta combinada —i generalment es poden prevenir. El doctor Dean Ornish explica que canviar els costums alimentaris salvarà vides.
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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Amb tot el respecte
per la SIDA i la grip aviar
per la SIDA i la grip aviar
00:28
and we'll hear about that from the
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00:30
brilliant Dr. Brilliant later today --
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—que avui en parlarà
el brillant Dr Brilliant—
el brillant Dr Brilliant—
00:32
I want to talk about the other
pandemic, which is
pandemic, which is
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vull parlar d'una altra pandèmia,
les malalties cardiovasculars,
la diabetis, la hipertensió...
la diabetis, la hipertensió...
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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Totes es poden evitar
00:40
least 95 percent of people
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en el 95 % dels casos
canviant la dieta i l'estil de vida.
canviant la dieta i l'estil de vida.
00:42
just by changing diet and lifestyle.
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00:43
And what's happening is that there's a
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Existeix una 'globalització de malalties'.
00:44
globalization of illness
occurring, that people
occurring, that people
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00:46
are starting to eat like us,
and live like us, and
and live like us, and
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La gent menja, viu i mor
com nosaltres, els americans.
com nosaltres, els americans.
00:49
die like us. And
in one generation, for example,
in one generation, for example,
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En una generació, l'Àsia ha pujat
00:52
Asia's gone from having
one of the lowest rates of
one of the lowest rates of
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d'entre les menors taxes de malalties
del cor, obesitat i diabetis,
del cor, obesitat i diabetis,
00:54
heart disease and obesity
and diabetes to one
and diabetes to one
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a una de les majors taxes del món.
00:56
of the highest. And in Africa,
cardiovascular disease
cardiovascular disease
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A l'Àfrica, les malalties cardiovasculars,
00:59
equals the HIV and AIDS deaths
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igualen les morts per VIH i SIDA
en molts països.
en molts països.
01:02
in most countries.
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01:03
So there's a critical
window of opportunity we
window of opportunity we
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Tenim un marge crític d'oportunitat
per fer un canvi prou important,
per fer un canvi prou important,
01:05
have to make an important
difference that can
difference that can
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01:07
affect the lives of literally
millions of people,
millions of people,
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que afecti la vida de milions de gent
01:09
and practice preventive
medicine on a global
medicine on a global
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i de practicar la medicina preventiva
a escala mundial.
a escala mundial.
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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Les malalties cardiovasculars
encara maten més
encara maten més
01:14
people -- not only in this
country, but also
country, but also
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—tant als EUA com al món—
01:16
worldwide -- than everything
else combined, and yet
else combined, and yet
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que la resta combinades,
01:19
it's completely preventable
for almost everybody.
for almost everybody.
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i quasi sempre es poden prevenir.
01:22
It's not only preventable; it's actually
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A més de prevenir, es poden invertir.
01:24
reversible. And for the last
almost 29 years,
almost 29 years,
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Els últims 29 anys,
01:26
we've been able to show
that by simply changing
that by simply changing
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ho hem demostrat només canviant
la dieta i l'estil de vida,
la dieta i l'estil de vida,
01:28
diet and lifestyle, using
these very high-tech,
these very high-tech,
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amb aquestes mesures d'última generació
01:31
expensive, state-of-the-art
measures to prove how
measures to prove how
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per demostrar el poder
d'aquestes accions simples i barates.
d'aquestes accions simples i barates.
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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Això és una arteriografia,
abans i després d'un any,
abans i després d'un any,
01:38
arteriography,
before and after a year, and
before and after a year, and
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01:40
cardiac PET scans.
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i tomografies cardíaques.
01:41
We showed a few months
ago -- we published the
ago -- we published the
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Fa uns mesos vam publicar
el primer estudi que demostra
el primer estudi que demostra
01:43
first study showing you
can actually stop or
can actually stop or
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que es pot frenar o invertir l'avenç
del càncer de pròstata,
del càncer de pròstata,
01:45
reverse the progression
of prostate cancer by
of prostate cancer by
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01:47
making changes in diet
and lifestyle, and 70 percent
and lifestyle, and 70 percent
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canviant la dieta i l'estil de vida.
Amb un 70 % de regressió
del creixement del tumor,
del creixement del tumor,
01:50
regression in the tumor
growth, or inhibition of
growth, or inhibition of
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o inhibició del creixement,
01:54
the tumor growth, compared
to only nine percent in the
to only nine percent in the
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comparat amb el 9 % del grup de control.
01:56
control group.
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01:57
And in the MRI and MR
spectroscopy here, the
spectroscopy here, the
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En les ressonàncies magnètiques,
amb l'activitat tumoral en vermell,
01:59
prostate tumor activity
is shown in red -- you can
is shown in red -- you can
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es pot veure la disminució en un any.
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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Hi ha una epidèmia d'obesitat:
02:06
adults and 15 percent of kids.
What's really concerning
What's really concerning
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2 terços d'adults i 15 % de nens.
02:09
to me is that diabetes has
increased 70 percent in the
increased 70 percent in the
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El que em preocupa és que la diabetis
ha augmentat un 70 % en 10 anys
ha augmentat un 70 % en 10 anys
02:12
past 10 years, and this may be the first
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i aquesta pot ser la primera generació
02:14
generation in which our kids
live a shorter life
live a shorter life
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en què els nostres fills visquin
menys anys que nosaltres.
menys anys que nosaltres.
02:16
span than we do. That's pitiful, and it's
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02:18
preventable.
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Això és trist i es pot prevenir.
02:19
Now these are not election
returns, these are the
returns, these are the
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Això no són resultats electorals,
és el nombre de gent obesa als EUA.
02:22
people -- the number
of the people who are obese
of the people who are obese
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02:24
by state, beginning in '85,
'86, '87 -- these are
'86, '87 -- these are
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Comença el 1985, 86, 87
02:28
from the CDC website --
'88, '89, '90, '91 -- you
'88, '89, '90, '91 -- you
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—són del web dels CDC—,
88, 89, 90, 91
88, 89, 90, 91
02:32
get a new category --
'92, '93, '94, '95, '96,
'92, '93, '94, '95, '96,
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—apareix un nou color—,
92, 93, 94, 95, 96,
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 i empitjora.
02:41
kind of devolving. (Laughter)
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Estem involucionant.
(Rialles)
02:46
Now what can we do about this?
Well, you know, the
Well, you know, the
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Què hi podem fer?
La dieta que pot invertir
les malalties del cor
les malalties del cor
02:49
diet that we've found
that can reverse heart
that can reverse heart
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02:50
disease and cancer is an Asian diet.
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i el càncer és una dieta asiàtica.
02:52
But the people in Asia
are starting to eat like we
are starting to eat like we
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Però si a l'Àsia mengen com nosaltres,
tindran les mateixes malalties.
tindran les mateixes malalties.
02:54
are, which is why they're
starting to get sick
starting to get sick
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02:55
like we are.
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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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He treballat amb empreses de menjar.
02:58
companies. They can make
it fun and sexy and hip
it fun and sexy and hip
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I poden fer que sembli divertit,
sexy, modern, cruixent
sexy, modern, cruixent
03:00
and crunchy and convenient
to eat healthier foods,
to eat healthier foods,
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i còmode menjar més sa.
03:02
like -- I chair the advisory
boards to McDonald's,
boards to McDonald's,
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Assessoro comanyies com ara,
McDonnald's, PepsiCo, ConAgra o Safeway
03:05
and PepsiCo, and ConAgra,
and Safeway, and soon
and Safeway, and soon
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03:07
Del Monte, and they're
finding that it's good
finding that it's good
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i aviat també Del Monte.
I pensen que és un bon negoci.
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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Les amanides del McDonald's
inclouran una amanida asiàtica.
inclouran una amanida asiàtica.
03:11
the work -- they're going
to have an Asian salad. At
to have an Asian salad. At
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03:13
Pepsi, two-thirds
of their revenue growth came
of their revenue growth came
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A Pepsi, 2 terços de l'augment de guanys
surten d'aquests menjars.
surten d'aquests menjars.
03:15
from their better foods.
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03:16
And so if we can do that,
then we can free up
then we can free up
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Si fem això, podem alliberar recursos
03:18
resources for buying drugs
that you really do need
that you really do need
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per comprar els medicaments que necessitem
03:21
for treating AIDS and HIV
and malaria and for
and malaria and for
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per prevenir la SIDA, el VIH,
la malària i la grip aviar.
03:24
preventing avian flu. Thank you.
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Gràcies
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