Prostate Problems: Why it is Rare Among Chinese, Indian and Japanese Men?

Prostate problems and disorders are more prevalent in Western countries than in other parts of the world. [The prostate - what is it?]

Take, for example, the situation with prostate cancer…

International Agency for Research on Cancer:

"The highest prostate cancer incidence rates are in the developed world and the lowest rates in Africa and Asia."

National Cancer Institute, US National Institutes of Health:

"Prostate the most commonly diagnosed cancer among men in the United States...the incidence rates for clinical prostate cancer in Western men are 30 to 50 times higher than those for Asian men..."

USA Today:

"African Americans have the highest prostate cancer risk in the world .... And despite high rates among African Americans, prostate cancer is very low in Africa."

"A 200-fold difference in incidence exists between African American men, who represent the group with the highest incidence of the disease, and Chinese men living in Asia, in whom the incidence of prostate cancer is among the lowest in the world."

Displayed on a chart (below), the 200-fold difference is startling...

Chart: Prostate Cancer - Incidence And Mortality Rates
(World), Age-Standardised, Selected Countries, 2002 Estimates

chart, prostate cancer statistics

The chart also provides further insights on prostate cancer upon closer scrutiny:

  • Aside from the US, prostate cancer is also prevalent in many Western countries - Sweden, Canada, Switzerland, Australia, UK and Denmark;

  • Along with China, there are two other Asian countries with very low rates of prostate cancer - India and Japan;

  • Compared with Africans who live in the US, Zimbabwe men (in Africa) have significantly lower rates of prostate cancer.

Looking at this chart, one can't help but ask:

1) What could be the reason for the very different rates of prostate cancer in the world?

2) Why are men in the Western countries so susceptible to prostate problems?

3) What is the 'secret factor' that had protected Chinese, Indian and Japanese men from prostate problems and cancer?

For decades, many Western researchers have been trying to find the answers. They have not find much success, as reflected in the words they use to describe prostate cancer, eg:

"Little is known about the etiology of prostate cancer, although it is the most commonly diagnosed cancer among men in the United States.

Prostate cancer is more common in black men than it is in white or Asian men. This is probably due to a mixture of inherited genes and environmental factors but we don't really know the full story as yet."

-- National Cancer Institute, US National Institutes of Health

A common explanation given for the low incidence of prostate cancer in non-Westernised countries is a diet low in fat and high in fiber. However, the problem with this theory is that any association between diet and prostate problems and cancer has not been proven.

A recent major study by researchers at Memorial Sloan-Kettering Cancer Center, the National Cancer Institute and seven other centers had dismissed this theory. The researchers reported their findings in the American Society of Clinical Oncology (August 30, 2002):

"A low-fat, high-fiber diet heavy in fruits and vegetables has NO impact on PSA levels in men over a four-year period, and does not affect the incidence of prostate cancer."

The prostate-specific antigen (PSA) test is used to to detect the risk of prostate cancer and other prostate problems in men. A high PSA level is associated with a greater chance of developing prostate cancer.

The low fat, high fiber diet theory also doesn’t make sense based on migration studies. One such study found that within one generation, the incidence of prostate cancer among Japanese immigrants increased 4 to 9 fold, even though their diet remain largely unchanged. [Something else did changed for these Japanese immigrants. In Japan, they use squat toilets like the ones pictured here.]

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What Western Researchers Had Missed -- And Why

As a result of growing up in a society where sitting toilets are a part of life, it is very difficult for a Western researcher to recognise and accept that the sitting toilet is the root cause of prostate problems.

Yet, this is the case. It all has to do with the pudendal nerve which control prostate and bladder functions, and the descent of the pelvic floor (more on this later).

The pudendal nerve emerges from the base of the spinal cord, runs through the perineum (in men, the area between the anus and penis), and passes through the pelvic floor before connecting to the prostate and bladder.

The pelvic floor is a hammock of muscles which supports the bladder, intestines and (in women) the uterus and vagina.

In the sitting position, the colon is not properly prepared for waste evacuation. It is in the continence mode.

On a conventional (sitting) toilet, a person is forced to strain, while holding the breath, and pushing downwards with the diaphragm, in order to evacuate. This action is called the Valsalva Maneuver.

In the sitting position, the pelvic floor is also unsupported by the thighs. As a result, each time one strains on the sitting toilet, it is repeatedly forced downwards.

The pelvic floor is simply not designed to cope with this sort of stress and abuse. Each time it is depressed, the pudendal nerve which runs through the pelvic floor is stretched at the same time.

Nerves are not elastic, and studies have shown that a 12% stretch destroys a nerve. This goes for the pudendal nerve, which cannot be stretched very far without being damaged.

It doesn't happen right away. But slowly but surely, as the pelvic floor sags lower and lower, there comes a day when the tipping point will occur.

The pudendal nerve is stretched beyond its capacity, and can no longer transmit brain signals to and from the prostate and other pelvic organs properly.

This explains why prostate problems manifest itself from the age of 40 onwards. Because the stretch injury happens gradually over a long time, the underlying cause of prostate problems and disorders has escaped detection by Western researchers.

As mentioned, another reason is cultural insularity. Sitting toilets are "normal and natural" and therefore "above suspicion."

This breakdown in nervous control is the root cause of prostate problems and other pelvic-related ailments (eg: urinary incontinence).

Every gland in the body requires constant feedback from the brain to maintain normal functioning. As the pudendal nerve deteriorates, the prostate gland becomes increasingly isolated from the central nervous system, and could become dysfunctional in one or many forms. The three most common prostate problems we see today are:

1) Benign prostatic hyperplasia (BPH)

2) Prostatitis

3) Prostate cancer

What Can Be Done?

Getting everyone to squat for waste elimination. The truth is that human beings are designed to eliminate waste in the squatting position. It is only in this posture that you can completely empty your colon without excessive straining or imposing any stress on the pelvic floor.

squatting position, squatting posture, squatting for waste evacuation

Instead of pushing downwards with the diaphragm, squatting pushes upwards with the thighs. This increases the intra-abdominal pressure, which naturally compresses the colon and make it easier for waste to be emptied.

Squatting also relaxes the final pathway between the rectum and anus.
The net effect of squatting is easier evacuation, without exertion and stress on the pelvic floor and pudendal nerve.


By forcing users to sit, the sitting toilet does not fulfill the natural requirements of waste elimination. It is responsible for the growing epidemic of colon, bladder, pelvic and prostate problems in Westernised countries.

Worldwide, more than 650,000 men are diagnosed with prostate cancer every year. Almost 30 million men suffer from enlargement of their prostate gland (benign prostatic hypertrophy, BPH).

Each year, the United States alone, over 400,000 men undergo prostate surgery each year. Over a billion dollars is spent on treating prostate problems.

It is no secret why Chinese, Indian and Japanese do not have so much prostate problems as compared with Western men. They use squatting toilets instead of sitting toilets.

squatting toilet, asian toilet, indian toilet sitting toilet

One will give protection against prostate problems; the other can increase your risk of prostate problems by 200 fold.

But act quickly. The longer you continue to use the sitting position for waste elimination, you might lose your ability to squat, as explained on this page about squatting facets.

Your ability to squat is important because if you can't, you won't be able to change your toileting posture from sitting to squatting, using one of the options described on this page.

If you want to squat, the best option is to install a squatting toilet. However, for many people, this may not be a viable option. In which case, a simple yet practical solution is to use a toilet squatting platform or converter.

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Book Recommendation

book about squatting, Nature Knows Best
If you want to know more about the link between sitting toilets and the growing epidemic of prostate, bladder and colon-related diseases, I recommend that you read Nature Knows Best.

Nature Knows Best is the first and only book that explains the benefits of the natural squatting position and health risks of using sitting toilets.

You can find out more about Nature Knows Best by visiting this page.

Nutritional Supplements for Prostate Health

Also consider taking some nutritional supplements that are known to be good for prostate health. I recommend that you buy them from iHerb.

They offer a wide range of genuine, high quality products at extremely low prices. (You can also get a instant $5 discount on your first iHerb order just by entering this code in the shopping cart, before checkout: HEW040.)

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Prostate problems and Tumeric/Capsacin 
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