cousin_it comments on Why Real Men Wear Pink - Less Wrong
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High-heels can also work the calf muscles, over time contributing to an arguably more shapely leg.
If women wore them during exercise, rather than once a week when they're heading out to party.
I've seen women's magazine articles that advise walking around the house in heels to build up your muscles so you don't keel over in public. So yes, there may be an exercise component.