There is a relationship between high uric acid and obesity. Many patients with hyperuricemia also have a combination of other metabolic syndromes, including obesity, hyperglycemia, hyperlipidemia, and hypertension. It is mainly related to the genetic inheritance of the patient and has family characteristics. High uric acid is not solely caused by dietary factors, but genetic factors account for the majority of cases. Many patients with high uric acid also have obesity, so weight control can reduce uric acid levels. Patients also need to keep their blood pressure, blood sugar and lipids within normal limits. There are many causes of high uric acid, and patients can control their uric acid levels through lifestyle interventions and dietary modifications. When uric acid levels do not return to normal after non-pharmacological interventions as described above, uric acid-lowering medication is required.