The toxic environment
有毒环境
is constant access to cheap, fat-laden foods.
与廉价的高脂肪食物有着直接的联♥系♥
It’s gas stations that sell more candy and sodas than gas.
加油站卖♥♥的甜点和饮料 比汽油还多
It’s a nation where there are more than 3 million
全国有超过三百万的
Soda vending machines.
自动贩售机
That’s one for every 97 americans.
每97个人就有一台
It’s a world where people depend completely on their cars
人们出行完全依靠
For transportation
交通工具出行
And where walking has become such a chore
步行已成为苦差事
That we rely on machines to do it for us.
我们喜欢用机器来代步
My stomach feels horrible this morning.
早上我就觉得胃不舒服
It doesn’t feel good at all.
很难受
There we go.
到啦
I’m getting this really weird feeling right in my midsection,
腹部感觉很奇怪
Basically in my penis right now, and it’s just like this —
就在我小♥弟♥弟♥这儿 像这样…
It’s really freaky.
真的很奇怪
That is very odd.
很奇怪
Yeah.
对啊
It could be from the caffeine,
可能是因为咖♥啡♥因♥
But I couldn’t really pinpoint that 100%.
但我不能完全确定
I have a delivery for Mr. Morgan.
摩根先生的的外卖♥♥
$13.39.
13美元39美分
$13.39.
13美元39美分
I made it over the three-day hump.
我坚持了三天
You know how when you quit smoking —
你知道我戒烟的时候吗
I don’t know how many of you out there smoke cigarettes,
我不知道有多少人还在抽烟
But you should stop.
但是你该戒了
I quit smoking. And there’s the three-day hump.
我戒烟了 也只用了三天
Three-day — it’s the three-day hump
三天 当你戒烟的时候
When you quit smoking cigarettes.
也是有个三天的坎
If you can make it over those three days
如果你能做到连续三天
Without smoking one cigarette,
不抽一根烟
If you can make it past day one,
如果你能坚持过一天
day two, day three, you’re fine.
两天 三天 你就成功了
Same thing with this.
这个也一样
I made it past day three.
我坚持了三天
I’m all right.
我就好过了
Left unabated, obesity would overtake smoking
如果我们不重视肥胖问题 那么它将取代吸烟
As the leading preventable cause of death in this country.
成为我国可预防性死亡的主要诱因
I was at this meal, and it came up
我正在吃午饭
That one of the people was a smoker,
这时来了个烟鬼
And somebody else at the table
和他同桌的人
Started hectoring them about it.
不让他抽烟
“what’s the matter with you?”
你怎么回事
“don’t you know how bad it is for you?”
难道你不知道吸烟有害健康
“it’ll do this, that, and the other thing to you,
会诱发很多疾病的
And you really should stop.”
你别抽了
And the smoker, rather than saying, “fuck you,
而烟鬼更多的是回答 去你的
Mind your own business” —
多管闲事
Which, I think, is the appropriate response —
我觉得这是一种合理的反应
Was abashed and defensive.
或者窘迫防卫性地回答
“oh, I tried to quit,”
我戒过的
And, “yeah, I’m gonna try again,”
或者是 好吧 我会戒的
And “you’re right, you’re right,” and so on.
或者说 你说的没错 等等
At that same table, there was a quite large woman,
当时饭桌上还有一个很胖的女人
And I was wondering — what if this guy,
我当时就在想 如果那个人
Instead of confronting the smoker,
说的不是烟鬼
Had said to the large woman,
而是那个胖女人
“what’s the matter with you, you fat pig?
你怎么那么胖啊肥猪
“don’t you know how dangerous it is to be so overweight?
难道你不知道肥胖很危险吗
“stop eating, for god’s sake.
看在上帝的份上 别吃了
And don’t you dare get dessert,
别吃饭后甜点啦
And what’s the matter with you?”
你怎么回事啊
Same logic.
同样的道理
I’m be hard-pressed to find a distinction
我觉得这两个例子
Between those two examples.
没什么区别啊
So, one is now socially acceptable —
只不过一个是社会已经接受的
To hector smokers —
劝人戒烟
But the other one isn’t quite yet.
另一个是社会还不是很接受的
So the question is,
所以现在的问题就是
At what point will it become acceptable
要怎么样社会才会认可
To publicly hector fat people
劝胖子少吃
In the way that smokers are publicly hectored?
跟劝人戒烟是一样的呢
A secret study by one of the tobacco companies
一家烟草公♥司♥的一项秘密调查
Had the ominous title — something like,
它有个昭示性的标题 像是
“brand imprinting for later actuation in life.”
“早期的品牌意识 影响以后的购买♥♥欲”
They would buy the little toy cigarettes,
孩子们会买♥♥香烟小玩具
And they’d start play-smoking them
会玩抽烟游戏
At 4 or 5 or 6.
在他们四到六岁的时候
Wouldn’t even notice the pack.
他们甚至不会去注意包装
If you asked them what pack it was,
如果你问他们包装是什么样的
They wouldn’t notice it,
孩子们根本就没注意
But the theory was that somewhere, it’s buried in here,
但事实上 他们早已用某种方式铭记在心
And then when they get to the age where they’re smoking,
所以当他们长到抽烟的年龄时
Without even realizing it,
不知不觉中
They’re going for that pack that they recognize
他们就会买♥♥记忆中那样包装的烟
Because it had those nice feelings for them
因为他们从小就对那个包装
When they were little kids.
有种亲切感
The same way here —
在麦当劳也一样
They’re satisfied, it’s nice,
孩子们很满足 感觉很好
They remember the warm feelings
他们一直铭记着
Of playing and getting the toy,
跟爸爸妈妈一起过来玩
Being with mom and dad.
还得到玩具的温暖记忆
It’s gonna carry through.
这种感觉会一直持续下去
That’s why when I have kids,
所以等我有了孩子
Every time I drive by a fast-food restaurant,
每次开车路过快餐店
I’m gonna punch my kid in the face
我肯定会揍他的脸
Then we’ll never want to come.
这样我们就永远不会想来了
# Mcdonald’s will make you fat
麦当劳会让你发胖
# they serve big macs
这里有巨无霸
# they serve quarter pounders
还有至尊汉堡
# they will put pounds on you
让你体重飙升
One of the most disturbing things to me
令我最担心的是
Is that in the last 20 to 25 years,
在过去的二十到二十五年里
We’ve actually seen a doubling
儿童和青少年
Of overweight and obese children and adolescents.
超重和过度肥胖的比例 是过去的两倍
And this weight gain has been linked
这种体重会在
To countless health problems later in life, such as…
他们之后的人生中诱发很多疾病 比如
In fact, if current trends continue
事实上 如果这种趋势继续下去的话
One out of every three children born in the year 2000
2000年出生的孩子里 每三个中就有一个
Will develop diabetes in their lifetime.
将来会得糖尿病
At least 17 million Americans now have type 2 diabetes,
美国现在至少有一千七百万人患有二型糖尿病
About one out of every 20 people.
相当于二十分之一的人群
If the diabetes starts before the age of 15,
如果一个人在15岁之前就得了糖尿病
You lose somewhere between 17 and 27 years of life-span.
那么他的寿命至少减少17至27年
According to the new research,
最新调查显示
The direct medical costs associated with diabetes
花在糖尿病上的直接医疗成本
Have doubled.
是过去的两倍
The direct medical costs have
在过去的5年里
doubled in the past five years,
直接医疗费是过去的两倍
From $44 billion in 1997 to $92 billion in 2002.
从1997年的440亿增长到2002年的920亿
Somewhere in the neighborhood of
大约有
about 20% of the obese children
20%的肥胖儿童
Have elevated abnormal liver function tests,
肝功能系统紊乱
And we have now started a study
我们做了一项研究
Where we’re biopsying these children
用显微镜观察了
To see what their livers actually look like
这些孩子的肝脏活组织切片
Under the microscope,
是什么样子的
And half of them have evidence of scarring of the liver,
其中有一半孩子的肝脏有损伤迹象
Fibrosis of the liver, the early stages of cirrhosis.
肝脏纤维化 早期肝硬化

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