{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,18]],"date-time":"2026-07-18T07:24:37Z","timestamp":1784359477964,"version":"3.55.0"},"reference-count":29,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2025,11,19]],"date-time":"2025-11-19T00:00:00Z","timestamp":1763510400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2025,11,19]],"date-time":"2025-11-19T00:00:00Z","timestamp":1763510400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Sci Rep"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>\n                    Dietary fiber contributes to cardio metabolic health, yet contextual evidence in Ethiopia is scarce. This study examined the effect of dietary fiber intake on blood pressure (BP) control among patients with type 2 diabetes. An institutional-based cross-sectional study was conducted from March to April 2024 among 287 type 2 DM patients. Dietary intake was assessed using a repeated multiple-pass 24-hour recall, which involved collecting detailed recipes and estimating portion sizes in grams using dietary scales, proxy indicators, and standardized conversion and yield factors. Nutrient analysis, including dietary fiber (g\/day), was performed using NutriSurvey 2007 based on the Ethiopian Food Composition Table and complementary regional and USDA sources. Blood pressure was measured using a calibrated digital sphygmomanometer, and HbA1c values were extracted from recent laboratory records. A significant proportion (79.4%) of respondents exhibited poor blood pressure control, while over half (56.7%) demonstrated poor glycemic control. Additionally, 10.3% of participants were classified as obese and 39% had stage 2 hypertension. The mean dietary fiber intake was 32.5\u2009\u00b1\u200920\u00a0g\/day. Fiber intake showed significant inverse correlations with BP (\n                    <jats:italic>r<\/jats:italic>\n                    = -0.551), BMI (\n                    <jats:italic>r<\/jats:italic>\n                    = -0.605), and HbA1c (\n                    <jats:italic>r<\/jats:italic>\n                    = -0.341), all\n                    <jats:italic>p<\/jats:italic>\n                    \u2009&lt;\u20090.001. In multivariable logistic regression, adjusted for age, duration of diabetes, diet, and physical exercise, showed that higher dietary fiber intake remained an independent predictor of good blood pressure control. Each 1\u00a0g\/day increase in dietary fiber was associated with a 6% reduction in the odds of poor BP control (AOR\u2009=\u20090.936; 95% CI: 0.913\u20130.959;\n                    <jats:italic>p<\/jats:italic>\n                    \u2009&lt;\u20090.001). Regular physical activity also significantly reduced the odds of poor BP control (AOR\u2009=\u20093.35 for non-exercisers). Higher dietary fiber intake and regular exercise were strongly associated with improved BP and glycemic control in type 2 diabetes patients. These findings support not only public health initiatives to promote fiber-rich diets but also integration of dietary counseling and lifestyle modification into routine clinical diabetes and hypertension management.\n                  <\/jats:p>","DOI":"10.1038\/s41598-025-24579-3","type":"journal-article","created":{"date-parts":[[2025,11,19]],"date-time":"2025-11-19T12:28:57Z","timestamp":1763555337000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Effect of dietary fiber intake on blood pressure control in type 2 diabetic patients in selected hospitals of Ethiopia"],"prefix":"10.1038","volume":"15","author":[{"given":"Feven","family":"Hailu","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jemal Haidar","family":"Ali","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yakob Desalegn","family":"Nigatu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2025,11,19]]},"reference":[{"issue":"25","key":"24579_CR1","doi-asserted-by":"publisher","first-page":"2372","DOI":"10.1016\/j.jacc.2022.11.001","volume":"80","author":"M Lindstrom","year":"2022","unstructured":"Lindstrom, M. et al. Global burden of cardiovascular diseases and risks collaboration, 1990\u20132021. J. Am. Coll. Cardiol. 80(25), 2372\u20132425. https:\/\/doi.org\/10.1016\/j.jacc.2022.11.001 (2022).","journal-title":"J. Am. Coll. Cardiol."},{"issue":"1","key":"24579_CR2","doi-asserted-by":"publisher","first-page":"100123","DOI":"10.1016\/j.advnut.2023.09.011","volume":"15","author":"GS Aljuraiban","year":"2024","unstructured":"Aljuraiban, G. S., Gibson, R., Van Chan DSm, L. & Chan, Q. The role of diet in the prevention of hypertension and management of blood pressure: an umbrella review of meta-analyses of interventional and observational studies. Adv. Nutr. 15(1), 100123 (2024).","journal-title":"Adv. Nutr."},{"key":"24579_CR3","doi-asserted-by":"crossref","unstructured":"Whelton, P. K. et al. 2017 ACC\/AHA\/AAPA\/ABC\/ACPM\/AGS\/APhA\/ASH\/ASPC\/NMA\/PCNA guideline for the prevention, detection, evaluation, and management of high blood pressure in adults: a report of the American College of Cardiology\/American Heart Association Task Force on Clinical Practice Guidelines. J. Am. Coll. Cardiol. 71, e127\u2013e248 (2018).","DOI":"10.1161\/HYP.0000000000000076"},{"issue":"1","key":"24579_CR4","doi-asserted-by":"publisher","first-page":"34","DOI":"10.1186\/1475-2891-13-34","volume":"13","author":"JM Jones","year":"2014","unstructured":"Jones, J. M. CODEX-aligned dietary fiber definitions help to bridge the \u2018fiber gap\u2019. Nutr. J. 13(1), 34 (2014).","journal-title":"Nutr. J."},{"issue":"4","key":"24579_CR5","doi-asserted-by":"publisher","first-page":"71","DOI":"10.22271\/kheljournal.2020.v7.i4b.1772","volume":"7","author":"P Chettri","year":"2020","unstructured":"Chettri, P. & Chandran, S. P. Role of dietary fibers in reducing the risk of type 2 diabetes. Int. 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Recommendations for the use of dietary fiber to improve blood pressure control. Hypertension 81(7), 1450\u20131459 (2024).","journal-title":"Hypertension"},{"issue":"1","key":"24579_CR9","doi-asserted-by":"publisher","first-page":"752","DOI":"10.1186\/1471-2458-12-752","volume":"12","author":"B Amare","year":"2012","unstructured":"Amare, B. et al. Nutritional status and dietary intake of urban residents in Gondar, Northwest Ethiopia. BMC Public. Health. 12(1), 752 (2012).","journal-title":"BMC Public. Health"},{"issue":"3","key":"24579_CR10","doi-asserted-by":"publisher","first-page":"93","DOI":"10.1080\/16070658.2022.2114406","volume":"36","author":"H Duvenage","year":"2022","unstructured":"Duvenage, H., Gericke, G. J. & Muchiri, J. W. Diet quality of adults with poorly controlled type 2 diabetes mellitus at a tertiary hospital outpatient clinic in Tshwane District, South Africa. South. Afr. J. Clin. 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PLoS ONE. 18(2), e0280879. https:\/\/doi.org\/10.1371\/journal.pone.0280879 (2023).","journal-title":"PLoS ONE"}],"container-title":["Scientific Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.nature.com\/articles\/s41598-025-24579-3.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.nature.com\/articles\/s41598-025-24579-3","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.nature.com\/articles\/s41598-025-24579-3.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,11,19]],"date-time":"2025-11-19T12:29:03Z","timestamp":1763555343000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.nature.com\/articles\/s41598-025-24579-3"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,11,19]]},"references-count":29,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2025,12]]}},"alternative-id":["24579"],"URL":"https:\/\/doi.org\/10.1038\/s41598-025-24579-3","relation":{"has-preprint":[{"id-type":"doi","id":"10.21203\/rs.3.rs-7227814\/v1","asserted-by":"object"}]},"ISSN":["2045-2322"],"issn-type":[{"value":"2045-2322","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,11,19]]},"assertion":[{"value":"27 July 2025","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"14 October 2025","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"19 November 2025","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"Ethical clearance was obtained from the Ethical Review Committee of the School of Public Health, College of Health Sciences, Addis Ababa University, and the Addis Ababa Health Bureau (Reference Number: SRH\/296\/2024). A legal permission letter was issued to the selected government hospitals. During data collection, oral informed consent was obtained from the study participants, and measures were taken to ensure the confidentiality of their information. The Study design and implementation were based on the Declaration of Helsinki and good practice (GCP) guidelines.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical considerations"}},{"value":"The authors declare no competing interests.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"40853"}}