代谢综合征(MS)是多种代谢危险因素在同一个体中簇集的状态。在众多病因中,肥胖尤其是中心性肥胖与MS的关系尤为密切。MS的诊断标准在不断演变,各标准的组分项目、各组分的次序编排以及各组分切点的选取有着较大的差别。在这种演变中,肥胖这一指标的变化较大,其地位显著提高,在最新的全球统一定义中更是诊断MS的关键。由此可见,中心性肥胖是MS发生、发展的关键环节。 Metabolic syndrome (MS) is a condition in which many metabolic risk factors are clustered in the same individual. Among many causes, obesity, especially central obesity, is particularly close to MS. MS diagnostic criteria are evolving, the standard components of the project, the order of each component arrangement and the point of choice of each component is quite different. In this evolution, the indicator of obesity has changed considerably and its status has risen markedly. It is even more crucial to diagnose MS in the latest global definition of unity. Thus, central obesity is the key to the occurrence and development of MS.