Summary To examine dietary intakes in relation to long-term serum lipoprotein changes in a prospective cohort study with 7 y of follow-up, serum lipids were analyzed by enzymatic methods, while food intake was calculated from validated food frequency questionnaires. First-and second-generation Japanese-Brazilians ( n Ï 316) living in Bauru, São Paulo/Brazil, of both genders, aged 40 to 79 y were assessed at baseline in 1993. Multiple linear regression models were used with changes in serum lipoproteins as the dependent variable and changes in dietary intakes as the independent variables, adjusted for confounding factors. In energy-adjusted analyses, changes in serum total cholesterol were inversely associated with changes in total dietary fiber, fruits/fruit juices and vegetables after adjustment for age and gender. Each increase of 10 g in the consumption of total dietary fiber was associated with a reduction of 12.5 mg/dL in the serum total cholesterol ( p Ͻ 0.05). Our results highlight the importance of increased intakes of total fiber, fruits and vegetables to prevent and control dyslipidemia in Japanese migrants. Key Words Japanese migrants, dietary intake, dyslipidemia, serum lipids, cardiovascular diseaseThe impact of cardiovascular diseases (CVD) to the global burden of disease among non-communicable diseases is well established. WHO currently attributes onethird of all global deaths (15.3 million) to CVD. Behavioral risk factors such as inappropriate nutrition, insufficient physical activity and tobacco consumption have been associated with CVD. Overweight, central obesity, high blood pressure, dyslipidemia and diabetes are among the biological factors related to increased risk ( 1 ). Many of the identified risk factors for CVD, mainly raised serum values of total cholesterol and low-density lipoprotein (LDL-cholesterol), and low levels of highdensity lipoprotein (HDL-cholesterol), are influenced by dietary factors and can be modified by dietary interventions ( 2 ).The effect of various dietary components on the serum lipids has been considered the key link in the causal pathway that connects diet to CVD. Conflicting results, however, have been reported in both animal and humans studies ( 1 ). Nevertheless, investigations focused on foods and other dietary factors associated with long-term serum lipoprotein changes are scarce in the literature. Several reports showed that Japanese migrants are at high risk for diabetes type-2 and related diseases such as dyslipidemia, especially when compared with those observed in Japan. Changes in lifestyle including a high energy density diet and low physical activity together with genetic predisposition have been implicated in the metabolic disturbances ( 3 , 4 ).Therefore, there has been concern about whether or not dietary factors are associated with long-term serum lipoproteins changes to prevent and/or control dyslipidemia in Japanese migrants. Thus, the present study evaluated the dietary predictors of changes in serum lipoproteins in Japanese-Brazilians during...