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 -links: [ 3709 => Symfony\Component\WebLink\Link {#3709 -href: "/build/runtime.js" -rel: [ "preload" => "preload" ] -attributes: [ "as" => "script" ] } 3707 => Symfony\Component\WebLink\Link {#3707 -href: "/build/644.js" -rel: [ "preload" => "preload" ] -attributes: [ "as" => "script" ] } 3706 => Symfony\Component\WebLink\Link {#3706 -href: "/build/502.js" -rel: [ "preload" => "preload" ] -attributes: [ "as" => "script" ] } 3705 => Symfony\Component\WebLink\Link {#3705 -href: "/build/app.js" -rel: [ "preload" => "preload" ] -attributes: [ "as" => "script" ] } 3704 => Symfony\Component\WebLink\Link {#3704 -href: "/build/view-more.js" -rel: [ "preload" => "preload" ] -attributes: [ "as" => "script" ] } 3703 => Symfony\Component\WebLink\Link {#3703 -href: "/build/term-condition.js" -rel: [ "preload" => "preload" ] -attributes: [ "as" => "script" ] } 3702 => Symfony\Component\WebLink\Link {#3702 -href: "/build/contact.js" -rel: [ "preload" => "preload" ] -attributes: [ "as" => "script" ] } 3701 => Symfony\Component\WebLink\Link {#3701 -href: "/build/scroll-infinite-article.js" -rel: [ "preload" => "preload" ] -attributes: [ "as" => "script" ] } 3700 => Symfony\Component\WebLink\Link {#3700 -href: "/build/app.css" -rel: [ "preload" => "preload" ] -attributes: [ "as" => "style" ] } 3699 => Symfony\Component\WebLink\Link {#3699 -href: "/build/cookie-style.css" -rel: [ "preload" => "preload" ] -attributes: [ "as" => "style" ] } 3698 => Symfony\Component\WebLink\Link {#3698 -href: "/build/term-condition-css.css" -rel: [ "preload" => "preload" ] -attributes: [ "as" => "style" ] } 3697 => Symfony\Component\WebLink\Link {#3697 -href: "/build/contact-css.css" -rel: [ "preload" => "preload" ] -attributes: [ "as" => "style" ] } 3696 => Symfony\Component\WebLink\Link {#3696 -href: "/build/comment-css.css" -rel: [ "preload" => "preload" ] -attributes: [ "as" => "style" ] } ] } |
_route | "article_show" |
_route_params | [ "category" => "science" "slug" => "the-imperatives-of-diet-now-is-should-on-the-menu" ] |
_security_firewall_run | "_security_main" |
_stopwatch_token | "4684f6" |
category | "science" |
slug | "the-imperatives-of-diet-now-is-should-on-the-menu" |
Request Headers
Header | Value |
---|---|
accept | "*/*" |
accept-encoding | "gzip, br, zstd, deflate" |
connection | "close" |
cookie | "PHPSESSID=jp5c7kh47ace7djhtik7tvia2m" |
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 13:24:12 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 | "212ffe" |
Cookies
Request Cookies
Key | Value |
---|---|
PHPSESSID | "jp5c7kh47ace7djhtik7tvia2m" |
Response Cookies
No response cookies
Session 6
Session Metadata
Key | Value |
---|---|
Created | "Sat, 22 Feb 25 13:24:08 +0000" |
Last used | "Sat, 22 Feb 25 13:24:09 +0000" |
Lifetime | 0 |
Session Attributes
Attribute | Value |
---|---|
_csrf/https-comment | "J3Aosb1Pddk9jJrQWE9RNFioXwy8Oc1_EqbCar08PYc" |
_csrf/https-cookie_accept | "ac4yoi8-0wg7HGeupTTjjh39HwBfwObREIIdd2R9tiE" |
Session Usage
6
Usages
Stateless check enabled
Usage |
---|
Symfony\Component\Security\Csrf\TokenStorage\SessionTokenStorage:76
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Symfony\Component\Security\Csrf\TokenStorage\SessionTokenStorage:79
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Symfony\Component\Security\Csrf\TokenStorage\SessionTokenStorage:52
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Symfony\Component\Security\Csrf\TokenStorage\SessionTokenStorage:56
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Symfony\Component\Security\Core\Authentication\Token\Storage\UsageTrackingTokenStorage:41
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current_article | App\Entity\Article {#1094 -id: 10335 -title: "The Imperatives of Diet Now: Is “Should” On The Menu?" -slug: "the-imperatives-of-diet-now-is-should-on-the-menu" -introtext: "<p>Poor <a href="https://www.dietid.com/" target="_blank" rel="nofollow noopener">diet quality</a> is the leading predictor of morbidity (i.e., chronic disease) and <a href="https://www.nytimes.com/2019/08/26/opinion/food-nutrition-health-care.html" target="_blank" rel="nofollow noopener">mortality</a> (i.e., dying prematurely) in the modern world. </p>\r\n" -content: """ \r\n <p>This is <a href="https://www.thelancet.com/article/S0140-6736(19)30041-8/fulltext" target="_blank" rel="nofollow noopener">established epidemiologic fact</a>, disputed, so far as I know, by nearly no one. Rather than yielding such a damning distinction during the COVID pandemic, the pernicious influences of “bad diet” simply extended to new ills: <a href="https://gut.bmj.com/content/70/11/2096" target="_blank" rel="nofollow noopener">adverse COVID outcomes linked directly to low diet quality</a>, and indirectly via the contributions of poor diet to <a href="https://www.nytimes.com/2021/12/08/health/covid-fat-obesity.html" target="_blank" rel="nofollow noopener">pandemic obesity</a>.</p>\r\n <p>These are the facts of the indictment, but the eaters in question are largely innocent bystanders. Sure, we all own some <a href="https://www.huffpost.com/entry/personal-responsibility-for-health_b_3379279" target="_blank" rel="nofollow noopener">personal responsibility</a> for what adorns our forks daily, but then again- the choices each of us makes are always subordinate to the choices all of us have. </p>\r\n <p>We have a cornucopia of bad choices, from a Farm Bill all about advancing agribusiness where a “<a href="https://www.washingtonpost.com/opinions/how-a-national-food-policy-could-save-millions-of-american-lives/2014/11/07/89c55e16-637f-11e4-836c-83bc4f26eb67_story.html" target="_blank" rel="nofollow noopener">Food Bill</a>” all about sourcing sustainable, nourishing sustenance ought to be; to a food supply <a href="https://www.nytimes.com/2013/02/24/magazine/the-extraordinary-science-of-junk-food.html" target="_blank" rel="nofollow noopener">willfully engineered to undermine restraint</a> by means of addiction or something indistinguishable from it; to the rampant distortions of <a href="https://www.truehealthinitiative.org/news/the-truth-about-food/" target="_blank" rel="nofollow noopener">marketing, fads, false promises, and gimmicks</a>. <a href="https://www.huffpost.com/entry/healthy-living_b_1093751" target="_blank" rel="nofollow noopener">Good luck out there</a>.</p>\r\n <p>Despite all this, I have generally renounced the notion of telling people- my patients included - how they “should” eat. As medicine incrementally evolves beyond its unfortunate, paternalistic legacies, “should” is something of a throwback, and a liability. To be healthy, the presumptive goal of all so-called “health care,” people arguably “should” <a href="https://www.truehealthinitiative.org/about_us/" target="_blank" rel="nofollow noopener">eat well, and be active, and avoid tobacco, and so on</a>. But then again- why “should” people be healthy in the first place?</p>\r\n <p>I asked myself that question in the context of my clinical activities many years ago, as ever more cultural disdain positioned “should” at the end of an admonishing finger. Was health some kind of moral imperative? Was it my job to tell my patients that health was a kind of obligation, something “good” people achieved?</p>\r\n <p>My answers to myself, to these and their assorted corollaries were emphatically: no. More than anything, <a href="https://www.huffpost.com/entry/personal-health_b_1928695" target="_blank" rel="nofollow noopener">health was a resource each patient could “spend”</a>- during days, and months and years, and decades- as they saw fit. The value proposition of health was not the judgment of a physician, recognizing a moral achievement. The value proposition was simply this: healthy people have more fun. Other things being equal, your life will be better lived healthfully rather than not, and you will have more control over your options. </p>\r\n <p>I settled on the Socratic method to advance that conviction; I started asking my patients why they cared about health, what they thought health was “for.” We generally arrived at an “aha moment” to share.</p>\r\n <p>I am tempted to go with: <em>but that was then, and </em><a href="https://www.theatlantic.com/health/archive/2021/04/rules-eating-fight-climate-change/618515/" target="_blank" rel="nofollow noopener"><em>this is now</em></a><em>.</em> </p>\r\n <p>I still have an antipathy to “should,” in clinical context and perhaps in general, just as I do to the deafening <a href="https://www.linkedin.com/pulse/diet-dog-dogma-david-l-katz-md-mph/" target="_blank" rel="noopener">bark of dogma</a>. Listening ends where dogma and admonishments begin, and <a href="https://www.linkedin.com/pulse/death-discord-david-l-katz-md-mph-facpm-facp-faclm/" target="_blank" rel="noopener">listening is the essential remedy</a> now to so much of what ails us. The <a href="https://journals.sagepub.com/doi/full/10.1177/08901171211002328a" target="_blank" rel="nofollow noopener">Homo sapien superpower</a> is the capacity to share visions and stories; in effect, the art of listening that leads to understanding that leads to overcoming. We renounce that at our very great peril.</p>\r\n <p>But even so, there are moral imperatives when our actions directly impact the health of others. If we are to respect that each of us is the <a href="https://poets.org/poem/invictus" target="_blank" rel="nofollow noopener">master of personal fate, the captain of our native soul</a>- we must respect the same in others, and honor the places where the bounds of autonomy collide. They meet routinely now in what we choose to eat.</p>\r\n <p><a href="https://eatforum.org/eat-lancet-commission/" target="_blank" rel="nofollow noopener">Dietary patterns at odds with planetary health</a>, practiced at the scale of billions of us, are a factor in rising seas that threaten homes; drying aquifers that propagate thirst; climbing temperatures that challenge the limits of human tolerance; and <a href="https://www.linkedin.com/pulse/you-can-help-save-amazon-david-l-katz-md-mph-facpm-facp-faclm/" target="_blank" rel="noopener">deforestation that devastates biodiversity while assaulting the very lungs of the planet</a>. With these exigencies and more in mind, we are well beyond the boundaries of one another’s autonomy and opportunities for health, and thus well into the realm where “should” warrants reconsideration.</p>\r\n <p>The immediate provocation for this column was a <a href="https://www.thelancet.com/journals/lanplh/article/PIIS2542-5196(21)00278-3/fulltext" target="_blank" rel="nofollow noopener">study just published in the</a> <a href="https://www.thelancet.com/journals/lanplh/article/PIIS2542-5196(21)00278-3/fulltext" target="_blank" rel="nofollow noopener"><em>Lancet Planetary Health</em></a><em> </em>highlighting the adverse mental health effects in children around the world of environmental degradation. We are ruining a planet our kids know they are going to need, and legions of them are looking on with a sense of helpless despair. If that’s not cause for a new look at “should” by us grownups, I can’t imagine what would be.</p>\r\n <p>Remedies here are neither elusive nor abstruse. By itself, the global appetite for beef is a major contributor to environmental degradation of every kind and the single leading threat to biodiversity. Quite simply, we <em>should</em>- collectively- <a href="https://www.linkedin.com/pulse/meat-less-more-david-l-katz-md-mph-facpm-facp-faclm/" target="_blank" rel="noopener">eat much less of it</a>.</p>\r\n <p>We are fortunate that what we "should" do about diet for our own health, and what we <strong>SHOULD</strong> do to alleviate our children's rightful anxiety about a habitable planet- <a href="https://www.pnas.org/content/116/46/23357" target="_blank" rel="nofollow noopener">are entirely concordant</a>. It need not have been so, but it most decisively is.</p>\r\n <div class="slate-resizable-image-embed slate-image-embed__resize-middle"><img style="display: block; margin-left: auto; margin-right: auto;" src="/images/Meat_Graph.jpeg" alt="Meat_Graph.jpeg" width="1001" height="820" /></div>\r\n <p style="text-align: center;"><em>Impacts of various foods on the environment (Y axis) and human mortality risk (X axis) via: </em><em><a href="https://www.pnas.org/content/116/46/23357" rel="nofollow">https://www.pnas.org/content/116/46/23357</a><a href="https://www.pnas.org/content/116/46/23357" target="_blank" rel="nofollow noopener"><br /><br /></a></em><em></em></p>\r\n <p>Those who note a parallel between eating as if the world depends on it- because it does- and vaccines to protect <a href="https://jamanetwork.com/journals/jamainternalmedicine/fullarticle/2785141" target="_blank" rel="nofollow noopener">not just ourselves, but others</a>- I can only say I am right there with you. But that’s a “should” topic for another day.</p>\r\n <p>We still have dietary choices, albeit <a href="https://www.annualreviews.org/doi/abs/10.1146/annurev-publhealth-032013-182351" target="_blank" rel="nofollow noopener">bounded by the common theme</a> of feeding Homo sapiens well, and ever more constrained by the <a href="https://www.linkedin.com/pulse/toward-one-diet-world-david-l-katz-md-mph-facpm-facp-faclm/" target="_blank" rel="noopener">choices already devoured</a>. We have long since passed a fork in the road and taken the tine that leads to new reasons for “should.” We should, I think, choose what we chew accordingly.</p> """ -user: Proxies\__CG__\App\Entity\User {#1092 …} -createdAt: DateTime @1639495680 {#1145 : 2021-12-14 15:28:00.0 UTC (+00:00) } -updatedAt: DateTime @1639495729 {#1150 : 2021-12-14 15:28:49.0 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: 6848 -comments: Doctrine\ORM\PersistentCollection {#1125 …} -reviewed_at: DateTime @1639495680 {#1148 : 2021-12-14 15:28:00.0 UTC (+00:00) } -metakey: "The Imperatives of Diet Now: Is “Should” On The Menu?" -metadesc: "Poor\u{A0}diet quality\u{A0}is the leading predictor of morbidity (i.e., chronic disease) and\u{A0}mortality\u{A0}(i.e., dying prematurely) in the modern world.\u{A0}" -robots: null -publishedAt: DateTime @1639495680 {#1147 : 2021-12-14 15:28:00.0 UTC (+00:00) } -canonical: null -superTag: null } |
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