Squatting versus sitting as a defecation posture - The Squatty Potty - "healthy colon - healthy life"

  • emmaroach
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Re: squat for money - The Squatty Potty - "healthy colon - healthy life" (product from the US)

Apparently people in the „western world“ start to overthink their habits. Same happens in Germany, here is a funny YouTube video where medical student Giulia Enders does a poetry slam on the often forgotten charm of our gastrointestinal tract (in German only):



And, with focus to the health impact of a sitting position, please have a look at the reading sample you can get on her homepag: www.darm-mit-charme.de/ (page 24 onwards, also in German). Her writing and language is a mix of humor and use of “abusive”, informal words like “shit” etc., which is, concerning the Shit Flow Diagrams, a good example on how effective the use of an informal, slightly “abusive” language breaks the taboo of talking about sanitation.

For non-Germans:
Health impacts of a sitting position:
• Constipation
• Hemorrhoids
• Irritable Bowel Syndrom (IBS)
• Pelvic Floor Issues
• Bloating
• Straining


+++++++
Note by moderator: see also a related discussion thread about squatting in different countries here: forum.susana.org/forum/categories/141-ot...lets-in-your-country

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Re: squat for money - The Squatty Potty - "healthy colon - healthy life" (product from the US)

The book by German medical student Giulia Enders which Emma mentioned above in this thread has also been translated to English and is apparently a bestseller, at least in Germany.

In English it is called "Gut: The Inside Story of Our Body's Most Underrated Organ".
( bookshop.theguardian.com/catalog/product/view/id/286789/ )

It is discussed here in an article in the Guardian Livestyle:

www.theguardian.com/lifeandstyle/2015/ma...ing?CMP=share_btn_tw

The article says:

And, yes, we have been pooing all wrong. Enders tells me about various studies* that show that we do it more efficiently if we squat. This is because the closure mechanism of the gut is not designed to “open the hatch completely” when we’re sitting down or standing up: it’s like a kinked hose. Squatting is far more natural and puts less pressure on our bottoms. She says: “1.2 billion people around the world who squat have almost no incidence of diverticulosis and fewer problems with piles.


But not to worry, you don't need to convert your sitting toilet to a squatting toilet according to the article:

We can iron out the kink by sitting with our feet on a little stool and leaning forward. The book even has a helpful drawing by Enders’ sister.


-> that's the squatty potty that was at the beginning of this thread on Page 1.

What I am wondering about: as you might have seen from my qualitative survey about squatting toilets worldwide (see here on the forum: forum.susana.org/forum/categories/141-ot...lets-in-your-country ; most recently we heard there from Afghanistan and Jordan), nearly every respondent is saying there seems to be a slow change in preferences happening:
Particularly the city dwellers in many countries are moving more and more from squatting toilets to sitting toilets, it seems.

This could be quite a large scale experiment in health. Will we see an increase in certain conditions in those countries, such as hemorrhoids ( en.wikipedia.org/wiki/Hemorrhoid )? Time will tell.

Regards,
Elisabeth

* If anyone has these studies at their fingertips, please let me know as I would like to cite any high quality ones in the Wikipedia article about defecation postures: en.wikipedia.org/wiki/Defecation_postures
(haven't yet done a Google search for them).

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Re: squat for money - The Squatty Potty - "healthy colon - healthy life" (product from the US)

My involvement with Wikipedia's article on defecation postures ( en.wikipedia.org/wiki/Defecation_postures ) brought me back to this forum thread. That's because one of the other Wikipedians posted some interesting information on the article's talk page here:
en.wikipedia.org/wiki/Talk:Defecation_po...ap-around_foot_rests

He posted a link to this promotional video for the squatty potty:



Accompanying article:
www.adweek.com/news/advertising-branding...ted-sales-600-168526

"Squatty Potty's CEO Ignored Everyone, Made an Insane Video and Boosted Sales 600% Bold marketing helps bring in $15 million"

My fellow Wikipedian also asked:

I can't help but wonder whether it makes a difference whether you squat with a toilet seat supporting your body, as seen in the Squatty Potty video above, or whether you support your weight with your legs/feet, as is done in Japan. --Guy Macon (talk) 17:44, 7 December 2016 (UTC)


He also provided some references for health benefits from squatting although I think none of them stacks up as being good enough for Wikipedia's really high level of references for medical/health content which is explained here en.wikipedia.org/wiki/Wikipedia:Identify...e_sources_(medicine)
- and which disqualifies primary research and individual small study results.

I guess it is an under-researched topic so not easy to come by the very high quality large studies that would be required to be sure of the possible health benefits from squatting versus sitting ("sure" in the sense of Wikipedia articles' citations, not "sure" in the sense of your own personal experiences).

This is just another example of how Wikipedia work can help us in learning and identifying knowledge gaps and connecting with other interested people. :-)

Regards,
Elisabeth

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Re: Squatting vs. Sitting

Dear Elisabeth,

Would the pregnant women still can squat, if she is a bit over-weight?

Regards,

F H Mughal

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Re: Squatting vs. Sitting

Well from my own experience I would have found it quite hard to squat during the last say 2.5 months of pregnancy. I am quite a sporty person, so perhaps a less sporty person would find it even harder.
Then again, perhaps women who are used to squatting for using the toilet (or for "sitting" around and waiting, like I have observed vendors to do in Thailand for example), are less impacted even during the later stages of pregnancy. Perhaps you could ask around amongst women that you know in Pakistan where squatting is the norm for toilet use? Could be interesting.

I have read that also the elderly may find it harder, and that grab bars attached to the wall would make a bit difference (also for people with disabilities).
See also posts by Carol and Kris here: forum.susana.org/component/kunena/93-inc...ars-in-squat-toilets

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Re: Squatting vs. Sitting

I did not see the posts of Carol and Kris. I recently got installed the grab bars in the toilet, like the ones shown in Carol's photo. The second photo of Kris is interesting - using pipe network as grab bars. I reckon that design would come in handy, if the walls are weak, and you cannot nail deep enough to fix the bars properly so as to withstand the force of grabbing.

F H Mughal

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