Skip to main content
Log in

The prevalence of gout in mainland China from 2000 to 2016: a systematic review and meta-analysis

  • Original Article
  • Published:
Journal of Public Health Aims and scope Submit manuscript

Abstract

Background

The prevalence of gout varied in different populations and it appeared to be increasing in the past decades. Gout is a serious health issue and is an independent risk factor for heart failure and metabolic. Therefore, we have used the method of meta-analysis to systematically evaluate the prevalence of gout in mainland China and have provided relevantly informative data for gout prevention and control.

Methods

Relevant articles from 2000 to 2016 October were identified by searching four electronic databases: PubMed, Chinese WanFang, CNKI, and Chongqing VIP. All of the calculations were performed using the MetaAnalyst beta 3.13 and R3.3 software.

Results

In all, 30 eligible articles (1 in English and 29 in Chinese) were included with a total sample size of 146,081. The pooled prevalence of gout was 1.1% (95% CI: 0.8%, 1.5%). Subgroup analysis showed the following results: 1.7 and 0.5% for male and female; 1.3 and 1.0% for inland and coast, respectively; 1.4, 1.0 and 0.7% for urban, city and rural areas; 1.0 and 1.6% for community and hospital; 1.2, 1.7, and 0.8% for eastern, central and western region; 1.0, 1.1 and 1.3% for 2000–2005, 2006–2009 and 2010–2016, respectively.

Conclusion

The prevalence of gout in mainland China is an ascendant trend that differs according to sex and region.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2
Fig. 3
Fig. 4

Similar content being viewed by others

References

  • Chen X-Y, Yang H-d, Yang J-Y (2009) Prevalence of hyperuricemia and gout among urban residents in Dali, Yunnan. China Prac Med 4:257–259

  • China Center for Disease Control and Prevention (2016) Nutritional status and alcohol intake. In: Health N, Family Planning Commission of the People’s Republic of China (eds) Report on Chinese Nutrition and Chronic Disease (2015), 1st edn. People’s Medical Publishing House, Beijing, pp 11–60

    Google Scholar 

  • Choi HK, Atkinson K, Karlson EW, Willett W, Curhan G (2014) Purine-rich food, dairy and protein intake, and the risk of gout in men. N Engl J Med 350:1093–1103

    Article  Google Scholar 

  • Cui S-F, Wang X-D, Tian Z-l, Wei H-C, Tian X-J, Yin Y-S (2014) Epidemiological study on hyperuricemia and gout in community of Yu county in Hebei Province. Chin J Hemorh 24:501–515

    Google Scholar 

  • Fang W-G, Huang X-M, Wang Y, Chen W, Zhu W-g, Chen J-l, Zeng X-J (2006) Epidemiological investigation of gout in some people in Beijing area. Basic Med Clin 26:781–985

    Google Scholar 

  • Guang B-S, Bai X, Xu H, Zhou X-J, YI X-L, Wang Y-Q, Qiu H-B (2013) Quantitative analysis of gout and hyperuricemia in recent 10 years. Heilongjiang Med Pharma 36:51–53

    Google Scholar 

  • Guo R-S, Li X-Y, Li Y-X, Zou Y-Y (2011) Epidemiological investigation of gout in Harbin area. Chin J Disability 19:117

  • Harris CM, Lloyd DC, Lewis J (1995) The prevalence and prophylaxis of gout in England. J Clin Epidemiol 48:1153–1158

    Article  CAS  PubMed  Google Scholar 

  • Hu Y-Y, Yimamu M, Ayipaxia A (2011) Epidemiological survey of hyperuricemia and gout in Uygur population of Xinjiang. J Chin Pract Diagnosis Therapy 25:876–881

    Google Scholar 

  • Huang J-T, Zhou B-H, Chen S-S, Dong J-B (2013) A cross-sectional study on gout and hyperuricemia in community population. Zhejiang Preventive Med J 25:8–10

    Google Scholar 

  • Li R, Sun J, Ren L-M, Wang H-Y, Liu W-H, Zhang X-W, Chen S, Mu R, He J, Zhao Y, Long L, Liu Y-Y, Liu X, Lu X-L, Li Y-H, Wang S-Y, Pan S-S, Li C, Wang H-Y, Li Z-G (2012) Epidemiology of eight common rheumatic diseases in China: a large-scale cross-sectional survey in Beijing. Rheumatology (Oxford) 51:721–729 https://www.ncbi.nlm.nih.gov/pubmed/?term=Epidemiology+rheumatic+diseases+China. Accessed 20 October 2016

  • Liu R, Han C, Wu D, Xia X, Gu J, Guan H, Shan Z, Teng W (2015) Prevalence of hyperuricemia and gout in Mainland China from 2000 to 2014: a systematic review and meta-analysis. Biomed Res Int 1–12. https://www.ncbi.nlm.nih.gov/pubmed/?term=Prevalence+Gout+China.+Biomed+Res+Int. Accessed 20 October 2016

  • Liu X-Q, Wang X-P, Guan L-Q, Zhe H-X, He H-R, Zhang X (2016) Prevalence and associated risk factors of hyperuricemia and gout in Han, Uygur, Kazak, Xibe of Xinjiang Ili Kazak autonomous prefecture. Chin J Gen Practice 14:1186–1192

    Google Scholar 

  • Mao Y-S, Zhou L-N, Ye H-Y, Huang T, Chen C-X, Du J, Hong Z-L, Hu R-M (2006) Epidemiological survey on prevalences of hyperuricemia and gout in staff of a petrochemical corporation in Ningbo. Chin J Endocrinol Metab 22:338–341

    Google Scholar 

  • Miao Z-M, Zhao S-H, Wang Y-G, Li C-G, Wang Z-C, Chen Y, Chen X-Y, Yan S-L (2006) Epidemiological survey of hyperuricemia and gout in coastal areas of Shangdong province. Chin J Endocrinol Metab 22:421–425

  • Nuki G, Simkin PA (2006) A concise history of gout and hyperuricemia and their treatment. Arthritis Res Ther 8:1–5

    Article  Google Scholar 

  • Pan P-X (2008) Epidemiological investigation of gout in Shenzhen area. Chin J Misdiagn 8:7807–7808

    Google Scholar 

  • Shao J-H, Mo B-Q, Yu R-B, Li Z, Liu H, Xu Y-C (2003) Epidemiological study on hyperuricemia and gout in community of Nanjing. Chin J Dis Control Prev 7:305–308

    Google Scholar 

  • Song W, Liu J-D, Chen Z-X, Huo Y, Lin A-H, Jiang Y-L (2014) Hyperuricemia and gout: a prevalence survey among over-40-year old community residents in Nanchang District. Chin Gen Practice J 17:181–184

    Google Scholar 

  • Wallace SL, Robinson H, Masi AT, Decker JL, McCarty DJ, Yü TF (1977) Preliminary criteria for the classification of the acute arthritis of primary gout. Arthritis Rheum 20:895–900

    Article  CAS  PubMed  Google Scholar 

  • Wang K, Fu Z-J, Li C-G, Liu S-G, Miao Z-M, Yan S-L, Wang Y-G, Meng D-M, Han L (2010) Survey of hyperuricemia and gout in two villages of Fushan township of Zhaoyuan in Shandong province. Acta Academiae Medicinae Qingdao Universitatis 46:380–383

    Google Scholar 

  • Wang M, Jiang X, Wu W, Zhang D (2013) A meta-analysis of alcohol consumption and the risk of gout. Clin Rheumatol 32:1641–1648

    Article  PubMed  Google Scholar 

  • Wang Q-W, Chen R, Du L-C, Zeng Q-X (2001) An epidemiological and clinical study of primary gout. Chin J Intern Med 40:313–315

    CAS  Google Scholar 

  • Wu L-J, Song X-Y, Ku E-B, Shi Y-M, Huang C-B, Huang J, Liu A-H, Mikelayi, Teng Y-F, Gu L-N, Meng X-Y, Shan X-J, Mu Y-S, Yuan A-P, Zhang L (2012) Epidemiological study on hyperuricemia and gout in Uygur population in Turpan area Xinjiang. J Peking University (Health Sciences) 44:250–253

    CAS  Google Scholar 

  • Wu W-R, Guo J-M, Yang W, Luo H-B (2007) Investigation on the prevalence of gout and hyperuricemia in 1482 people of physical examination in Guangzhou City. Hainan Med J 18:110–112

    Google Scholar 

  • Wu W-R, Guo J-M, Yang W, Zhong Z-G, Liu Y-H, Luo H-B (2008) Investigation on prevalence of gout and hyperuricemia in community of Guangzhou City. Gen Practice Chin Med 6:728–729

    Google Scholar 

  • Yan S-L, Zhao S-H, Li C-G, Wang Y-G, Wang P, Wang Z-C, Wang F, Chen Y, Wang F, Miao Z-M (2011) A five years follow up study on patients with gout and hyperuricemia. Chin J Endocrinol Metab 27:548–551

    CAS  Google Scholar 

  • Yang J (2006) The study and redivision of China’s economic regionalization. Commercial Times 32:44–46

    Google Scholar 

  • Yang L-H, Song J, Shi L, LV X-M, Amina, Yang S-L, Basangpichi, Meng S-Y (2015) Epidemiological survey on hyperuricemia and gout among urban population of Lhasa. Med J West China 27:1476–1478

    Google Scholar 

  • Yao Z-L, Jiang S-J, Liu H, Wan X-Q, Ding Z-G (2007) Epidemiological study on hyperuricemia and gout in the coastal area of Qingdao city. Chin J Rheumato 11:672–675

    Google Scholar 

  • Yu J-W, Yang T-G, Diao W-X, Cai X-Q, Li T, Zhong H, Hu D-L, Chen C-Q, Chen Z-X (2010) An epidemiological survey of hyperuricemia and gout among residents in Foshan, Guangdong Province. Chin J Epidemiol 31:860–862

    CAS  Google Scholar 

  • Yuan S, Li X-M, Ma Y-T, Ma X, Huang Y, Fu Z-Y, Xie X, Liu F, Wang L, Pan S (2011) Epidemiological survey of hyperuricemia and gout in Xinjiang adult population. Chin J Endocrinol Metab 27:570–572

    CAS  Google Scholar 

  • Zai F-Y, He Y-N, Ma G-S, Li Y-P, Wang Z-H, Hu Y-S, Zhao L-Y, Cui Z-H, Li Y, Yang X-G (2005) The current situation and trend of food consumption of urban and rural residents in China. Chin J Epidemiol 26:485–488

    Google Scholar 

  • Zeng X-G, Chen B, Zeng F, Hou C-Z, He Q, Huang L, Wu J-W, Chen Q-Q (2008) Epidemiological survey of common rheumatic in Guangxi Nanning Zhuang population. J Practical Med 24:1432–1434

    Google Scholar 

  • Zeng X-G (2005) Epidemiological investigation of hyperuricemia and gout in Nanning railway workers. Heilongjiang Med Pharma 29:876–877

    Google Scholar 

  • Zhang L-Z, Zhou Y-X (2010) Epidemiological survey of gout and hyperuricemia among young people in the community of Tangshan City. J Shandong University (Medical Science edn.) 48:163–164

    Google Scholar 

  • Zhang P, Zhang L, Wang C-H, Wei S-P, Qiao Q-Z (2014) Prevalence of hyperuricemia and gout among people over 30 years old in Xingtai mountainous area. Practical Preventive Med 21:1010–1012

    CAS  Google Scholar 

  • Zhang X-S, Yu W-G, Yu L-X, Zhang L-Y, Yu Y (2006) An epidemiologic study on hyperuricaemia and gout in residents of coastal areas of Haiyang City in Shandong. Chin J Gen Pract 5:216–219

    Google Scholar 

  • Zhao F-H (2016) Epidemiological investigation and analysis of gout in Xiping County. Health Mag 10:25

    Google Scholar 

  • Zhou J-M, Yang J, Dong J-L, Zhang Y, Tian L, Gu Y (2011) Epidemiological survey of hyperuricemia and gout in northern Sichuan Qiang people. Contemp Med 17:12–14

    Google Scholar 

  • Zhou K, Xia M (2015) An epidemiological survey of hyperuricemia and gout in the residents of Hong Kong. Int J Lab Med 36:707–709

    Google Scholar 

  • Zhu Y, Pandya BJ, Choi HK (2011) Prevalence of gout and hyperuricemia in the US general population: the National Health and nutrition examination survey 2007–2008. Arthritis Rheum 63:3136–3141

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Feng Sun.

Ethics declarations

Funding

This study was not funded

Conflict of interests

The authors declare that there is no conflict of interests regarding the publication of this paper.

Ethical approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Informed consent

Informed consent was not obtained from all individual participants included in the study, because it is secondary source.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Chen, Y., Tang, Z., Huang, Z. et al. The prevalence of gout in mainland China from 2000 to 2016: a systematic review and meta-analysis. J Public Health 25, 521–529 (2017). https://doi.org/10.1007/s10389-017-0812-5

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10389-017-0812-5

Keywords

Navigation