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How bathroom posture affects your health.

164 points| carnevalem | 15 years ago |slate.com | reply

100 comments

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[+] pbhjpbhj|15 years ago|reply
>sitting on toilets—a recent phenomenon, stemming from the invention of the flush toilet in 1591—might be unhealthy

There's a Roman museum near here that has a model barracks toilet which is basically like a modern compost loo - it's like an enclosed bench with holes to defecate through. I guess you might be supposed to stand on it but it's certainly not presented that way.

I've seen toilets in medieval château and castles with wooden seats on a knee height enclosure too. Doesn't appear to be an invention that followed the flush toilet. Nor can I see how a flush toilet would need a change in posture.

[+] strebler|15 years ago|reply
This article speaks the truth. I was traveling in China last year and was averse to pooping in the squat toilets there (they're generally quite filthy). In any case, eventually push came to shove and I had to bite the bullet.

It was like an awakening, I had not realized how uncomfortable are our western toilets until this experience.

[+] euccastro|15 years ago|reply
Another advantage of a squat toilet is your buttocks don't touch any of that filth.
[+] jyothi|15 years ago|reply
Here in Asia, you most always find both western and squat toilet in houses, hotels and public toilets.

In public toilets squat toilets are still more hygienic to use than sitting on the western toilet seats.

Moreover if the flush doesn't work, which usually would be the case, you can always pour a bucket of water.

[+] HiroshiSan|15 years ago|reply
What if I can't properly squat? How can I overcome this? I've tried doing different squat stretch's but I just can't seem to squat..I'm always on my tippy toes.
[+] moultano|15 years ago|reply
Sorry, but I don't know a polite way to ask this. How do you urinate while on a squat toilet without peeing all over your pants?
[+] tdfx|15 years ago|reply
You've ideally got two independent flows occurring. Aim them in the same place... preferably not in your pants.
[+] prototype56|15 years ago|reply
This i found to be the biggest drawback of squat toilets . When you pee from standing position you pee all over the steps .
[+] autarch|15 years ago|reply
"My 10-minute routine dropped to a minute ..."

Jesus, what the hell is wrong with this guy? Or maybe I'm the freak, but I don't spend ten minutes on the toilet. Usually it takes 30s-2m to do my business.

Maybe he should consider a change in diet?

[+] hugh3|15 years ago|reply
Yeah, it sounds like this guy has some kind of specific problem, which maybe squatting can relieve.

I looked him up, assuming he might be an old guy, but he appears to be early-to-mid 20s, meaning that spending ten minutes just to take a crap on a regular basis is not normal.

[+] naner|15 years ago|reply
How old are you? I've found the good 'ol GI tract and related equipment doesn't work as efficiently as you start to approach 30.

Also you can't read magazines or check email while you're "perched" so maybe that has something to do with it. ;)

[+] antidaily|15 years ago|reply
six subjects had their rectums filled with a contrast solution and then released the fluid from a squatting or a sitting position while being filmed with X-ray video.

yikes.

[+] pavel_lishin|15 years ago|reply
Yeah, I think I've seen that one on the porn store rack.
[+] jbrennan|15 years ago|reply
Kudos to those who participated in the studies (particularly the Japanese study). They sounded extraodinarily uncomfortable. As odd as it sounds, I'm thankful for the lengths some will go for science (I'm going to pretend this was the motivation).
[+] Qz|15 years ago|reply
Can't you just lean forward on the toilet to achieve the same result?
[+] jharrison|15 years ago|reply
If you're removing your rear from the seat while leaning forward, then maybe. The point of squatting, besides the angle of the innards involved, is the pressure on your bum. Leaning forward, or raising your feet of the ground, as is mentioned, won't decrease the pressure. That motion is more likely to increase the pressure. There are a number of articles regarding this rectal pressure as it contributes to hemorrhoids. IANAD...just my 2 cents.
[+] blahedo|15 years ago|reply
Or raise your legs a bit, continuing to let the seat carry your weight but raising your knees by pointing your toes or just lifting them. Though I've only thought about trying out squat toilets (or "perching"), I can anecdotally report that leg-raising by itself does have some effect.
[+] snprbob86|15 years ago|reply
I've been perching for 2 years and subjectively recommend it.
[+] naner|15 years ago|reply
The logistics of this baffle me. Do you have the seat up? Any problems with splashing? Do you do this in public restrooms? Friends' houses?
[+] tomwalker|15 years ago|reply
There is something else to through into the argument- flexibility.

The use of western toilets reduces our ability to reach the full squat position and some reckon this is why pulled hamstrings and achilles injuries are more common.

When western people squat, we tend to go up on our toes to reach full depth due to our inflexibility gained from using toilets.

This inflexibility changes the way we do things- when a western adult wants to pick up something from the floor they bend over at the hip. Watch a young child that has recently started to walk do it- they do a full squat with their heals on the ground!

[+] kingkawn|15 years ago|reply
My grandfather, a physicist, had many odd friends. One of them was a Brit who in the 1950's invented a toilet that permitted squatting. He said of the work, "I believe the savages had it right all along."

The toilet was never produced.

[+] frossie|15 years ago|reply
One of them was a Brit who in the 1950's invented a toilet that permitted squatting

I do believe I have seen somewhere a flyer by the British National Health Service advocating putting one's feet on a (step)stool in order to achieve a more optimal position when using a traditional toilet. So perhaps his legacy lives on.

(I am too scared to try and google for proof).

[+] walkon|15 years ago|reply
News the laxative industry doesn't want you to hear!
[+] RK|15 years ago|reply
The study claims squatting is better than sitting for hemorrhoids, but what is the effect of squatting on the knees?
[+] eru|15 years ago|reply
Deep squatting is good for the knees.

I do it as a weight lifting exercise three times a week. Please squat below parallel (i.e. hip below knees, the bone in your leg should be below parallel to the ground). High squatting above parallel can wreck your knees.

[+] RyanMcGreal|15 years ago|reply
I'm still holding out for the Three Seashells toilet.
[+] rudyfink|15 years ago|reply
Technically and nerdily, I believe that was a form of toilet paper and not a toilet.
[+] chrischen|15 years ago|reply
Squat toilets are also more sanitary. I'd much prefer public toilets in the US be of the squat variety.
[+] gojomo|15 years ago|reply
The public squat toilets I've seen have been more of a mess than public sit toilets, and the standing area can be as bad as the porcelain rim of a sit toilet -- a place I would not choose to step. So while more sanitary under ideal proper use, in public places they appear to me less sanitary, at least in their effect on all floors nearby.

I wonder if this contributes to the higher rates of hepatitis and related illnesses in Asia -- and that in turn to the custom of removing shoes before entering households.

[+] ciupicri|15 years ago|reply
I would say that except one or two, all the other public squat toilets which I've seen were horrible. Though I agree that they're more sanitary because your butt doesn't touch them.
[+] djburiedalive|15 years ago|reply
For what it's worth, I've been squatting since preadolescence. As a counterpoint to the experience of the sitters in the study who rated their experiences squatting "more comfortable" than sitting, I've tried going back to sitting from time to time to no avail; I find it unnatural and difficult.

I always figured it was because I was used to doing it my way, not because it was easier. I didn't switch for comfort reasons, and certainly I never dreamed it might prevent hemorrhoids later in life!

[+] hasenj|15 years ago|reply
Besides sitting vs Squatting, the other (and more important) issue with the western style toilet is the use of "papers" instead of bidet (water hose) for cleaning after oneself.

At home we always install a home-made bidet: usually a water hose connected to the shower somehow with a mechanism to turn it on/off.

When I'm in a public place, I try to avoid using public bathrooms. Sometimes I can't avoid it, like when I'm at work.

[+] edanm|15 years ago|reply
I was told once that in China, people squat a lot more than in the West. Both for toilet use, but also just for "sitting down" somewhere.

Example: I was told that upon seeing a bench, whereas westerners would normally sit on it, a Chinese person will squat on it. This supposedly also makes their legs much stronger.

Can anyone confirm this?

[+] kranner|15 years ago|reply
Squatting trivia: South Asians do squat in repose, but notice that the heel of the foot is in full contact with the ground.

I read somewhere that the typical Westerner, or someone not used to squatting for extended periods, will squat on the balls of their feet. Apparently this can tire you out quickly.

I'm embarrassed that I can't quite manage to squat on my heels either, despite being South Asian.

[+] cmurphycode|15 years ago|reply
This is the stereotypical Asian squat. Interestingly, young children do it by default. I think we lose flexibility as we age. I can't squat back on my heels without straining my shin muscles to keep from falling backwards, but the more I do it, the easier it becomes.

It is certainly a lot healthier for your knees than squatting on the balls of your feet, if only because your knees stay roughly on the same vertical as your toes. This is old powerlifter wisdom, and anyone with a knee injury can tell you first-hand. I can't squat on the balls of my feet without my right knee squealing in pain. Squatting on my heels is, at least, tolerable.

[+] anamax|15 years ago|reply
> I was told once that in China, people squat a lot more than in the West. Both for toilet use, but also just for "sitting down" somewhere.

In rural midwest US, the instead-of-sit squat is called a "hunker". Yes, folks talk about "hunkering" and will say "come over her and hunker with us for a while". "Hunker down" is different.

> I was told that upon seeing a bench, whereas westerners would normally sit on it, a Chinese person will squat on it.

I've never seen anyone hunker on a bench - they always hunkered on the ground.

[+] wqfeng|15 years ago|reply
It's true. Especially in the northwest China.

But things seem to change a little bit. The white collars think it looks strange. They would rather stand than squat.

Thanks for the post. I don't feel ashamed when waiting for a bus with squat now.

[+] TGJ|15 years ago|reply
If your interested in outfitting your own house with something else,

http://www.naturesplatform.com/index.html

I've tried myself to squat while hiking outdoors and I keep falling over.

[+] jseifer|15 years ago|reply
And how can you argue with those endorsements!

I've been balancing on toilet seats for twenty years. I've broken a few, and dislodged my share of toilets from their anchors to considerable expense. The stability, comfort and ease of Nature's Platform is a great relief.

Charlie Walters, M.B.A. Boone, North Carolina

http://www.naturesplatform.com/testimonials.html#Walters

[+] stackthat|15 years ago|reply
I lived in Turkey for a while and almost every house has one normal toilet and one old school toilets (hole in the floor) which hasn't got a place to sit so you have to squat.

AFAIK also muslims prefer squating over sitting as it's the suggested practice, also they don't pee standing up (I think this is due to health reasons as well but can be about being clean,not sure).

I always prefer squating over sitting however when you get old generally you need to sit as squatting is literally requires effort, many elderly people sits due to this.

I can't imagine squating in a normal sit toilet, that's just dangerous.

[+] andrewheins|15 years ago|reply
Let's just say that this squatting thing really does have all the benefits that the article says it does.

Does is occur to anyone else that instead of squatting precariously on a sit toilet, risking a fall and backsplash on the feet, one could simply put a stack of phonebooks or a kiddie stool in front of the toilet, and then put your feet on it while you take a dump? Same angle for the core/legs, but less danger.