Those in the highest quartiles of the PRAL and NEAP scores had 21% (HR: 1.21, 95% CI: 1.07–1.35, p for trend <0.0001) and 17% (HR: 1.17, 95% CI: 1.04–1.31, p for trend <0.0001) higher risks for hyperuricemia than those in the lowest quartiles, respectively. Here, PRAL is linked to hyperuricemia.