GET https://rct.dev.bbntimes.com/science/covid-worsens-obesity-obesity-returns-the-favor

Response
200 OK
IP
52.14.221.187
Profiled on
Token
022152

ArticleController :: show

Request

GET Parameters

None

POST Parameters

None

Uploaded Files

None

Request Attributes

Key Value
_controller 
"App\Controller\ArticleController::show"
_firewall_context 
"security.firewall.map.context.main"
_links 
Symfony\Component\WebLink\GenericLinkProvider {#3588
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    3707 => Symfony\Component\WebLink\Link {#3707
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      -attributes: [
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    3706 => Symfony\Component\WebLink\Link {#3706
      -href: "/build/502.js"
      -rel: [
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      ]
      -attributes: [
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      ]
    }
    3705 => Symfony\Component\WebLink\Link {#3705
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      -attributes: [
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    }
    3703 => Symfony\Component\WebLink\Link {#3703
      -href: "/build/term-condition.js"
      -rel: [
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      ]
      -attributes: [
        "as" => "script"
      ]
    }
    3702 => Symfony\Component\WebLink\Link {#3702
      -href: "/build/contact.js"
      -rel: [
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      ]
      -attributes: [
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      ]
    }
    3701 => Symfony\Component\WebLink\Link {#3701
      -href: "/build/scroll-infinite-article.js"
      -rel: [
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      ]
      -attributes: [
        "as" => "script"
      ]
    }
    3700 => Symfony\Component\WebLink\Link {#3700
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      ]
    }
    3699 => Symfony\Component\WebLink\Link {#3699
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      -rel: [
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      ]
      -attributes: [
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      ]
    }
    3698 => Symfony\Component\WebLink\Link {#3698
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      -rel: [
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      -attributes: [
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      ]
    }
    3697 => Symfony\Component\WebLink\Link {#3697
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      -rel: [
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      -attributes: [
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      ]
    }
    3696 => Symfony\Component\WebLink\Link {#3696
      -href: "/build/comment-css.css"
      -rel: [
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      -attributes: [
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      ]
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}
_route 
"article_show"
_route_params 
[
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]
_security_firewall_run 
"_security_main"
_stopwatch_token 
"6f81ff"
category 
"science"
slug 
"covid-worsens-obesity-obesity-returns-the-favor"

Request Headers

Header Value
accept 
"*/*"
accept-encoding 
"gzip, br, zstd, deflate"
connection 
"close"
cookie 
"PHPSESSID=7kvu6e68m54v1lr04kh994l7k6"
host 
"rct.dev.bbntimes.com"
user-agent 
"Mozilla/5.0 AppleWebKit/537.36 (KHTML, like Gecko; compatible; ClaudeBot/1.0; +claudebot@anthropic.com)"
x-php-ob-level 
"1"

Request Content

Request content not available (it was retrieved as a resource).

Response

Response Headers

Header Value
cache-control 
"no-cache, private"
content-type 
"text/html; charset=UTF-8"
date 
"Sat, 22 Feb 2025 08:48:04 GMT"
link 
"</build/runtime.js>; rel="preload"; as="script",</build/644.js>; rel="preload"; as="script",</build/502.js>; rel="preload"; as="script",</build/app.js>; rel="preload"; as="script",</build/view-more.js>; rel="preload"; as="script",</build/term-condition.js>; rel="preload"; as="script",</build/contact.js>; rel="preload"; as="script",</build/scroll-infinite-article.js>; rel="preload"; as="script",</build/app.css>; rel="preload"; as="style",</build/cookie-style.css>; rel="preload"; as="style",</build/term-condition-css.css>; rel="preload"; as="style",</build/contact-css.css>; rel="preload"; as="style",</build/comment-css.css>; rel="preload"; as="style""
x-debug-token 
"022152"

Cookies

Request Cookies

Key Value
PHPSESSID 
"7kvu6e68m54v1lr04kh994l7k6"

Response Cookies

No response cookies

Session 6

Session Metadata

Key Value
Created 
"Sat, 22 Feb 25 08:47:52 +0000"
Last used 
"Sat, 22 Feb 25 08:48:03 +0000"
Lifetime 
0

Session Attributes

Attribute Value
_csrf/https-comment 
"i6HOtcfcF44eBMoftUb4h8aGGR2Bsz7dtNqLYRmGQPc"
_csrf/https-cookie_accept 
"bjh72DJ1j97AUbL7x5ennczvXOipy5FVk2x7s5Sfr9E"

Session Usage

6 Usages
Stateless check enabled
Usage
Symfony\Component\Security\Csrf\TokenStorage\SessionTokenStorage:76
Show trace 
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Symfony\Component\Security\Csrf\TokenStorage\SessionTokenStorage:79
Show trace 
[
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    "file" => "/var/www/vhosts/dev.bbntimes.com/rct.dev.bbntimes.com/vendor/symfony/security-csrf/TokenStorage/SessionTokenStorage.php"
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Symfony\Component\Security\Csrf\TokenStorage\SessionTokenStorage:52
Show trace 
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  [
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Symfony\Component\Security\Csrf\TokenStorage\SessionTokenStorage:56
Show trace 
[
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    "function" => "show"
    "class" => "App\Controller\ArticleController"
    "type" => "->"
  ]
  [
    "file" => "/var/www/vhosts/dev.bbntimes.com/rct.dev.bbntimes.com/vendor/symfony/http-kernel/HttpKernel.php"
    "line" => 76
    "function" => "handleRaw"
    "class" => "Symfony\Component\HttpKernel\HttpKernel"
    "type" => "->"
  ]
  [
    "file" => "/var/www/vhosts/dev.bbntimes.com/rct.dev.bbntimes.com/vendor/symfony/http-kernel/Kernel.php"
    "line" => 197
    "function" => "handle"
    "class" => "Symfony\Component\HttpKernel\HttpKernel"
    "type" => "->"
  ]
  [
    "file" => "/var/www/vhosts/dev.bbntimes.com/rct.dev.bbntimes.com/vendor/symfony/runtime/Runner/Symfony/HttpKernelRunner.php"
    "line" => 35
    "function" => "handle"
    "class" => "Symfony\Component\HttpKernel\Kernel"
    "type" => "->"
  ]
  [
    "file" => "/var/www/vhosts/dev.bbntimes.com/rct.dev.bbntimes.com/vendor/autoload_runtime.php"
    "line" => 29
    "function" => "run"
    "class" => "Symfony\Component\Runtime\Runner\Symfony\HttpKernelRunner"
    "type" => "->"
  ]
  [
    "file" => "/var/www/vhosts/dev.bbntimes.com/rct.dev.bbntimes.com/public/index.php"
    "line" => 5
    "args" => [
      "/var/www/vhosts/dev.bbntimes.com/rct.dev.bbntimes.com/vendor/autoload_runtime.php"
    ]
    "function" => "require_once"
  ]
]
Symfony\Component\Security\Core\Authentication\Token\Storage\UsageTrackingTokenStorage:41
Show trace 
[
  [
    "file" => "/var/www/vhosts/dev.bbntimes.com/rct.dev.bbntimes.com/vendor/symfony/security-core/Authentication/Token/Storage/UsageTrackingTokenStorage.php"
    "line" => 41
    "function" => "getMetadataBag"
    "class" => "Symfony\Component\HttpFoundation\Session\Session"
    "type" => "->"
  ]
  [
    "file" => "/var/www/vhosts/dev.bbntimes.com/rct.dev.bbntimes.com/vendor/symfony/twig-bridge/AppVariable.php"
    "line" => 103
    "function" => "getToken"
    "class" => "Symfony\Component\Security\Core\Authentication\Token\Storage\UsageTrackingTokenStorage"
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    "file" => "/var/www/vhosts/dev.bbntimes.com/rct.dev.bbntimes.com/var/cache/dev/twig/a4/a456f2f504a18cd81037fa69e543310c.php"
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    "function" => "twig_get_attribute"
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    "function" => "doDisplay"
    "class" => "__TwigTemplate_824a013e4f3f4a68e03a2d244e765025"
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    "function" => "displayWithErrorHandling"
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    "line" => 379
    "function" => "display"
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    "file" => "/var/www/vhosts/dev.bbntimes.com/rct.dev.bbntimes.com/vendor/twig/twig/src/TemplateWrapper.php"
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    "function" => "render"
    "class" => "Twig\Template"
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    "line" => 280
    "function" => "render"
    "class" => "Twig\TemplateWrapper"
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    "function" => "render"
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    "class" => "Symfony\Bundle\FrameworkBundle\Controller\AbstractController"
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    "class" => "Symfony\Bundle\FrameworkBundle\Controller\AbstractController"
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    "function" => "render"
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    "function" => "renderHeader"
    "class" => "App\Controller\AppController"
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    "line" => 76
    "function" => "handleRaw"
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  [
    "file" => "/var/www/vhosts/dev.bbntimes.com/rct.dev.bbntimes.com/vendor/symfony/http-kernel/HttpCache/SubRequestHandler.php"
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    "function" => "handle"
    "class" => "Symfony\Component\HttpKernel\HttpKernel"
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  [
    "file" => "/var/www/vhosts/dev.bbntimes.com/rct.dev.bbntimes.com/vendor/symfony/http-kernel/Fragment/InlineFragmentRenderer.php"
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    "function" => "render"
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    "function" => "render"
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    "function" => "displayWithErrorHandling"
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    "class" => "Twig\Template"
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  ]
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    "file" => "/var/www/vhosts/dev.bbntimes.com/rct.dev.bbntimes.com/vendor/twig/twig/src/Template.php"
    "line" => 379
    "function" => "display"
    "class" => "Twig\Template"
    "type" => "->"
  ]
  [
    "file" => "/var/www/vhosts/dev.bbntimes.com/rct.dev.bbntimes.com/vendor/twig/twig/src/TemplateWrapper.php"
    "line" => 38
    "function" => "render"
    "class" => "Twig\Template"
    "type" => "->"
  ]
  [
    "file" => "/var/www/vhosts/dev.bbntimes.com/rct.dev.bbntimes.com/vendor/twig/twig/src/Environment.php"
    "line" => 280
    "function" => "render"
    "class" => "Twig\TemplateWrapper"
    "type" => "->"
  ]
  [
    "file" => "/var/www/vhosts/dev.bbntimes.com/rct.dev.bbntimes.com/vendor/symfony/framework-bundle/Controller/AbstractController.php"
    "line" => 448
    "function" => "render"
    "class" => "Twig\Environment"
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  ]
  [
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    "line" => 453
    "function" => "doRenderView"
    "class" => "Symfony\Bundle\FrameworkBundle\Controller\AbstractController"
    "type" => "->"
  ]
  [
    "file" => "/var/www/vhosts/dev.bbntimes.com/rct.dev.bbntimes.com/vendor/symfony/framework-bundle/Controller/AbstractController.php"
    "line" => 253
    "function" => "doRender"
    "class" => "Symfony\Bundle\FrameworkBundle\Controller\AbstractController"
    "type" => "->"
  ]
  [
    "file" => "/var/www/vhosts/dev.bbntimes.com/rct.dev.bbntimes.com/src/Controller/ArticleController.php"
    "line" => 277
    "function" => "render"
    "class" => "Symfony\Bundle\FrameworkBundle\Controller\AbstractController"
    "type" => "->"
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  [
    "file" => "/var/www/vhosts/dev.bbntimes.com/rct.dev.bbntimes.com/vendor/symfony/http-kernel/HttpKernel.php"
    "line" => 181
    "function" => "show"
    "class" => "App\Controller\ArticleController"
    "type" => "->"
  ]
  [
    "file" => "/var/www/vhosts/dev.bbntimes.com/rct.dev.bbntimes.com/vendor/symfony/http-kernel/HttpKernel.php"
    "line" => 76
    "function" => "handleRaw"
    "class" => "Symfony\Component\HttpKernel\HttpKernel"
    "type" => "->"
  ]
  [
    "file" => "/var/www/vhosts/dev.bbntimes.com/rct.dev.bbntimes.com/vendor/symfony/http-kernel/Kernel.php"
    "line" => 197
    "function" => "handle"
    "class" => "Symfony\Component\HttpKernel\HttpKernel"
    "type" => "->"
  ]
  [
    "file" => "/var/www/vhosts/dev.bbntimes.com/rct.dev.bbntimes.com/vendor/symfony/runtime/Runner/Symfony/HttpKernelRunner.php"
    "line" => 35
    "function" => "handle"
    "class" => "Symfony\Component\HttpKernel\Kernel"
    "type" => "->"
  ]
  [
    "file" => "/var/www/vhosts/dev.bbntimes.com/rct.dev.bbntimes.com/vendor/autoload_runtime.php"
    "line" => 29
    "function" => "run"
    "class" => "Symfony\Component\Runtime\Runner\Symfony\HttpKernelRunner"
    "type" => "->"
  ]
  [
    "file" => "/var/www/vhosts/dev.bbntimes.com/rct.dev.bbntimes.com/public/index.php"
    "line" => 5
    "args" => [
      "/var/www/vhosts/dev.bbntimes.com/rct.dev.bbntimes.com/vendor/autoload_runtime.php"
    ]
    "function" => "require_once"
  ]
]
Symfony\Component\Security\Http\Firewall\ContextListener:171
Show trace 
[
  [
    "file" => "/var/www/vhosts/dev.bbntimes.com/rct.dev.bbntimes.com/vendor/symfony/security-http/Firewall/ContextListener.php"
    "line" => 171
    "function" => "remove"
    "class" => "Symfony\Component\HttpFoundation\Session\Session"
    "type" => "->"
  ]
  [
    "file" => "/var/www/vhosts/dev.bbntimes.com/rct.dev.bbntimes.com/vendor/symfony/event-dispatcher/Debug/WrappedListener.php"
    "line" => 116
    "function" => "onKernelResponse"
    "class" => "Symfony\Component\Security\Http\Firewall\ContextListener"
    "type" => "->"
  ]
  [
    "file" => "/var/www/vhosts/dev.bbntimes.com/rct.dev.bbntimes.com/vendor/symfony/event-dispatcher/EventDispatcher.php"
    "line" => 220
    "function" => "__invoke"
    "class" => "Symfony\Component\EventDispatcher\Debug\WrappedListener"
    "type" => "->"
  ]
  [
    "file" => "/var/www/vhosts/dev.bbntimes.com/rct.dev.bbntimes.com/vendor/symfony/event-dispatcher/EventDispatcher.php"
    "line" => 56
    "function" => "callListeners"
    "class" => "Symfony\Component\EventDispatcher\EventDispatcher"
    "type" => "->"
  ]
  [
    "file" => "/var/www/vhosts/dev.bbntimes.com/rct.dev.bbntimes.com/vendor/symfony/event-dispatcher/Debug/TraceableEventDispatcher.php"
    "line" => 139
    "function" => "dispatch"
    "class" => "Symfony\Component\EventDispatcher\EventDispatcher"
    "type" => "->"
  ]
  [
    "file" => "/var/www/vhosts/dev.bbntimes.com/rct.dev.bbntimes.com/vendor/symfony/http-kernel/HttpKernel.php"
    "line" => 214
    "function" => "dispatch"
    "class" => "Symfony\Component\EventDispatcher\Debug\TraceableEventDispatcher"
    "type" => "->"
  ]
  [
    "file" => "/var/www/vhosts/dev.bbntimes.com/rct.dev.bbntimes.com/vendor/symfony/http-kernel/HttpKernel.php"
    "line" => 202
    "function" => "filterResponse"
    "class" => "Symfony\Component\HttpKernel\HttpKernel"
    "type" => "->"
  ]
  [
    "file" => "/var/www/vhosts/dev.bbntimes.com/rct.dev.bbntimes.com/vendor/symfony/http-kernel/HttpKernel.php"
    "line" => 76
    "function" => "handleRaw"
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    "type" => "->"
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  [
    "file" => "/var/www/vhosts/dev.bbntimes.com/rct.dev.bbntimes.com/vendor/symfony/http-kernel/Kernel.php"
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    "line" => 35
    "function" => "handle"
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    "type" => "->"
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  [
    "file" => "/var/www/vhosts/dev.bbntimes.com/rct.dev.bbntimes.com/vendor/autoload_runtime.php"
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    "function" => "run"
    "class" => "Symfony\Component\Runtime\Runner\Symfony\HttpKernelRunner"
    "type" => "->"
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    "args" => [
      "/var/www/vhosts/dev.bbntimes.com/rct.dev.bbntimes.com/vendor/autoload_runtime.php"
    ]
    "function" => "require_once"
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]

Flashes

Flashes

No flash messages were created.

Server Parameters

Server Parameters

Defined in .env

Key Value
APP_ENV 
"dev"
APP_SECRET 
"0a988e63f011514eaabfc650b599af4d"
CORS_ALLOW_ORIGIN 
"*"
DATABASE_URL 
"mysql://bbndb_rctuser:33F5W25z40or0f7@localhost:3306/rct_bbntimes"
GOOGLE_RECAPTCHA_SECRET_KEY 
"6LdV5fgpAAAAANxzTG8ZMfIjil1wu-1vrQvnUt-x"
GOOGLE_RECAPTCHA_SITE_KEY 
"6LdV5fgpAAAAAENKcn73MJAhQrbtQeqgyC4wDLMP"
MAILER_DSN 
"smtp://no-reply%40rct.dev.bbntimes.com:Bl6%26gLD48%26Of919@rct.dev.bbntimes.com:465"
MARIADB_PASSWORD 
"i!87pK&!85ezc8"

Defined as regular env variables

Key Value
APP_DEBUG 
"1"
BASE 
"/public"
CONTEXT_DOCUMENT_ROOT 
"/var/www/vhosts/dev.bbntimes.com/rct.dev.bbntimes.com"
CONTEXT_PREFIX 
""
DOCUMENT_ROOT 
"/var/www/vhosts/dev.bbntimes.com/rct.dev.bbntimes.com"
FCGI_ROLE 
"RESPONDER"
GATEWAY_INTERFACE 
"CGI/1.1"
HTTPS 
"on"
HTTP_ACCEPT 
"*/*"
HTTP_ACCEPT_ENCODING 
"gzip, br, zstd, deflate"
HTTP_CONNECTION 
"close"
HTTP_COOKIE 
"PHPSESSID=7kvu6e68m54v1lr04kh994l7k6"
HTTP_HOST 
"rct.dev.bbntimes.com"
HTTP_USER_AGENT 
"Mozilla/5.0 AppleWebKit/537.36 (KHTML, like Gecko; compatible; ClaudeBot/1.0; +claudebot@anthropic.com)"
PASSENGER_COMPILE_NATIVE_SUPPORT_BINARY 
"0"
PASSENGER_DOWNLOAD_NATIVE_SUPPORT_BINARY 
"0"
PATH 
"/usr/local/sbin:/usr/local/bin:/usr/sbin:/usr/bin:/sbin:/bin:/snap/bin"
PHP_SELF 
"/public/index.php"
PP_CUSTOM_PHP_CGI_INDEX 
"plesk-php81-fastcgi"
PP_CUSTOM_PHP_INI 
"/var/www/vhosts/system/rct.dev.bbntimes.com/etc/php.ini"
QUERY_STRING 
""
REDIRECT_BASE 
"/public"
REDIRECT_HTTPS 
"on"
REDIRECT_PASSENGER_COMPILE_NATIVE_SUPPORT_BINARY 
"0"
REDIRECT_PASSENGER_DOWNLOAD_NATIVE_SUPPORT_BINARY 
"0"
REDIRECT_REDIRECT_HTTPS 
"on"
REDIRECT_REDIRECT_PASSENGER_COMPILE_NATIVE_SUPPORT_BINARY 
"0"
REDIRECT_REDIRECT_PASSENGER_DOWNLOAD_NATIVE_SUPPORT_BINARY 
"0"
REDIRECT_REDIRECT_SCRIPT_URI 
"https://rct.dev.bbntimes.com/science/covid-worsens-obesity-obesity-returns-the-favor"
REDIRECT_REDIRECT_SCRIPT_URL 
"/science/covid-worsens-obesity-obesity-returns-the-favor"
REDIRECT_REDIRECT_SSL_TLS_SNI 
"rct.dev.bbntimes.com"
REDIRECT_REDIRECT_STATUS 
"200"
REDIRECT_REDIRECT_UNIQUE_ID 
"Z7mPRJDyWLT8YV1VjBo-4gAAAII"
REDIRECT_SCRIPT_URI 
"https://rct.dev.bbntimes.com/science/covid-worsens-obesity-obesity-returns-the-favor"
REDIRECT_SCRIPT_URL 
"/science/covid-worsens-obesity-obesity-returns-the-favor"
REDIRECT_SSL_TLS_SNI 
"rct.dev.bbntimes.com"
REDIRECT_STATUS 
"200"
REDIRECT_UNIQUE_ID 
"Z7mPRJDyWLT8YV1VjBo-4gAAAII"
REDIRECT_URL 
"/public/science/covid-worsens-obesity-obesity-returns-the-favor"
REMOTE_ADDR 
"52.14.221.187"
REMOTE_PORT 
"56253"
REQUEST_METHOD 
"GET"
REQUEST_SCHEME 
"https"
REQUEST_TIME 
1740214084
REQUEST_TIME_FLOAT 
1740214084.0863
REQUEST_URI 
"/science/covid-worsens-obesity-obesity-returns-the-favor"
SCRIPT_FILENAME 
"/var/www/vhosts/dev.bbntimes.com/rct.dev.bbntimes.com/public/index.php"
SCRIPT_NAME 
"/public/index.php"
SCRIPT_URI 
"https://rct.dev.bbntimes.com/science/covid-worsens-obesity-obesity-returns-the-favor"
SCRIPT_URL 
"/science/covid-worsens-obesity-obesity-returns-the-favor"
SERVER_ADDR 
"5.196.1.209"
SERVER_ADMIN 
"[no address given]"
SERVER_NAME 
"rct.dev.bbntimes.com"
SERVER_PORT 
"443"
SERVER_PROTOCOL 
"HTTP/1.1"
SERVER_SIGNATURE 
"<address>Apache Server at rct.dev.bbntimes.com Port 443</address>\n"
SERVER_SOFTWARE 
"Apache"
SSL_TLS_SNI 
"rct.dev.bbntimes.com"
SYMFONY_DOTENV_VARS 
"APP_ENV,APP_SECRET,DATABASE_URL,MARIADB_PASSWORD,CORS_ALLOW_ORIGIN,MAILER_DSN,GOOGLE_RECAPTCHA_SECRET_KEY,GOOGLE_RECAPTCHA_SITE_KEY"
UNIQUE_ID 
"Z7mPRJDyWLT8YV1VjBo-4gAAAII"

Sub Requests 6

CookieController :: renderAnalysis (token = 849136)

Key Value
_controller 
"App\Controller\CookieController::renderAnalysis"
_format 
"html"
_locale 
"en"
_stopwatch_token 
"60ef73"

AppController :: renderHeader (token = 82286d)

Key Value
_controller 
"App\Controller\AppController::renderHeader"
_format 
"html"
_locale 
"en"
_stopwatch_token 
"710500"
slug 
"home"

ArticleController :: trendingArticle (token = 19f15a)

Key Value
_controller 
"App\Controller\ArticleController::trendingArticle"
_format 
"html"
_locale 
"en"
_stopwatch_token 
"264d99"
category 
"Science"

ArticleController :: relatedArticles (token = 5be530)

Key Value
_controller 
"App\Controller\ArticleController::relatedArticles"
_format 
"html"
_locale 
"en"
_stopwatch_token 
"5a68c4"
current_article 
App\Entity\Article {#1094
  -id: 9919
  -title: "COVID Worsens Obesity, Obesity Returns the "Favor"\u{200B}"
  -slug: "covid-worsens-obesity-obesity-returns-the-favor"
  -introtext: "<h2>We look on. Somehow, it's all politically correct.</h2>\r\n"
  -content: """
    \r\n
    <p>If we say that hypertension (elevated blood pressure) is injurious to blood vessels and by extension the cardiovascular system, I trust we can agree this is not insulting to blood vessels.&nbsp;It is, simply, a statement of fact- and one of outsized importance in modern epidemiology.</p>\r\n
    <p>With that out of the way, perhaps we can also agree that words are to some extent like boots; wear them around for a while, and they are apt to take on a patina of dirt.&nbsp;You can scrub them, or replace them, but otherwise- the dirt is prone to become a distraction.</p>\r\n
    <p>This has always been the case in the fraught epidemiologic space of “<a href="science/the-true-paradox-of-obesity" target="_blank" rel="noopener">obesity</a>,” whatever nomenclature has prevailed.&nbsp;We all know the many alternatives to “overweight” and “obese,” I trust, and a recitation is not required.&nbsp;All that have been used, in either clinical or public health settings or both, have taken on that tainted veneer; in some cases, simply because of routine use for some period of time, in other cases, because of&nbsp;<a href="https://www.nature.com/articles/s41574-020-0347-7" target="_blank" rel="nofollow noopener">overt abuse</a>&nbsp;in the form of willful disparagement.</p>\r\n
    <p>The challenge of talking about the public health problem of obesity has been compounded of late in the context of what is derided as “cancel culture.”&nbsp;The standards of political rectitude, or what I would prefer to call propriety, keep elevating.&nbsp;What was politically correct and acceptable 5 minutes ago is unlikely to remain so 15 minutes from now.&nbsp;Even those of us who genuinely mean no offense have a hard time keeping up; perhaps no one can keep their boots acceptably clean.</p>\r\n
    <p>The attendant diffidence, if not overt reticence, is a public health threat of sorts in its own right.&nbsp;There is an expression from the world of business just as apt to the world of medicine and public health:&nbsp;<em>we manage what we measure</em>.&nbsp;The statement sometimes gets daylight in its negative guise:&nbsp;<em>we don’t manage what we don’t measure</em>.&nbsp;</p>\r\n
    <p>Translated from the world of business to the domain of health, vital signs come immediately to mind.&nbsp;These are the indicators of the human condition deemed most…vital.&nbsp;They are, therefore, measured routinely as a prerequisite to their management.&nbsp;Their management is immanent to any version of the acceptable “standard” of clinical care.</p>\r\n
    <p>But if we don’t manage what we don’t measure, how much less likely are we to manage what we seem reluctant even to mention?&nbsp;And so, we come back to the topic of obesity.</p>\r\n
    <p>I can substantiate the causal pathway of concern here – discomfort even to mention leads to impediments to measure leads to failure to manage – from first-hand experience.&nbsp;In my&nbsp;<a href="https://yalegriffinprc.griffinhealth.org/" target="_blank" rel="nofollow noopener">many years as a clinical researcher</a>, one among our priorities was to combat the epidemic (now pandemic) of&nbsp;childhood obesity&nbsp;with&nbsp;interventions in schools, where children could most readily be reached at scale.&nbsp;We routinely encountered resistance by administrators and school boards to the necessary measures that would establish BMIs for the children in their charge.&nbsp;The opposition was predicated on the “sensitivity” and potential stigma of the measures in question, notably- height and weight.</p>\r\n
    <p>But there’s the rub: we have no hope of fixing what we are loathe to mention let alone measure.&nbsp;And fix it, we most certainly have not.&nbsp;Obesity in children has only ever worsened, and&nbsp;<a href="https://apnews.com/article/coronavirus-pandemic-childhood-obesity-ef3d426b5580b72f76eb1207be1af24b" target="_blank" rel="nofollow noopener">notably so during the COVID pandemic</a>.</p>\r\n
    <p>To be clear, I have great respect for the blight of stigma, its pernicious intrusion into all matters related to weight, and share with others&nbsp;<a href="https://www.huffpost.com/entry/obesity-bias_b_3193410" target="_blank" rel="nofollow noopener">a devotion to defense against</a>&nbsp;the burden of it, for children especially but not exclusively.&nbsp;But we must be able to fight stigma without abandoning the fight against genuine maladies that siphon years from lives, and life from years.&nbsp;<a href="https://www.nature.com/articles/508S57a" target="_blank" rel="nofollow noopener">Overweight and obesity</a>&nbsp;are, quite simply, on that list.</p>\r\n
    <p>This is not open for debate, any more than the injurious effects of hypertension on blood vessels.&nbsp;Just as not every case of hypertension leads to stroke, not every case of overweight or obesity leads to demonstrable harm, either.&nbsp;But at the population level, each is very strongly associated with a higher rate of bad outcomes.&nbsp;That list of outcomes is long for obesity, with type 2 diabetes atop the list. &nbsp;As rates of obesity have risen among adults and children alike,&nbsp;rates of type 2 diabetes&nbsp;have followed in lock-step.</p>\r\n
    <p>All of this is of acute as well as chronic concern.&nbsp;Rates of obesity have risen abruptly during the COVID pandemic.&nbsp;One could argue that the acute pandemic aggravated the chronic pandemic, and that the “favor” was then returned.&nbsp;Obesity has been strongly associated with&nbsp;severe COVID infection, hospitalization, and mortality.&nbsp;Most recently, a new study has shown that&nbsp;<a href="https://www.webmd.com/lung/news/20211020/even-with-mild-covid-obesity-may-mean-worse-symptoms#1" target="_blank" rel="nofollow noopener">even “mild” COVID cases are more severe</a>&nbsp;among those with overweight or obesity than among leaner counterparts.</p>\r\n
    <p>While the acute pandemic, mediated by a virus, is only partially under our control, the chronic pandemic is entirely so.&nbsp;Yes, we could “fix” obesity if we were, as a culture, so inclined.&nbsp;<a href="https://www.huffpost.com/entry/fixing-epidemic-obesity-w_b_9780316" target="_blank" rel="nofollow noopener">Decades of tolerance</a>&nbsp;for a toxic status quo suggest we are quite the opposite.&nbsp;</p>\r\n
    <p>You, and I, and everyone else with access to news knows that&nbsp;<a href="https://www.nytimes.com/2013/02/24/magazine/the-extraordinary-science-of-junk-food.html" target="_blank" rel="nofollow noopener">our society actively propagates obesity</a>&nbsp;and attendant chronic disease on the way to corporate profits; we have been told,&nbsp;<a href="https://www.chicagotribune.com/chi-oreo-1-story.html" target="_blank" rel="nofollow noopener">more than once</a>.&nbsp;Our food supply is booby-trapped to, at best, allow for obesity as collateral damage, and at worst, to aim at it.</p>\r\n
    <p>We&nbsp;<a href="https://www.huffpost.com/entry/personal-responsibility-for-health_b_3379279" target="_blank" rel="nofollow noopener">should not be blaming the victims</a>&nbsp;of this, any more than we should “blame” everyone else with maladies amplified by the toxicities of our culture - everyone with diabetes, hypertension, heart disease, cancer, dementia, and more.&nbsp;But we should be confronting what drains so many years from lives and so much life from years with something that looks a lot less like complacency, and a lot more like outrage.</p>\r\n
    <p>Propriety is important.&nbsp;But if our service to it stands between us and confrontation with a clear, omnipresent, and all-too-often lethal danger, something has gone preposterously wrong.</p>
    """
  -user: Proxies\__CG__\App\Entity\User {#1092 …}
  -createdAt: DateTime @1635446354 {#1145
    date: 2021-10-28 18:39:14.0 UTC (+00:00)
  }
  -updatedAt: DateTime @1635446494 {#1150
    date: 2021-10-28 18:41:34.0 UTC (+00:00)
  }
  -deletedAt: null
  -category: App\Entity\Category {#445 …}
  -status: "published"
  -imageCard: Proxies\__CG__\App\Entity\File {#1184 …}
  -ImageHeader: Proxies\__CG__\App\Entity\File {#1184 …}
  -featured: false
  -mainView: false
  -clicks: 6950
  -comments: Doctrine\ORM\PersistentCollection {#1125 …}
  -reviewed_at: DateTime @1635446354 {#1148
    date: 2021-10-28 18:39:14.0 UTC (+00:00)
  }
  -metakey: "COVID Worsens Obesity, Obesity Returns the Favor\u{200B}"
  -metadesc: "We look on. Somehow, it's all politically correct."
  -robots: null
  -publishedAt: DateTime @1635446354 {#1147
    date: 2021-10-28 18:39:14.0 UTC (+00:00)
  }
  -canonical: null
  -superTag: null
}

AppController :: renderFooter (token = 872cad)

Key Value
_controller 
"App\Controller\AppController::renderFooter"
_format 
"html"
_locale 
"en"
_stopwatch_token 
"1d5b36"

CookieController :: renderCookie (token = 2645d3)

Key Value
_controller 
"App\Controller\CookieController::renderCookie"
_format 
"html"
_locale 
"en"
_stopwatch_token 
"3befc3"