Normal Reference Range of the Urinary Calcium/Creatinine Ratio in Healthy Children
摘要
To establish age-specific normal reference range for urinary calcium-to-creatinine ratio (UCa/Cr) in healthy children aged 7–12 y from urban Kolhapur.
MethodsA total of 358 children was enrolled after obtaining ethical approval and parental consent. Second-morning, non-fasting urine samples were collected in a sterile, labelled container for analysing urinary calcium by the Cresolpthalein complexone spectrophotometric method and urinary creatinine by Modified Jaffe’s method.
ResultsThe mean urinary calcium-to-creatinine ratio across different age groups ranged from 0.12 ± 0.08 mg/mg at age 7 to 0.09 ± 0.02 mg/mg at age 12 y, with the highest value observed at age 8 (0.15 ± 0.05 mg/mg). The normal reference range for urinary calcium-to-creatinine ratio in this population was found to be 0.05 ± 0.192 mg/mg. These findings are consistent with previous studies showing a decline in urinary calcium-to-creatinine ratio with age, likely due to hormonal changes and increased calcium absorption during puberty.
ConclusionsEstablishing population-specific reference values is crucial for accurate diagnosis of hypercalciuria and related disorders in children. This study provides valuable data for clinical practice in the Kolhapur region, aiding in the early detection and management of calcium metabolism disorders in children.