Dean Ornish: The world's killer diet

翻译人员: Zhongming LIN 校对人员: Zachary Lin Zhao

With all the legitimate concerns about AIDS and avian flu --

尽管所有对于艾滋病和禽流感的忧虑都是合理的——

and we'll hear about that from the

稍后我们将会听到

brilliant Dr. Brilliant later today --

优秀的Brilliant医生的演讲——

I want to talk about the other pandemic, which is

我想要说的是另一种流行疾病，

cardiovascular disease, diabetes, hypertension --

也就是心血管疾病、糖尿病、高血压——

all of which are completely preventable for at

这些疾病对于至少95%的人而言，

least 95 percent of people

都是可以通过改变饮食和生活方式

just by changing diet and lifestyle.

而完全预防的。

And what's happening is that there's a

而目前的情况是

globalization of illness occurring, that people

疾病的全球化正在发生，

are starting to eat like us, and live like us, and

人们开始以我们一样的方式吃饭、生活以及死亡。

die like us. And in one generation, for example,

举例来说，在一代人的时间内，

Asia's gone from having one of the lowest rates of

亚洲人患心脏病、肥胖症以及糖尿病

heart disease and obesity and diabetes to one

的比率即从最低的群体之一攀升至最高。

of the highest. And in Africa, cardiovascular disease

而在非洲大多数国家，

equals the HIV and AIDS deaths

心血管疾病致死的人数与HIV和艾滋病

in most countries.

致死的人数相同。

So there's a critical window of opportunity we

因此这是一个关键的机遇，

have to make an important difference that can

我们不得不作出重要的改变，

affect the lives of literally millions of people,

这个改变能够影响成千上万人的生命，

and practice preventive medicine on a global

并在全球范围内实践

scale.

预防医学。

Heart and blood vessel diseases still kill more

心脑血管疾病致死的人数超过了

people -- not only in this country, but also

其他疾病致死人数的总和，

worldwide -- than everything else combined, and yet

不仅仅在我们国家，而且是在全球范围之内，

it's completely preventable for almost everybody.

对于几乎所有人而言，这是完全可以预防的。

It's not only preventable; it's actually

而这不仅仅是可以预防的，

reversible. And for the last almost 29 years,

而且实际上是可治愈的。在过去约29年里，

we've been able to show that by simply changing

我们可以证实，仅仅是通过改变饮食和生活方式，

diet and lifestyle, using these very high-tech,

我们使用了非常昂高科技、昂贵和顶尖的手段

expensive, state-of-the-art measures to prove how

来证实这些

powerful these very simple and low-tech and low-cost

简单、低科技和低成本的预防措施

interventions can be like -- quantitative

作用是如此之大。

arteriography, before and after a year, and

我们使用了动脉造影，一年前后还使用了

cardiac PET scans.

心脏PET扫描。

We showed a few months ago -- we published the

我们几个月前还证明了——我们发表了一项研究成果，

first study showing you can actually stop or

该成果首次显示出你可以通过改变饮食和生活方式

reverse the progression of prostate cancer by

来阻止前列腺癌的恶化，

making changes in diet and lifestyle, and 70 percent

肿瘤生长衰退或抑制

regression in the tumor growth, or inhibition of

的比例达到70%，

the tumor growth, compared to only nine percent in the

与此相对应的是，

control group.

控制组的比例仅为9%。

And in the MRI and MR spectroscopy here, the

这里的核磁共振光谱显示，

prostate tumor activity is shown in red -- you can

肿瘤生长活动为红色，

see it diminishing after a year.

你可以看到这在一年之后就消失了。

Now there is an epidemic of obesity: two-thirds of

此外，现在出现的还有糖尿病的流行，

adults and 15 percent of kids. What's really concerning

这占到了成人的2/3和儿童的15%。

to me is that diabetes has increased 70 percent in the

真正令我担忧的是在过去的10年里，

past 10 years, and this may be the first

糖尿病的患病比例上升了70%，

generation in which our kids live a shorter life

而这可能将首次出我们下一代的孩子们的寿命

span than we do. That's pitiful, and it's

将会短于我们。

preventable.

这很让人痛心，但又是可以预防的。

Now these are not election returns, these are the

现在大家看到的不是选举结果，

people -- the number of the people who are obese

这是按州统计的患糖尿病的人口人数，

by state, beginning in '85, '86, '87 -- these are

从85、86、87年开始——

from the CDC website -- '88, '89, '90, '91 -- you

数字来源是美国疾病控制中心的网站——现在是88、89、90、91年——

get a new category -- '92, '93, '94, '95, '96,

又是一个新的组别——92、93、94、95、96年，

'97, '98, '99, 2000, 2001 -- it gets worse. We're

到97、98、99、2000、2001年——

kind of devolving. (Laughter)

情况越来越糟糕，我们在某种程度上在退化。

Now what can we do about this? Well, you know, the

对于这些我们能做些什么？嗯，你知道，

diet that we've found that can reverse heart

我们所发现的能够阻止心脏病

disease and cancer is an Asian diet.

与癌症的饮食就是亚洲饮食。

But the people in Asia are starting to eat like we

但是现在亚洲人开始像我们一样饮食，

are, which is why they're starting to get sick

这也是他们开始像我们患一样的病

like we are.

的原因。

So I've been working with a lot of the big food

我一直与许多大的食品公司合作，

companies. They can make it fun and sexy and hip

他们能够使吃更健康的食物变得

and crunchy and convenient to eat healthier foods,

有趣、性感、时尚、口感好以及方便。

like -- I chair the advisory boards to McDonald's,

例如——我担任麦当劳、

and PepsiCo, and ConAgra, and Safeway, and soon

百事可乐、康尼格拉、Safeway超市的顾问委员会主席，

Del Monte, and they're finding that it's good

稍后还将担任德尔蒙特的，他们也正在

business.

发现这是项好生意。

The salads that you see at McDonald's came from

你可以在麦当劳看到的沙拉就是这项工作的成果——

the work -- they're going to have an Asian salad. At

他们开始提供亚洲沙拉。

Pepsi, two-thirds of their revenue growth came

在百事可乐公司，3/2的收入增加来自

from their better foods.

他们更好的食品。

And so if we can do that, then we can free up

而如果我们能做到这些，

resources for buying drugs that you really do need

我们可以将购买药物的资源解放出来，

for treating AIDS and HIV and malaria and for

而将这些资源用到真正需要的治疗艾滋病、HIV、疟疾

preventing avian flu. Thank you.

以及预防禽流感之中。感谢各位。