Information about a laboratory test

ALP in Children: How Is It Interpreted?

ALP can be physiologically higher in children because of growth and bone formation, so an age-appropriate pediatric reference interval is needed.

Test summary

Test name
ALP
Abbreviations
ALP, ALKP
Category
Hepatology / Bone & Cholestatic Enzymes
Panel
Liver Function Panel / Bone Metabolism
Specimen
Serum / plasma
Common units
U/L, µkat/L

What does the test measure?

Measures alkaline phosphatase enzyme activity in blood; major clinical sources include liver/bile ducts and bone.

Why is the test ordered?

Used to assess hepatobiliary and bone-related conditions, often together with GGT and other tests.

Information about a low result

Low ALP is less common and may be associated with nutritional, mineral or other conditions; it is not diagnostic by itself.

Information about a high result

High ALP may be hepatobiliary or bone-related. Physiologic elevations can also occur during growth in children and in pregnancy.

Reference and clinical context

Start with the performing laboratory's reference interval, unit and specimen conditions. Numeric information on this page is stored as sourced example intervals or clinical thresholds.

Reference range 1

>= 20 – <= 130 U/L

Population
Adults
Age range
18
Specimen
Serum / plasma

Example adult ALP reference interval

The source presents these values as a common example reference interval. Laboratory method, age and clinical context can change the range; the user's own report takes priority.

Reference ranges may vary by laboratory, method used, age, sex, pregnancy status, and clinical context. The reference range on your own laboratory report takes precedence.

Interpretation notes

GGT, other liver tests and sometimes ALP isoenzymes help identify the likely source. Age and pregnancy can change interpretation.

Related specialties

  • Gastroenterology
  • Internal Medicine
  • Pediatrics
  • Endocrinology

Frequently asked questions

Sources

  1. Liver Function Tests — U.S. National Library of Medicine (MedlinePlus)

    Government medical reference · 2026 · Liver panel components, purposes, pattern-based interpretation and limitations · Verified: Aug 12, 2026

  2. Comprehensive Metabolic Panel — U.S. National Library of Medicine (MedlinePlus)

    Government medical reference · 2026 · Example adult intervals for ALT, AST, ALP, albumin, bilirubin, total protein, BUN, creatinine and electrolytes · Verified: Aug 12, 2026

  3. Gamma-glutamyl Transferase (GGT) Test — U.S. National Library of Medicine (MedlinePlus)

    Government medical reference · 2026 · GGT purpose and interpretation with ALP and other liver tests · Verified: Aug 12, 2026

  4. ALP - Blood Test — U.S. National Library of Medicine (MedlinePlus)

    Government medical reference · 2026 · ALP tissue sources, adult example interval and bone/liver interpretation · Verified: Aug 12, 2026