Archives of Gynecology and Obstetrics

, Volume 290, Issue 1, pp 93–98 | Cite as

Apple consumption is related to better sexual quality of life in young women

  • Tommaso CaiEmail author
  • Mauro Gacci
  • Fulvio Mattivi
  • Nicola Mondaini
  • Serena Migno
  • Vieri Boddi
  • Paolo Gacci
  • Beatrice Detti
  • Paolo Gontero
  • Stefano Chiodini
  • Liliana Mereu
  • Saverio Tateo
  • Sandra Mazzoli
  • Gianni Malossini
  • Riccardo Bartoletti
General Gynecology



Even if some evidence exists of a positive correlation between regular intake of phytoestrogens, polyphenols, antioxidants and women’s sexual health, there is not a study addressing the potential correlation between daily apple consumption and women’s sexual function. We aim to assess whether there is a tie between daily apple intake and sexual function in a sample of healthy young sexually active Italian women, not complaining of any sexual disorders.

Materials and methods

Seven hundred and thirty-one women (mean age 31.9, range 18–43) were enrolled in this cross-sectional study (from September 2011 to April 2012). All participants completed anonymously the Female Sexual Function Index (FSFI) and were asked to report on their amount of daily apple consumption and their eating habits. On the basis of apple consumption all women were split into two groups: Group A––regular daily apple consumption, Group B––no regular apple consumption (<1 apple/day). The main outcome measure was the FSFI questionnaire result.


Three hundred and forty-three women reported a regular daily apple intake and were classified in Group A, while 388 were included in Group B. Group A had a significantly higher total (p = 0.001; Cohen’s d = 3.39) and lubrication domain (p = 0.001; Cohen’s d = 3.02) FSFI scores than participants in Group B. Multivariate analysis demonstrated that daily apple intake must be considered as an independent parameter (p = 0.002) in predicting a better score at questionnaire examination.


This study suggests a potential relationship between regular daily apple consumption and better sexuality in our young women population.


Apple Polyphenols Mediterranean diet Quality of life Female sexual function FSFI questionnaire 



We are grateful to all Santa Chiara Hospital, Careggi Hospital Urology Unit, Careggi Hospital Radiation Therapy, Santa Maria Annunziata Hospital Gynaecology and Obstetrics Unit members for their assistance and to Professor John Denton for manuscript language revision. Moreover, we would like to dedicate this work to the memory of Professor Frank Belloni.

Conflict of interest

The authors declare no conflict of interest.


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Copyright information

© Springer-Verlag Berlin Heidelberg 2014

Authors and Affiliations

  • Tommaso Cai
    • 1
    Email author
  • Mauro Gacci
    • 2
  • Fulvio Mattivi
    • 3
  • Nicola Mondaini
    • 4
  • Serena Migno
    • 5
  • Vieri Boddi
    • 6
  • Paolo Gacci
    • 7
  • Beatrice Detti
    • 8
  • Paolo Gontero
    • 9
  • Stefano Chiodini
    • 10
  • Liliana Mereu
    • 11
  • Saverio Tateo
    • 11
  • Sandra Mazzoli
    • 12
  • Gianni Malossini
    • 1
  • Riccardo Bartoletti
    • 4
  1. 1.Department of UrologySanta Chiara Regional HospitalTrentoItaly
  2. 2.Department of UrologyCareggi Hospital, University of FlorenceFlorenceItaly
  3. 3.Food Quality and Nutrition Department, Fondazione Edmund MachIASMA Research and Innovation CentreSan Michele all’AdigeItaly
  4. 4.Department of UrologySanta Maria Annunziata Hospital, University of FlorenceFlorenceItaly
  5. 5.Department of Gynaecology and ObstetricsUniversity of FlorenceFlorenceItaly
  6. 6.Department of Public HealthUniversity of FlorenceFlorenceItaly
  7. 7.Department of Gynaecology and ObstetricsSanta Maria Annunziata HospitalFlorenceItaly
  8. 8.Department of RadiotherapyCareggi HospitalFlorenceItaly
  9. 9.Department of UrologyUniversity of TurinTurinItaly
  10. 10.Department of UrologyUniversity of VeronaVeronaItaly
  11. 11.Department of Gynecology and ObstetricsSanta Chiara Regional HospitalTrentoItaly
  12. 12.Sexually Transmitted Disease CentreSanta Maria Annunziata HospitalFlorenceItaly

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