No, it's not true that Asian cultures use ONLY fermented soy. Actually, here in China, apart from soy sauce and the so-called "fermented tofu" (used in very small amounts to flavor dishes), soy is mostly consumed in its unfermented form: soy milk, soft/hard tofu, tofu skin, dried tofu, etc. Natto is Japanese, unknown to many in China, and generally considered disgusting by the few who know it. Tempeh (Indonesian fermented soy) is also virtually unknown in this part of the world.
Some Asian people don't eat a lot, but others definetely do. It is very common for Buddhist devotees or people who take (temporary) vows to give up meat. In these cases, the substitute of choice is tofu, because of its protein content, and because it can easily mimic the shape and texture of real meat. Many others who don't have any religious affiliation, especially older people and women, still tend to take a second helping of tofu rather than meat, because it's healthy, cholesterol-free, good for menopause,...