TED2006
Dean Ornish: The killer American diet that's sweeping the planet
Dean Ornish 談這個世界的殺手級飲食
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別再過度擔心愛滋病、癌症和禽流感了。因為心血管疾並死亡的人數還超過以上三者的總和 — 而且多數其實是可以有效預防的。Dean Ornish 醫師解釋了，如何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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雖然所有對於愛滋病和禽流感的擔心都是合理的 —
00:28
and we'll hear about that from the
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今天稍晚，我們都將會聽到
00:30
brilliant Dr. Brilliant later today --
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優秀的 Brilliant 醫師的演說 —
00:32
I want to talk about the other
pandemic, which is
pandemic, which is
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我想要談談另一個大流行，那就是
心血管疾病、糖尿病、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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95% 以上這些疾病的患者
00:40
least 95 percent of people
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完全是可以預防的，
00:42
just by changing diet and lifestyle.
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只要改變飲食習慣與生活作息。
00:43
And what's happening is that there's a
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一種疾病全球化的現象
00:44
globalization of illness
occurring, that people
occurring, that people
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正在發生，人們開始
以我們的方式飲食、生活，也以與我們
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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相同的方式死亡。舉例來說，才短短一個世代，
00:52
Asia's gone from having
one of the lowest rates of
one of the lowest rates of
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亞洲人罹患心臟病、肥胖與糖尿病的機率便已經
00:54
heart disease and obesity
and diabetes to one
and diabetes to one
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從最低族群爬升到領先族群之一。
在非洲，多數國家因為心血管疾病而死亡的人數
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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等同於因為愛滋病毒而罹患愛滋病
01:02
in most countries.
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的死亡人數。
01:03
So there's a critical
window of opportunity we
window of opportunity we
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因此現在是個關鍵的時刻，
01:05
have to make an important
difference that can
difference that can
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我們必須做出重要的改變，
01:07
affect the lives of literally
millions of people,
millions of people,
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這個改變將能夠影響上百萬人的生命，
01:09
and practice preventive
medicine on a global
medicine on a global
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那就是以全球性的規模，來實施預行醫學制度。
那就是以全球性的規模，來實施預行醫學制度。
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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心血管疾病導致的死亡人數 —
不僅僅是在這個國家而已，全世界皆然
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還高，但是
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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對個人來說，它幾乎是可以完全被預防的。
01:22
It's not only preventable; it's actually
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不但可以被預防，事實上
01:24
reversible. And for the last
almost 29 years,
almost 29 years,
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還能反轉疾病進程。在過去將近 29 年中，
我們已經能夠證明只要改變飲食和生活作息，
01:26
we've been able to show
that by simply changing
that by simply changing
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我們使用這些高科技、
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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昂貴的、最前衛的方法來證明
這些非常簡單、原始、低成本的治療方法的
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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強大威力。
01:38
arteriography,
before and after a year, and
before and after a year, and
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定量動脈造影術，一年前後，
還有心藏正子掃描。
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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數個月前，我們證明 — 我們發表了首篇
01:43
first study showing you
can actually stop or
can actually stop or
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研究顯示，你能夠停止或是反轉
攝護腺癌的進程，單單藉由改變飲食
01:45
reverse the progression
of prostate cancer by
of prostate cancer by
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及生活習慣，70% 的腫瘤縮小
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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或是生長停止，
01:54
the tumor growth, compared
to only nine percent in the
to only nine percent in the
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相對之下，控制組只有 9%。
01:56
control group.
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相對之下，控制組只有 9%。
01:57
And in the MRI and MR
spectroscopy here, the
spectroscopy here, the
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在這邊的磁共振造影與光譜分析中，
攝護腺腫瘤的活動以紅色顯示，你可以看到它在
01:59
prostate tumor activity
is shown in red -- you can
is shown in red -- you can
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一年之後，顯著的減少。
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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肥胖問題在今日非常的流行。三分之二的成人與
02:06
adults and 15 percent of kids.
What's really concerning
What's really concerning
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15% 的孩童有肥胖問題。我真正擔心的是
02:09
to me is that diabetes has
increased 70 percent in the
increased 70 percent in the
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在過去十年中，糖尿病患者增加了 70%，
02:12
past 10 years, and this may be the first
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而且這個世代將有可能成為第一個
02:14
generation in which our kids
live a shorter life
live a shorter life
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後代壽命比我們這一代短的世代。
02:16
span than we do. That's pitiful, and it's
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這真可憐，這是可以被防範的。
02:18
preventable.
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這真可憐，這是可以被防範的。
02:19
Now these are not election
returns, these are the
returns, these are the
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這些不是選舉結果報告，這些是
02:22
people -- the number
of the people who are obese
of the people who are obese
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各州肥胖人口數統計，
從 85, 86, 87 年開始，這個資料取自
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 —
02:32
get a new category --
'92, '93, '94, '95, '96,
'92, '93, '94, '95, '96,
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一個新的分類被制定 — 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 — 愈來愈糟。
02:41
kind of devolving. (Laughter)
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我們一直在退化。
02:46
Now what can we do about this?
Well, you know, the
Well, you know, the
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我們該怎麼辦？這麼嘛，你知道，我們發現
02:49
diet that we've found
that can reverse heart
that can reverse heart
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亞洲飲食可以反轉心臟疾病和癌症的產生。
02:50
disease and cancer is an Asian diet.
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亞洲飲食可以反轉心臟疾病和癌症的產生。
02:52
But the people in Asia
are starting to eat like we
are starting to eat like we
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但是亞洲人的飲食開始與我們愈來愈接近，
02:54
are, which is why they're
starting to get sick
starting to get sick
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這也是為什麼，他們開始會罹患跟我們一樣的疾病。
02:55
like we are.
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這也是為什麼，他們開始會罹患跟我們一樣的疾病。
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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我嘗試跟許多食品大廠合作。
02:58
companies. They can make
it fun and sexy and hip
it fun and sexy and hip
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他們讓吃健康食物這件事，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的主席，
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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還有百事可樂、康尼格拉食品、Safeway 超市、
03:07
Del Monte, and they're
finding that it's good
finding that it's good
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台爾蒙食品也即將加入，他們發現這個市場
商機很大。
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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麥當勞的沙拉就是我們的成果，
03:11
the work -- they're going
to have an Asian salad. At
to have an Asian salad. At
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他們將要銷售亞洲式沙拉。在百事可樂公司，
03:13
Pepsi, two-thirds
of their revenue growth came
of their revenue growth came
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三分之二的營收成長來自於
03:15
from their better foods.
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他們更健康的產品。
03:16
And so if we can do that,
then we can free up
then we can free up
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而且如果我們可以持續這麼做，我們將能節省
購買藥品的資源，這樣你就能去購買例如
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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愛滋病、瘧疾或是禽流感等等，你真正需要
03:24
preventing avian flu. Thank you.
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的藥物。謝謝各位。
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