Archives of Sexual Behavior

, Volume 42, Issue 7, pp 1191–1198 | Cite as

Slimmer Women’s Waist is Associated with Better Erectile Function in Men Independent of Age

  • Stuart Brody
  • Petr Weiss
Original Paper


Previous research has indicated that men generally rate slimmer women as more sexually attractive, consistent with the increased morbidity risks associated with even mild abdominal adiposity. To assess the association of women’s waist size with a more tangible measure of perceived sexual attractiveness (as well as reward value for both sexes), we examined the association of women’s age and waist circumference with an index of men’s erectile function (IIEF-5 scores), frequency of penile-vaginal intercourse (PVI), and sexual satisfaction in a representative sample of Czechs (699 men and 715 women) aged 35–65 years. Multivariate analyses indicated that better erectile function scores were independently associated with younger age of self and partner and women’s slimmer waist. PVI frequency was independently associated with women’s younger age and women’s slimmer waist. Sexual satisfaction was independently associated with men’s younger age and slimmer waist for both sexes. Better erectile function, greater PVI frequency, and greater sexual satisfaction were associated with women’s slimmer waist, independently of both sexes’ ages. Possible reasons for the waist effects were discussed, including women’s abdominal body fat decreasing their own desire through neurohormonal mechanisms and decreasing their partner’s desire through evolutionarily-related decreased sexual attractiveness.


Attractiveness Abdominal obesity Erectile dysfunction Sexual satisfaction 



The survey was supported by a grant from Eli Lilly & Co. (Czech Republic).


  1. Ahmetoglu, G., Swami, V., & Chamorro-Premuzic, T. (2010). The relationship between dimensions of love, personality, and relationship length. Archives of Sexual Behavior, 39, 1181–1190.CrossRefPubMedGoogle Scholar
  2. Brody, S. (1997). Sex at risk: Lifetime number of partners, frequency of intercourse, and the low AIDS risk of vaginal intercourse. New Brunswick, NJ: Transaction Publishers.Google Scholar
  3. Brody, S. (2002). High-dose ascorbic acid increases intercourse frequency and improves mood: A randomized controlled clinical trial. Biological Psychiatry, 52, 371–374.CrossRefPubMedGoogle Scholar
  4. Brody, S. (2004). Slimness is associated with greater intercourse and lesser masturbation frequency. Journal of Sex & Marital Therapy, 30, 251–261.CrossRefGoogle Scholar
  5. Brody, S. (2007). Vaginal orgasm is associated with better psychological function. Sexual and Relationship Therapy, 22, 173–191.CrossRefGoogle Scholar
  6. Brody, S. (2010a). Body mass index but not pulse pressure is associated with lesser penile-vaginal intercourse frequency in healthy young men. Journal of Sexual Medicine, 7, 1853–1857.CrossRefPubMedGoogle Scholar
  7. Brody, S. (2010b). The relative health benefits of different sexual activities. Journal of Sexual Medicine, 7, 1336–1361.CrossRefPubMedGoogle Scholar
  8. Brody, S., & Costa, R. M. (2008). Vaginal orgasm is associated with less use of immature psychological defense mechanisms. Journal of Sexual Medicine, 5, 1167–1176.CrossRefPubMedGoogle Scholar
  9. Brody, S., & Costa, R. M. (2009). Satisfaction (sexual, life, relationship, and mental health) is associated directly with penile-vaginal intercourse but inversely with other sexual behavior frequencies. Journal of Sexual Medicine, 6, 1947–1954.CrossRefPubMedGoogle Scholar
  10. Brody, S., Houde, S., & Hess, U. (2010). Greater tactile sensitivity and less use of immature psychological defense mechanisms predict women’s penile-vaginal intercourse orgasm. Journal of Sexual Medicine, 7, 3057–3065.CrossRefPubMedGoogle Scholar
  11. Brody, S., & Preut, R. (2003). Vaginal intercourse frequency and heart rate variability. Journal of Sex & Marital Therapy, 29, 371–380.CrossRefGoogle Scholar
  12. Brody, S., & Weiss, P. (2010). Vaginal orgasm is associated with vaginal (not clitoral) sex education, focusing mental attention on vaginal sensations, intercourse duration, and a preference for a longer penis. Journal of Sexual Medicine, 7, 2774–2781.CrossRefPubMedGoogle Scholar
  13. Brody, S., & Weiss, P. (2011). Simultaneous penile-vaginal intercourse orgasm is associated with satisfaction (sexual, life, partnership, and mental health). Journal of Sexual Medicine, 8, 734–741.CrossRefPubMedGoogle Scholar
  14. Cappelleri, J. C., & Rosen, R. C. (2005). The Sexual Health Inventory for Men (SHIM): A 5-year review of research and clinical experience. International Journal of Impotence Research, 17, 307–319.CrossRefPubMedGoogle Scholar
  15. Costa, R. M., & Brody, S. (2007). Women’s relationship quality is associated with specifically penile-vaginal intercourse orgasm and frequency. Journal of Sex & Marital Therapy, 33, 319–327.CrossRefGoogle Scholar
  16. Dixson, B. J., Grimshaw, G. M., Linklater, W. L., & Dixson, A. F. (2011). Eye-tracking of men’s preferences for waist-to-hip ratio and breast size of women. Archives of Sexual Behavior, 40, 43–50.CrossRefPubMedGoogle Scholar
  17. Fan, J., Dai, W., Qian, X., Chau, K. P., & Liu, Q. (2007). Effects of shape parameters on the attractiveness of a female body. Perceptual and Motor Skills, 105, 117–132.CrossRefPubMedGoogle Scholar
  18. Ferreira, M. F., Sobrinho, L. G., Santos, M. A., Sousa, M. F., & Uvnas-Moberg, K. (1998). Rapid weight gain, at least in some women, is an expression of a neuroendocrine state characterized by reduced hypothalamic dopaminergic tone. Psychoneuroendocrinology, 23, 1005–1013.CrossRefPubMedGoogle Scholar
  19. Fugl-Meyer, A. R., Melin, R., & Fugl-Meyer, K. S. (2002). Life satisfaction in 18- to 64-year-old Swedes: In relation to gender, age, partner and immigrant status. Journal of Rehabilitation Medicine, 34, 239–246.CrossRefPubMedGoogle Scholar
  20. Fugl-Meyer, K. S., Stothard, D., Belger, M., Toll, A., Berglund, O., Eliasson, T., et al. (2006). The effect of tadalafil on psychosocial outcomes in Swedish men with erectile distress: A multicentre, non-randomised, open-label clinical study. International Journal of Clinical Practice, 60, 1386–1393.CrossRefPubMedGoogle Scholar
  21. Goldbacher, E. M., & Matthews, K. A. (2007). Are psychological characteristics related to risk of the metabolic syndrome? A review of the literature. Annals of Behavioral Medicine, 34, 240–252.CrossRefPubMedGoogle Scholar
  22. Holliday, I. E., Longe, O. A., Thai, N. J., Hancock, P. J., & Tovee, M. J. (2011). BMI not WHR modulates BOLD fMRI responses in a sub-cortical reward network when participants judge the attractiveness of human female bodies. PLoS ONE, 6, e27255.PubMedCentralCrossRefPubMedGoogle Scholar
  23. Jensen, G. D., Sassenrath, E. N., & Blanton, F. L. (1982). Sociosexual and hormonal changes in aging female bonnet macaques. Journal of Gerontology, 37, 450–453.CrossRefPubMedGoogle Scholar
  24. Karremans, J. C., Frankenhuis, W. E., & Arons, S. (2011). Blind men prefer a low waist-to-hip ratio. Evolution and Human Behavior, 31, 182–186.CrossRefGoogle Scholar
  25. Lofgren, I., Herron, K., Zern, T., West, K., Patalay, M., Shachter, N. S., et al. (2004). Waist circumference is a better predictor than body mass index of coronary heart disease risk in overweight premenopausal women. Journal of Nutrition, 134, 1071–1076.PubMedGoogle Scholar
  26. Lynn, M. (2009). Determinants and consequences of female attractiveness and sexiness: Realistic tests with restaurant waitresses. Archives of Sexual Behavior, 38, 737–745.CrossRefPubMedGoogle Scholar
  27. Mason, C., Craig, C. L., & Katzmarzyk, P. T. (2008). Influence of central and extremity circumferences on all-cause mortality in men and women. Obesity, 16, 2690–2695.CrossRefPubMedGoogle Scholar
  28. Melin, I., Falconer, C., Rossner, S., & Altman, D. (2008). Sexual function in obese women: Impact of lower urinary tract dysfunction. International Journal of Obesity, 32, 1312–1318.CrossRefPubMedGoogle Scholar
  29. Obrosova, I. G., Ilnytska, O., Lyzogubov, V. V., Pavlov, I. A., Mashtalir, N., Nadler, J. L., et al. (2007). High-fat diet induced neuropathy of pre-diabetes and obesity: Effects of “healthy” diet and aldose reductase inhibition. Diabetes, 56, 2598–2608.CrossRefPubMedGoogle Scholar
  30. Park, J. Y., Mitrou, P. N., Keogh, R. H., Luben, R. N., Wareham, N. J., & Khaw, K. T. (2011). Effects of body size and sociodemographic characteristics on differences between self-reported and measured anthropometric data in middle-aged men and women: The EPIC-Norfolk study. European Journal of Clinical Nutrition, 65, 357–367.CrossRefPubMedGoogle Scholar
  31. Pijl, H. (2003). Reduced dopaminergic tone in hypothalamic neural circuits: Expression of a “thrifty” genotype underlying the metabolic syndrome? European Journal of Pharmacology, 480, 125–131.CrossRefPubMedGoogle Scholar
  32. Platek, S. M., & Singh, D. (2010). Optimal waist-to-hip ratios in women activate neural reward centers in men. PLoS ONE, 5, e9042.PubMedCentralCrossRefPubMedGoogle Scholar
  33. Riedner, C. E., Rhoden, E. L., Ribeiro, E. P., & Fuchs, S. C. (2006). Central obesity is an independent predictor of erectile dysfunction in older men. Journal of Urology, 176, 1519–1523.CrossRefPubMedGoogle Scholar
  34. Rosen, R. C., Cappelleri, J. C., Smith, M. D., Lipsky, J., & Pena, B. M. (1999). Development and evaluation of an abridged, 5-item version of the International Index of Erectile Function (IIEF-5) as a diagnostic tool for erectile dysfunction. International Journal of Impotence Research, 11, 319–326.CrossRefPubMedGoogle Scholar
  35. Rozmus-Wrzesinska, M., & Pawlowski, B. (2005). Men’s ratings of female attractiveness are influenced more by changes in female waist size compared with changes in hip size. Biological Psychology, 68, 299–308.CrossRefPubMedGoogle Scholar
  36. Singh, D. (2002). Female mate value at a glance: Relationship of waist-to-hip ratio to health, fecundity, and attractiveness. Neuroendocrinology Letters, 23(Suppl. 4), 81–91.PubMedGoogle Scholar
  37. Singh, D., Dixson, B. J., Jessop, T., Morgan, B., & Dixson, A. F. (2010). Cross-cultural consensus for waist-to-hip ratio and women’s attractiveness. Evolution and Human Behavior, 31, 176–181.CrossRefGoogle Scholar
  38. Swami, V., & Furnham, A. (2009). Big and beautiful: Attractiveness and health ratings of the female body by male “fat admirers”. Archives of Sexual Behavior, 38, 201–208.CrossRefPubMedGoogle Scholar
  39. Tao, P., & Brody, S. (2011). Sexual behavior predictors of satisfaction in a Chinese sample. Journal of Sexual Medicine, 8, 455–460.CrossRefPubMedGoogle Scholar
  40. Terracciano, A., Sutin, A. R., McCrae, R. R., Deiana, B., Ferrucci, L., Schlessinger, D., et al. (2009). Facets of personality linked to underweight and overweight. Psychosomatic Medicine, 71, 682–689.PubMedCentralCrossRefPubMedGoogle Scholar
  41. Weeden, J., & Sabini, J. (2005). Physical attractiveness and health in Western societies: A review. Psychological Bulletin, 131, 635–653.CrossRefPubMedGoogle Scholar
  42. Weiss, P., & Brody, S. (2009a). Female sexual arousal disorder with and without a distress criterion: Prevalence and correlates in a representative Czech sample. Journal of Sexual Medicine, 6, 3385–3389.CrossRefPubMedGoogle Scholar
  43. Weiss, P., & Brody, S. (2009b). Women’s partnered orgasm consistency is associated with greater duration of penile-vaginal intercourse but not of foreplay. Journal of Sexual Medicine, 6, 135–141.CrossRefPubMedGoogle Scholar
  44. Weiss, P., & Brody, S. (2011). International Index of Erectile Function (IIEF) scores generated by men or female partners correlate equally well with own satisfaction (sexual, partnership, life, and mental health). Journal of Sexual Medicine, 8, 1404–1410.CrossRefPubMedGoogle Scholar
  45. Wetsman, A., & Marlowe, F. (1999). How universal are preferences for female waist-to-hip ratios? Evidence from the Hadza of Tanzania. Evolution and Human Behavior, 20, 219–228.CrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media New York 2012

Authors and Affiliations

  1. 1.School of Social SciencesUniversity of the West of ScotlandPaisleyUK
  2. 2.Institute of SexologyCharles UniversityPragueCzech Republic

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