About 15 years ago I watched a TV magazine (20/20 or 60 minutes or...) segment on this topic. Young men in college were talking about their increasing struggles with dating because there weren’t many women who were attractive according to the media view (extremely slender, excellent complexion, full mane of hair, body in elegant proportion). They seemed to see past and through the women attending classes with them who were too ordinary to matter.
One very handsome young man perceptively said “I don’t know how it happened but somehow it seems like, to be pretty, a woman has to be skinny. If she’s not skinny, I’m not attracted to her...” He said he knew and enjoyed many of his female classmates but basically wasn’t attracted to them and he kind of wondered how the girls felt about that. And so these men felt that competition for ‘interesting’ women was overwhelming because there were so very few women who made the grade.
The women, when interviewed, were of mixed opinion. Some were resigned to it and hoped to have a fuller dating life upon graduation (i.e., more fish in the sea) and some reported being invisible. Some girls talked about walking down the hall and hearing congregated groups of men assign numeric ratings to their backsides, busts etc. and how terrible it was to hear daily ratings telling them how far they were from being attractive (i.e., per the cosmetic promise of the media).
You don't have to be skeletal, but you do have to have the rest, otherwise you're dating a pig and perpetuating their inferior genetic traits, or worse, rewarding the slovenly behavior that caused them to be so unhealthy.