10 Essential Travel Tips for CKD Patients
10 Essential Travel Tips for CKD Patients Living with Chronic Kidney Disease (CKD) or having a kidney transplant shouldn’t stop you from exploring the world. Most people can travel safely with t...

Medically Reviewed by Dr. Andrew Stein MD, Consultant Nephrologist (Hospital Kidney Specialist). Last updated: June 2026
Or, more specifically, what is an average GFR in a European Population, according to recent research studies?
Short answer = about 100 (80-110) ml/min.
We will now describe the longer answer (as GFR depends on which equation is used, age, gender and other factors).
[“How did we know you were going to say that?” Ed]
In a 2025 study over 1.5m healthy Europeans were studied by Astley, 2025 in this meta-analysis: ‘Age- and sex-specific reference values of estimated glomerular filtration rate (eGFR) for European adults’.
The study showed that eGFR decreased with age in healthy individuals; and these eGFR reference values (below) can help determine abnormal and normal kidney function across the age range.
Of 2,572,020 individuals, 1,535,253 (60%) were considered healthy (and included in the data), of which 45% were men.
| Study (Country) | Participants | Avg. Age | EKFC | Lund-Malmö | CKD-EPI (’09) | CKD-EPI (’21) |
| SCREAM (Sweden) | 1,101,694 | 41 | 96 | 89 | 102 | 104 |
| UK Biobank (UK) | 221,978 | 54 | 89 | 84 | 93 | 96 |
| Iceland CKD (Iceland) | 155,185 | 41 | 92 | 86 | 98 | 101 |
| Lifelines (Netherlands) | 40,557 | 39 | 95 | 88 | 100 | 103 |
| HUNT (Norway) | 9,491 | 44 | 98 | 92 | 103 | 106 |
| Tromsø (Norway) | 4,415 | 52 | 89 | 83 | 91 | 95 |
| SHIP (Germany) | 987 | 43 | 92 | 86 | 96 | 99 |
| INCIPE (Italy) | 808 | 56 | 87 | 82 | 90 | 94 |
| BIS (Germany) | 138 | 78 | 66 | 64 | 73 | 78 |
| TOTAL (Average) | 1,535,253 | 43 | 94 | 88 | 100 | 103 |
Most Conservative: The Revised Lund-Malmö formula consistently produces the lowest (most conservative) eGFR values across all studies.
Highest Estimates: The CKD-EPI (2021) formula consistently yields the highest kidney function scores.
The Age Gap: Note the BIS Study (the oldest group, avg. 78): while their scores are the lowest across all formulas, the gap between Lund-Malmö and CKD-EPI 2021 is quite wide, showing how different formulas can significantly change a clinical diagnosis in elderly patients.
Middle Ground: The EKFC formula typically sits in the middle, often mirroring the trends seen in the CKD-EPI formulas but with slightly lower results.
So, according to this data, in an adult European popualtion, normal (average) GFR, adjusted for body surface area, is approximately:
~100 ml/min/1.73 m²
This is an average, not a fixed value. And the average (in this meta-analysis) varies – according to age and gender – from 80 to 110 ml/min (see below). And each of those averages has a normal range of 10-20 ml/min above and below the average.
GFR is mathematically corrected to body surface area because:
Note. GFR also varies depending on which equation is used to calculate it – confusingly, there are several.
This data also from the Astley paper.
| Sex | Age | 5th (Low) | 50th (Median) | 95th (High) |
| Men | 20 | 78 | 107 | 122 |
| 30 | 81 | 109 | 125 | |
| 40 | 80 | 108 | 123 | |
| 50 | 72 | 98 | 112 | |
| 60 | 66 | 89 | 102 | |
| 70 | 58 | 81 | 94 | |
| 80 | 49 | 74 | 88 | |
| 90 | 39 | 67 | 82 | |
| 100 | 29 | 61 | 78 | |
| Women | 20 | 81 | 109 | 125 |
| 30 | 82 | 110 | 126 | |
| 40 | 81 | 108 | 124 | |
| 50 | 72 | 97 | 111 | |
| 60 | 65 | 88 | 101 | |
| 70 | 56 | 79 | 92 | |
| 80 | 46 | 71 | 85 | |
| 90 | 35 | 63 | 78 | |
| 100 | 25 | 56 | 74 |
This table shows 5th percentile (lower end) GFR, 50th percentile (the median/typical value), and 95th percentile (high end) for both men and women across the lifespan.
Observations from the Data
The “Peak” Years: For both men and women, kidney function remains remarkably stable and hits its peak between the ages of 25 and 35.
The Turning Point: A noticeable decline begins after age 40. Between ages 40 and 60, the median eGFR drops by roughly 1 point per year.
Gender Differences: Women actually start with slightly higher values in their 20s and 30s, but as they age into their 80s and 90s, their median eGFR tends to drop slightly faster/lower than men’s.
Normal vs. Low: By age 80, a “median” healthy person has an eGFR in the 70s, but the 5th percentile (the bottom of the “healthy” range) drops into the 40s.
This data is also from the Astley paper.
| Group | Age 20 | Age 40 | Age 60 | Age 80 | Total % Loss (20–80) |
| Men | 107 | 108 | 89 | 74 | 30.8% |
| Women | 109 | 108 | 88 | 71 | 34.9% |
Decade-by-Decade Analysis
By looking at these markers, we can see exactly when the decline accelerates:
Age 20 to 40 (The Plateau): There is virtually no decline. Kidney function remains stable at peak levels (around 108) for the first two decades of adulthood.
Age 40 to 60 (The Start of Decline): This is the most significant period of change. Both men and women lose approximately 19–20 units of eGFR during these twenty years (roughly 1 unit per year).
Age 60 to 80 (Steady Decline): The decline continues at a slightly slower pace, dropping another 15–17 units.
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