TED2006
Dean Ornish: The killer American diet that's sweeping the planet
Dean Ornish om världens mördardiet
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Sluta upp med att stånga er blodiga mot AIDS, cancer eller fågelinfluensan. Hjärtkärlsjukdomar dödar fler än allt annat tillsammans - och det går i högsta grad att förhindra. Dr. Dean Ornish förklarar hur en förändring i kostvanor kan rädda liv.
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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Med all rättfärdigad oro över AIDS och fågelinfluensan -
00:28
and we'll hear about that from the
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vilket vi kommer höra mer om
00:30
brilliant Dr. Brilliant later today --
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från den briljante Dr. Brilliant senare idag -
00:32
I want to talk about the other
pandemic, which is
pandemic, which is
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skulle jag vilja tala om den andra pandemin, det vill säga
hjärtkärlsjukdomar, diabetes och högt blodtryck -
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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vilka alla är högst möjliga att förebygga för
00:40
least 95 percent of people
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åtminstone 95 procent av befolkningen,
00:42
just by changing diet and lifestyle.
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bara genom att ändra kostvanor och livsstil.
00:43
And what's happening is that there's a
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Det som sker är att en
00:44
globalization of illness
occurring, that people
occurring, that people
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globalisering av sjukdomar pågår, att människor
börjar äta som oss, leva som oss, och
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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dö som oss. Och inom en generation kommer
00:52
Asia's gone from having
one of the lowest rates of
one of the lowest rates of
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Asien ha gått från bäst statistik inom
00:54
heart disease and obesity
and diabetes to one
and diabetes to one
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hjärtkärlsjukdomar, fetma och diabetes till att
ha sämst. Och i Afrika är andelen dödsfall i hjärtkärlsjukdomar
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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lika hög som andelen dödsfall i AIDS och HIV
01:02
in most countries.
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i de flesta länder.
01:03
So there's a critical
window of opportunity we
window of opportunity we
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Det finns alltså ett gyllene tillfälle
01:05
have to make an important
difference that can
difference that can
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att göra en väsentlig förändring som kan
01:07
affect the lives of literally
millions of people,
millions of people,
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påverka livet på miljontals människor,
01:09
and practice preventive
medicine on a global
medicine on a global
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och verka förebyggande på ett globalt
plan.
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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Hjärt- och kärlsjukdomar dödar fortfarande mer
människor - inte bara här, men även
01:14
people -- not only in this
country, but also
country, but also
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globalt - än allt annat tillsammans, och ändå
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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går det att förebygga för nästan alla.
01:22
It's not only preventable; it's actually
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Det går inte bara att förebygga, det är faktiskt
01:24
reversible. And for the last
almost 29 years,
almost 29 years,
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vändbart. Under de senaste 29 åren,
har vi kunnat bevisa att bara genom att ändra
01:26
we've been able to show
that by simply changing
that by simply changing
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kost och livsstil, och använda högteknologiska
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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dyra och förstklassiga åtgärder för att bevisa
hur kraftfulla dessa enkla, billiga och lågteknologiska
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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åtgärderna kan vara. Kvantitativ arteriografi
01:38
arteriography,
before and after a year, and
before and after a year, and
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före och efter, efter ett år, och
kardiologiska PET-scans.
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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För några månader sedan publicerade vi
01:43
first study showing you
can actually stop or
can actually stop or
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den första studien som visar att man kan stoppa eller
vända utvecklingen av prostatacancer
01:45
reverse the progression
of prostate cancer by
of prostate cancer by
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genom att ändra kost och livsstil, och 70 procent
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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minskad tillväxt av tumören, eller hämning av
01:54
the tumor growth, compared
to only nine percent in the
to only nine percent in the
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tumörens tillväxt, jämfört med bara 9 procent i
01:56
control group.
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kontrollgruppen.
01:57
And in the MRI and MR
spectroscopy here, the
spectroscopy here, the
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I MRT- och MR-spektroskopin här, är
tumören i prostatan röd -- man kan
01:59
prostate tumor activity
is shown in red -- you can
is shown in red -- you can
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se den minska efter ett år.
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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Numera finns det en fetmaepidemi. Två tredjedelar
02:06
adults and 15 percent of kids.
What's really concerning
What's really concerning
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bland vuxna och 15 procent av barnen. Vad som oroar
02:09
to me is that diabetes has
increased 70 percent in the
increased 70 percent in the
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mig är att diabetes har ökat med 70 procent
02:12
past 10 years, and this may be the first
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de senaste 10 åren, och detta kan vara den första
02:14
generation in which our kids
live a shorter life
live a shorter life
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generationen där våra barn har en kortare livslängd
02:16
span than we do. That's pitiful, and it's
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än vi. Det är sorgligt, och det går att
02:18
preventable.
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förebygga.
02:19
Now these are not election
returns, these are the
returns, these are the
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Detta är inte ett valresultat, detta är
02:22
people -- the number
of the people who are obese
of the people who are obese
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människor -- antalet överviktiga
per delstat, med början i åren '85, '86 och '87 -- detta
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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från CDCs hemsida -- '88, '89, '90 och '91 -- får
02:32
get a new category --
'92, '93, '94, '95, '96,
'92, '93, '94, '95, '96,
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man en ny kategori -- '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 -- blir det värre. Vi
02:41
kind of devolving. (Laughter)
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degenererar...
02:46
Now what can we do about this?
Well, you know, the
Well, you know, the
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Vad kan vi då göra åt detta? Jo, den
02:49
diet that we've found
that can reverse heart
that can reverse heart
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diet vi funnit kunna hindra hjärt-
02:50
disease and cancer is an Asian diet.
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kärlsjukdomar och cancer är en asiatisk diet.
02:52
But the people in Asia
are starting to eat like we
are starting to eat like we
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Folk i Asien börjar dock äta som oss,
02:54
are, which is why they're
starting to get sick
starting to get sick
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vilket är orsaken till att de blir sjuka
02:55
like we are.
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som vi.
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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Jag har jobbat med många stora livsmedels-
02:58
companies. They can make
it fun and sexy and hip
it fun and sexy and hip
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bolag. Dom kan göra det roligt, sexigt, inne,
03:00
and crunchy and convenient
to eat healthier foods,
to eat healthier foods,
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fräscht och bekvämt att äta nyttig mat,
Jag sitter i rådgivningsnämden hos McDonalds,
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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PepsiCo, ConAgra och Safeway, och snart
03:07
Del Monte, and they're
finding that it's good
finding that it's good
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hos Del Monte, och de börjar inse att det är bra
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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Salladerna på McDonalds är ett resultat
03:11
the work -- they're going
to have an Asian salad. At
to have an Asian salad. At
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av arbetet -- de kommer ha en asiatisk sallad.
03:13
Pepsi, two-thirds
of their revenue growth came
of their revenue growth came
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Hos Pepsi kom två tredjedelar av deras ökade omsättning
03:15
from their better foods.
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från deras nyttigare mat.
03:16
And so if we can do that,
then we can free up
then we can free up
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Kan vi alltså göra det, kan vi frigöra
resurser till mediciner vi verkligen behöver
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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för att behandla AIDS, HIV och malaria och
03:24
preventing avian flu. Thank you.
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förhindra fågelinfluensan. Tack.
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