Why dieting doesn't usually work | Sandra Aamodt

717,749 views ・ 2014-01-08

TED


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Prevoditelj: Marina Maras Recezent: Ivan Stamenković
00:12
Three and a half years ago,
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Prije tri i pol godine
00:14
I made one of the best decisions of my life.
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donijela sam jednu od najboljih odluka u svom životu.
00:17
As my New Year's resolution,
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Moja novogodišnja odluka bila je
00:19
I gave up dieting, stopped worrying about my weight,
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prestati ići na dijete, prestati se brinuti o težini
00:23
and learned to eat mindfully.
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i naučiti jesti pažljivo.
00:26
Now I eat whenever I'm hungry,
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Sada jedem kad god sam gladna
00:30
and I've lost 10 pounds.
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i smršavila sam 5kg.
00:33
This was me at age 13,
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Ovo sam ja sa 13 godina
00:36
when I started my first diet.
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kad sam počela svoju prvu dijetu.
00:38
I look at that picture now, and I think,
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Sada kad gledam tu sliku, pomislim
00:41
you did not need a diet,
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nisi ti trebala dijetu
00:43
you needed a fashion consult.
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ti si trebala modnog savjetnika.
00:46
(Laughter)
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(Smijeh)
00:48
But I thought I needed to lose weight,
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Ali bila sam uvjerena da trebam smršaviti
00:51
and when I gained it back,
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a kad sam kilograme vratila,
00:53
of course I blamed myself.
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naravno, krivila sam sebe.
00:57
And for the next three decades,
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I tijekom sljedeća 3 desetljeća
00:59
I was on and off various diets.
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bila sam na raznim dijetama.
01:02
No matter what I tried,
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Bez obzira što sam sve činila,
01:04
the weight I'd lost always came back.
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kilogrami bi se uvijek vraćali.
01:07
I'm sure many of you know the feeling.
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Sigurna sam da je mnogima od vas poznat taj osjećaj.
01:10
As a neuroscientist,
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Kao neuroznanstvenica,
01:12
I wondered, why is this so hard?
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pitala sam se zašto je to tako teško?
01:15
Obviously, how much you weigh depends on
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Očito vaša težina ovisi o tome
01:17
how much you eat and how much energy you burn.
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koliko jedete i koliko energije potrošite.
01:20
What most people don't realize
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Ono što većina ljudi ne razumije jest
01:22
is that hunger and energy use
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da glad i potrošnju energije
01:24
are controlled by the brain,
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kontrolira mozak
01:26
mostly without your awareness.
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i to uglavnom da vi toga niste ni svjesni.
01:30
Your brain does a lot of its work behind the scenes,
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Vaš mozak radi mnogo toga 'iza kulisa'
01:33
and that is a good thing,
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i to je dobra stvar
01:35
because your conscious mind --
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jer svjesni dio vašeg mozga --
01:38
how do we put this politely? --
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kako to lijepo reći? --
01:39
it's easily distracted.
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se lako smete.
01:43
It's good that you don't have to remember to breathe
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Dobro je da ne moramo misliti na disanje
01:45
when you get caught up in a movie.
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kad nas ponese neki film.
01:48
You don't forget how to walk
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Nećemo zaboraviti kako hodati
01:50
because you're thinking about what to have for dinner.
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jer mislimo što ćemo imati za večeru.
01:53
Your brain also has its own sense
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Također vaš mozak ima svoju predodžbu
01:55
of what you should weigh,
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o tome koliko biste trebali težiti
01:57
no matter what you consciously believe.
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bez obzira na to u što vi svjesno vjerujete.
02:00
This is called your set point,
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To je vaša polazna točka
02:02
but that's a misleading term,
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ali to je naziv koji zavarava
02:04
because it's actually a range
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jer je to zapravo raspon
02:05
of about 10 or 15 pounds.
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od otprilike 5 do 7 kg.
02:08
You can use lifestyle choices to move your weight
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Svojim stilom života možete mijenjati svoju težinu
02:11
up and down within that range,
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krećući se gore-dolje unutar tog raspona,
02:13
but it's much, much harder to stay outside of it.
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ali je mnogo, mnogo teže ostati izvan njega.
02:18
The hypothalamus, the part of the brain
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Hipotalamus, dio mozga,
02:20
that regulates body weight,
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koji regulira tjelesnu težinu,
02:21
there are more than a dozen chemical signals
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postoji više od desetine kemijskih signala
02:24
in the brain that tell your body to gain weight,
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u mozgu koji govore vašem tijelu da poveća težinu,
02:26
more than another dozen that tell your body to lose it,
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i više od desetine signala koji govore vašem tijelu da smanji težinu
02:30
and the system works like a thermostat,
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i cijeli taj sustav radi kao termostat
02:33
responding to signals from the body
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reagirajući na signale tijela
02:36
by adjusting hunger, activity and metabolism,
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prilagođavajući glad, aktivnost i metabolizam
02:39
to keep your weight stable as conditions change.
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kako bi težina ostala stabilna dok se drugi uvjeti mijenjaju.
02:43
That's what a thermostat does, right?
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To termostat radi, zar ne?
02:45
It keeps the temperature in your house the same
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Održava temperaturu u vašoj kući stalnom
02:49
as the weather changes outside.
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dok se vremenski uvjeti vani mijenjaju.
02:51
Now you can try to change the temperature
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Možete pokušati promijeniti temperaturu
02:54
in your house by opening a window in the winter,
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u vašoj kući otvarajući prozor tijekom zime
02:58
but that's not going to change the setting on the thermostat,
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ali to neće promijeniti postavke na termostatu
03:02
which will respond by kicking on the furnace
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koji će odgovoriti tako da pojača peć
03:04
to warm the place back up.
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kako bi ponovno ugrijao kuću.
03:06
Your brain works exactly the same way,
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Vaš mozak radi na potpuno isti način
03:09
responding to weight loss by using powerful tools
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odgovarajući na gubitak težine koristeći se moćnim sredstvima
03:13
to push your body back
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da vrati vaše tijelo
03:14
to what it considers normal.
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u ono što smatra normalnim.
03:18
If you lose a lot of weight,
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Ako izgubite mnogo kilograma,
03:20
your brain reacts as if you were starving,
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vaš mozak reagira kao da gladujete
03:24
and whether you started out fat or thin,
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i bilo da ste bili debeli ili mršavi kad ste počeli
03:27
your brain's response is exactly the same.
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vaš mozak uvijek reagira potpuno isto.
03:30
We would love to think that your brain could tell
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Htjeli bismo misliti da naš mozak može odrediti
03:32
whether you need to lose weight or not,
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trebamo li smršaviti ili ne,
03:33
but it can't.
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ali on to ne može.
03:36
If you do lose a lot of weight,
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Ako mnogo smršavite,
03:38
you become hungry,
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postanete gladni,
03:41
and your muscles burn less energy.
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a vaši mišići sagorijevaju manje energije.
03:44
Dr. Rudy Leibel of Columbia University
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Dr. Rudy Leibel sa sveučilišta Columbia
03:46
has found that people who have lost
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je otkrio da ljudi koji izgube
03:48
10 percent of their body weight
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10 posto svoje tjelesne težine
03:50
burn 250 to 400 calories less
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sagorijevaju 250 do 400 kalorija manje
03:53
because their metabolism is suppressed.
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jer njihov metabolizam uspori.
03:56
That's a lot of food.
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To je mnogo hrane.
03:58
This means that a successful dieter
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To znači da netko tko uspješno drži dijetu
04:00
must eat this much less forever
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mora zauvijek jesti ovu količinu hrane manje
04:03
than someone of the same weight
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negoli netko iste težine
04:05
who has always been thin.
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tko je oduvijek bio mršav.
04:07
From an evolutionary perspective,
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S evolucijskog gledišta
04:09
your body's resistance to weight loss makes sense.
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otpor vašeg tijela na gubitak težine ima smisla.
04:11
When food was scarce, our ancestors' survival
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Kad je hrane bilo malo, opstanak naših predaka
04:14
depended on conserving energy,
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je ovisio o čuvanju energije
04:17
and regaining the weight when food was available
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i vraćanje kilograma kad je hrana dostupna
04:19
would have protected them against the next shortage.
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je štitilo ljude od sljedeće nestašice hrane.
04:22
Over the course of human history,
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Tijekom ljudske povijesti
04:25
starvation has been a much bigger problem
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gladovanje je bilo mnogo veći problem
04:28
than overeating.
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od prejedanja.
04:30
This may explain a very sad fact:
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I ovo može pojasniti vrlo tužnu činjenicu.
04:34
Set points can go up,
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Polazne točke mogu ići gore,
04:37
but they rarely go down.
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ali vrlo rijetko idu dolje.
04:39
Now, if your mother ever mentioned
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Ako vam je majka ikad spomenula
04:42
that life is not fair,
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da život nije pošten
04:44
this is the kind of thing she was talking about.
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upravo je o ovome pričala.
04:47
(Laughter)
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(Smijeh)
04:50
Successful dieting doesn't lower your set point.
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Uspješno držanje dijete ne spušta vašu polaznu točku.
04:53
Even after you've kept the weight off
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Čak i ako ste održavali težinu
04:54
for as long as seven years,
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punih sedam godina
04:56
your brain keeps trying to make you gain it back.
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vaš mozak vas pokušava natjerati da vratite izgubljene kilograme.
05:00
If that weight loss had been due to a long famine,
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Ukoliko bi taj gubitak težine bio izazvan dugom gladi,
05:04
that would be a sensible response.
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to bi bila razumna reakcija.
05:06
In our modern world of drive-thru burgers,
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U suvremenom svijetu burgera' za van'
05:09
it's not working out so well for many of us.
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to baš i ne odgovara mnogima od nas.
05:12
That difference between our ancestral past
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Ta razlika između prošlosti naših predaka
05:16
and our abundant present
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i naše obilate sadašnjosti
05:18
is the reason that Dr. Yoni Freedhoff
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je razlog zašto bi dr. Yoni Freedhoff
05:20
of the University of Ottawa
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sa sveučilišta u Ottawi
05:23
would like to take some of his patients back to a time
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želio odvesti mnoge svoje pacijente natrag u vrijeme
05:25
when food was less available,
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kad je hrana bila manje dostupna,
05:27
and it's also the reason
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i to je ujedno i razlog
05:29
that changing the food environment
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zašto će mijenjanje hrane u našoj okolini
05:31
is really going to be the most effective solution
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zaista biti najučinkovitije rješenje
05:36
to obesity.
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za pretilost.
05:38
Sadly, a temporary weight gain
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Nažalost, privremeno povećanje težine
05:41
can become permanent.
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može postati trajno.
05:43
If you stay at a high weight for too long,
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Ako predugo zadržite povećanu težinu,
05:46
probably a matter of years for most of us,
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a tu se vjerojatno radi o nekoliko godina za većinu od nas,
05:48
your brain may decide that that's the new normal.
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vaš mozak može odlučiti da je to novo stanje normalno za njega.
05:53
Psychologists classify eaters into two groups,
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Psiholozi dijele ljude koji jedu u dvije skupine,
05:57
those who rely on their hunger
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one koji se oslanjaju na osjećaj gladi
05:58
and those who try to control their eating
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i one koji pokušavaju kontrolirati svoje jedenje
06:01
through willpower, like most dieters.
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snagom volje, što radi većina ljudi koji drže dijete.
06:07
Let's call them intuitive eaters and controlled eaters.
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Nazovimo ih ljudi koji jedu intuitivno i oni koji jedu kontrolirano.
06:13
The interesting thing is that intuitive eaters
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Zanimljivo je to što ljudi koji jedu intuitivno
06:16
are less likely to be overweight,
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imaju manje šansi da budu prekomjerno teški
06:18
and they spend less time thinking about food.
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a provode manje vremena razmišljajući o hrani.
06:22
Controlled eaters are more vulnerable
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Ljudi koji jedu kontrolirano su ranjiviji
06:26
to overeating in response to advertising,
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po pitanju prejedenja kao odgovor na reklame,
06:28
super-sizing, and the all-you-can-eat buffet.
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mega-veličine i 'kolikogod možete pojesti' tip restorana.
06:32
And a small indulgence,
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I malo prepuštanje užicima
06:34
like eating one scoop of ice cream,
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kao što je kugla sladoleda
06:37
is more likely to lead to a food binge
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će vrlo vjerojatno dovesti do prejedanja
06:43
in controlled eaters.
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kod ljudi koji kontrolirano jedu hranu.
06:45
Children are especially vulnerable
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Djeca su posebno sklona
06:47
to this cycle of dieting and then binging.
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ovakvom krugu dijeta i prejedanja.
06:50
Several long-term studies have shown
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Nekoliko dugoročnih studija je pokazalo
06:53
that girls who diet in their early teenage years
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da djevojčice koje drže dijete u ranom tinejdžerskom dobu
06:57
are three times more likely to become overweight
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imaju tri puta veće šanse da budu prekomjerno teške
07:00
five years later,
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pet godina kasnije
07:02
even if they started at a normal weight,
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čak i ako su bile normalne težine kad su počele s dijetom
07:04
and all of these studies found
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i sve su ove studije otkrile
07:07
that the same factors
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da su isti faktori
07:09
that predicted weight gain
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koji su predvidjeli povećanje težine
07:13
also predicted the development of eating disorders.
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također predvidjeli i razvoj poremećaja u prehrani.
07:16
The other factor, by the way,
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Drugi faktor, usput,
07:17
those of you who are parents,
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vi koji ste roditelji,
07:19
was being teased by family members
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jest zadirkivanje od strane članova obitelji
07:22
about their weight.
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zbog težine.
07:23
So don't do that.
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Stoga nemojte to raditi.
07:25
(Laughter)
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(Smijeh)
07:27
I left almost all my graphs at home,
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Ostavila sam gotovo sve grafikone kod kuće
07:30
but I couldn't resist throwing in just this one,
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ali nisam mogla odoljeti a da ne ubacim ovaj
07:32
because I'm a geek, and that's how I roll.
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zato što sam štreber i tako ja radim stvari.
07:34
(Laughter)
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(Smijeh)
07:37
This is a study that looked at the risk of death
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Ovo je studija koja je istraživala rizik od smrti
07:39
over a 14-year period
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tijekom razdoblja od 14 godina
07:41
based on four healthy habits:
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na osnovu 4 zdrave navike:
07:44
eating enough fruits and vegetables,
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jesti dovoljno voća i povrća,
07:46
exercise three times a week,
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vježbati tri puta tjedno,
07:48
not smoking,
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ne pušiti
07:49
and drinking in moderation.
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i umjereno piti.
07:51
Let's start by looking at the normal weight
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Pogledajmo prvo ljude normalne težine
07:53
people in the study.
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iz studije.
07:55
The height of the bars is the risk of death,
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Visina stupaca predstavlja rizik od smrti
07:57
and those zero, one, two, three, four numbers
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a brojevi 0, 1, 2, 3, 4
07:59
on the horizontal axis
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na horizontalnoj osi
08:00
are the number of those healthy habits
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su brojevi zdravih navika
08:02
that a given person had.
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koje pojedina osoba ima.
08:04
And as you'd expect, the healthier the lifestyle,
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I kao što biste i očekivali, što je životni stil bio zdraviji,
08:07
the less likely people were to die during the study.
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to je bila manja vjerojatnost da će ljudi umrijeti tijekom studije.
08:10
Now let's look at what happens
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Sad pogledajmo što se događa kod
08:11
in overweight people.
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ljudi prekomjerene težine.
08:13
The ones that had no healthy habits
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Kod onih koji nisu imali niti jednu zdravu naviku
08:15
had a higher risk of death.
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rizik od smrti je bio veći.
08:17
Adding just one healthy habit
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Dodavanje samo jedne zdrave navike
08:19
pulls overweight people back into the normal range.
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vodi ljude prekomjerne težine u normalni raspon.
08:22
For obese people with no healthy habits,
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Kod pretilih ljudi bez zdravih navika
08:25
the risk is very high, seven times higher
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rizik je vrlo visok, čak sedam puta viši
08:28
than the healthiest groups in the study.
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negoli kod najzdravije grupe iz studije.
08:30
But a healthy lifestyle helps obese people too.
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Ali zdrav životni stil pomaže također i pretilim ljudima.
08:34
In fact, if you look only at the group
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Ustvari, ako pogledate samo grupu
08:36
with all four healthy habits,
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koja ima sve 4 zdrave navike
08:38
you can see that weight makes very little difference.
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vidjet ćete da težina ne čini veliku razliku.
08:41
You can take control of your health
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Možete preuzeti kontrolu nad svojim zdravljem
08:43
by taking control of your lifestyle,
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peruzimajući kontrolu nad svojim stilom života
08:45
even If you can't lose weight
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čak i ako ne uspijete smanjiti težinu
08:46
and keep it off.
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i to održavati.
08:48
Diets don't have very much reliability.
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Dijete nisu baš pouzdane.
08:52
Five years after a diet,
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Pet godina nakon dijete
08:54
most people have regained the weight.
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većina ljudi je već vratila kilograme.
08:57
Forty percent of them have gained even more.
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40 posto njih vrati čak i više.
08:59
If you think about this,
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Ako malo razmislite o ovome
09:01
the typical outcome of dieting
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uobičajan rezultat dijete
09:03
is that you're more likely to gain weight
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je da ćete prije dobiti kilograme
09:05
in the long run than to lose it.
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na duge staze negoli ih izgubiti.
09:08
If I've convinced you that dieting
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Ako sam vas uvjerila da bi dijete
09:11
might be a problem,
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mogle biti problem,
09:13
the next question is, what do you do about it?
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postavlja se sljedeće pitanje, i što sada poduzeti?
09:15
And my answer, in a word, is mindfulness.
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I moj odgovor, jednom rječju, je svjesnost.
09:20
I'm not saying you need to learn to meditate
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Ne kažem da morate naučiti meditirati
09:22
or take up yoga.
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ili krenuti na jogu.
09:24
I'm talking about mindful eating:
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Govorim o svjesnom jedenju:
09:27
learning to understand your body's signals
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učenju da razumijete signale svog tijela
09:30
so that you eat when you're hungry
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kako biste jeli kad ste gladni
09:33
and stop when you're full,
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i prestali kad ste siti
09:35
because a lot of weight gain boils down
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jer se dobivanje kilograma često svodi na
09:37
to eating when you're not hungry.
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jedenje kad niste gladni.
09:40
How do you do it?
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Kako to napraviti?
09:42
Give yourself permission to eat
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Dozvolite si da jedete
09:44
as much as you want, and then work on figuring out
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koliko želite i onda se posvetite otkrivanju
09:46
what makes your body feel good.
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što godi vašem tijelu.
09:48
Sit down to regular meals without distractions.
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Jedite redovite obroke bez ikakvih ometanja.
09:51
Think about how your body feels
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Razmislite o tome kako se osjeća vaše tijelo
09:53
when you start to eat and when you stop,
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kad počnete jesti i kad završite
09:55
and let your hunger decide
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i dopustite da glad odluči
09:58
when you should be done.
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kad biste trebali prestati.
09:59
It took about a year for me to learn this,
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Trebalo mi je oko godinu dana da naučim ovo
10:01
but it's really been worth it.
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ali je zaista vrijedilo.
10:03
I am so much more relaxed around food
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Sad sam toliko opuštenija kraj hrane
10:06
than I have ever been in my life.
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kao što to nikad nisam bila u životu.
10:09
I often don't think about it.
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Često ni ne mislim o tome.
10:12
I forget we have chocolate in the house.
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Zaboravim da imamo čokolade u kući.
10:15
It's like aliens have taken over my brain.
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Kao da su mi izvanzemaljci preuzeli kontrolu nad mozgom.
10:17
It's just completely different.
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To je potpuno drugačije.
10:20
I should say that
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Moram reći
10:23
this approach to eating probably won't make you lose weight
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da vam ovakav pristup prehrani neće pomoći da smršavite
10:26
unless you often eat when you're not hungry,
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osim ako ne jedete često kad niste gladni
10:29
but doctors don't know of any approach
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ali doktori ne znaju ni za jedan pristup
10:32
that makes significant weight loss in a lot of people,
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koji dovodi do značajnijeg gubitka težine kod velikog broja ljudi
10:37
and that is why a lot of people are now focusing on
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i to je razlog zašto se mnogo ljudi danas fokusira na
10:40
preventing weight gain
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sprječavanje debljanja
10:42
instead of promoting weight loss.
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umjesto promicanja mršavljenja.
10:46
Let's face it:
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Pogledajmo istini u oči:
10:47
If diets worked, we'd all be thin already.
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Da dijete dijeluju, svi bi mi već bili mršavi.
10:51
(Laughter)
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(Smijeh)
10:53
Why do we keep doing the same thing
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Zašto stalno radimo iste stvari
10:55
and expecting different results?
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a očekujemo drugačije rezultate?
10:58
Diets may seem harmless,
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Dijete možda djeluju bezopasno
11:00
but they actually do a lot of collateral damage.
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ali zapravo čine mnogo kolateralne štete.
11:03
At worst, they ruin lives:
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U najgorem slučaju, uništavaju živote:
11:06
Weight obsession leads to eating disorders,
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Opsjednutost težinom vodi ka poremećajima u prehrani
11:08
especially in young kids.
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pogotovo kod mlađe djece.
11:11
In the U.S., we have 80 percent of 10-year-old girls
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U SAD-u 80 posto desetogodišnjakinja
11:16
say they've been on a diet.
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kaže da je bilo na dijeti.
11:18
Our daughters have learned to measure their worth
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Naše kćeri su naučile mjeriti svoju vrijednost
11:20
by the wrong scale.
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pogrešnim mjerilom.
11:23
Even at its best,
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U najboljem slučaju
11:25
dieting is a waste of time and energy.
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držanje dijete je gubitak vremena i energije.
11:28
It takes willpower which you could be using
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Za to je potrebna snaga volje koju biste mogli koristiti da
11:32
to help your kids with their homework
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pomognete svojoj djeci s domaćim radom
11:35
or to finish that important work project,
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ili da završite važan poslovni projekt
11:38
and because willpower is limited,
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i upravo zato što je snaga volje ograničena,
11:42
any strategy that relies on its consistent application
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bilo koja strategija koja se temelji na njenoj stalnoj primjeni
11:46
is pretty much guaranteed
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će vas najvjerojatnije
11:49
to eventually fail you
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iznevjeriti
11:51
when your attention moves on to something else.
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kad se vaša pažnja preusmjeri na nešto drugo.
11:55
Let me leave you with one last thought.
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I za kraj vas ostavljam s ovom misli.
11:59
What if we told all those dieting girls
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Što kad bismo rekli svim tim djevojčicama koje drže dijetu
12:02
that it's okay to eat when they're hungry?
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da je u redu jesti kad si gladan?
12:05
What if we taught them to work with their appetite
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Što kad bismo ih naučili da rade u skladu sa svojim apetitom
12:07
instead of fearing it?
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umjesto da ga se boje?
12:09
I think most of them would be happier and healthier,
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Mislim da bi većina bila sretnija i zdravija
12:13
and as adults,
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i kao odrasle osobe
12:15
many of them would probably be thinner.
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mnoge bi vjerojatno bili mršavije.
12:18
I wish someone had told me that
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Voljela bih da mi je netko to rekao
12:21
back when I was 13.
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kad sam imala 13.
12:24
Thanks.
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Hvala.
12:26
(Applause)
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(Pljesak)
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