Table 2.
Age- and gender-specific reference intervals for 8 liver function tests in healthy children aged 2–14 years (n = 1394)
| Analytes | Age group (y) | Sex group | No. of samples | Lower limit | Upper limit | Confidence interval for lower limit | Confidence interval for upper limit |
|---|---|---|---|---|---|---|---|
| ALT (U/L) | 2 | F + M | 196 | 8 | 24 | 7–9 | 22–26 |
| 3 to < 6 | F + M | 663 | 7 | 23 | 6–7 | 21–24 | |
| 7 to < 10 | F + M | 275 | 4 | 19 | 3–4 | 16–22 | |
| 11 to < 14 | F | 113 | 5 | 25 | 4–6 | 15–33 | |
| M | 147 | 5 | 35 | 4–6 | 31–37 | ||
| AST (U/L) | 2 | F + M | 196 | 27 | 49 | 25–29 | 45–53 |
| 3 to < 5 | F + M | 560 | 22 | 44 | 20–24 | 42–45 | |
| 6 | F + M | 103 | 18 | 40 | 16–21 | 38–42 | |
| 7 to < 12 | F | 192 | 11 | 35 | 10–12 | 31–38 | |
| M | 202 | 13 | 39 | 10–16 | 33–42 | ||
| 13 to < 14 | F | 59 | 14 | 26 | 13–15 | 18–28 | |
| M | 82 | 13 | 36 | 13–15 | 26–40 | ||
| GGT (U/L) | 2 to < 4 | F + M | 603 | 8 | 16 | 7–8 | 15–17 |
| 5 to < 10 | F + M | 530 | 8 | 21 | 7–9 | 19–22 | |
| 11 to < 14 | F | 113 | 8 | 29 | 7–9 | 17–41 | |
| M | 147 | 10 | 43 | 9–11 | 35–51 | ||
| ALP (U/L) | 2 to < 3 | F + M | 452 | 160 | 376 | 153–169 | 355–390 |
| 4 to < 9 | F + M | 587 | 143 | 362 | 134–153 | 354–370 | |
| 10 to < 12 | F + M | 213 | 116 | 426 | 99–136 | 354–471 | |
| 13 to < 14 | F | 56 | 48 | 232 | 42–58 | 149–243 | |
| M | 85 | 111 | 486 | 92–148 | 338–512 | ||
| TP (g/L) | 2 to < 3 | F + M | 452 | 59.5 | 74.4 | 59.1–60.1 | 72.9–75.3 |
| 4 to < 6 | F + M | 407 | 59.2 | 76.4 | 57.2–61.2 | 75.6–77.3 | |
| 7 to < 10 | F + M | 275 | 62.5 | 78.2 | 59.1–64.1 | 76.2–80.2 | |
| 11 to < 14 | F + M | 260 | 63.6 | 79.2 | 61.5–66.1 | 77.4–80.8 | |
| ALB (g/L) | 2 to < 10 | F + M | 1134 | 40.0 | 52.3 | 39.7–40.5 | 51.9–52.7 |
| 11 to < 14 | F + M | 260 | 41.3 | 53.1 | 39.3–43.5 | 52.5–53.5 | |
| TBIL (µmol/L) | 2 to < 3 | F + M | 451 | 3.0 | 13.0 | 2.8–3.2 | 11.9–13.7 |
| 4 to < 7 | F + M | 481 | 3.4 | 14.8 | 3.2–3.8 | 13.9–15.7 | |
| 8 to < 14 | F + M | 455 | 4.5 | 16.6 | 4.0–5.0 | 15.6–17.6 | |
| DBIL (µmol/L) | 2 to < 3 | F + M | 451 | 0.9 | 3.3 | 0.8–1.0 | 3.1–3.5 |
| 4 to < 7 | F + M | 481 | 1.1 | 3.8 | 1.0–1.2 | 3.5–3.9 | |
| 8 to < 12 | F + M | 316 | 1.6 | 4.5 | 1.5–1.8 | 4.1–4.9 | |
| 13 to < 14 | F + M | 139 | 1.2 | 5.3 | 0.8–1.6 | 4.8–5.9 |
ALT alanine aminotransferase, AST aspartate aminotransferase, GGT γ-glutamyltransferase, ALP alkaline phosphatase, TP total protein, ALB albumin, TBIL total bilirubin, DBIL direct bilirubin, M male, F female