Research Article 2026-04-24 under-review v1

Sources and Amount of Dietary Fiber Intake and its Effect on Glycemic Control among Type 2 Diabetic Patients on Follow Up in Selected Hospitals of Addis Ababa, Ethiopia

F
Feven Hailu Addis Ababa University
J
Jemal Haidar Ali Addis Ababa University
Y
Yalemwork Mengistu Getenet Addis Ababa University
Y
Yakob Desalegn Nigatu Addis Ababa University

Abstract

Background – Although several studies have documented the role of fiber in glycemic control, the glucose-lowering effect of fiber intake has not been demonstrated in this setting and the effect related with source and amount of fiber intake of Type 2 DM patients. However such information is limited contextually, and thus we studied the issue under caption for some improvement in the management of Type 2 DM patients. Objective - We aimed to examine the sources and amount of dietary fiber intake and their association with glycemic control among patients with Type 2 diabetes in selected health facilities in Addis Ababa, Ethiopia. Methods - A facility-based cross-sectional study was conducted among 282 Type 2 DM patients selected from four large Hospitals in Addis Ababa from March 2024 to April 2024. Data was collected from all participants using the KOBO Collect. Repeated multiple-pass 24-hour recall was used to collect dietary data using portion size estimation methods and analyzed into nutrients using Nutrisurvey 2007. Data was analyzed using Statistical Product and Service Solutions (SPSS) version 27. Results - The most predominant source of dietary fiber intake was cereal (79.5%). The mean (SD) dietary fiber intake and HgA1C were 32.5 ± 20 g/d and 7.61 ±1.49 % respectively. Dietary fiber has an inverse correlation with HgA1c, with a Pearson correlation of -0.383 (p value Conclusions - Dietary fiber intake of respondents was in line with the recommendation. Total energy, duration of DM follow-up and dietary fiber intake was among the measures that had a significant association with glycemic control. Since incorporating fiber-rich food in a diet improves glycemic management, its consumption is recommended for all diabetes.

Citation Information

@article{fevenhailu2026,
  title={Sources and Amount of Dietary Fiber Intake and its Effect on Glycemic Control among Type 2 Diabetic Patients on Follow Up in Selected Hospitals of Addis Ababa, Ethiopia},
  author={Feven Hailu and Jemal Haidar Ali and Yalemwork Mengistu Getenet and Yakob Desalegn Nigatu},
  journal={BMC Nutrition},
  year={2026},
  doi={https://doi.org/10.21203/rs.3.rs-9171790/v1}
}
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