An increase of 1 SD in the PRAL was associated with a 2% (HR per SD: 1.02, 95% CI: 1.00–1.03) increase in the incidence of hyperuricemia; however, no significant increase was observed with an increase of 1 SD in the NEAP score (HR per SD: 1.12, 95% CI: 0.96–1.31) after controlling for the covariates. The gene discussed is PRAL; the disease is hyperuricemia.