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Skin-Interfaced Wearable Sweat Sensors for Precision Medicine

Journal

CHEMICAL REVIEWS
Volume 123, Issue 8, Pages 5049-5138

Publisher

AMER CHEMICAL SOC
DOI: 10.1021/acs.chemrev.2c00823

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Wearable sensors have the potential to revolutionize personalized healthcare by enabling continuous and noninvasive monitoring of analytes in sweat. However, there are challenges in improving sweat extraction and sensing capabilities, developing comfortable and reliable wearable devices, and understanding the clinical value of sweat analytes for biomarker discovery.
Wearable sensors hold great potential in empowering personalized health monitoring, predictive analytics, and timely intervention toward personalized healthcare. Advances in flexible electronics, materials science, and electrochemistry have spurred the development of wearable sweat sensors that enable the continuous and noninvasive screening of analytes indicative of health status. Existing major challenges in wearable sensors include: improving the sweat extraction and sweat sensing capabilities, improving the form factor of the wearable device for minimal discomfort and reliable measurements when worn, and understanding the clinical value of sweat analytes toward biomarker discovery. This review provides a comprehensive review of wearable sweat sensors and outlines state-of-the-art technologies and research that strive to bridge these gaps. The physiology of sweat, materials, biosensing mechanisms and advances, and approaches for sweat induction and sampling are introduced. Additionally, design considerations for the system-level development of wearable sweat sensing devices, spanning from strategies for prolonged sweat extraction to efficient powering of wearables, are discussed. Furthermore, the applications, data analytics, commercialization efforts, challenges, and prospects of wearable sweat sensors for precision medicine are discussed.

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