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In general, though, the greater the waist measurement, the higher the health risks. Standing or sitting for a long time or climbing stairs can make the pain worse. This means a waistline that measures at least 35 inches (89 centimeters) for women. · for women, a waist measurement of more than 35 inches (89 centimeters) signals an unhealthy amount of belly fat and a greater risk of health problems. Body mass index (bmi) uses weight and height to estimate body fat. Sacroiliitis can cause pain and stiffness in the buttocks or lower back, and the pain might go down one or both legs. · for men, a waist measurement of more than 40 inches (102 centimeters) signals an unhealthy amount of belly fat and a higher risk of health problems. A high bmi and large waist size may signal an increased risk of heart disease. These joints sit where the lower spine and pelvis meet. · diagnosis of metabolic syndrome is based on medical history, family medical history, a physical exam, and blood pressure and blood tests. The national institutes of health defines metabolic syndrome as having three or more of the following conditions or being on medicine to manage these conditions: · sacroiliitis (say-kroe-il-e-i-tis) is a painful condition that affects one or both sacroiliac joints.