What Causes High Uric Acid Levels?

May 19, 2022 Source: Cainiu Health
Dr. Liu Aihua
Introduction
Elevated uric acid levels are primarily caused by disordered purine metabolism in the body. Common contributing factors include: 1. Recent excessive intake of purine-rich foods, leading to increased endogenous purine levels and consequently elevated serum uric acid. Examples of such foods include mushrooms, beer, animal offal, and fried foods. 2. In addition to dietary intake, uric acid is also synthesized endogenously in the body and subsequently excreted via the intestines and kidneys.

Serum uric acid levels exceeding the normal reference range do not necessarily indicate hyperuricemia, as uric acid concentrations vary significantly with sex and age. In adult women, the normal serum uric acid level is below 360 μmol/L, whereas in adult men, it should not exceed 420 μmol/L. So, what causes elevated uric acid levels?

What Causes Elevated Uric Acid Levels?

Elevated uric acid levels are most commonly due to disturbances in purine metabolism. Common contributing factors include: (1) recent excessive dietary intake of purine-rich foods—such as mushrooms, beer, organ meats (e.g., liver and kidneys), and fried foods—which increases endogenous uric acid production; and (2) although uric acid is also synthesized endogenously, it is normally excreted via the intestines and kidneys. Under physiological conditions, the amount of uric acid produced daily equals the amount excreted. However, if intestinal or renal dysfunction—due to disease—impairs uric acid excretion, serum uric acid levels may rise.

In a small proportion of individuals, reduced uric acid excretion results from genetic factors. In others, certain medications may elevate uric acid levels; such cases warrant prompt medical evaluation and appropriate diagnostic testing.

Persistently elevated serum uric acid poses significant health risks. Chronic hyperuricemia may lead to gouty arthritis and uric acid nephropathy. Moreover, elevated uric acid adversely affects cardiovascular and cerebrovascular health and may impair glucose metabolism. We hope this information is helpful to you!


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