Are You a Female, Large and in Charge, and Looking for a Man...

...then travel to the Arab world. Apparently, rotundness is a very attractive quality over there.

NOUAKCHOTT, Mauritania -- Jidat Mint Ethmane grew up in a nomad family in this impoverished nation in the western Sahara. When she was 8, she says, her mother began to force-feed her. Ms. Ethmane says she was required to consume a gallon of milk in the morning, plus couscous. She ate milk and porridge for lunch. She was awoken at midnight and given several more pints of milk, followed by a pre-breakfast feeding at 6 a.m.

If she threw up, she says, her mother forced her to eat the vomit. Stretch marks appeared on her body and the skin on her upper arms and thighs tore under the pressure. If she balked at the feedings, her mother would squeeze her toes between two wooden sticks until the pain was unbearable. "I would devour as much as possible," says Ms. Ethmane. "I resembled a mattress."

Today, Ms. Ethmane, 38 years old, is slender because her family ran out of money to continue the force-feeding technique, known as gavage. The term stems from the French word for the process used to force-feed geese to make foie gras. Yet in a recent interview in her family's one-room house, Ms. Ethmane says she still believes in the practice. "Beauty is more important than health," she says. Her husband, Brahim, agrees: "It is thin women who are not healthy."

The belief that rotund women are more desirable as wives helps explain why much of the Arab world -- which stretches from the Persian Gulf in the east to Mauritania in North Africa -- is experiencing an explosion of obesity. About half of women in the Middle East are overweight or obese, according to the United Nations' World Health Organization. In some communities, many of which were nomadic until a few decades ago, oil wealth has dramatically improved living standards. The resulting urbanization has introduced some Western habits: high consumption of sugar, fat and processed foods and more sedentary lifestyles.

In Bahrain, 83% of women are obese or overweight, according to International Obesity Task Force, a London-based think tank that tries to persuade countries to tackle the problem. In the United Arab Emirates the figure is 74%; in Lebanon it is 75%, the groups says. By comparison, about 62% of American women are overweight or obese. The prevalence of childhood obesity in the Middle East has risen rapidly in recent years and diabetes is spreading across the region, according to WHO.