TED2006
Dean Ornish: The killer American diet that's sweeping the planet
Dean Ornish: 世界的致命饮食
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别再为艾滋病、癌症和禽流感过度忧虑了。心血管疾病每年致死的人数比其他疾病加起来的还要多，而这大部分都是可以预防的。Dean Ornish医生将会解释如何通过改变饮食习惯从而挽救我们的生命。
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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尽管所有对于艾滋病和禽流感的忧虑都是合理的——
00:28
and we'll hear about that from the
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稍后我们将会听到
00:30
brilliant Dr. Brilliant later today --
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优秀的Brilliant医生的演讲——
00:32
I want to talk about the other
pandemic, which is
pandemic, which is
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我想要说的是另一种流行疾病，
也就是心血管疾病、糖尿病、高血压——
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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这些疾病对于至少95%的人而言，
00:40
least 95 percent of people
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都是可以通过改变饮食和生活方式
00:42
just by changing diet and lifestyle.
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而完全预防的。
00:43
And what's happening is that there's a
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而目前的情况是
00:44
globalization of illness
occurring, that people
occurring, that people
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疾病的全球化正在发生，
人们开始以我们一样的方式吃饭、生活以及死亡。
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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举例来说，在一代人的时间内，
00:52
Asia's gone from having
one of the lowest rates of
one of the lowest rates of
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亚洲人患心脏病、肥胖症以及糖尿病
00:54
heart disease and obesity
and diabetes to one
and diabetes to one
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的比率即从最低的群体之一攀升至最高。
而在非洲大多数国家，
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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心血管疾病致死的人数与HIV和艾滋病
01:02
in most countries.
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致死的人数相同。
01:03
So there's a critical
window of opportunity we
window of opportunity we
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因此这是一个关键的机遇，
01:05
have to make an important
difference that can
difference that can
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我们不得不作出重要的改变，
01:07
affect the lives of literally
millions of people,
millions of people,
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这个改变能够影响成千上万人的生命，
01:09
and practice preventive
medicine on a global
medicine on a global
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并在全球范围内实践
预防医学。
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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心脑血管疾病致死的人数超过了
其他疾病致死人数的总和，
01:14
people -- not only in this
country, but also
country, but also
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不仅仅在我们国家，而且是在全球范围之内，
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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对于几乎所有人而言，这是完全可以预防的。
01:22
It's not only preventable; it's actually
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而这不仅仅是可以预防的，
01:24
reversible. And for the last
almost 29 years,
almost 29 years,
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而且实际上是可治愈的。在过去约29年里，
我们可以证实，仅仅是通过改变饮食和生活方式，
01:26
we've been able to show
that by simply changing
that by simply changing
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我们使用了非常昂高科技、昂贵和顶尖的手段
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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来证实这些
简单、低科技和低成本的预防措施
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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作用是如此之大。
01:38
arteriography,
before and after a year, and
before and after a year, and
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我们使用了动脉造影，一年前后还使用了
心脏PET扫描。
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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我们几个月前还证明了——我们发表了一项研究成果，
01:43
first study showing you
can actually stop or
can actually stop or
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该成果首次显示出你可以通过改变饮食和生活方式
来阻止前列腺癌的恶化，
01:45
reverse the progression
of prostate cancer by
of prostate cancer by
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肿瘤生长衰退或抑制
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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的比例达到70%，
01:54
the tumor growth, compared
to only nine percent in the
to only nine percent in the
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与此相对应的是，
01:56
control group.
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控制组的比例仅为9%。
01:57
And in the MRI and MR
spectroscopy here, the
spectroscopy here, the
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这里的核磁共振光谱显示，
肿瘤生长活动为红色，
01:59
prostate tumor activity
is shown in red -- you can
is shown in red -- you can
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你可以看到这在一年之后就消失了。
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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此外，现在出现的还有糖尿病的流行，
02:06
adults and 15 percent of kids.
What's really concerning
What's really concerning
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这占到了成人的2/3和儿童的15%。
02:09
to me is that diabetes has
increased 70 percent in the
increased 70 percent in the
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真正令我担忧的是在过去的10年里，
02:12
past 10 years, and this may be the first
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糖尿病的患病比例上升了70%，
02:14
generation in which our kids
live a shorter life
live a shorter life
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而这可能将首次出我们下一代的孩子们的寿命
02:16
span than we do. That's pitiful, and it's
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将会短于我们。
02:18
preventable.
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这很让人痛心，但又是可以预防的。
02:19
Now these are not election
returns, these are the
returns, these are the
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现在大家看到的不是选举结果，
02:22
people -- the number
of the people who are obese
of the people who are obese
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这是按州统计的患糖尿病的人口人数，
从85、86、87年开始——
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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数字来源是美国疾病控制中心的网站——现在是88、89、90、91年——
02:32
get a new category --
'92, '93, '94, '95, '96,
'92, '93, '94, '95, '96,
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又是一个新的组别——92、93、94、95、96年，
02:36
'97, '98, '99, 2000, 2001
-- it gets worse. We're
-- it gets worse. We're
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到97、98、99、2000、2001年——
02:41
kind of devolving. (Laughter)
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情况越来越糟糕，我们在某种程度上在退化。
02:46
Now what can we do about this?
Well, you know, the
Well, you know, the
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对于这些我们能做些什么？嗯，你知道，
02:49
diet that we've found
that can reverse heart
that can reverse heart
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我们所发现的能够阻止心脏病
02:50
disease and cancer is an Asian diet.
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与癌症的饮食就是亚洲饮食。
02:52
But the people in Asia
are starting to eat like we
are starting to eat like we
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但是现在亚洲人开始像我们一样饮食，
02:54
are, which is why they're
starting to get sick
starting to get sick
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这也是他们开始像我们患一样的病
02:55
like we are.
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的原因。
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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我一直与许多大的食品公司合作，
02:58
companies. They can make
it fun and sexy and hip
it fun and sexy and hip
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他们能够使吃更健康的食物变得
03:00
and crunchy and convenient
to eat healthier foods,
to eat healthier foods,
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有趣、性感、时尚、口感好以及方便。
例如——我担任麦当劳、
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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百事可乐、康尼格拉、Safeway超市的顾问委员会主席，
03:07
Del Monte, and they're
finding that it's good
finding that it's good
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稍后还将担任德尔蒙特的，他们也正在
发现这是项好生意。
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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你可以在麦当劳看到的沙拉就是这项工作的成果——
03:11
the work -- they're going
to have an Asian salad. At
to have an Asian salad. At
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他们开始提供亚洲沙拉。
03:13
Pepsi, two-thirds
of their revenue growth came
of their revenue growth came
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在百事可乐公司，3/2的收入增加来自
03:15
from their better foods.
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他们更好的食品。
03:16
And so if we can do that,
then we can free up
then we can free up
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而如果我们能做到这些，
我们可以将购买药物的资源解放出来，
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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而将这些资源用到真正需要的治疗艾滋病、HIV、疟疾
03:24
preventing avian flu. Thank you.
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以及预防禽流感之中。感谢各位。
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