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24-hour urine protein

The total protein excreted in urine over 24 hours — a measure of kidney filter damage and of treatment effect.

Other names: 24-hour proteinuria, total urine protein Section: Urine tests
In shortThe 24-hour urine protein quantifies daily protein loss. Normal is below 100 mg per day. It grades the severity of kidney disease and tracks treatment; accuracy depends on collecting the full 24-hour volume.

Reference ranges

GroupReference range
Total protein — typical range (international reference, not a national standard)< 100 mg/day
Value from the MedlinePlus Medical Encyclopedia (international reference, not a national standard). Many laboratories quote up to 150 mg/day — the report's reference applies.

Check your value

Enter the number from your lab report — see how it compares with the typical range. Mind the units shown in the chosen row.

A rough comparison with a typical range, not a diagnosis. Reference ranges vary between laboratories — check the range on your own report and let a clinician interpret the result.

What this marker is

Healthy kidneys lose only trace protein. Persistent loss above normal indicates damage to the kidney filter; the amount correlates with severity and prognosis.

Collection starts after discarding the first morning urine and includes every void for the next 24 hours, ending with a final morning void; missed portions invalidate the result.

When it is high

Glomerular diseaseNephrotic-range losses occur in glomerulonephritis and diabetic nephropathy.
PreeclampsiaIn pregnancy, rising proteinuria with hypertension is a warning sign.
Orthostatic proteinuriaBenign upright-related loss in young people, confirmed by split day/night collections.

When it is low

Expected findingMinimal daily protein loss is normal.

What can skew the result

These factors can shift the value without any disease — worth considering before a retest:

Completeness of the 24-hour collectionExercise and feverProlonged standing

How to prepare

A full 24-hour collection in the provided container, kept cool; the first morning urine is discarded, the last is included.

When a retest makes sense

If collection completeness is doubtful, the collection is repeated; otherwise on the nephrologist's schedule.

Who usually reviews this result

A result outside the reference range is usually reviewed by: your GP or primary care doctor; a nephrologist for persistent proteinuria. Bring your lab report and any previous results to the appointment.

Names used on lab reports

Your report may use any of these names:
24-hour urine proteinTotal urine protein24-hour proteinuria

Units

Measured in: mg/day

Several markers on your report?

See how MedProtect explains results in the app: the whole report, a check of the recognized values, and a clear breakdown.

Frequently asked questions

Can a spot urine replace the 24-hour collection?
The protein-creatinine ratio on a spot sample correlates well and is often used; the 24-hour collection remains the reference when precision matters.
What if I missed one void?
The result underestimates the loss — the collection is usually repeated.
Does posture matter?
In young people, benign orthostatic proteinuria appears only when upright; split collections distinguish it.

Sources

  1. 24-hour urine protein test: MedlinePlus Medical Encyclopedia — MedlinePlus. Accessed: August 31, 2026.

See also