Waist-to-Height Ratio Is a Better Predictor of Hyperuricemia than Body Mass Index and Waist Circumference in Chinese

<b><i>Objective:</i></b> Our study aimed to compare the predictive value of waist-to-height ratio (WHtR) for hyperuricemia with body mass index (BMI) and waist circumference (WC). <b><i>Methods:</i></b> This is a cross-sectional study of 9,206 South China residents (male/female: 4,433/4,773) aged 18–89 years recruited during years 2009–2010 and 2014–2015. Anthropometric measurements, serum uric acid, blood pressure, and plasma glucose, lipid, lipoprotein, and transferase levels were measured. Receiver operating characteristic (ROC) curve and logistic regression analyses were applied to evaluate the predictive values of anthropometric indices for hyperuricemia. <b><i>Results:</i></b> The prevalence of hyperuricemia increased significantly with higher quartiles of WHtR in both genders. The best cutoff points of WHtR to predict hyperuricemia are 0.52 for men and 0.49 for women and differed between different BMI and WC stratums. Although there was no significant difference between the area under the ROC curves, subjects in the top quartile of WHtR were at a highest risk of hyperuricemia (<i>p</i> for linear trend &#x3c;0.001) and the adjusted ORs of WHtR (2.24–2.77 in men and 2.66–4.95 in women) were higher than those of BMI or WC in the multivariable regression model. <b><i>Conclusions:</i></b> WHtR was an independent and better predictor of hyperuricemia compared with BMI and WC.