Клермон-Феррана, Клермон-Ферран, Франция 2 Клермонский университет, университет Оверни, PEPRADE (Перинатология, беременность, окружающая среда, медицинская практика и развитие), Клермон-Ферран, Франция 3 Координационный аналитический центр «Экология и здоровье», Иванков, Украина Effi cacy of pectin in reducing cesium-137 load in chronically contaminated children: a literature review Эффективность использования пектина для снижения содержания цезия-137 в организме детей, постоянно проживающих на загрязненных радионуклидами территориях: обзор литературы ______________________ Resume __________________________________________________________________________ Since the Chernobyl disaster, several studies have pointed to the interest of the adsorbent properties of pectin in reducing cesium-137 load in chronically contaminated children. <...> The aim of this work was to perform a review of the literature and other available documents to assess the usefulness of pectin in the treatment of children contaminated by cesium-137. <...> Articles and reports were identifi ed by various search engines (Medline, Wikipedia, Google, Yahoo and Bing) and from the following sites: IRSN, CRIIRAD, ACRO, Chernobyltoday, Belrad, Enfants de Tchernobyl-Belarus and Enfants de Tchernobyl. <...> Eight source documents containing experimental study data could be profi tably exploited. <...> The indicator of eff ectiveness used was the percentage change in contamination as measured by whole-body external dosimetry ((initial dose – fi nal dose) / initial dose): – 45.2 % (range from – 22.0 % to – 62.6 %) for pectin and – 28.9 % (range from – 12 % to – 44.5 %) for placebo and/or dietary control group. <...> Pectin was more eff ective than placebo in fi ve studies (three of which, however, overlapped) and had the same eff ect as placebo in two studies in which patients had spent time abroad. <...> Contamination appeared more greatly reduced in children who had been staying in another country (– 45 % and – 30 %) than in those on a controlled diet in Belarusian sanatorium (– 12 and – 24 %), probably because the latter continued to eat contaminated production. <...> The level of proof of pectin eff ectiveness in reducing chronic cesium-137 contamination was low and not proven to be better than strict dietary control. <...> Лекции should be given to a nutritional approach, which eliminates the source of prolonged contamination and, in studies in which dietary control was reliably maintained, was of comparable effi cacy to the administration of pectin <...>