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This perspective statement by the Italian Society of Obesity (SIO)\u00a0provides\u00a0current insights into the diagnosis, maternal and fetal impacts, and treatment strategies for managing this pressing condition.<\/jats:p>\n <\/jats:sec>\n Methods<\/jats:title>\n This article provides a\u00a0comprehensive review of the maternal and fetal effects of GO and provides suggestions on strategies for management. Comprehensive review\u00a0was carried out using the MEDLINE\/PubMed, CINAHL, EMBASE, and Cochrane Library databases.<\/jats:p>\n <\/jats:sec>\n Results<\/jats:title>\n The diagnosis of GO primarily relies on pre-pregnancy body mass index (BMI), although standardized criteria remain contentious. Anthropometric measures and body composition assessments offer valuable insights into the metabolic implications of GO. Women with GO are predisposed to several health complications, which are attributed to mechanisms such as inflammation and insulin resistance. Offspring of women with GO face heightened risks of perinatal complications and long-term metabolic disorders, indicating intergenerational transmission of obesity-related effects. While nutritional interventions are a cornerstone of management, their efficacy in mitigating complications warrants further investigation. Additionally, while pharmacological interventions have been explored in other contexts, evidence on their safety and efficacy specifically for GO remains lacking, necessitating further investigation.<\/jats:p>\n <\/jats:sec>\n Conclusion<\/jats:title>\n GO significantly impacts maternal and fetal health, contributing to both immediate and long-term complications. Effective management requires a multifaceted approach, including precise diagnostic criteria, personalized nutritional interventions, and potential pharmacological treatments. These findings underscore the need for individualized care strategies and further research to optimize outcomes for mothers and their offspring\u00a0are needed. Enhanced understanding and management of GO can help mitigate its intergenerational effects, improving public health outcomes.<\/jats:p>\n Level of evidence<\/jats:italic>: Level V narrative review.<\/jats:p>\n <\/jats:sec>","DOI":"10.1007\/s40519-024-01688-y","type":"journal-article","created":{"date-parts":[[2024,9,27]],"date-time":"2024-09-27T13:03:29Z","timestamp":1727442209000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Position statement of Italian Society of Obesity (SIO): Gestational Obesity"],"prefix":"10.1007","volume":"29","author":[{"given":"Luigi","family":"Barrea","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stefania","family":"Camastra","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Silvia","family":"Garelli","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Valeria","family":"Guglielmi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Melania","family":"Manco","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fernanda","family":"Velluzzi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rocco","family":"Barazzoni","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ludovica","family":"Verde","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giovanna","family":"Muscogiuri","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2024,9,27]]},"reference":[{"key":"1688_CR1","doi-asserted-by":"publisher","first-page":"114974","DOI":"10.1016\/j.bcp.2022.114974","volume":"198","author":"L Barrea","year":"2022","unstructured":"Barrea L, Vetrani C, Verde L, Frias-Toral E, Garcia-Velasquez E, Ranasinghe P et al (2022) Gestational obesity: An unconventional endocrine disruptor for the fetus. 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