Il futuro di chi vive oggi con consapevolezza

Translator: Michele Gianella
Reviewer: Alessio Politi

We’re getting older and older.

There are 14 million
old people in Italy today,

out of a total of 60 million Italians.

That’s a very good thing.

We live longer and longer, think of it.

Over the last 40 years, life expectancy
has increased by ten years.

Today, we are elder people at 65.

However…

we are getting older,

but we are not in a good shape,
we are worn out.

70 percent of us are hypertensive,

70 percent of us are dyslipidemic:
cholesterol, triglycerides.

20 percent of us are diabetic,
15 percent of us got a cancer,

15 percent of us had
a heart attack, or stroke,

and 60 percent of us have some handicap,

mobility and vision problems,

hearing impairments
and communication problems.

And 90 percent of us
take medicines every day,

except for medicines
for the nervous system:

sleeping pills, tranquilizers,
medicines to survive:

it’s a phenomenal business!

It’s very important,

the economy is good and we boost GDP.

The more we get sick,
the more we boost GDP.

What can we do

to counter this perverse finance?

We should not get sick.

The main factor,

the main public health problem today

is the so-called metabolic syndrome.

What diabetologists used to call
the deadly quartet:

high blood pressure;

bad blood fat;

high blood sugar and abdominal obesity.

Having three of these factors gets you
a diagnose of metabolic syndrome

which results in
a chronic inflammatory state,

that favours all today’s diseases.

It favours diabetes and heart attacks,

it favours cancer, Alzheimer’s disease,

liver cirrhosis, hepatic steatosis
and many other things.

It’s not so much obesity, our body mass,

which cause diseases;

you see, this is the mortality trend

related to the body mass index.

Very thin and very fat people die more.

Those with an intermediate index die less.

I’m here on the extreme left;

to reach the lowest mortality point

I’d put on 10 or 12 kilos.

Actually, the body mass index
is just not as much important

as the waistline.

Look how, with the same body mass,

mortality increases
in relation to the waistline.

And so I’m pretty good here
because I’m on the extreme left.

Waistline and blood sugar,

among all other factors
we have considered,

are the most reponsible
for the onset of cancer.

We have studied all these factors

on breast cancer;

you see, people with metabolic syndrome,

with at least three factors
of metabolic syndrome,

they are more than twice as likely
to develop breast cancer.

And women who have
developed breast cancer,

if they have the metabolic syndrome,

are twice as likely to develop metastases.

And the medical world completely
ignores this information.

Because there’s no medical representative

who put these studies
to the doctor’s table.

What can we do?

We can abide by the
European Code Against Cancer,

drafted by a World Health
Organisation working group.

In it we have examined all the studies

on the relationship
between diet and cancer,

in order to come up
with recommendations for citizens,

to reduce the incidence of cancer.

There are the recommendations
on tobacco, on keeping slim,

on physical activity

and these dietary recommendations:

base your diet

on whole grains, legumes,
vegetables and fruit,

including nuts, hazelnuts and almonds.

And people are amazed, they say:

“how can you eat legumes every day?”

They are the ones who only eat
lentil with Zampone on New Year’s Eve.

But if you think about it,
up to 70- 80 years ago,

before the development
of the food industry,

all the peoples in the world
were eating cereals and legumes every day.

Our Pasta e Fagioli, our Ribollita,

couscus with chickpeas in North Africa,
rice with soya in the East and so on.

It was our way of eating,
it was man’s food.

The Code then recommends:
avoid driking sugary drinks,

limit eating industrial foods,
rich in sugar and fat,

avoid processed meat

like our cold cuts,

that you limit eating red meat.

We have classified the 500,000 people
who have been participating in our study,

in the last thirty years.

We have been following 500,000 people
in Europe for almost thirty years.

If they comply, and fail to comply,

with these recommendations.

We have seen that those who respect them,
die less from cancer,

and from heart attacks.

They die less from respiratory,
digestive and infectious diseases.

If the digestive system works well,
our immune system works well too

and we also die less
from infectious diseases.

And let’s look what happens
to metabolic syndrome.

This is the risk of metabolic syndrome,

based on the number of recommendations
in the European Code against Cancer

that we follow,

the European Code against Chronic Diseases

and the European Code
against Premature Mortality.

So what should we eat?

We should eat whole grains, fibre.

This is the mortality pattern in Europe,

as a function of fibre consumption.

On the right we have those

who eat more than 30 grams of fibre a day,

on the left those who eat

the standard of 10, 15 grams
of fibre per day.

By eating fibre,
we can reduce mortality by 20%.

We can reduce mortality
by eating fruit and vegetables.

Five portions of fruit
and/or vegetables a day

reduce mortality by 25%.

At the same age,

at the same factors
that influence mortality,

15 grams per day of nuts,
hazelnuts and almonds,

reduce mortality by 20 percent.

So five almonds for breakfast,

fie almonds for lunch
and five almonds for dinner.

And how does the mortality rate increase
with the consumption of cold cuts?

200 grams per day
double the mortality rate.

How does the mortality rate increase

with the consumption
of fresh red meat?

Less than cold cuts, but it does.

Red meat is associated
with diabetes, heart disease,

cancer of the intestine and stomach.

How does the mortality rate increase

as a function of
the number of soft drinks,

sugared or artificially sweetened drinks?

Two glasses per day
increases mortality by 17 percent,

in our large study;

but a 30 percent increase
in cardiovascular mortality.

And what surprised us a little bit is,

“zero” drinks are even more harmful
than sweetened drinks.

And there’s a reason for that.

We must not forget physical activity,

because here we see the influence
of the Mediterranean diet,

the bottom line,

and physical activity.

And you see that the more
the Mediterranean diet increases…

These recommendations
of the European Code Against Cancer

[are] basically the traditional
Mediterranean diet.

The more Mediterranean the diet,
the more mortality is reduced.

But if you don’t do physical activity
there is still a rather high mortality.

Conversely, if you eat very badly

your risk is lowered by physical activity.

Let’s not forget tobacco,

this is a great study
on millions of English women.

And you see how it increases -

these are age-dependent mortality rates.

The older we get, the more
mortality increases, of course.

But the upper line is
the smoking women,

the lower line is the mortality
of non smoking women.

There’s a lifespan gap
of no less than eleven years.

Heavy and light smokers, on average,

sacrifice ten years of life.

But man does not live on bread alone.

This is a beautiful study

made by my colleagues
at Harvard University,

who 40 years ago recruited
120,000 nurses in the United States.

These nurses, every few years
fill out a questionnaire about their life,

what they eat and their physical activity.

It’s a very important study,

that gave us a lot
of very useful information,

to establish that we can reduce
the incidence of chronic diseases

by at least 70 percent.

Well, in the questionnaire
was also a question:

how often do you go to your Temple?

Because they were Catholic,
Protestant, Jewish and so on.

And the nurses who said

that they were going to the temple
twice a week or more,

all else being equal -
age, tobacco consumption,

food habits, family income,

physical activity,

social support indexes -

all important factors to prevent death -

die 33 percent less.

And what do these nurses do
when they go to temple?

They pray, probably,
they make acts of devotion.

Prayer is, in a sense,
the Western form of meditation.

The studies on meditation
couldn’t be clearer:

with meditation, we can act on our DNA.

We cannot change our DNA,
but we can switch on or off certain genes.

Dozens of genes change their activity
after an hour of meditation.

And in particular,

we shut down inflammatory genes,

which underlie today’s chronic diseases.

An interesting finding of this study is,

African American women
were much more protected

than white women.

And what do black women do
when they go to church?

They sing, they sing gospel.

And when you sing, you clear your mind.

And all meditation techniques
are head-clearing techniques.

I was very impressed and amazed.

When I was a kid,

I saw my old aunts going
to pray the rosary, every night.

“This is so lame!” I used to say,

(Laughter)

but they were clearing their head,

activating the vagus nerve.

They were going
to hone the baro reflex,

and reduce the inflammatory state.

Nothing can grant us
that we’ll live a long and healthy life.

But there’s so much we can do
to live long and healthy lives.

There’s so much we can do
by choosing foods.

There’s so much we can do
by choosing food

and by not choosing
industrial processed food.

Let’s go back to the kitchen and cook!

People say they don’t have time to cook,

but they have time
to watch cooking shows on tv.

(Laughter)

Physical activity does a lot.

Again, people say they don’t have time

to spend half an hour a day

for a quick walk on Siena’s walls.

We have time, let’s turn off
the television, we have time.

The more we watch tv, the more we die.

Studies are very clear on that.

And we also have the spiritual way,
the way of meditation.

The way of joy, the way of smiling.

Those who have an attitude
for smiling, die less.

But, what if we are already sick?

If we’ve already gotten sick,
we can often go back.

At “La Mausolea” we organize
15 or 21 days periods

where we practice these three ways,
to reach the healthy age.

We obtain fantastic results,

taking care of all metabolic disorders,

blood pressure and bowel functioning.

And above all,

we give people the awareness

that they can have
more strength, more flexibility.

And they can gain confidence

in the possibility of becoming old,

and eventually die,

peacefully, free from diseases.

We have this possibility.

And it is the best gift
we can give our children.

The gift of not spoiling their lives,

running for years
after a parent with Alzheimer’s.

Or a parent who is bedridden,
or confined to a wheelchair,

or someone who needs constant care.

You know,

people talk a lot
about their “right to health”.

Well, we have no right to health!

We have a responsibility for our health!

No ifs and no buts.

(Applause)

译者:Michele Gianella
审稿人:Alessio Politi

我们越来越老了。

今天,意大利

共有 6000 万意大利人,其中有 1400 万老年人。

这是一件非常好的事情。

我们活得越来越久,想想吧。

在过去的 40 年里,预期
寿命增加了十年。

今天,我们已经65岁了。

但是……

我们变老了,

但我们的身体状况并不好,
我们已经筋疲力尽了。

70% 的人患有高血压,

70% 的人患有血脂异常:
胆固醇、甘油三酯。

20% 的人患有糖尿病,
15% 的人患有癌症,

15% 的人
患有心脏病或中风

,60% 的人有一些残障、

行动不便和视力问题、

听力障碍
和沟通问题。

我们 90% 的人
每天都服用药物,

除了
用于神经系统的药物:

安眠药、镇静剂、
生存药物:

这是一项了不起的业务!

这非常重要

,经济状况良好,我们提高了 GDP。

我们生病
的次数越多,我们就越能提高 GDP。

我们能做些什么

来对抗这种不正当的金融?

我们不应该生病。

主要因素,

当今主要的公共卫生问题

是所谓的代谢综合征。

糖尿病学家曾经
称之为致命的四重奏:

高血压;

坏血脂;

高血糖和腹部肥胖。

拥有其中三个因素
可以诊断出代谢综合征

,从而
导致慢性炎症状态,

这有利于当今的所有疾病。

它有利于糖尿病和心脏病发作,

它有利于癌症、阿尔茨海默病、

肝硬化、肝脂肪变性
和许多其他疾病。

导致疾病的不是肥胖,而是我们的体重

你看,这是

与体重指数相关的死亡率趋势。

非常瘦和非常胖的人死得更多。

那些具有中等指数的人死亡较少。

我在最左边;

为了达到最低死亡率点,

我增加了 10 或 12 公斤。

实际上,体重指数
并不像腰围那么重要

看看,在相同体重的情况下,

死亡率如何随着腰围而增加。

所以我在这里很好,
因为我在极左。

在我们考虑的所有其他因素中
,腰围和血糖

是导致
癌症发作的最主要原因。

我们研究了所有这些

对乳腺癌的影响;

你看,患有代谢综合征的人

,至少有三个
代谢综合征的因素,

他们患乳腺癌的可能性是其两倍以上

患有乳腺癌的女性,

如果她们患有代谢综合征,

则发生转移的可能性是其两倍。

而医学界完全
忽略了这些信息。

因为没有医疗

代表将这些研究
提交给医生。

我们能做什么?

我们可以遵守由世界卫生组织工作组起草的《
欧洲抗癌守则》

在其中,我们检查

了有关
饮食与癌症之间关系的所有研究

,以便
为公民提出建议,

以降低癌症的发病率。


关于烟草、保持苗条

、体育锻炼

和这些饮食建议的建议:

以全谷物、豆类、
蔬菜和水果为基础,

包括坚果、榛子和杏仁。

人们很惊讶,他们说:

“你怎么能每天都吃豆类?”

他们是只
在新年前夜吃扁豆和 Zampone 的人。

但如果你想一想,
直到 70-80 年前,


食品工业发展之前,

世界上所有的人
每天都在吃谷物和豆类。

我们的 Pasta e Fagioli,我们的 Ribollita,北非的鹰嘴豆蒸粗麦粉,

东方的大豆米饭等等。

这是我们的饮食方式
,是人类的食物。

该守则建议:
避免饮用含糖饮料,

限制食用
富含糖和脂肪的工业食品,

避免加工肉类,

如我们的冷盘

,限制食用红肉。

我们对过去 30 年来
参与我们研究的 500,000 人进行了分类

。 近三十年来,

我们一直在关注
欧洲的 500,000 人。

如果他们遵守或不

遵守这些建议。

我们已经看到,那些尊重他们的人
死于癌症

和心脏病发作的几率会更低。

他们死于呼吸系统、
消化系统和传染病的人数较少。

如果消化系统运转良好,
我们的免疫系统也会运转良好

,我们也会减少
死于传染病的几率。

让我们看看
代谢综合征会发生什么。

这是代谢综合征的风险,

基于

我们遵循

的《欧洲抗癌守则》、《欧洲抗慢性疾病

守则》和《欧洲
抗早死守则》中的建议数量。

那么我们应该吃什么呢?

我们应该吃全谷物,纤维。

这是欧洲的死亡率模式,

作为纤维消耗的函数。

右边是

每天吃超过30克纤维的人,

左边是每天吃

10、15克纤维的标准

通过食用纤维,
我们可以将死亡率降低 20%。

我们可以
通过吃水果和蔬菜来降低死亡率。 每天

五份水果
和/或蔬菜可

将死亡率降低 25%。

在相同的年龄,

在相同的
影响死亡率的因素下,

每天 15 克坚果、
榛子和杏仁可

将死亡率降低 20%。

所以早餐

吃五颗杏仁,午餐吃
五颗杏仁,晚餐吃五颗杏仁。

以及死亡率如何
随着冷盘的消耗而增加?

每天200克
,死亡率翻倍。

死亡率如何

随着新鲜红肉的食用而增加?

比冷盘少,但确实如此。

红肉
与糖尿病、心脏病、

肠癌和胃癌有关。

死亡率如何

随软饮料、

加糖或人工加糖饮料的数量而增加? 在我们的大型研究中,

每天两杯
会使死亡率增加 17%;

但心血管死亡率增加了 30%

而让我们有点吃惊的是,

“零”饮料
比加糖饮料的危害更大。

这是有原因的。

我们不能忘记体育锻炼,

因为在这里我们看到
了地中海饮食

、底线

和体育锻炼的影响。

你会看到
地中海饮食增加得越多……

《欧洲抗癌法典》的

这些建议基本上是传统的
地中海饮食。

饮食越地中海,
死亡率就越低。

但如果不进行体育锻炼
,死亡率仍然相当高。

相反,如果你吃得非常糟糕,

你的风险会因体力活动而降低。

让我们不要忘记烟草,

这是
对数百万英国女性的一项伟大研究。

你会看到它是如何增加的——

这些是与年龄相关的死亡率。

当然,我们年龄
越大,死亡率越高。

但上面
是吸烟女性

,下面
是不吸烟女性的死亡率。


不少于十一年的寿命差距。

平均而言,重度和轻度吸烟者会

牺牲十年的生命。

但人并不仅仅靠面包生活。

这是

我在哈佛大学的同事所做的一项漂亮的研究

他们 40 年前
在美国招募了 120,000 名护士。

这些护士每隔几年都会
填写一份关于他们的生活、

饮食和身体活动的问卷。

这是一项非常重要的研究,

它为我们提供了
很多非常有用的信息,

以确定我们可以将
慢性病的发病率

至少降低 70%。

嗯,问卷
中还有一个问题:

你多久去一次你的寺庙?

因为他们是天主教徒、
新教徒、犹太人等等。

那些

说他们每周去寺庙
两次或更多的护士

,在其他条件相同的情况下——
年龄、烟草消费、

饮食习惯、家庭收入、

身体活动、

社会支持指数——

所有预防死亡的重要因素——

死亡 33 少百分之几。

这些护士
去寺庙做什么?

他们祈祷,很可能,
他们做出虔诚的行为。

从某种意义上说,祈祷是
西方的冥想形式。

关于冥想的研究
再清楚不过了:

通过冥想,我们可以对我们的 DNA 采取行动。

我们无法改变我们的 DNA,
但我们可以打开或关闭某些基因。 经过一个小时的冥想,

数十个基因会改变它们的活动

特别是,

我们关闭了炎症基因,

这些基因是当今慢性疾病的基础。

这项研究的一个有趣发现是,

非裔美国女性比白人女性
受到更多保护

黑人妇女
去教堂时会做什么?

他们唱歌,他们唱福音。

当你唱歌时,你会清醒。

所有的冥想技巧
都是头脑清醒的技巧。

我非常感动和惊讶。

当我还是个孩子的时候,

我每天晚上都看到我的老阿姨们
去祈祷念珠。

“这太蹩脚了!” 我曾经说过,

(笑声)

但他们正在清醒头脑,

激活迷走神经。

他们
将磨练气压反射,

并减少炎症状态。

没有什么可以
让我们过上健康长寿的生活。

但是我们可以做很多事情
来过上长寿和健康的生活。 通过选择食物,

我们可以做很多事情

通过选择食物

而不是选择
工业加工食品,我们可以做很多事情。

我们回厨房做饭吧!

人们说他们没有时间做饭,

但他们有
时间看电视上的烹饪节目。

(笑声)

体育锻炼很重要。

再一次,人们说他们没有时间

每天花半个小时

在锡耶纳的城墙上快步走。

我们有时间,让我们
关掉电视,我们有时间。

我们看电视越多,我们死的越多。

研究对此非常清楚。

我们也有精神
的方式,冥想的方式。

快乐之道,微笑之道。

那些有微笑的态度
的人,死得更少。

但是,如果我们已经生病了怎么办?

如果我们已经生病了,
我们通常可以回去。

在“La Mausolea”,我们组织了
15 或 21 天的时间段

,我们练习这三种方式,
以达到健康的年龄。

我们获得了惊人的结果,

照顾了所有的代谢紊乱、

血压和肠道功能。

最重要的是,

我们让人们

意识到他们可以拥有
更多的力量,更多的灵活性。

他们可以

对变老的可能性充满信心,

并最终

平静地死去,没有疾病。

我们有这种可能。

这是我们能给孩子的最好的礼物

不破坏生活的礼物,

在患有阿尔茨海默氏症的父母之后多年奔跑。

或者卧床不起的父母,
或者被限制在轮椅上的父母,

或者需要不断照顾的人。

你知道,

人们
经常谈论他们的“健康权”。

好吧,我们没有健康权!

我们对自己的健康负有责任!

没有如果,也没有但是。

(掌声)