As bread is the most relevant source of available carbohydrates in the diet and as lowering dietary glycaemic index (GI) is considered favourable to health, many studies have been carried out in order to decrease the GI of bread. The most relevant strategy that has been applied so far is the addition of fibre-rich flours or pure dietary fibre. However, the effectiveness of dietary fibre in bread in reducing the GI is controversial. The purpose of the present review was to discuss critically the effects obtained by adding different kinds of fibre to bread in order to modulate its glycaemic response. The studies were selected because they analysed in vivo whether or not dietary fibre, naturally present or added during bread making, could improve the glucose response. The reviewed literature suggests that the presence of intact structures not accessible to human amylases, as well as a reduced pH that may delay gastric emptying or create a barrier to starch digestion, seems to be more effective than dietary fibre per se in improving glucose metabolism, irrespective of the type of cereal. Moreover, the incorporation of technologically extracted cereal fibre fractions, the addition of fractions from legumes or of specifically developed viscous or non-viscous fibres also constitute effective strategies. However, when fibres or wholemeal is included in bread making to affect the glycaemic response, the manufacturing protocol needs to reconsider several technological parameters in order to obtain high-quality and consumer-acceptable breads.
Key words: Dietary fibre: Glycaemic index: BreadAt the global level, cereals and starch-based staples outweigh all other foodstuffs as sources of daily dietary energy. Among these foods, white bread prepared with wheat flour is the most frequently consumed cereal product (1) , and, in turn, it is the main contributor to the glycaemic index (GI) of the human diet (2) . It is well known that white bread starch is rapidly digested and absorbed, eliciting high glucose and insulin responses (3) , and this characteristic makes bread a high-GI food (.70) (4) . As bread is the most relevant source of available carbohydrates (CHO) in the diet and as lowering dietary GI is considered favourable to health, many studies have been carried out in order to decrease the GI of bread. The most relevant strategy that has been applied so far is the addition of fibre-rich flours or pure dietary fibre, which also adds nutritional value to bread. In fact, besides putatively influencing the glycaemic response, this approach enables the amount of dietary fibre offered to the population to be increased. However, the effectiveness of dietary fibre in bread in reducing the GI is controversial. Thus, the key issues of the present review are whether dietary fibre is able to reduce bread GI, which are the main mechanisms involved and which other approaches can be alternatively used for this purpose.
Glycaemic index conceptThe GI is a parameter used to rank CHO food items based on their glycaemic potential (...