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What is Normal GFR by Age and Gender?
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.
GFR in European studies using different equations
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:
Larger bodies generally have larger kidneys
Larger kidneys filter more fluid
Note. GFR also varies depending on which equation is used to calculate it – confusingly, there are several.
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
For each decade there is an average GFR; but that is an average within a normal range – e.g. for a 70y old, the average is a GFR of 79 ml/min. But 56 and 92 can also be normal.
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.
Kidney Function Loss (GFR decrease): Age 20 to 80
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.