Objective: The aim of this study was to explore the latest prevalence of
hyperuricemia and influencing factors in Chinese rural population.Methods: A survey was conducted from July 2015 to September 2017. A total of 38,855 (15,371 men and 23,484 women) subjects were recruited from the Henan Rural Cohort Study.
Hyperuricemia was defined as a serum
urate level of >7.0 mg/dL for men and >6.0 mg/dL for women. A meta-analysis of 19 studies that focused on
hyperuricemia prevalence was performed to validate the result of the cross-sectional survey.Results: The crude and age-standardized prevalence of
hyperuricemia was 10.24% and 12.60%, respectively. The prevalence of
hyperuricemia decreased in men with increasing age, but the opposite trend was observed in women. The results of meta-analysis demonstrated that
hyperuricemia prevalence in Chinese rural areas was 11.7%, consistent with the result of current survey. Multivariate logistic regression revealed that
overweight or
obesity,
hypercholesterolemia,
hypertriglyceridemia,
hypoalphalipoproteinemia and high serum
creatinine level could increase the risk of
hyperuricemia, while high physical activity and fasting plasma
glucose were associated with a lower risk of
hyperuricemia in all participants.Conclusion: The latest prevalence of
hyperuricemia is high in rural China and is associated with multiple factors, indicating that prevention and control strategies for
hyperuricemia are needed urgently.