Objective To explore the correlation between the level of serum uric acid（SUA） and the content of intraabdominal fat and other clinical indexes in the middle-aged and elderly women.Methods A total of 256 middle-aged and elderly women were selected for physical examination

lab and ultrasound examinations to obtain parameters such as age

height

body weight

waist circumference

hip circumference

blood biochemical indicators and left perirenal fat sac area.According to the presence or absence of SUA levels（>360 μmol/L）

they were divided into HUA group and non-HUA group

and the differences of the above parameters were compared between the two groups.Binary Logistic regression was used to analyze the independent risk factors of hyperuricemia.Results There were 24 cases in the HUA group and 323 cases in the non-HUA group.There were statistically significant differences in triglyceride

left peripheral renal fat sac area and systolic blood pressure between the two groups（all P<0.05）

there was no difference between the other parameters.Binary Logistic regression analysis showed that the occurrence of hyperuricemia was independently related to hip circumference

triglyceride

serum creatinine level

and area of left perirenal fat sac（OR=1.078

2.079

1.104

1.384

all P<0.05）.Conclusion The increase of hip circumference

left perirenal fat sac area

triglyceride and serum creatinine levels may be independent risk factors for hyperuricemia in middle-aged and elderly women.