Prevalence and related factors of hyperuricaemia in Shanghai adult women of different ages: a multicentre and cross-sectional study

Abstract
Objective Women in different age phases have different metabolism and hormone levels that influence the production and excretion of uric acid. We aimed to investigate the prevalence and related factors of hyperuricaemia among women in various age phases. Study design Observational, cross-sectional study. Setting Data were obtained from women at three health check-up centres in Shanghai. Participants Adult women from three health check-up centres were recruited. Exclusion criteria were individuals with pregnancy, cancer, incomplete information. Finally, 11 601 participants were enrolled. Results The prevalence rates of hyperuricaemia of total subjects were 11.15% (95% CIs 10.57% to 11.72%). The prevalence of hyperuricaemia in 18–29, 30–39, 40–49, 50–59, 60–69 and ≥70 years old was 6.41% (95% CI 4.97% to 7.86%), 5.63% (4.71% to 6.55%), 6.02% (5.01%% to 7.03%), 11.51% (10.19% to 12.82%), 16.49% (15.03% to 17.95%) and 23.98% (21.56% to 26.40%), respectively. Compared with 18–29 years old, the ORs for hyperuricaemia in other age phases were 0.870 (95% CI 0.647 to 1.170, p=0.357), 0.935 (0.693 to 1.261, p=0.659), 1.898 (1.444 to 2.493, pConclusion After 50 years old, the prevalence of hyperuricaemia in Shanghai women has increased significantly and reaches the peak after 70. Obesity and dyslipidaemia are two main related factors for hyperuricaemia during all ages, while diabetes mellitus and nephrolithiasis have no relationship with hyperuricaemia throughout. CKD is an independent impact factor for hyperuricaemia after 30 years old.
Funding Information
  • Shanghai Scientific Committee of China (13PJ1406900, 20ZR1445800)
  • Branch Grant of National Key R&D Program of China (2018YFA0108802)
  • Key Program of Science Foundation of Jiangxi Province (2018ACB 20016)
  • National Nature Science Foundation of China (81200492, 81470991, 81500059, 81670623, 81670690, 81830021, 81970072, 82070700, 82070791)
  • Leading Medical Talent Project of Shanghai Pudong Heath Bureau (PWRI2019-05)
  • Key Discipline Construction Project of Pudong Health Bureau of Shanghai (PWZxk2017-05)