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CLINICAL BIOCHEMISTRY DEPARTMENT

AGE/SEX RELATED REFERENCE RANGES

Index

Alpha-1 Antitrypsin
Caeruloplasmin
Corrected Calcium
Creatinine
Creatinine Clearance (Female)
Creatinine Clearance (Male)
Free T4 / TSH
Immunoglobulins
IGF-1
IgG Subclasses
IgE
Phosphate
PSA
Transferrin Saturation
Urea


CREATININE

Age

Male

Female

*Up to 1 year

20 – 66

20 – 66

*1 to 3 years

24 – 70

24 – 70

*4 to 7 years

35 – 75

35 – 75

*8 to 14 years

44 – 90

44 – 90

*14 to 17 years

60 – 110

55 – 95

18 to 27 years

78 – 145

60 – 115

28 to 40 years

78 – 135

60 – 107

41 to 54 years

78 – 128

60 – 101

55 to 66 years

78 – 122

60 – 97

67 to 78 years

78 – 118

60 – 95

79 to 87 years

78 – 115

60 – 93

Over 87 years

78 – 113

60 – 91

  1. *Savory DJ. Reference ranges for serum creatinine in infants, children and adolescents. Ann Clin Chem 1990; 27: 99-101
  1. Calculated from MDRD eGFR formula adjusted for local creatinine results (June 2006)

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UREA

Age

Male

Female

*0 to 13 years

1.7 – 6.7

1.7 – 6.7

13 to 44 years

3.2 – 7.5

2.7 – 6.7

45 to 54 years

3.4 – 8.2

2.9 – 7.4

55 to 64 years

3.4 – 8.2

3.4 – 8.0

65 to 67 years

3.4 – 9.6

3.4 – 8.0

68 to 71 years

3.6 – 10.2

3.4 – 9.0

Over 71 years

3.7 – 12.1

3.2 – 10.0

  1. *Green A, Isherwood D. Reference Data excluding Neonates. In: Clayton BE, Round JM, ed. Clinical Biochemistry and the Sick Child. Oxford: Blackwell Scientific Publications, 1994: 540.
  2. Whitehead TP, Robinson D, Hale AC, Bailey AR. Clinical Chemistry and Haematology : Adult Reference Values. London: BUPA Medical Research and Development Ltd, 1994: 24-25. 

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CORRECTED CALCIUM

Age

Male / Female

0 to 1 month

2.25 – 2.78

1 to 3 months

2.25 – 2.75

3 to 6 months

2.25 – 2.72

6 to 12 months

2.25 – 2.68

1 to 2 years

2.20 – 2.65

2 to 3 years

2.20 – 2.62

3 to 5 years

2.20 – 2.60

5 to 9 years

2.20 – 2.58

9 to 50 years

2.20 – 2.55

Over 50 years - Male

2.20 - 2.60

Over 50 years - Female

2.20 - 2.64

1. Paediatric Chemical Pathology. Clayton BE, Jenkins, Round JM. 1980
2. Adult reference range: In-house data on 2,007 GP/OP with normal ALP, renal function and albumin (March 2001)

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PHOSPHATE

Age

Male / Female

0 to 1 month

1.80 – 3.20

1 to 12 months

1.40 – 2.10

1 to 14 years

1.20 – 1.70

14 to 18 years

1.00 – 1.60

Over 18 years

0.80 – 1.45

1. Clinical Chemistry: metabolic and clinical aspects. Marshall W.J, Bangert S.K. 1995

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TSH

Age

Male / Female

*Up to 2 weeks

0.4 – 20.0

*2 weeks to 6 weeks

0.4 – 10.0

Over 6 weeks

0.4 – 5.0

  1. *Fisher DA. Management of congenital hypothyroidism. J Clin Endocrin Metab 1991; 72: 523-529
  2. Roche Elecsys method insert.

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Free T4

Age

Male / Female

*Up to 6 weeks

12.0 – 30.0

Over 6 weeks

12.0 – 23.0

  1. *Fisher DA. Management of congenital hypothyroidism. J Clin Endocrin Metab 1991; 72: 523-529
  2. Roche Elecsys method insert. 

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TRANSFERRIN (SATURATION)

Transferrin 2.0 - 3.5 g/L

Transferrin Saturation 15 - 50 %

Levels above 50% are referred for haemochromatosis genetic analysis (if sample available) or comment requesting sample for genetic analysis.

  1. Sherwood RA, Pippard MJ, Peters TJ. Iron homeostasis and the assessment of iron status. Ann Clin Biochem 1998; 35: 693-708.

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PROSTATIC SPECIFIC ANTIGEN

Age

Male

Up to 50 years

0.1 – 2.5

50 - 59 years

0.1 - 3.5

60 - 69 years

0.1 - 4.5

70 - 79 years

0.1 - 6.5

Over 79 years

0.1 - 7.5

  1. Handbook of Clinical Immunochemistry (SAS Protein Reference Units) 1999; 312

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CALCULATED CREATININE CLEARANCE (MALE)

Age

Male

Less than 30 years

75 - 154

30 to 35 years

71 - 146

36 to 40 years

68 - 139

41 to 45 years

65 - 132

46 to 50 years

60 - 125

51 to 55 years

54 - 118

56 to 60 years

47 - 109

61 to 65 years

41 - 100

66 to 70 years

36 - 87

Over 70 years

32 - 75

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CALCULATED CREATININE CLEARANCE (FEMALE)

Age

Female

Less than 30 years

60 - 146

30 to 35 years

56 - 133

36 to 40 years

54 - 129

41 to 45 years

52 - 126

46 to 50 years

49 - 120

51 to 55 years

45 - 114

56 to 60 years

42 - 104

61 to 65 years

38 - 94

66 to 70 years

34 - 83

Over 70 years

30 - 72

 

  1. Nutrition and Health: an interuniversity study. Regional differences in dietary habits, coronary risk factors and mortality rates in Belgium. Acta Cardiol 1984; 39: 285-92.
  2. Cockcroft DW, Gault MH. Prediction of creatinine clearance from serum creatinine. Nephron 1976; 16: 31-41.

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ALPHA-1 ANTITRYPSIN

Age

Male / Female (g/L)

Birth

0.9 – 2.2

6 months

0.8 - 1.8

1 year

1.1 - 2.0

5 years

1.1 - 2.2

10 years

1.4 - 2.3

15 years

1.2 - 2.0

Adult

1.1 - 2.1

  1. Handbook of Clinical Immunochemistry (SAS Protein Reference Units) 1999; 304 

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IMMUNOGLOBULINS

Age

IgG g/L

IgA g/L

IgM g/L

Up to 2 weeks

5.0 - 17.0

0.01 - 0.15

0.02 - 0.20

2 to 6 weeks

4.0 - 13.0

0.01 - 0.15

0.10 - 0.40

6 to 12 weeks

2.1 - 7.7

0.05 - 0.40

0.10 - 1.00

3 - 6 months

2.5 - 9.0

0.10 - 0.70

0.10 - 1.00

6 - 9 months

2.5 - 9.0

0.10 - 0.70

0.40 - 1.60

9 - 12 months

3.0 - 10.9

0.10 - 0.70

0.50 - 2.00

1 - 2 years

3.1 - 13.8

0.30 - 1.30

0.50 - 2.00

2 - 3 years

4.0 - 16.0

0.30 - 1.30

0.50 - 2.00

3 - 6 years

4.0 - 16.0

0.40 - 2.00

0.50 - 2.00

6 - 9 years

5.4 - 16.5

0.50 - 2.50

0.50 - 2.00

9 - 45 years

5.4 - 16.5

0.70 - 3.00

0.50 - 2.00

Over 45 years

5.4 - 16.5

0.70 - 4.00

0.50 - 2.00

  1. Handbook of Clinical Immunochemistry (SAS Protein Reference Units) 1999; 310

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 IMMUNOGLOBULIN G SUBCLASSES

Age

IgG1 g/L

IgG2 g/L

IgG3 g/L

IgG4 g/L

Up to 6 months

1.5 - 3.0

0.3 - 0.5

0.1 - 0.6

0.01 - 0.10

6 to 24 months

2.3 - 5.8

0.3 - 2.9

0.1 - 0.8

0.01 - 0.50

2 to 5 years

2.3 - 6.4

0.7 - 4.5

0.1 - 1.1

0.01 - 0.80

5 to 10 years

3.6 - 7.3

1.4 - 4.5

0.3 - 1.1

0.01 - 1.00

10 to 15 years

3.8 - 7.7

1.3 - 4.6

0.2 - 1.2

0.01 - 1.10

Over 15 years

3.2 - 10.2

1.2 - 6.6

0.2 - 1.9

0.01 - 1.30

  1. Handbook of Clinical Immunochemistry (SAS Protein Reference Units) 1999; 310 top


IMMUNOGLOBULIN E

Age

Male / Female (kU/L)

Less than 1 month

Less than 5

1 - 3 months

Less than 11

3 -12 month

Less than 29

1- 5 years

Less than 52

5 - 10 years

Less than 63

10 -15 years

Less than 75

Over 15 years

Less than 81

  1. Handbook of Clinical Immunochemistry (SAS Protein Reference Units) 1999; 311

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CAERULOPLASMIN

Age

Male / Female (g/L)

Less than 4 months

0.08 - 0.23

4 - 12 months

0.12 - 0.35

1 - 10 years

0.20 - 0.40

10 - 13 years

0.15 - 0.23

Adult

0.20 - 0.60

  1. Handbook of Clinical Immunochemistry (SAS Protein Reference Units) 1999; 307

IGF-1

Age

Male/Female (ng/ml)

Median

Up to 3 years

<40 - 100

 
4 to 6 years

<40 - 175

 
7 to 9 years

42 - 210

 
10 to 12 years

50 - 280

 
13 to 15 years

70 - 420

 
16 to 19 years

60 - 420

 
20 - 29 years

125 - 329

195

30 to 39 years

120 - 330

189

40 to 49 years

126 - 369

220

50 - 59 years

108 - 263

166

Over 59 years

108 - 229

151

  1. Clinical Biochemistry, St. Bartholomew's Hospital, London
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Last edited 07/08/08