Gout & crystal arthritis

Longitudinal Changes in Serum Urate Levels From Premenopause Through Postmenopause: Interrupted Time‐Series Analyses

Arthritis RheumatolPublished Longitudinal cohort study

Main finding · Mean SU levelResult — go to the resultDifference 0.41 mg/dL 95% CI 0.38–0.43

Authors' conclusion

SU levels rapidly increase during perimenopause and are already elevated by the time of menopause.

Study context

Population
Japanese women with annual medical examinations, April 2004 to September 2024, with at least one visit before and after self-reported menopause
Participants
8,169 women93,511 visits
Exposure
Postmenopause and perimenopause vs premenopause
Outcome
Longitudinal changes in serum urate (SU) and hyperuricemia (SU ≥6.8 mg/dL or taking medications for gout or HU)
Methodological detailsinterrupted time-series analyses, stratified subgroups
  • Interrupted time-series analyses
  • Stratified subgroups

Main finding

Mean SU level

Difference

0.41 mg/dL

95% CI 0.38–0.43

Postmenopausevs Premenopause
difference 0.41 mg/dL (95% CI 0.38–0.43)

As reported in the abstract

Observational data: associations, not effects.

Further findings

OutcomePremenopausePostmenopause
HU prevalence<1.0%4% to 5%

Association of low eGFR (<60 mL/min per 1.73 m²) and high BMI (≥25) with hyperuricemia (HU) (subgroups)

HU in overweight or obese women at menopause
≈18%
Associations greater in postmenopause than premenopause

Original publication

Longitudinal Changes in Serum Urate Levels From Premenopause Through Postmenopause: Interrupted Time‐Series Analyses. Arthritis Rheumatol. Published 25 January 2026. doi:10.1002/art.43406

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