Urinary calcium explained

Urinary calcium is calcium in the urine. It is termed -calcuria or -calciuria as a suffix.

Normal amount

In a urinalysis, the normal amount of urinary calcium can be measured in amount per time (commonly per 24 hours). It can also be measured in amount per mass of creatinine, which avails for estimating the urinary calcium excretion in a spot urine sample, because urinary creatinine clearance is relatively unaffected by differences in free water clearance which occurs, for example, in dehydration and which would distort the interpretation of the urinary calcium in a spot urine sample.

Normally, in an average adult, the amount of calcium excreted in the urine is 100–250 mg over a 24-hour period.[1] For those on low-calcium diets, there is normally 50–150 mg/24 hours, while those on a calcium-free diet will have 5–40 mg/24 hours.[1]

The following reference ranges are for persons with average calcium intake (600–800 mg/day for adults):

Individual Lower limit Upper limit Unit
Females 20[2] 275 mg calcium / 24 hours
Males 25 300
Age 0–12 months 2,100 mg calcium / g creatinine
Age 13–24 months 450
Age 25 months-5 years 350
Age 6–10 years 300
Age 11–18 years 260
Age > or =19 years 220

Disorders

An abnormally high amount of urinary calcium is called hypercalciuria and an abnormally low amount is called hypocalciuria.

Notes and References

  1. http://www.medscape.com/viewarticle/732914 medscape.com > Urine Calcium: Laboratory Measurement and Clinical Utility
  2. http://www.mayomedicallaboratories.com/test-catalog/Clinical+and+Interpretive/89777 Mayo Medical Laboratories > Unit Code 89777: Calcium/Creatinine, 24 Hour, Urine