Strenuous exercise usually leads to a compensatory increase in blood uric acid as well as a decrease in excretion, thus causing an increase in blood uric acid levels, and it is not recommended that people with hyperuricemia exercise strenuously. People with high blood uric acid can exercise moderately, but it is not recommended to exercise strenuously. On the one hand, a short period of strenuous muscle exercise leads to excessive oxidative stress, resulting in rapid compensatory increase in blood uric acid, and even cause excessive uric acid production caused by gout. On the other hand, strenuous exercise leads to an increase in body oxygen consumption, increased sweating, renal blood flow, blood volume reduction, resulting in increased uric acid reabsorption, uric acid excretion is further reduced, the blood uric acid level is further elevated. It is recommended that people with hyperuricemia choose moderate intensity aerobic exercise. Patients with high blood uric acid are advised to go to the rheumatology and immunology departments of regular hospitals for detailed consultation and follow the doctor’s instructions for reasonable exercise.