Vitamin B12 and folate. Pediatric reference ranges.

Abstract

Pediatric reference ranges were obtained for vitamin B12 and folate (Quantaphase radioimmunoassay, BioRad, Hercules, Calif) using a large hospital population. Data were analyzed employing the Hoffman approach, which was computer adapted. For folic acid, the range for subjects aged 1 to 12 years averaged 5.7 to 31.3 nmol/L for female subjects and 4.5 to 27.0 nmol/L for male subjects. There was a significant decrease in folic acid concentrations after 13 years, the upper limit being 16.5 nmol/L in female subjects and 19.9 nmol/L in male subjects. For vitamin B12, the values in the 0- to 1-year age group were nearly double those in the 13- to 18-year age group. For female subjects, the values in the 0- to 1-year age group were 168 to 1116 pmol/L and in male subjects were 216 to 891 pmol/L. At 13 to 18 years, for female subjects the values were 158 to 637 pmol/L and for male subjects, 134 to 605 pmol/L.