Non-invasive wearable electrochemical sensors: a review

Flexible and wearable electrochemical sensors for health and safety monitoring

Environmental safety monitoring is a crucial process that involves continuous and systematic observation and analysis of various pollutants in the environment to ensure its quality and safety. This monitoring encompasses a wide range of areas, including physical indicator monitoring (pertaining to parameters such as temperature, humidity, and wind speed), chemical indicator monitoring (focused on detecting harmful substances in environmental media such as air, water, and soil), and ecosystem monitoring (including biodiversity assessments and judgments on the health status of ecosystems). This review delves deeply into the significant advancements achieved in the field of flexible and wearable electrochemical sensors (FWESs) over the past fifteen years (from 2010 to 2024). It emphasizes the broad application of these sensors in health and environmental safety monitoring, with health monitoring primarily focusing on exhaled breath and sweat, and environmental monitoring covering temperature, humidity, and pollutants in air and water. By seamlessly integrating electrochemical principles, advanced sensor manufacturing technologies, and sensor functionalization, FWESs have opened up new avenues for non-invasive real-time monitoring of human health and environmental safety. This review highlights key developments in sensor structures, including flexible substrates, printed electrodes, and active materials. It also underscores the remarkable progress made in healthcare and environmental monitoring through the utilization of FWES. Despite these promising advancements, this emerging field still faces numerous challenges, such as improving sensor accuracy, enhancing durability, and reducing costs. The review concludes by discussing the future directions in this field, including ongoing research efforts aimed at overcoming these challenges and expanding the applications of FWESs in various sectors.

Sustainable synthesis of a PtNPs@rGO nanohybrid for detection of toxic fluoride ions using hand-made screen-printed electrodes in aqueous medium

High fluoride (F-) concentrations in groundwater affect over 200 million people across 25 countries, making accurate detection and quantification of fluoride in water essential for safety assessment. There is a growing demand for advanced water quality testing systems that provide real-time, location-specific data without requiring specialized expertise. This study presents the development of a simple, eco-friendly, and cost-effective nanosensor for electrochemical F- detection in environmental water samples. To our knowledge, this is the first report on the green synthesis of platinum nanoparticles (PtNPs) using Ficus religiosa (sacred fig) leaf extract via a co-precipitation method. Additionally, PtNPs were synthesized ex situ and decorated on reduced graphene oxide (rGO) to form a nanohybrid using ultrasonication. The PtNPs@rGO nanohybrid was then deposited on a disposable screen-printed carbon electrode (SPCE) to fabricate the PtNPs@rGO/SPCE nanosensor using a drop-casting technique. This approach enhances the specificity and sensitivity of the sensor, addressing current analytical challenges. The PtNPs@rGO nanohybrid was characterized by Fourier transform infrared spectroscopy (FTIR), high-resolution transmission electron microscopy (HRTEM), X-ray diffraction (XRD), scanning electron microscopy-energy dispersive X-ray (SEM-EDX) analysis, contact angle (CA) measurement, and electrochemical techniques such as differential pulse voltammetry (DPV) and cyclic voltammetry (CV). The PtNPs@rGO/SPCE nanosensor exhibited a wide linear range from 0.001 to 160 μM for F- concentrations, with a limit of detection of 10 nM and a limit of quantification of 0.036 μM. The sensitivity was 4.126 μA μM-1 cm-2. The sensor demonstrated excellent reproducibility and strong anti-interference properties. It was successfully applied for F- detection in tap, drain, and tube well water samples, yielding satisfactory recoveries, and its performance surpasses those of previously reported sensors for aqueous F- sensing.

Recent advances in bioactive materials: Future perspectives and opportunities in oral cancer biosensing

Bioactive materials and biosensing technologies are emerging as pivotal tools in the early detection and management of oral cancer, a disease characterized by high morbidity and mortality rates. Recent advancements in nanotechnology have facilitated the development of innovative biosensors that utilize bioactive materials for non-invasive diagnostics, particularly through salivary analysis. These biosensors, including electrochemical, optical, and molecular types, target specific biomarkers such as DNA, RNA, and proteins associated with oral cancer. For instance, metal oxide nanoparticles and gold nanoparticles have shown promise in enhancing the sensitivity and specificity of these diagnostic tools. The integration of these nanomaterials allows for real-time monitoring of biomarker levels in saliva, providing a rapid and accurate means of detecting oral cancer at its nascent stages. Furthermore, the utilization of biosensors can circumvent the limitations of traditional biopsy methods, which are often invasive and time-consuming. By focusing on salivary diagnostics, researchers aim to develop point-of-care testing devices that can be used in various settings, thus improving accessibility to early screening for at-risk populations. This innovative approach not only enhances diagnostic accuracy but also holds potential for personalized treatment strategies by enabling continuous monitoring of disease progression and response to therapy. As research continues to evolve, the combination of bioactive materials with advanced biosensing technologies promises to revolutionize oral cancer diagnostics, ultimately leading to improved patient outcomes through earlier intervention and tailored therapeutic approaches.

Single-atom nanozymes for enhanced electrochemical biosensing: A review

Enzyme-based electrochemical biosensors have broad and significant applications in biomedical, environmental monitoring, and food safety fields. However, the application of natural enzymes is limited due to issues such as poor stability, complex preparation, and high cost. Single-atom nanozymes (SAzymes), with their unique catalytic properties and efficient enzyme-like activities, present a promising alternative in the field of electrochemical biosensing. Compared to traditional enzymes, SAzyme offer enhanced stability and controllability, making them particularly effective in complex detection environments. This work presents the first systematic review of the progress made since 2018 in the use of SAzymes as alternatives to natural enzymes in electrochemical biosensors, and presents the latest advancements in this area. The review begins with a discussion of various enzyme-like activities of single-atom materials, including peroxidase (POD)-like, oxidase (OXD)-like, catalase (CAT)-like, and superoxide dismutase (SOD)-like activities. It then explores the advantages of SAzymes in improving the performance of electrochemical biosensors from multiple perspectives. The review also summarizes the applications of SAzyme-based electrochemical sensors for reactive oxygen species (ROS), metabolites, neurotransmitters, and other analytes, highlighting specific examples to elucidate underlying catalytic mechanisms and understand fundamental structure-performance relationships. In the final section, the challenges faced by SAzyme-based electrochemical biosensing are discussed, along with potential solutions.

Advancing transistor-based point-of-care (POC) biosensors: additive manufacturing technologies and device integration strategies for real-life sensing

Infectious pathogens pose a significant threat to public health and healthcare systems, making the development of a point-of-care (POC) detection platform for their early identification a key focus in recent decades. Among the numerous biosensors developed over the years, transistor-based biosensors, particularly those incorporating nanomaterials, have emerged as promising candidates for POC detection, given their unique electronic characteristics, compact size, broad dynamic range, and real-time biological detection capabilities with limits of detection (LODs) down to zeptomolar levels. However, the translation of laboratory-based biosensors into practical applications faces two primary challenges: the cost-effective and scalable fabrication of high-quality transistor sensors and functional device integration. This review is structured into two main parts. The first part examines recent advancements in additive manufacturing technologies-namely in screen printing, inkjet printing, aerosol jet printing, and digital light processing-and evaluates their applications in the mass production of transistor-based biosensors. While additive manufacturing offers significant advantages, such as high quality, cost-effectiveness, rapid prototyping, less instrument reliance, less material waste, and adaptability to diverse surfaces, challenges related to uniformity and yield remain to be addressed before these technologies can be widely adopted for large-scale production. The second part focuses on various functional integration strategies to enhance the practical applicability of these biosensors, which is essential for their successful translation from laboratory research to commercialization. Specifically, it provides a comprehensive review of current miniaturized lab-on-a-chip systems, microfluidic manipulation, simultaneous sampling and detection, wearable implementation, and integration with the Internet of Things (IoT).

Leveraging microfluidic confinement to boost assay sensitivity and selectivity

The native and tunable microscale fluid manipulation accessible within 3D-printed configurations can be a transformative tool in biosensing, promoting mass transport and sample mixing to boost assay performance. In this study, we demonstrate that channel height restrictions can support a 2000% acceleration in target recruitment kinetics, a notable 600% improvement in target response magnitude, and a 300% enhancement in assay selectivity within an entirely reagentless format that requires neither catalytic amplification nor the employment of specialized nanomaterials. This highly accessible experimental configuration supports robust target detection from serum at simple, untreated, and un-passivated sensor surfaces. The underlying operational principles have been elucidated through a combination of theoretical analysis and COMSOL simulation; the enhanced analyte flux leveraged by channel confinement is directly responsible for these effects, which also scale with both bioreceptor surface density and target binding affinity. The operational simplicity of this assay format with its resolved channel and flux promoted assay performance, holds significant value not only for biosensing but also for broader microfluidic-integrated applications, such as biosynthesis and catalysis.

Optimized growth of dendritic Au nanostructures with multi-cross-linked glucose oxidase for highly catalytic activity of salivary glucose

We aim to develop a system that prominently features glucose oxidase (GOx) as the catalyst, integrated with a dendritic Au nanostructures electrode as the core component. The dendritic Au (DenAu) nanostructures are optimally electro-deposited on a flexible substrate without the use of any surfactant, template, or stabilizer, demonstrating their potential through highly sensitive flexible glucose sensor application. To determine the optimal condition for the growth of dendritic Au nanostructures, we meticulously investigated the concentration of the precursor, deposition potential/time, and stirring rate. Subsequently, the glucose oxidase (GOx) was immobilized on the fabricated sensor with dendritic Au nanostructures. Due to the effective high loading of GOx onto the dendritic Au and its high catalytic activity, the fabricated flexible glucose sensor was capable of detecting glucose over an ultra-wide dynamic range from 0.001 to 10,000 μM without any mediator. It exhibited an exceptionally high sensitivity of 678 μAmM-1 cm-2 and a low limit of detection of 0.1 μM, surpassing the performance of the sensor with bare Au. Furthermore, the fabricated flexible sensor with dendritic Au nanostructure showed practical feasibility and possibility for the detection of salivary glucose, which was evidenced by a strong correlation coefficient of 0.9935 in artificial saliva.

Self-Supervised, Non-Contact Heartbeat Detection Based on Ballistocardiograms Utilizing Physiological Information Guidance

Ballistocardiograms (BCG) is a passive, non-contact heart rate detection technology that requires no action on the part of the individual. However, during the BCG signal acquisition process, the surface pressure generated by cardiac contraction is easily disturbed by external factors, and as people's health deteriorates, the j-peak (the main peak of the BCG signal) is no longer prominent. Our aim is to establish a non-contact, self-supervised heart rate detection method based on physiological information, to improve the accuracy and robustness of BCG heart rate detection under wider and more adverse conditions. The algorithm is guided by the heart rate estimation based on BCG itself, thereby reconstructing a signal with physiological significance. We also propose a heartbeat mapping algorithm based on Bidirectional Long Short-Term Memory Network (BiLSTM) for extracting global deep features, achieving real-time heartbeat prediction, and eliminating local deviations brought about by reconstruction. To verify the effectiveness of the proposed method, this paper evaluated 40 young subjects and 4 elderly subjects. Compared with the existing state-of-the-art methods, beat-to-beat heart rate estimation and heartbeat detection both performed excellently, surpassing most methods using precise labels. The experimental results show that the proposed method achieves effective heartbeat detection, demonstrating robustness and effectiveness in the face of unavoidable noise and variations.

A wearable sensor based on janus fabric upon an electrochemical analysis platform for sweat glucose detection

Wearable sweat sensing devices have drawn much attention due to their noninvasive and portable properties, which is emerging as a promising technology in daily healthiness assessment issues. A sweat sensor based on Janus fabric and electrochemical analysis is proposed in this work. Unidirectional moisture transported behavior of the Janus fabric serves as the quick-drying component directly contacting skin to transfer sweat toward the detection site. The working electrode was treated by repeated activation of Prussian blue followed by chitosan/single-wall carbon nano tubes/glucose oxidase deposition, ensuring the high electrochemical activity and sensitivity to detect the sweat glucose level. A detection system was established based on the electrochemical analysis of this sweat sensor, which can provide accurate glucose level in the testing samples. The limit of detection (LOD) of the sensor for glucose was 15.32 μM (S/N = 3) and the sensitivity was 3.35 μA/mM. One male subject wears this sensor for intermittent intensity training, outputting the real-time changes in sweat glucose levels, which is consistent with the energy consumption and metabolic status during human exercise. And the sweat glucose level for different subjects was tested to be 35-135 μM, which is coincident with the distribution range of normal human sweat glucose levels.

Neuro-Nutrition and Exercise Synergy: Exploring the Bioengineering of Cognitive Enhancement and Mental Health Optimization

The interplay between nutrition, physical activity, and mental health has emerged as a frontier in bioengineering research, offering innovative pathways for enhancing cognitive function and psychological resilience. This review explores the neurobiological mechanisms underlying the synergistic effects of tailored nutritional strategies and exercise interventions on brain health and mental well-being. Key topics include the role of micronutrients and macronutrients in modulating neurogenesis and synaptic plasticity, the impact of exercise-induced myokines and neurotrophins on cognitive enhancement, and the integration of wearable bioelectronics for personalized monitoring and optimization. By bridging the disciplines of nutrition, psychology, and sports science with cutting-edge bioengineering, this review highlights translational opportunities for developing targeted interventions that advance mental health outcomes. These insights are particularly relevant for addressing global challenges such as stress, anxiety, and neurodegenerative diseases. The article concludes with a roadmap for future research, emphasizing the potential of bioengineered solutions to revolutionize preventive and therapeutic strategies in mental health care.

Photonic Nanomaterials for Wearable Health Solutions

This review underscores the transformative potential of photonic nanomaterials in wearable health technologies, driven by increasing demands for personalized health monitoring. Their unique optical and physical properties enable rapid, precise, and sensitive real-time monitoring, outperforming conventional electrical-based sensors. Integrated into ultra-thin, flexible, and stretchable formats, these materials enhance compatibility with the human body, enabling prolonged wear, improved efficiency, and reduced power consumption. A comprehensive exploration is provided of the integration of photonic nanomaterials into wearable devices, addressing material selection, light-matter interaction principles, and device assembly strategies. The review highlights critical elements such as device form factors, sensing modalities, and power and data communication, with representative examples in skin patches and contact lenses. These devices enable precise monitoring and management of biomarkers of diseases or biological responses. Furthermore, advancements in materials and integration approaches have paved the way for continuum of care systems combining multifunctional sensors with therapeutic drug delivery mechanisms. To overcome existing barriers, this review outlines strategies of material design, device engineering, system integration, and machine learning to inspire innovation and accelerate the adoption of photonic nanomaterials for next-generation of wearable health, showcasing their versatility and transformative potential for digital health applications.

Determination diabetes mellitus disease markers in tear fluid by photothermal AFM-IR analysis

The tear fluids from three healthy individuals and three patients with diabetes mellitus were examined using atomic force microscopy-infrared spectroscopy (AFM-IR) and Fourier transform infrared spectroscopy (FTIR). The dried tear samples showed different surface morphologies: the control sample had a dense network of heart-shaped dendrites, while the diabetic sample had fern-shaped dendrites. By using the AFM-IR technique we identified spatial distribution of constituents, indicating how diabetes affects the structural characteristics of dried tears. FTIR showed that the dendritic structures gradually disappeared over time due to glucose-induced lysozyme damage. The tear fluid from diabetes mellitus patients has a higher concentration of glucose, which accelerates the breakdown of lysozyme and, as a result, the quick loss of the dendritic structure. Our study shows that analysis of dry tear fluid can be promising technique for the detection of glycated proteins that reveal long lasting hyperglycemia and diabetes mellitus.

An Array of Glucose Nanozymes That Can Selectively Detect Glucose in Whole Blood

Achieving sensors that can sensitively and selectively quantify levels of analytes in complex biofluids such as blood remains a significant challenge. To address this, we synthesized an array of isolated carbon nanochannels on a flat gold electrode that function as molecular sieves to prevent protein fouling and eliminate the need for antifouling layers. Utilizing a two-step pulsed technique, a reductive pulse expels negative interferences and fouling molecules followed by an oxidative pulse that oxidizes glucose at the bottom of the channel and on the gold surface. The nanoconfined environment created by the top carbon nanochannel layer (6 nm diameter, 21 nm length confirmed by TEM and SEM), with redox pulses enabled the gold catalytic center to generate hydroxide ions, fostering a higher pH environment favorable for glucose oxidation. The nonenzymatic approach to detecting glucose was shown to give equivalent data directly in whole blood to that achieved by using an enzyme blood glucose meter determined using a Clark Error Grid. This simplified sensor design, suitable for wearable systems, offers a solution for glucose monitoring in complex biofluids with a far greater stability over time.

Cellulose-Based Electrochemical Sensors

Among the most promising areas of research, cellulose-based electrochemical sensors stand out for their intrinsic properties such as abundance, biocompatibility, and versatility. This review is concerned with the integration and application of cellulose-derived materials in electrochemical sensors, pointing out improvements in sensitivity, selectivity, stability, and functionality for a wide variety of applications. The most relevant developments on cellulose-based sensors have been concentrated on nanocellulose composite synthesis, advanced cellulose modification, and the successful embedding in wearable technologies, medical diagnostics, and environmental monitoring. Considering these, it is worth mentioning that significant challenges still need to be overcome regarding the scalability of production, selectivity improvement, and long-term stability under real operational conditions. Future research efforts will concern the union of cellulose-based sensors with the Internet of Things (IoT) and artificial intelligence (AI) toward wiser and more sustainable health and environmental solutions. Correspondingly, this work puts cellulose in the front line among the most perspective materials for enabling the development of eco-friendly and high-performance sensing technologies.

Wearable Biodevices Based on Two-Dimensional Materials: From Flexible Sensors to Smart Integrated Systems

The proliferation of wearable biodevices has boosted the development of soft, innovative, and multifunctional materials for human health monitoring. The integration of wearable sensors with intelligent systems is an overwhelming tendency, providing powerful tools for remote health monitoring and personal health management. Among many candidates, two-dimensional (2D) materials stand out due to several exotic mechanical, electrical, optical, and chemical properties that can be efficiently integrated into atomic-thin films. While previous reviews on 2D materials for biodevices primarily focus on conventional configurations and materials like graphene, the rapid development of new 2D materials with exotic properties has opened up novel applications, particularly in smart interaction and integrated functionalities. This review aims to consolidate recent progress, highlight the unique advantages of 2D materials, and guide future research by discussing existing challenges and opportunities in applying 2D materials for smart wearable biodevices. We begin with an in-depth analysis of the advantages, sensing mechanisms, and potential applications of 2D materials in wearable biodevice fabrication. Following this, we systematically discuss state-of-the-art biodevices based on 2D materials for monitoring various physiological signals within the human body. Special attention is given to showcasing the integration of multi-functionality in 2D smart devices, mainly including self-power supply, integrated diagnosis/treatment, and human-machine interaction. Finally, the review concludes with a concise summary of existing challenges and prospective solutions concerning the utilization of 2D materials for advanced biodevices.

A bibliometric and visualization analysis of electrochemical biosensors for early diagnosis of eye diseases

Electrochemical biosensors can provide an economical, accurate and rapid method for early screening of disease biomarkers in clinical medicine due to their high sensitivity, selectivity, portability, low cost and easy manufacturing, and multiplexing capability. Tear, a fluid naturally secreted by the human body, is not only easily accessible but also contains a great deal of biological information. However, no bibliometric studies focus on applying electrochemical sensors in tear/eye diseases. Therefore, we utilized VOSviewer and CiteSpace, to perform a detailed bibliometric analysis of 114 papers in the field of research on the application of tear in electrochemical biosensors screened from Web of Science with the combination of Scimago Graphica and Microsoft Excel for visualization to show the current research hotspots and future trends. The results show that the research in this field started in 2008 and experienced an emerging period in recent years. Researchers from China and the United States mainly contributed to the thriving research areas, with 41 and 29 articles published, respectively. Joseph Wang from the University of California San Diego is the most influential author in the field, and Biosensors & Bioelectronics is the journal with the most published research and the most cited journal. The highest appearance keywords were "biosensor" and "tear glucose," while the most recent booming keywords "diagnosis" and "in-vivo" were. In conclusion, this study elucidates current trends, hotspots, and emerging frontiers, and provides future biomarkers of ocular and systemic diseases by electrochemical sensors in tear with new ideas and opinions.

A surface modified laser-induced graphene based flexible biosensor for multiplexed sweat analysis

The growing popularity of electrochemical sensors featuring non-invasive biosensing technologies has generated significant enthusiasm for continuous monitoring of bodily fluid biomarkers, potentially aiding in the early detection of health issues in individuals. However, detection of multiple biomarkers in complex biofluids often necessitates a high-density array which creates a challenge in achieving cost-effective fabrication methods. To overcome this constraint, this work reports the fabrication of an electrochemical sensor utilizing a NiO-Ti3C2Tx MXene-modified flexible laser-induced graphene (LIG) electrode for the separate and concurrent analysis of ascorbic acid (AA), dopamine (DA), and uric acid (UA) in human sweat and also addresses the deficiencies in the existing state of the art by offering a cost-efficient and high-performance sensor that mitigates the degrading constraints of conventional LIG electrodes. Cyclic voltammetry and differential pulse voltammetry measurements reveals that the electrochemical properties of the modified electrode, attain a low detection limit and great sensitivity for the target biomarkers. The NiO-Ti3C2Tx/LIG sensor demonstrated enhanced electrocatalytic activity for the oxidation of ascorbic acid, dopamine, and uric acid, and proved useful for analysing these biomarkers in synthetic sweat samples. Under the optimized conditions, the LOD values were estimated to be 16, 1.97 and 0.78 μM for AA, DA and UA, respectively. The developed high-efficiency sensor holds significant promise for applications in flexible and wearable electronics for health monitoring.

Fully integrated microneedle biosensor array for wearable multiplexed fitness biomarkers monitoring

Fitness monitoring has become increasingly important in modern lifestyles; the current fitness monitoring always relies on physical sensors, making it challenging to detect pertinent issues at a deeper level when exercising. Here, we report a fully integrated wearable microneedle sensor that simultaneously measures fitness related biomarkers (e.g., glucose, lactate, and alcohol) during physical exercise. Such a sensor integrates a biocompatible 3D-printed microneedle array that can comfortably access skin interstitial fluid and a small circuit for signal processing and calibration, and wireless communication. The microneedle array features good biocompatibility and highly sensitive biochemical sensors that can detect even the slightest variations within the biomarkers of this fluid. On-body experimental results indicate that such a sensor can monitor fitness-related biomarkers across multiple subjects and support multi-day monitoring, with results showing a good correlation with commercial devices. The data was transmitted to a smartphone via Bluetooth and uploaded to cloud platforms for further health assessment. This study has the potential to boost intelligent wearable devices in sports health.

Beyond Flexible: Unveiling the Next Era of Flexible Electronic Systems

Flexible electronics are integral in numerous domains such as wearables, healthcare, physiological monitoring, human-machine interface, and environmental sensing, owing to their inherent flexibility, stretchability, lightweight construction, and low profile. These systems seamlessly conform to curvilinear surfaces, including skin, organs, plants, robots, and marine species, facilitating optimal contact. This capability enables flexible electronic systems to enhance or even supplant the utilization of cumbersome instrumentation across a broad range of monitoring and actuation tasks. Consequently, significant progress has been realized in the development of flexible electronic systems. This study begins by examining the key components of standalone flexible electronic systems-sensors, front-end circuitry, data management, power management and actuators. The next section explores different integration strategies for flexible electronic systems as well as their recent advancements. Flexible hybrid electronics, which is currently the most widely used strategy, is first reviewed to assess their characteristics and applications. Subsequently, transformational electronics, which achieves compact and high-density system integration by leveraging heterogeneous integration of bare-die components, is highlighted as the next era of flexible electronic systems. Finally, the study concludes by suggesting future research directions and outlining critical considerations and challenges for developing and miniaturizing fully integrated standalone flexible electronic systems.

Advanced Wearable Devices for Monitoring Sweat Biochemical Markers in Athletic Performance: A Comprehensive Review

Wearable technology has advanced significantly, offering real-time monitoring of athletes' physiological parameters and optimizing training and recovery strategies. Recent developments focus on biosensor devices capable of monitoring biochemical parameters in addition to physiological ones. These devices employ noninvasive methods such as sweat analysis, which reveals critical biomarkers like glucose, lactate, electrolytes, pH, and cortisol. These biomarkers provide valuable insights into an athlete's energy use, hydration status, muscle function, and stress levels. Current technologies utilize both electrochemical and colorimetric methods for sweat analysis, with electrochemical methods providing higher precision despite potential signal interference. Wearable devices such as epidermal patches, temporary tattoos, and fabric-based sensors are preferred for their flexibility and unobtrusive nature compared to more rigid conventional wearables. Such devices leverage advanced materials and transmit real-time data to computers, tablets, or smartphones. These data would aid coaches and sports medical personnel in monitoring athletes' health, optimizing diets, and developing training plans to enhance performance and reduce injuries.

Research Progress on Applying Intelligent Sensors in Sports Science

Smart sensors represent a significant advancement in modern sports science, and their effective use enhances the ability to monitor and analyze athlete performance in real time. The integration of these sensors has enhanced the accuracy of data collection related to physical activity, biomechanics, and physiological responses, thus providing valuable insights for performance optimization, injury prevention, and rehabilitation. This paper provides an overview of the research progress in the application of smart sensors in the field of sports science; highlights the current advances, challenges, and future directions in the deployment of smart sensor technologies; and anticipates their transformative impact on sports science and athlete development.

Ion Identification and Ultralow Concentration Sensing with Liquid Flexoelectricity

The isolation and concentration of electrical charges at ionic-electronic interfaces are prevalent phenomena that impede effective communication between ionic and electronic systems. Detecting these concentrated charges at the interface is crucial for applications, such as signal transmission and ion detection. Current electrical detection approaches introduce additional ionic-electronic interfaces via metallic electrodes with an external stimulating voltage, which alters the initial ion distributions at the interfaces. In this work, we introduce the flexoelectricity of liquids to examine the electrical charge aggregation at ionic-electronic interfaces under cyclic mechanical loads. The measured electrical responses reflect the coupling phenomena between the flexoelectricity and the electric double layer. This proposed approach demonstrates the capability to quantify ion types and concentrations at interfaces. Furthermore, it can identify ion types in mixed solutions and offers high sensitivity at ultralow concentrations. This work promotes a nonchemical, general mechanical method for charge detection at ionic-electronic interfaces.

Biowaste-Derived Triboelectric Nanogenerators for Emerging Bioelectronics

Triboelectric nanogenerators (TENGs) combine contact electrification and electrostatic induction effects to convert waste mechanical energy into electrical energy. As conventional devices contribute to electronic waste, TENGs based on ecofriendly and biocompatible materials have been developed for various energy applications. Owing to the abundance, accessibility, low cost, and biodegradability of biowaste (BW), recycling these materials has gained considerable attention as a green approach for fabricating TENGs. This review provides a detailed overview of BW materials, processing techniques for BW-based TENGs (BW-TENGs), and potential applications of BW-TENGs in emerging bioelectronics. In particular, recent progress in material design, fabrication methods, and biomechanical and environmental energy-harvesting performance is discussed. This review is aimed at promoting the continued development of BW-TENGs and their adoption for sustainable energy-harvesting applications in the field of bioelectronics.

ZnFe(PBA)@Ti3C2Tx nanohybrid-based highly sensitive non-enzymatic electrochemical sensor for the detection of glucose in human sweat

The ZnFe prussian blue analogue [ZnFe(PBA)] was infused with Ti3C2Tx (MXene) denoted as ZnFe(PBA)@Ti3C2Tx and was prepared by an in-situ sonication method to use as a non-enzymatic screen printed electrode sensor. The advantage of non-enzymatic sensors is their excellent sensitivity, rapid detection, low cost and simple design. The synthesized ZnFe(PBA)@Ti3C2Tx was characterized for its physical and chemical characterization by XRD, Raman, XPS, EDAX, and FESEM analysis. It possessed multiple functionalized layers and a cubic structure in the nanohybrid. Further, the sensor was investigated by using electroanalytical studies such as cyclic voltammetry and chronoamperometry analysis. The enhanced surface area with a cubic structure of ZnFe(PBA) and the excellent electrical response of Ti3C2 nanosheet support the advancement of a non-enzymatic electrochemical glucose sensor with improved sensitivity of 973.42 µA mM-1 cm-2 with the limit of detection (LOD) of 3.036 µM (S/N = 3) and linear detection range (LDR) from 0.01 to 1 mM.

Diagnosis Based on Population Data versus Personalized Data: The Evolving Paradigm in Laboratory Medicine

The diagnosis of diseases is a complex process involving the integration of multiple parameters obtained from various sources, including laboratory findings. The interpretation of laboratory data is inherently comparative, necessitating reliable references for accurate assessment. Different types of references, such as reference intervals, decision limits, action limits, and reference change values, are essential tools in the interpretation of laboratory data. Although these references are used to interpret individual laboratory data, they are typically derived from population data, which raises concerns about their reliability and consequently the accuracy of interpretation of individuals' laboratory data. The accuracy of diagnosis is critical to all subsequent steps in medical practice, making the estimate of reliable references a priority. For more precise interpretation, references should ideally be derived from an individual's own data rather than from population averages. This manuscript summarizes the current sources of references used in laboratory data interpretation, examines the references themselves, and discusses the transition from population-based laboratory medicine to personalized laboratory medicine.

Recent advances in nonenzymatic electrochemical biosensors for sports biomarkers: focusing on antibodies, aptamers and molecularly imprinted polymers

Nonenzymatic electrochemical biosensors, renowned for their high sensitivity, multi-target analysis capabilities, and miniaturized integration, align well with the requirements of non-invasive, multi-index integrated, continuous monitoring, and user-friendly wearable biosensors in sports science. In the past three years, novel strategies targeting specific responses to sports biomarkers have opened new avenues for applications in sports science. However, these advancements also pose challenges in achieving adequate sensitivity and specificity for online analysis of complex sweat bio-samples. Our article focuses on three key nonenzymatic electrochemical biosensing strategies: antigen-antibody reactions, nucleic acid aptamer recognition, and molecular imprinting capture. We delve into strategies to enhance specificity and sensitivity in the application of biosensors in sports science, including shortening signal transduction paths through built-in signal probes, increasing reaction sites through increased surface area and the introduction of nanostructures, multi-target analyses, and microfluidic techniques.

A Simple and Sensitive Wearable SERS Sensor Utilizing Plasmonic-Active Gold Nanostars

Wearable sweat sensors hold great potential for offering detailed health insights by monitoring various biomarkers present in sweat, such as glucose, lactate, uric acid, and urea, in real time. However, most previously reported sensors, primarily based on electrochemical technology, are limited to monitoring only a single analyte at a given time. This study introduces a simple, sensitive, wearable patch based on surface-enhanced Raman spectroscopy (SERS), integrated with highly plasmonically active sharp-branched gold nanostars (GNS) for the simultaneous detection of three sweat biomarkers: lactate, urea, and glucose. We have fabricated the GNS on commercially available adhesive tape, resulting in achieving a low-cost, flexible, and adhesive wearable SERS patch. The limits of detection for lactate, urea, and glucose were achieved at 0.7, 0.6, and 0.7 μM, respectively, which are significantly lower than the clinically relevant concentrations of these biomarkers in sweat. We further evaluated the performance of our wearable SERS patch during outdoor activities, including sitting, walking, and running. To evaluate its overall effectiveness, we simultaneously measured the concentrations of lactate, urea, and glucose during these activities. Overall, our simple, sensitive wearable SERS sensor represents a significant breakthrough by enabling the simultaneous detection of lactate, urea, and glucose present in sweat, marking a major step toward future applications in autonomous and noninvasive personalized healthcare monitoring at home.

Development of a 3D Hydrogel SERS Chip for Noninvasive, Real-Time pH and Glucose Monitoring in Sweat

Traditional diagnostic methods, such as blood tests, are invasive and time-consuming, while sweat biomarkers offer a rapid physiological assessment. Surface-enhanced Raman spectroscopy (SERS) has garnered significant attention in sweat analysis because of its high sensitivity, label-free nature, and nondestructive properties. However, challenges related to substrate reproducibility and interference from the biological matrix persist with SERS. This study developed a novel ratio-based 3D hydrogel SERS chip, providing a noninvasive solution for real-time monitoring of pH and glucose levels in sweat. Encapsulating the probe molecule (4-MBN) in nanoscale gaps to form gold nanoflower-like nanotags with internal standards and integrating them into an agarose hydrogel to create a 3D flexible SERS substrate significantly enhances the reproducibility and stability of sweat analysis. Gap-Au nanopetals modified with probe molecules are uniformly dispersed throughout the porous hydrogel structure, facilitating the effective detection of the pH and glucose in sweat. The 3D hydrogel SERS chip demonstrates a strong linear relationship in pH and glucose detection, with a pH response range of 5.5-8.0 and a glucose detection range of 0.01-5 mM, with R2 values of 0.9973 and 0.9923, respectively. In actual sweat samples, the maximum error in pH detection accuracy is only 1.13%, with a lower glucose detection limit of 0.25 mM. This study suggests that the ratio-based 3D hydrogel SERS chip provides convenient, reliable, and rapid detection capabilities with substantial application potential for analyzing body fluid pH and glucose.

Diving into Sweat: Advances, Challenges, and Future Directions in Wearable Sweat Sensing

Sweat analysis has advanced from diagnosing cystic fibrosis and testing for illicit drugs to noninvasive monitoring of health biomarkers. This article introduces the rapid development of wearable and flexible sweat sensors, highlighting key milestones and various sensing strategies for real-time monitoring of analytes. We discuss challenges such as developing high-performance nanomaterial-based biosensors, ensuring continuous sweat production and sampling, achieving high sweat/blood correlation, and biocompatibility. The potential of machine learning to enhance these sensors for personalized healthcare is presented, enabling real-time tracking and prediction of physiological changes and disease onset. Leveraging advancements in flexible electronics, nanomaterials, biosensing, and data analytics, wearable sweat biosensors promise to revolutionize disease management, prevention, and prediction, promoting healthier lifestyles and transforming medical practices globally.

Electrochemical sensor based on Cu2-xS/graphene heterostructures for sub-picomolar dopamine detection

Detecting dopamine (DA) in biological samples is vital to understand its crucial role in numerous physiological processes, such as motion, cognition, and reward stimulus. In this work, p-type graphene on sapphire, synthesized via chemical vapor deposition, serves as substrate for the preparation of p-type Cu2-xS films through solid-phase sulfurization. The optimized Cu2-xS/graphene heterostructure, prepared at 250 °C using a 15-nm copper film sulfurized for 2 h, exhibits superior electron transfer performance, ideal for electrochemical sensing. It is confirmed that the spontaneous charge transfer from graphene to Cu2-xS, higher Cu(II)/Cu(I) ratio (~ 0.8), and the presence of well-defined nanocrystalline structures with an average size of ~ 35 nm in Cu2-xS significantly contribute to the improved electron transfer of the heterostructure. The electrochemical sensor based on Cu2-xS/graphene heterostructure demonstrates remarkable sensitivity towards DA, with a detection limit as low as 100 fM and a dynamic range greater than 109 from 100 fM to 100 μM. Additionally, it exhibits excellent selectivity even in the presence of uric acid and ascorbic acid 100 times higher, alongside notable storage and measurement stability and repeatability. Impressively, the sensor also proves capable of detecting DA concentrations as low as 100 pM in rat serum, showcasing its potential for clinically relevant analytes and promising applications in sensitive, selective, reliable, and efficient point-of-care diagnostics.

Molecularly Imprinted Wearable Sensor with Paper Microfluidics for Real-Time Sweat Biomarker Analysis

The urgent need for real-time and noninvasive monitoring of health-associated biochemical parameters has motivated the development of wearable sweat sensors. Existing electrochemical sensors show promise in real-time analysis of various chemical biomarkers. These sensors often rely on labels and redox probes to generate and amplify the signals for the detection and quantification of analytes with limited sensitivity. In this study, we introduce a molecularly imprinted polymer (MIP)-based biochemical sensor to quantify a molecular biomarker in sweat using electrochemical impedance spectroscopy, which eliminates the need for labels or redox probes. The molecularly imprinted biosensor can achieve sensitive and specific detection of cortisol at concentrations as low as 1 pM, 1000-fold lower than previously reported MIP cortisol sensors. We integrated multimodal electrochemical sensors with an iontophoresis sweat extraction module and paper microfluidics for real-time sweat analysis. Several parameters can be simultaneously quantified, including sweat volume, secretion rate, sodium ion, and cortisol concentration. Paper microfluidic modules not only quantify sweat volume and secretion rate but also facilitate continuous sweat analysis without user intervention. While we focus on cortisol sensing as a proof-of-concept, the molecularly imprinted wearable sensors can be extended to real-time detection of other biochemicals, such as protein biomarkers and therapeutic drugs.

Recent advancements in non-invasive wearable electrochemical biosensors for biomarker analysis - A review

A biomarker is a molecular indicator that can be used to identify the presence or severity of a disease. It may be produced due to biochemical or molecular changes in normal biological processes. In some cases, the presence of a biomarker itself is an indication of the disease, while in other cases, the elevated or depleted level of a particular protein or chemical substance aids in identifying a disease. Biomarkers indicate the progression of the disease in response to therapeutic interventions. Identifying these biomarkers can assist in diagnosing the disease early and providing proper therapeutic treatment. In recent years, wearable electrochemical (EC) biosensors have emerged as an important tool for early detection due to their excellent selectivity, low cost, ease of fabrication, and improved sensitivity. There are several challenges in developing a fully integrated wearable sensor, such as device miniaturization, high power consumption, incorporation of a power source, and maintaining the integrity and durability of the biomarker for long-term continuous monitoring. This review covers the recent advancements in the fabrication techniques involved in device development, the types of sensing platforms utilized, different materials used, challenges, and future developments in the field of wearable biosensors.

Tailor-Made Gold Nanomaterials for Applications in Soft Bioelectronics and Optoelectronics

In modern nanoscience and nanotechnology, gold nanomaterials are indispensable building blocks that have demonstrated a plethora of applications in catalysis, biology, bioelectronics, and optoelectronics. Gold nanomaterials possess many appealing material properties, such as facile control over their size/shape and surface functionality, intrinsic chemical inertness yet with high biocompatibility, adjustable localized surface plasmon resonances, tunable conductivity, wide electrochemical window, etc. Such material attributes have been recently utilized for designing and fabricating soft bioelectronics and optoelectronics. This motivates to give a comprehensive overview of this burgeoning field. The discussion of representative tailor-made gold nanomaterials, including gold nanocrystals, ultrathin gold nanowires, vertically aligned gold nanowires, hard template-assisted gold nanowires/gold nanotubes, bimetallic/trimetallic gold nanowires, gold nanomeshes, and gold nanosheets, is begun. This is followed by the description of various fabrication methodologies for state-of-the-art applications such as strain sensors, pressure sensors, electrochemical sensors, electrophysiological devices, energy-storage devices, energy-harvesting devices, optoelectronics, and others. Finally, the remaining challenges and opportunities are discussed.

Naphthalene Diimide and Bis-Heteroleptic Ru(II) Complex-Based Hybrid Molecule with 3-in-1 Functionalities

Multipurpose applications of a newly developed homobimetallic Ru(II) complex, Ru-NDI[PF6]4, which incorporates 1,10-phenanthroline and triazole-pyridine ligands and linked via a (-CH2-)3 spacer to the reputed anion-π interacting NDI system, are described. Solution-state studies of the bimetallic complex, including EPR, PL, UV-vis, and NMR experiments, reveal two sequential one-electron transfers to the NDI unit, generating NDI⋅- and NDI2- in the presence of F- selectively. This process inhibits the primary electron transfer from Ru(II) to the NDI unit, thereby allowing the 3MLCT-based emission of the complex to be recovered, resulting in a corresponding ten-fold increase in luminescence intensity. DFT and TD-DFT computational studies further elucidate the experimentally observed absorption spectra of the complex. Secondly, CT-DNA binding studies with the complex are performed using various spectroscopic analyses such as UV-vis, PL, and CD. Comparative DNA binding studies employing EB and molecular docking reveal that the binding with CT-DNA occurs through both intercalative and groove binding modalities. Thirdly, the photocatalytic activities of the complex towards C-C, C-N, and C-O bond formation in organic cross-coupling reactions, including the amidation of α-keto acids to amines and the oxidation of alcohol to aldehydes, are also demonstrated.

Sweat lactate sensor for detecting anaerobic threshold in heart failure: a prospective clinical trial (LacS-001)

A simple method for determining the anaerobic threshold in patients with heart failure (HF) is needed. This prospective clinical trial (LacS-001) aimed to investigate the safety of a sweat lactate-monitoring sensor and the correlation between lactate threshold in sweat (sLT) and ventilatory threshold (VT). To this end, we recruited 50 patients with HF and New York Heart Association functional classification I-II (mean age: 63.5 years, interquartile range: 58.0-72.0). Incremental exercise tests were conducted while monitoring sweat lactate levels using our sensor. sLT was defined as the first steep increase in lactate levels from baseline. Primary outcome measures were a correlation coefficient of ≥ 0.6 between sLT and VT, similarities as assessed by the Bland-Altman analysis, and standard deviation of the difference within 15 W. A correlation coefficient of 0.651 (95% confidence interval, 0.391-0.815) was achieved in 32/50 cases. The difference between sLT and VT was -4.9 ± 15.0 W. No comparative error was noted in the Bland-Altman plot. No device-related adverse events were reported among the registered patients. Our sweat lactate sensor is safe and accurate for detecting VT in patients with HF in clinical settings, thereby offering valuable additional information for treatment.

Conducting polymer functionalization in search of advanced materials in ionometry: ion-selective electrodes and optodes

Functionalized conducting polymers (FCPs) have recently garnered attention as ion-selective sensor materials, surpassing their intrinsic counterparts due to synergistic effects that lead to enhanced electrochemical and analytical parameters. Following a brief introduction of the fundamental concepts, this article provides a comprehensive review of the recent developments in the application of FCPs in ion-selective electrodes (ISEs) and ion-selective optodes (ISOs), particularly as ion-to-electron transducers, optical transducers, and ion-selective membranes. Utilizing FCPs in these devices offers a promising avenue for detecting and measuring ions in various applications, regardless of the sample nature and composition. Research has focused on functionalizing different conducting polymers, such as polyaniline and polypyrrole, through strategies such as doping and derivatization to alter their hydrophobicity, conductance, redox capacitance, surface area, pH sensitivity, gas and light sensitivity, etc. These modifications aim to enhance performance outcomes, including potential stability/emission signal stability, reproducibility and low detection limits. The advancements have led to the transition of ISEs from conventional zero-current potentiometric ion sensing to innovative current-triggered sensing approaches, enabling calibration-free applications and emerging concepts such as opto-electro dual sensing systems. The intrinsic pH cross-response and instability of the optical signal of ISOs have been overcome through the novel optical signal transduction mechanisms facilitated by FCPs. In this review, the characteristics of materials, functionalization approaches, particular implementation strategies, specific performance outcomes and challenges faced are discussed. Consolidating dispersed information in the field, the in-depth analysis presented here is poised to drive further innovations by broadening the scope of ion-selective sensors in real-world scenarios.

Expanding salivary biomarker detection by creating a synthetic neuraminic acid sensor via chimeragenesis

Accurate and timely diagnosis of oral squamous cell carcinoma (OSCC) is crucial in preventing its progression to advanced stages with a poor prognosis. As such, the construction of sensors capable of detecting previously established disease biomarkers for the early and non-invasive diagnosis of this and many other conditions has enormous therapeutic potential. In this work, we apply synthetic biology techniques for the development of a whole-cell biosensor (WCB) that leverages the physiology of engineered bacteria in vivo to promote the expression of an observable effector upon detection of a soluble molecule. To this end, we have constructed a bacterial strain expressing a novel chimeric transcription factor (Sphnx) for the detection of N-acetylneuraminic acid (Neu5Ac), a salivary biomolecule correlated with the onset of OSCC. This WCB serves as the proof-of-concept of a platform that can eventually be applied to clinical screening panels for a multitude of oral and systemic medical conditions whose biomarkers are present in saliva.

Embroidered Interdigitated Electrodes (IDTs) with Wireless Readout for Continuous Biomarker Monitoring

Non-invasive continuous health monitoring has become feasible with the advancement of biosensors. While monitoring certain biomarkers such as heart rate or skin temperature are now at a certain maturity, monitoring molecular biomarkers is still challenging. Progress has been shown in sampling, measurement, and interpretation of data toward non-invasive molecular sensors that can be integrated into daily wearable items. Toward this goal, this paper explores the potential of embroidered interdigitated transducer (IDT)-based sensors for non-invasive, continuous monitoring of human biomarkers, particularly glucose levels, in human sweat. The study employs innovative embroidery techniques to create flexible fabric-based sensors with gold-coated IDTs. In controlled experiments, we have shown the variation of glucose concentration in water can be wirelessly detected by tracking the resonant frequency of the embroidered sensors. The current sensors operate at 1.8 GHz to 2 GHz and respond to the change in glucose concentration with a sensitivity of 0.17 MHz/(mg/dL). The embroidered IDT-based sensors with wireless sensing will be a new measurement modality for molecular wearable sensors. The establishment of a wireless sensing mechanism for embroidered IDT-based sensors will be followed by an investigation of sweat for molecular detection. This will require adding functionalities for sampling and interpretation of acquired data. We envisage the embroidered IDT-based sensors offer a unique approach for seamless integration into clothing, paving the way for personalised, continuous health data capture.

Surface-Enhanced Raman Spectroscopy and Electrochemistry: The Ultimate Chemical Sensing and Manipulation Combination

One of the lessons we learned from the COVID-19 pandemic is that the need for ultrasensitive detection systems is now more critical than ever. While sensors' sensitivity, portability, selectivity, and low cost are crucial, new ways to couple synergistic methods enable the highest performance levels. This review article critically discusses the synergetic combinations of optical and electrochemical methods. We also discuss three key application fields-energy, biomedicine, and environment. Finally, we selected the most promising approaches and examples, the open challenges in sensing, and ways to overcome them. We expect this work to set a clear reference for developing and understanding strategies, pros and cons of different combinations of electrochemical and optical sensors integrated into a single device.

Electrochemical Detection of Gasotransmitters: Status and Roadmap

Gasotransmitters, including nitric oxide (NO), carbon monoxide (CO), and hydrogen sulfide (H2S), are a class of gaseous, endogenous signaling molecules that interact with one another in the regulation of critical cardiovascular, immune, and neurological processes. The development of analytical sensing mechanisms for gasotransmitters, especially multianalyte mechanisms, holds vast importance and constitutes a growing area of study. This review provides an overview of electrochemical sensing mechanisms with an emphasis on opportunities in multianalyte sensing. Electrochemical methods demonstrate good sensitivity, adequate selectivity, and the most well-developed potential for the multianalyte detection of gasotransmitters. Future research will likely address challenges with sensor stability and biocompatibility (i.e., sensor lifetime and cytotoxicity), sensor miniaturization, and multianalyte detection in biological settings.

On-Chip Electrochemical Sensing with an Enhanced Detecting Signal Due to Concentration Polarization-Based Analyte Preconcentration

Here, we integrated two key technologies within a microfluidic system, an electrokinetic preconcentration of analytes by ion Concentration Polarization (CP) and local electrochemical sensors to detect the analytes, which can synergistically act to significantly enhance the detection signal. This synergistic combination, offering both decoupled and coupled operation modes for continuous monitoring, was validated by the intensified fluorescent intensities of CP-preconcentrated analytes and the associated enhanced electrochemical response using differential pulse voltammetry and chronoamperometry. The system performance was evaluated by varying the location of the active electrochemical sensor, target analyte concentrations, and electrolyte concentration using fluorescein molecules as the model analyte and Homovanillic acid (HVA) as the target bioanalyte within both phosphate-buffered saline (PBS) and artificial sweat solution. The combination of on-chip electrochemical sensing with CP-based preconcentration renders this generic approach adaptable to various analytes. This advanced system shows remarkable promise for enhancing biosensing detection in practical applications while bridging the gap between fundamental research and practical implementation.

Recent Technologies for Transcutaneous Oxygen and Carbon Dioxide Monitoring

The measurement of partial pressures of oxygen (O2) and carbon dioxide (CO2) is fundamental for evaluating a patient's conditions in clinical practice. There are many ways to retrieve O2/CO2 partial pressures and concentrations. Arterial blood gas (ABG) analysis is the gold standard technique for such a purpose, but it is invasive, intermittent, and potentially painful. Among all the alternative methods for gas monitoring, non-invasive transcutaneous O2 and CO2 monitoring has been emerging since the 1970s, being able to overcome the main drawbacks of ABG analysis. Clark and Severinghaus electrodes enabled the breakthrough for transcutaneous O2 and CO2 monitoring, respectively, and in the last twenty years, many innovations have been introduced as alternatives to overcome their limitations. This review reports the most recent solutions for transcutaneous O2 and CO2 monitoring, with a particular consideration for wearable measurement systems. Luminescence-based electronic paramagnetic resonance and photoacoustic sensors are investigated. Optical sensors appear to be the most promising, giving fast and accurate measurements without the need for frequent calibrations and being suitable for integration into wearable measurement systems.

A Bionic Skin for Health Management: Excellent Breathability, In Situ Sensing, and Big Data Analysis

Developing an intelligent wearable system is of great significance to human health management. An ideal health-monitoring patch should possess key characteristics such as high air permeability, moisture-wicking function, high sensitivity, and a comfortable user experience. However, such a patch that encompasses all these functions is rarely reported. Herein, an intelligent bionic skin patch for health management is developed by integrating bionic structures, nano-welding technology, flexible circuit design, multifunctional sensing functions, and big data analysis using advanced electrospinning technology. By controlling the preparation of nanofibers and constructing bionic secondary structures, the resulting nanofiber membrane closely resembles human skin, exhibiting excellent air/moisture permeability, and one-side sweat-wicking properties. Additionally, the bionic patch is endowed with a high-precision signal acquisition capabilities for sweat metabolites, including glucose, lactic acid, and pH; skin temperature, skin impedance, and electromyographic signals can be precisely measured through the in situ sensing electrodes and flexible circuit design. The achieved intelligent bionic skin patch holds great potential for applications in health management systems and rehabilitation engineering management. The design of the smart bionic patch not only provides high practical value for health management but also has great theoretical value for the development of the new generation of wearable electronic devices.

Reduced graphene oxide-functionalized polymer microneedle for continuous and wide-range monitoring of lactate in interstitial fluid

Despite substantial developments in minimally invasive lactate monitoring microneedle electrodes, most such electrode developments have focused on either sensitivity or invasiveness while ignoring a wide range of detection, which is the most important factor in measuring the normal range of lactate in interstitial fluid (ISF). Herein, we present a polymer-based planar microneedle electrode fabrication using microelectromechanical and femtosecond laser technology for the continuous monitoring of lactate in ISF. The microneedle is functionalized with two-dimensional reduced graphene oxide (rGO) and electrochemically synthesized platinum nanoparticles (PtNPs). A particular quantity of Nafion (1.25 wt%) is applied on top of the lactate enzyme to create a diffusion-controlled membrane. Due to the combined effects of the planar structure of the microneedle, rGO, and membrane, the biosensor exhibited excellent linearity up to 10 mM lactate with a limit of detection of 2.04 μM, high sensitivity of 43.96 μA mM-1cm-2, a reaction time of 8 s and outstanding stability, selectivity, and repeatability. The feasibility of the microneedle is evaluated by using it to measure lactate concentrations in artificial ISF and human serum. The results demonstrate that the microneedle described here has great potential for use in real-time lactate monitoring for use in sports medicine and treatment.

Technological Advances of Wearable Device for Continuous Monitoring of In Vivo Glucose

Managing diabetes is a chronic challenge today, requiring monitoring and timely insulin injections to maintain stable blood glucose levels. Traditional clinical testing relies on fingertip or venous blood collection, which has facilitated the emergence of continuous glucose monitoring (CGM) technology to address data limitations. Continuous glucose monitoring technology is recognized for tracking long-term blood glucose fluctuations, and its development, particularly in wearable devices, has given rise to compact and portable continuous glucose monitoring devices, which facilitates the measurement of blood glucose and adjustment of medication. This review introduces the development of wearable CGM-based technologies, including noninvasive methods using body fluids and invasive methods using implantable electrodes. The advantages and disadvantages of these approaches are discussed as well as the use of microneedle arrays in minimally invasive CGM. Microneedle arrays allow for painless transdermal puncture and are expected to facilitate the development of wearable CGM devices. Finally, we discuss the challenges and opportunities and look forward to the biomedical applications and future directions of wearable CGM-based technologies in biological research.

Recent advancements in chemosensors for the detection of food spoilage

The need for reliable sensors has become a major requirement to confirm the quality and safety of food commodities. Chemosensors are promising sensing tools to identify contaminants and food spoilage to ensure food safety. Chemosensing materials are evolving and becoming potential mechanisms to enable onsite and real-time monitoring of food safety. This review summarizes the information about the basic four types of chemosensors (colorimetric, optical, electrochemical, and piezoelectric) employed in the food sector, the latest advancements in the development of chemo-sensing mechanisms, and their food applications, with special emphasis on the future outlook of them. In this review, we discuss the novel chemosensors developed from the year 2018 to 2022 to detect spoilage in some common types of food like fish, meat, milk, cheese and soy sauce. This work will provide a fundamental step toward further development and innovations of chemosensors targeting different arenas in the food industry.

Wearable biosensors for human sweat glucose detection based on carbon black nanoparticles

Wearable glucose biosensors enable noninvasive glucose monitoring, thereby enhancing blood glucose management. In this work, we present a wearable biosensor based on carbon black nanoparticles (CBNPs) for glucose detection in human sweat. The biosensor consists of CBNPs, Prussian blue (PB), glucose oxidase, chitosan, and Nafion. The fabricated biosensor has a linear range of 5 µM to 1250 µM, sensitivity of 14.64 µA mM-1 cm-2, and a low detection potential (-0.05 V, vs. Ag/AgCl). The detection limit for glucose was calculated as 4.83 µM. This reusable biosensor has good selectivity and stability and exhibits a good response to glucose in real sweat. These results demonstrate the potential of our CBNP-based biosensor for monitoring blood glucose in human sweat.

Biopolymer-protected graphene-Fe3O4 nanocomposite based wearable microneedle sensor: toward real-time continuous monitoring of dopamine

Neurological disorders can occur in the human body as a result of nano-level variations in the neurotransmitter levels. Patients affected by neuropsychiatric disorders, that are chronic require continuous monitoring of these neurotransmitter levels for effective disease management. The current work focus on developing a highly sensitive and personalized sensor for continuous monitoring of dopamine. Here we propose a wearable microneedle-based electrochemical sensor, to continuously monitor dopamine in interstitial fluid (ISF). A chitosan-protected hybrid nanomaterial Fe3O4-GO composite has been used as a chemical recognition element protected by Nafion antifouling coating layer. The morphological and physiochemical characterizations of the nanocomposite were carried out with XRD, XPS, FESEM, EDAX and FT-IR. The principle of the developed sensor relies on orthogonal detection of dopamine with square wave voltammetry and chronoamperometric techniques. The microneedle sensor array exhibited an attractive analytical performance toward detecting dopamine in phosphate buffer and artificial ISF. The limit of detection (LOD) of the developed sensor was observed to be low, 90 nM in square wave voltammetry and 0.6 μM in chronoamperometric analysis. The practical applicability of the microneedle sensor array has been demonstrated on a skin-mimicking phantom gel model. The microneedle sensor also exhibited good long-term storage stability, reproducibility, and sensitivity. All of these promising results suggest that the proposed microneedle sensor array could be reliable for the continuous monitoring of dopamine.

MicroRNA biosensors for the detection of liver cancer

Liver cancer is one of the deadliest types worldwide and early diagnosis is highly important for successful treatment. Therefore, it is necessary to develop rapid, sensitive, simple, and inexpensive analytical tools for its detection. MicroRNAs (miRNA) represent unique biomarkers whose expression in biofluids is strongly associated with cancer in general and miR-21, -31, -122, -145, -146a, -200c, -221, -222, and -223 in liver cancer, specifically. Various biosensors for miRNA detection have been developed. These include electrochemical biosensors based on amperometric, potentiometric, conductometric and impedimetric technology. Furthermore, the use of advanced nanomaterials with enhanced chemical stability, conductivity and electrocatalytic activity have greatly increased the sensitivity and specificity of these devices. The present review focuses on recent advances in electrochemical biosensors for miRNA detection in liver cancer.