Seropositivity of anti-Helicobacter pylori antibody (HPto everyday intake was 1.38 (1.05-1.83) for less frequent intake, while intake frequencies of green tea, miso soup, and pickled vegetables (tsukemono) were not. Multivariate analysis including sex, 10-year age group, residence, education, and fruit intake showed that all factors except sex were significant. This is the largest study of HP infection among Japanese Brazilians, and the results indicated a similar pattern of age-specific infection rate to that for Japanese in Japan.Key words: Helicobacter pylori -Seropositivity -Japanese Brazilians -Lifestyle factorsSince Helicobacter pylori (HP) was identified in 1982, the bacterium has been widely accepted as a pathogen related to digestive ulcer, atrophic gastritis, gastric cancer, and gastric mucosa-associated lymphoid tissue (MALT) lymphoma.1-4) HP infection occurs worldwide, and the prevalence is higher in developing countries than developed countries. 5,6) It is thought that improved social and sanitary conditions prevent person-to-person transmission, though no clear evidence exists as to which route of infection or source of HP predominates. 6, 7) Several studies indicated that crowded living conditions, family size, and sharing a bedroom predispose to HP infection. 8) Most investigators believe that HP is transmitted directly by fecal-oral and/or oral-oral route.5-7) An increase in the seropositivity with age was observed in developed countries, and this is considered due to the birth cohort effect, in that the older generations were under poorer sanitary conditions during their childhood.
9)Brazil has the world's largest population of Japanese outside Japan. The first group of 781 Japanese immigrants arrived in Brazil in 1908. According to a report by the Japanese Ministry of Foreign Affairs, the number of permanent residents of Japanese nationality in Brazil was 83 803 in 1998 and the population of Japanese descendants is estimated to be 1.3 million. Most Japanese Brazilians belong to Japanese communities, which preserve Japanese language and culture through many activities such as Japanese language school for children, Japanese folk dance parties (bon-odori), culinary and music festivals, and sport competitions (undo-kai). The communities also play an important role in health promotion through health checkup and education.A previous study on Japanese Brazilians reported that the HP infection rate evaluated by means of a serological test among those aged 40-59 years in São Paulo city was 76.8% (129/168), 71.6% for 81 males and 81.7% for 87 females.