Home About us Editorial board Search Browse articles Submit article Instructions Contacts Login 
Users Online: 12396
Home Print this page Email this page


Previous article Browse articles Next article 
J Edu Health Promot 2018,  7:57

An investigation of the relationship between physical fitness, self-concept, and sexual functioning

Department of Health and Human Performance, Health Professions Division, College of Health Care Sciences, Nova Southeastern University, FL 33314, USA

Date of Submission23-Oct-2017
Date of Acceptance19-Dec-2017
Date of Web Publication03-May-2018

Correspondence Address:
Lia M Jiannine
Department of Health and Human Performance, Health Professions Division, College of Health Care Sciences, Nova Southeastern University, 3301 College Ave., Ft. Lauderdale, FL 33314
Login to access the Email id

Source of Support: None, Conflict of Interest: None

DOI: 10.4103/jehp.jehp_157_17

Rights and Permissions

Background: Obesity and inactivity have led to an increasing number of individuals with sexual dysfunctions (43% of women; 31% of men). Small bouts of exercise can drastically improve sexual functioning. Thus, the present study is designed to examine the effects of physical fitness and self-concept on sexual functioning.
Materials and Methods: Fitness assessments and questionnaires were administered to 133 participants between the ages of 18 and 50 years. Physical fitness was assessed through body composition, cardiovascular endurance, muscular strength, and muscular endurance. Self-concept was presented as a total self-concept score and as six individual concepts of self. Sexual function was presented as both an aggregate score and five separate constructs of sexual functioning – fantasy/cognition, arousal, orgasm, behavior/experience, and drive/desire.
Results: The results indicated that sexual behavior/experience was predicted by body fat percentage. In men, fantasy was related to total self-concept; sexual behavior/experience was related to likeability. In women, arousal was predicted by cardiovascular endurance. Total self-concept was related to both orgasm and sex drive/desire. Power and muscular strength were significantly related to number of sexual partners in women but not men.
Conclusions: The present study adds to the growing body of evidence indicating a positive relationship between physical fitness and sexual health. Individuals with sexual dysfunctions, particularly women, who are not persuaded by the currently publicized benefits of physical activity, may be inclined to exercise to improve sexual functioning.

Keywords: Exercise, physical fitness, self-concept, sexual behavior, sexual functioning

How to cite this article:
Jiannine LM. An investigation of the relationship between physical fitness, self-concept, and sexual functioning. J Edu Health Promot 2018;7:57

How to cite this URL:
Jiannine LM. An investigation of the relationship between physical fitness, self-concept, and sexual functioning. J Edu Health Promot [serial online] 2018 [cited 2023 Sep 26];7:57. Available from: https://www.jehp.net//text.asp?2018/7/1/57/231775

  Introduction Top

Sex is an essential part of human existence and plays a vital role in sustaining and improving quality of life. Sexual health impacts both emotional and physical health, and a satisfying sex life can play a crucial role in intimate relationships.[1]

Sexual dysfunctions are adversely affecting an increasing number of individuals due to the lowered rates of physical activity and the rise of obesity.[2] Men with a high body mass index (BMI) had a 30% higher risk for erectile dysfunction than those with a healthy BMI. Half of obese men reported difficulty with sexual performance, while over 40% reported problems with sexual desire. Similarly, 40% of obese women reported that they did not enjoy sexual activity.[3]

In addition to the physiological impacts, Weaver and Byers [4] also found an association between body mass, a negative body image, and the avoidance of sexual situations. An overweight or obese person is more likely to report a negative perception in appearance suggesting relationships between body fat percentage, sexual function, and self-concept.

The present study aims to compare the relationship between physical fitness, self-concept, and sexual functioning. This is significant in that the information about the association between the variables may be an important link in the development of interventions that challenge negative self-concept and promote positive sexual health. In addition, previous studies only compared physical fitness to a unidimensional conceptualization of self-esteem thereby missing possible more nuanced understandings of self-esteem's multidimensional links for physical fitness.[1],[5] The present study also extended the previous research by investigating six different facets of self-concept – likability, morality, task accomplishment, giftedness, power, and vulnerability and its association with sexual functioning. Further, prior research was limited to examining sexual function through just sexual behavior and experience, most notably through frequency and sexual satisfaction,[5] but this research also investigated cognition/fantasy, arousal, behavior and experience, orgasm, and drive/desire as additional well-researched operationalizations of sexual functioning.[1]

With regard to exercise, past research has also tended to focus solely on self-reported exercise.[1],[4],[6] Yet, there is an intrinsic concern regarding the legitimacy of self-report measures, which are exacerbated when examining physical activity because of possible social desirability effects; therefore, individuals may overestimate their true level of activity.[7] Consequently, the researcher measured health-related physical fitness/exercise (muscular strength, muscular endurance, cardiovascular endurance, and body composition) by direct observation to address this concern.

Earlier studies [4],[7] have analyzed the relationship between sex drive and BMI. BMI is often used as a measure of physical fitness because it is inexpensive, convenient, and minimally intrusive; however, it does not account for the differentiation of muscle and fat mass. Therefore, BMI is an inaccurate measurement of obesity.[8] Skinfold analysis was used in place of BMI analysis for more accurate results.

The purpose of this research was 3-fold; first, to examine the hypothesized relationship between physical fitness and sexual functioning; second, to analyze the hypothesized relationship between self-concept and sexual functioning; and third, to examine the hypothesized relationship between physical fitness, self-concept, and number of sexual partners.

  Materials and Methods Top

A total of 148 participants volunteered for this study. The objectives of the study were explained and informed consent was obtained. Approval was granted by the Institutional Review Board (IRB), and procedures were followed in accordance with the ethical standards of the IRB. Participants were assigned numbers, and all information was anonymous. Fifteen individuals were disqualified (10.14%) for antidepressants, sexual inactivity, or failure to complete physical fitness testing. Participants ranged in age from 18 to 50 years. Ninety-one (68.4%) participants were women and 42 (31.6%) were men. The majority of participants were heterosexual (n = 116, 87.2%), followed by bisexual (n = 10, 7.5%) and homosexual (n = 7, 5.3%).

Anthropometric measurements consisted of height, weight, and body fat percentage. Body composition was assessed through a three-site skinfold analysis. Handgrip dynamometer measured muscular strength, and the push-up test and plank tests assessed muscular endurance. Oxygen uptake (VO2 max) was assessed through the Rockport fitness submaximal test.

Participants filled out two well-studied and validated scales. The first was the six-factor self-concept scale, 36-item multidimensional measure of self-concept which assess and individual's perceived likability, morality, task accomplishment, giftedness, power and vulnerability.[9] The second survey was adapted from the Derogatis Interview for Sexual Functioning,[10] which contains 26 questions and are arranged into five domains: sexual cognition/fantasy, sexual arousal, sexual behavior and experience, orgasm, and sexual drive. Sexual function was measured as both one aggregate score and as the five separate constructs of sexual functioning. Questions pertaining to sexual partners were also included.

  Results Top

Men and women were separated in the analysis because men traditionally have been shown to have greater physical fitness and report higher levels of sexual functioning.[11] There were significant differences in physical fitness scores. Men had less body fat, more muscular strength, more muscular endurance, and greater cardiovascular strength. Women were more flexible.

Results of the general linear model showed statistically significant differences in sexual function between men and women. Men and women reported significantly different answers in almost all aspects of sexual functioning. In the ANOVA analyses, men reported significantly higher rates of sexual cognition/fantasy (F = 6.65, P = 0.01), arousal (F = 15.03, P < 0.001), behavior/experience (F = 4.93, P = 0.030), orgasm (F = 15.54, P < 0.001), and total sexual functioning (F = 15.41, P < 0.001). However, there were no significant differences in drive/desire between men and women. There were no statistically significant differences in the self-concept scores of men and women, except for the category of vulnerability.

When examining the link between physical fitness and sexual functioning through regression analysis, behavior/experience was predicted by percent body fat (β =0.52, T = 2.04, P = 0.05). When women were isolated in the analysis, arousal was predicted by VO2(β =0.28, t = 2.28, P = 0.03).

In the examination of the link between self-concept and sexual functioning through regression analysis, total self-concept was linked positively to fantasy (F = 6.07, P = 0.02) for men and was a predictor of orgasm (F = 8.02, P = 0.01) and drive/desire (F = 5.23, P = 0.02) for women.

When examining through regression analysis, only men using the separate dimensions of self-likability positively predicted sexual behavior and experience (β =0.79, t = 2.94, P = 0.01), and task accomplishment was inversely predicted sexual behavior and experience (β = −0.70, t = −2.94, P = 0.01). In the investigation of only women, giftedness positively predicted cognition/fantasy (β =0.61, t = 2.92, P = 0.004), arousal (β =0.27, t = 2.09, P = 0.04), orgasm (β =0.22, t = 2.00, P = 0.05), and total sexual functioning (β =1.51, t = 3.19, P = 0.01). In addition, task accomplishment also negatively predicted arousal (β = −0.34, t = − 2.35, P = 0.02); vulnerability negatively predicted drive and desire (β = −0.11, T = −2.13, P = 0.04).

No aspect of physical fitness was related to the number of sexual partners in men. However, handgrip (β =0.37, t = 2.73, P = 0.01) and power (β =0.27, t = 3.29, P = 0.009) were significant predictors of the number of sexual partners.

  Discussion Top

Although improvements in cardiovascular functioning can help alleviate male dysfunction, the results of this study indicate that it may also be beneficial for women. This is crucially important because hypoactive sexual desire disorder affects 32% of women.[12] Thus, improving cardiovascular function in women may increase pleasure, arousal, and orgasm in women who once believed that their sexual dysfunctions were incurable or only treatable with hormonal supplements.

Prior research indicates that an increased physical activity in men is associated with enhanced testosterone levels and thus an increased sexual desire and behavior.[13] However, this present study did not show a link between cardiovascular endurance, muscular endurance and/or muscular strength, and male sexual functioning scores. It is important to note that the majority of participants who volunteered for the study were physically fit and there was not a large variation in physical fitness levels between individuals. If the sample had included individuals with low levels of physical fitness and higher levels of sexual dysfunction, the results may have differed.

Sexual behavior/experience was positively related to likability and inversely related to task accomplishment in men. Natural selection and biology may have played a role as to why likability is the only positive predictor of sexual behavior/experience of men. It is also possible that an increased number of sexual experiences and the pursuit of these experiences deterred men from accomplishing tasks. However, when women were analyzed individually, arousal was the only deterrent to task accomplishment, indicating that sexual urges and arousing thoughts might be more distracting than sexual experiences in women. Vulnerability was inversely related to drive/desire for women. Since self-concept plays such a large role in sexual drives,[4] a woman who feels weak or defenseless might not desire sexual activity. Giftedness was related to cognition/fantasy, arousal, orgasm, and total sexual functioning. Further research is needed to examine if women who identify themselves as gifted are more likely to have better sexual cognition/fantasy, arousal, orgasm and total sexual functioning, and/or if women rate themselves as better in each of the sexual categories are more inclined to identify themselves as gifted.

Consistent with a literature review conducted by Baumeister et al.,[11] men desired more sexual companions. The present study found that men had approximately three more sexual partners than women. It has been posited that the discrepancy in the sexual partners is due to sexual strategies [14] resulting from the biological requirements of mating.[15] Although these inherent differences may be rooted in evolutionary history, a divergence of gender-related societal pressures may also be a cause.

Although some men may be motivated to exercise so as to increase their desirability, none of the physical fitness aspects in men were related to the number of sexual partners. This was contrary to common belief because exercise stimulates testosterone,[16] a libido-dependent hormone, that affects sex drive, sexual interest, and sexual function.[1] When men were isolated in the analysis, there were no relationships found between testosterone-producing activities (cardiovascular endurance, muscular endurance, and muscular strength) and sexual functioning. To accurately predict the role of testosterone-producing activities in sexual functioning and sexual partners, future research needs to measure testosterone levels of men and women who have a wide range of physical fitness scores and varying levels of body fat percentage.

In women, the number of sexual partners was significantly related to both muscular strength and power as a construct of self. It is possible that the strong relationship between muscular strength and number of partners is rooted in unconventional ideals of how women should respond sexually. Women who focus on increasing muscular strength may be less concerned about society's ideals of femininity and thus their perceived promiscuity. It is possible that women who have more physical strength are more assertive and thus are more inclined to initiate sexual situations.

In the past, most studies only compared physical fitness to self-esteem and evaluated sexual function through sexual behavior and experience, most notably through frequency and sexual satisfaction.[5] This research also examined cognition/fantasy, arousal, behavior and experience, orgasm, and drive/desire. In past research, self-esteem was not measured as a multidimensional construct.[1],[5] The present study differed by investigating six different dimensions of self-concept – likability, morality, task accomplishment, giftedness, power, and vulnerability. Examining the relationship of the five components of physical fitness and the six constructs of self-concept to each of the five sexual components provided a more detailed analysis of the relationship between physical fitness, self-concept, and sexual function.

This study utilized more precise body composition measurements than previous literature. Body fat percentage was used instead of BMI, which does not account for the differentiation of muscle and fat mass.[8]

Previous studies focused solely on self-reported exercise.[1],[4],[6] There is an intrinsic concern regarding the legitimacy of self-report measures. These self-reported biases are exacerbated when examining physical activity because perceptions of intensity and duration are often based in prior exercise experience and current health status.[17]

Prior studies demonstrated a positive relationship between physical activity and sexual function, particularly arousal, in subpopulations of men.[18],[19] The present study provides evidence that there may be a similar relationship in women. Women who want to improve their sexual arousal may also benefit from cardiovascular training. In addition, a reduction in body fat may improve sexual behavior and experience for both men and women.

The present study may add to the emerging evidence that enhanced physical fitness is related to improvements in self-concept and sexual satisfaction. This may encourage sedentary individuals with sexual dysfunctions who were not motivated by any other factor to begin physical activity and begin a weight loss regime. Furthermore, improvements in sexual satisfaction and sexual functioning may improve overall quality of life.

  Conclusions Top

The present study adds to the growing body of evidence indicating a positive relationship between physical fitness and sexual health. Individuals with sexual dysfunctions, particularly women, who were not persuaded by the currently publicized benefits of physical activity, may be inclined to exercise to improve their sexual functioning.

Women who have greater amounts of muscular strength and define themselves as powerful are more likely to have a greater number of sexual partners, which may be a result of the following:

  • Women who define themselves as intrinsically powerful may be more inclined to lift weights (possibly increasing testosterone levels) and thus enlist sexual partners
  • Muscular training and/or testosterone levels may cause women to define themselves as powerful and thus become more aggressive when recruiting sexual partners
  • A lowered allegiance to gender-based norms is the origin of the cycle. Nonconformist women, who are less constrained by feminine ideals, might be more likely to lift weights and thus more inclined to solicit sex partners.

Limitations and recommendations for future research

Generalizability was a significant limitation. This study is not generalizable across all ethnic backgrounds because 41% of participants were of Hispanic descent, so future research should be designed to have more proportional representation of different ethnic groups. In addition, because far more heterosexuals participated in the research study, future research should also be representative of a homosexual, bisexual, or transgender populations.

Self-selection bias may have played a role because individuals who do not consider themselves physically fit may avoid participating in study that requires physical fitness testing.

Moreover, research indicates that those willing to participate in sex research may hold less traditional values about sex, may be more sexually experienced, and may report a higher sexual self-esteem.[20] Future research could be designed to examine random samples to help combat issues with perceptions of physical fitness and sexual values, experience, and self-esteem. Future research could also to examine the testosterone levels of individuals with a variety of fitness levels to better determine the role of testosterone in sexual functioning for both physically active and inactive individuals.


The author is thankful to the recreation center of Florida International University and to Christina Ustiak who helped to successfully conduct the study.


Financial support and sponsorship


Conflicts of interest

There are no conflicts of interest.

  References Top

Penhollow TM, Young MY. Predictors of sexual satisfaction: The role of body image and fitness. Electron J Hum Sex 2008; 11. Available from: http://www.ejhs.org/volume11/Penhollow.htm. Last Accessed 16-1-2018  Back to cited text no. 1
Holden CA, McLachlan RI, Pitts M, Cumming R, Wittert G, Ehsani JP, et al. Determinants of male reproductive health disorders: The Men in Australia Telephone Survey (MATeS). BMC Public Health 2010;10:96.  Back to cited text no. 2
Kolotkin RL, Binks M, Crosby RD, Østbye T, Gress RE, Adams TD, et al. Obesity and sexual quality of life. Obesity (Silver Spring) 2006;14:472-9.  Back to cited text no. 3
Weaver AD, Byers SE. The relationships among body image, body mass index, exercise and sexual functioning in heterosexual women. Psychol Women Q 2006;30:333-9.  Back to cited text no. 4
McAuley E, Elavsky S, Motl RW, Konopack JF, Hu L, Marquez DX, et al. Physical activity, self-efficacy, and self-esteem: Longitudinal relationships in older adults. J Gerontol B Psychol Sci Soc Sci 2005;60:P268-75.  Back to cited text no. 5
Holmes T, Chamberlin P, Young M. Relations of exercise to body image and sexual desirability among a sample of university students. Psychol Rep 1994;74:920-2.  Back to cited text no. 6
Walczak MK, Lokhandwala N, Hodge MB, Guay AT. Prevalence of cardiovascular risk factors in erectile dysfunction. J Gend Specif Med 2002;5:19-24.  Back to cited text no. 7
Ward KK, Shah NR, Saenz CC, McHale MT, Alvarez EA, Plaxe SC, et al. Cardiovascular disease is the leading cause of death among endometrial cancer patients. Gynecol Oncol 2012;126:176-9.  Back to cited text no. 8
Stake JE. Development and validation of the six-factor self-concept scale for adults. Educ Psychol Meas1994;54:56-72.  Back to cited text no. 9
Derogatis LR. Derogatis Interview for Sexual Functioning (DISF/DISF-SR): Preliminary Scoring, Procedures and Administration Manual. Baltimore, MD: Clinical Psychometric Research; 1996.  Back to cited text no. 10
Baumeister R, Catanese K, Vohs K. Is there a gender difference in strength of sex drive? Theoretical views, conceptual distinction and a review of relevant evidence. Soc Psychol Rev 2001;5:242-73.  Back to cited text no. 11
Stahl SM, Briley M. Understanding pain in depression. Hum Psychopharm Clin 2004;19:9-13.  Back to cited text no. 12
Krucoff C, Krucoff M. Peak Performance. Am Fit 2003;26:32-6.  Back to cited text no. 13
Buss DM, Schmitt DP. Sexual strategies theory: An evolutionary perspective on human mating. Psychol Rev 1993;100:204-32.  Back to cited text no. 14
Conley TD, Moors AC, Matsick JL, Zieger A, Valentine, B. Women, men and the bedroom: Methodological and conceptual insights that narrow, reframe and eliminate gender differences in sexuality. Curr Dir Psychol Sci 2011;20:296-300.  Back to cited text no. 15
Rohr UD. The impact of testosterone imbalance on depression and women's health. Maturitas 2002;41:25-46.  Back to cited text no. 16
Troiano RP, Berrigan D, Dodd KW, Mâsse LC, Tilert T, McDowell M, et al. Physical activity in the United States measured by accelerometer. Med Sci Sports Exerc 2008;40:181-8.  Back to cited text no. 17
Esposito K, Giugliano F, Di Palo C, Giugliano G, Marfella R, D'Andrea F, et al. Effect of lifestyle changes on erectile dysfunction in obese men: A randomized controlled trial. JAMA 2004;291:2978-84.  Back to cited text no. 18
Goh V, Tong T. The association of exercise with sleep, sex steroids, sexual activities and aging in Asian men. J Men Heath 2009;6:317-24.  Back to cited text no. 19
Wiederman MW. Women's body image self-consciousness during physical intimacy with a partner. J Sex Res 2000;37:60-8.  Back to cited text no. 20

This article has been cited by
1 Association between pre-surgical weight status and urinary and sexual function in prostate cancer patients treated by radical prostatectomy: a prospective cohort study
Lin Yang, Andrew Harper, Kellie R. Imm, Robert L. Grubb, Eric H. Kim, Graham A. Colditz, Kathleen Y. Wolin, Adam S. Kibel, Siobhan Sutcliffe
Urology. 2023;
[Pubmed] | [DOI]
2 The Impact of Mode of Birth, and Episiotomy, on Postpartum Sexual Function in the Medium- and Longer-Term: An Integrative Systematic Review
Anne-Marie Fanshawe, Ank De Jonge, Nicole Ginter, Lea Takács, Hannah G. Dahlen, Morris A. Swertz, Lilian L. Peters
International Journal of Environmental Research and Public Health. 2023; 20(7): 5252
[Pubmed] | [DOI]
3 The relationship between sociosexual orientation, muscle performance and disgust sensitivity: a preliminary correlational study
Giulia IZZO, Roberta PUJIA, Maria Grazia VACCARO, Francesca GRECO, Antonio AVERSA, Sandro LA VIGNERA, Marco Tullio LIUZZA, Gian Piero EMERENZIANI
Minerva Endocrinology. 2022; 47(2)
[Pubmed] | [DOI]
4 The Ethics of Medical Sexual Health Education and Its Provision
Elisabeth Gordon
Current Sexual Health Reports. 2022;
[Pubmed] | [DOI]
5 Perceived barriers of expression of sexual desires among older adults: a qualitative study
Mina Hashemiparast, Bahar Naderi, Vijay Kumar Chattu, Hamid Allahverdipour
Sexual and Relationship Therapy. 2022; : 1
[Pubmed] | [DOI]
6 Romantic Partner Engagement in Muscle-Strengthening Physical Activity: A Qualitative Study
Magdalena Karakehayova, Olga Smoliak, Robin Milhausen
The Family Journal. 2022; : 1066480722
[Pubmed] | [DOI]
7 Distinct Protocols of Physical Exercise May Improve Different Aspects of Well-being in Women With Polycystic Ovary Syndrome
Gislaine Satyko Kogure, Lúcia Alves da Silva Lara, Victor Barbosa Ribeiro, Iris Palma Lopes, Maria Célia Mendes, Sérgio Kodato, Rui Alberto Ferriani, Cristiana Libardi Miranda Furtado, Rosana Maria dos Reis
American Journal of Lifestyle Medicine. 2021; : 1559827621
[Pubmed] | [DOI]
8 An investigation into the relationship between self-perception and sexual development in children attending preschool education
Fatih Aydogdu,Figen Gürsoy,Neriman Aral
European Early Childhood Education Research Journal. 2021; : 1
[Pubmed] | [DOI]
9 The 4-month effect of Vitex agnus-castus plant on sexual function of women of reproductive age: A clinical trial
SeyedehFatemeh Dalil Heirati,Giti Ozgoli,Roya KabodMehri,Faraz Mojab,Shamim Sahranavard,Malihe Nasiri
Journal of Education and Health Promotion. 2021; 10(1): 294
[Pubmed] | [DOI]
10 Self-esteem, self-efficacy, self-concept and intimate image diffusion among deaf adolescents: A structural equation model analysis
Olufemi Timothy Adigun
Heliyon. 2020; 6(8): e04742
[Pubmed] | [DOI]
11 Sexual dream and family relationships in frequent sexual dreamers and healthy volunteers
Xu Shao,Chu Wang,Yanli Jia,Wei Wang
Medicine. 2020; 99(36): e21981
[Pubmed] | [DOI]


Previous article  Next article
Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
Access Statistics
Email Alert *
Add to My List *
* Registration required (free)

  In this article
Materials and Me...

 Article Access Statistics
    PDF Downloaded592    
    Comments [Add]    
    Cited by others 11    

Recommend this journal