Sweat Analysis Research Articles

Hydrodynamics-engineered polyaniline nanofibers on graphene nanosheets for high-performance pH sensors

Real-time sweat monitoring in the human body using wearable sensors is promising for noninvasive and continuous healthcare applications. For reliable and accurate sweat analysis, further improvement in the response time and long-term stability of sensors is required. This paper reports an electrochemical pH sensor based on polyaniline/graphene (PANi-Gr) with rapid electron and ion transfer. The implementation of the Taylor–Couette flow approach allowed the efficient exfoliation of graphite into Gr nanosheets and the rapid polymerization of aniline monomers on the Gr surface, resulting in nanofiber PANi-deposited Gr nanocomposites. PANi-Gr had a large surface area and porous structure, which are favorable for rapid and stable electrochemical reactions. The screen-printed PANi-Gr-based pH sensor exhibited a Nernstian sensitivity of 61.91 mV/pH, rapid response time of <1 s, and long-term stability upon monitoring with minimal potential drift (0.04 mV h−1) under strong acidic and basic conditions. Furthermore, the on-body performance of the wearable pH sensor integrated with a wireless electronic device was analyzed via the noninvasive real-time monitoring of human sweat pH during stationary cycling. The developed sensor can be used in wearable real-time sweat monitoring devices for medical and healthcare applications.

Micropatterned Polymer Nanoarrays with Distinct Superwettability for a Highly Efficient Sweat Collection and Sensing Patch.

Wearable sweat sensor offers a promising means for noninvasive real-time health monitoring, but the efficient collection and accurate analysis of sweat remains challenging. One of the obstacles is to precisely modulate the surface wettability of the microfluidics to achieve efficient sweat collection. Here a facile initiated chemical vapor deposition (iCVD) method is presented to grow and pattern polymer nanocone arrays with distinct superwettability on polydimethylsiloxane microfluidics, which facilitate highly efficient sweat transportation and collection. The nanoarray is synthesized by manipulating monomer supersaturation during iCVD to induce controlled nucleation and preferential vertical growth of fluorinated polymer. Subsequent selective vapor deposition of a conformal hydrogel nanolayer results in superhydrophilic nanoarray floor and walls within the microchannel that provide a large capillary force and a superhydrophobic ceiling that drastically reduces flow friction, enabling rapid sweat transport along varied flow directions. A carbon/hydrogel/enzyme nanocomposite electrode is then fabricated by sequential deposition of highly porous carbon nanoparticles and hydrogel nanocoating to achieve sensitive and stable sweat detection. Further encapsulation of the assembled sweatsensing patch with superhydrophobic nanoarray imparts self-cleaning and water-proof capability. Finally, the sweat sensing patch demonstrates selective and sensitive glucose and lactate detection during the on-body test.

A self-driven multifunctional microfluidic sweat analysis system for efficient sweat collection and real-time monitoring

Wearable sweat sensors offer the opportunity for non-invasive and real-time monitoring of metabolite information in sweat, enabling individuals to dynamically monitor their physiology states at the molecular level. However, sweat possesses characteristics such as small volume, volatility, susceptibility to epidermal contamination, and low analyte concentrations, making its reliable collection and detection challenge for wearable sweat sensors. In this work, we develop a self-driven multifunctional microfluidic sweat analysis system (SMMSAS) for efficient sweat collection and detection. The SMMSAS features with a wetting contrast for the sweat, which comprises superhydrophobic inlet, superhydrophilic microchannel enriched with nanofiber, and an absorbent test paper. Such a feature enables the spontaneous sweat transports in the form of dropwise due to the exertion of “Laplace force-capillary force-capillary force” on sweat, thereby facilitating the real-time sweat detection. SMMSAS integrated with the functions of impedance and colorimetry analysis is able to simultaneously record the multiple information in sweat, including sweat volume, sweating rate, total electrolyte concentration, glucose concentration, and pH value, all of which are important to reflect the physiological state of the human body. We also demonstrate the capability of SMMSAS in real-time monitoring the sweating conditions of the human body, which is attributed to its fast responsiveness (∼ 100 ms) for the wide range sweating rate (0.5−15 μL/min) and various total electrolyte concentration (0−80 mM), paving the way for next-generation personalized healthcare.

Microfluidic sweat patch based on capillary force and evaporation pump for real-time continuous sweat analysis.

In addition to the common blood and urine, fresh sweat contains a diverse range of physiological indicators that can effectively reflect changes in the body's state. Wearable sweat sensors are crucial for understanding human physiological health; however, real-time in situ measurement of multiple biomarkers in sweat remains a significant challenge. Here, we propose a wearable microfluidic patch featuring an integrated microfluidic channel and evaporation pump for accelerated and continuous sweat collection, eliminating the need for additional sweat storage cavities that typically impede real-time detection. Capillary forces are harnessed to facilitate the rapid flow of sweat through the detection area, while an evaporation pump based on porous laser-induced graphene enhances sweat evaporation. The synergistic integration of these two components enables an uninterrupted flow of fresh sweat within the patch, ensuring real-time monitoring. The influence of channel size parameters on sweat flow velocity is analyzed, and the optimal width-to-height ratio for achieving the desired flow velocity is determined. By implementing a multi-channel parallel design with chamfering, liquid flow resistance is effectively reduced. Furthermore, the patch integrates sensor modules for sodium ion, chloride ion, glucose, and pH value measurements, ensuring excellent sealing and stability of the assembled system. This work presents a simplified approach to developing wearable sweat sensors that hold the potential for health monitoring and disease diagnosis.

Synergistic enhancement of wearable biosensor through Pt single-atom catalyst for sweat analysis

Real-time monitoring of biological markers in sweat is a valuable tool for health assessment. In this study, we have developed an innovative wearable biosensor for precise analysis of glucose in sweat during physical activities. The sensor is based on a single-atom catalyst of platinum (Pt) uniformly dispersed on tricobalt tetroxide (Co3O4) nanorods and reduced graphene oxide (rGO), featuring a unique three-dimensional nanostructure and excellent glucose electrocatalytic performance with a wide detection range of 1–800 μM. Additionally, density functional theory calculations have revealed the synergetic role of Pt active sites in the Pt single-atom catalyst (Co3O4/rGO/Pt) in glucose adsorption and electron transfer, thereby enhancing sensor performance. To enable application in wearable devices, we designed an S-shaped microfluidic chip and a point-of-care testing (POCT) device, both of which were validated for effectiveness through actual use by volunteers. This research provides valuable insights and innovative approaches for analyzing sweat glucose using wearable devices, contributing to the advancement of personalized healthcare.

Adaptively resettable microfluidic patch for sweat rate and electrolytes detection

Skin-interfaced microfluidic patch has become a reliable device for sweat collection and analysis. However, the intractable problems of emptying the microchannel for reuse, and the channel's volumetric capacity limited by the size of the patch, directly hinder the practical application of sweat sensors. Herein, we report an adaptively resettable microfluidic sweat patch (Art-Sweat patch) capable of continuously monitoring both sweat rate (0.2–4.0 μL min−1) and total ionic charge concentration (10–200 mmol L−1). We develop a platform with a vertical and horizontal microchannel combined strategy, enabling repeatedly filling sweat and emptying the microchannel for autonomously resetting and detecting. The variation in the emptied volume is designed to be adaptively identified by the sensor, resulting in enhanced stability and an enlarged volumetric capacity of over 300 μL. By integrating with self-designed wireless transmission modules, the proposed Art-Sweat patch shows product-level wearability and high performance in monitoring variations in regional sweat rate and concentration for hydration status assessment.

Microfluidic Sensing Textile for Continuous Monitoring of Sweat Glucose at Rest.

Wearable sweat sensors have received considerable attention due to their great potential for noninvasive continuous monitoring of an individual's health status applications. However, the low secretion rate and fast evaporation of sweat pose challenges in collecting sweat from sedentary individuals for noninvasive analysis of body physiology. Here, we demonstrate wearable textiles for continuous monitoring of sweat at rest using the combination of a heating element and a microfluidic channel to increase localized skin sweat secretion rates and combat sweat evaporation, enabling accurate and stable monitoring of trace amounts of sweat. The Janus sensing yarns with a glucose sensing sensitivity of 36.57 mA cm-2 mM-1 are embroidered into the superhydrophobic heated textile to collect sweat directionally, resulting in improved sweat collection efficiency of up to 96 and 75% retention. The device also maintains a highly durable sensing performance, even in dynamic deformation, recycling, and washing. The microfluidic sensing textile can be further designed into a wireless sensing system that enables sedentary-compatible sweat analysis for the continuous, real-time monitoring of body glucose levels at rest.

Large-Scale Wearable Textile-Based Sweat Sensor with High Sensitivity, Rapid Response, and Stable Electrochemical Performance.

Textile-based sweat sensors display great potential to enhance wearable comfort and health monitoring; however, their widespread application is severely hindered by the intricate manufacturing process and electrochemical characteristics. To address this challenge, we combined both impregnation coating technology and conjugated electrospinning technology to develop an electro-assisted impregnation core-spinning technology (EAICST), which enables us to simply construct a sheath-core electrochemical sensing yarn (TPFV/CPP yarn) via coating PEDOT:PSS-coated carbon fibers (CPP) with polyurethane (TPU)/polyacrylonitrile (PAN)/poloxamer (F127)/valinomycin as shell. The TPFV/CPP yarn was sewn into the fabric and integrated with a sensor to achieve a detachable feature and efficiently monitor K+ levels in sweat. By introducing EAICST, a speed of 10 m/h can be realized in the continuous preparation of the TPFV/CPP yarn, while the interconnected pores in the yarn sheath enable it to quickly capture and diffuse sweat. Besides, the sensor exhibited excellent sensitivity (54.26 mV/decade), fast response (1.7 s), anti-interference, and long-term stability (5000 s or more). Especially, it also possesses favorable washability and wear resistance properties. Taken together, this study provides a crucial technical foundation for the development of advanced wearable devices designed for sweat analysis.

A wearable microfluidic system for efficient sweat collection and real-time detection

Sweat is an important biofluid with rich physiological information that can evaluate human health condition. Wearable sweat sensors have received widespread attention in recent years due to the benefits of non-invasive, continuous, and real-time monitoring. Currently, an efficient device integrating sweat collection and detection is still needed. Here, a wearable sweat microfluidic system was fabricated for real-time collection and analysis of sweat. The fabricated microfluidic system consisted of four layers, including a skin adhesive layer, a microfluidic layer, an electrode layer, and a capping layer. The sweat collection rate was around 0.79 μL/min, which demonstrated efficient sweat sampling, storage, and refreshing capabilities. Simultaneous detection of multiple sweat biomarkers was achieved with a screen-printed sweat sensing array, which could realize high-precision detection of Na+, K+, and glucose. Moreover, the sensing array also showed good repeatability and stability, with a relative standard deviation of sensitivity of less than 5%. Additionally, human testing was conducted to demonstrate that this microfluidic system can continuously monitor Na+, K+, and glucose in subjects' sweat during exercise, which showed high potential for non-invasive human health monitoring.

Towards on-skin analysis of sweat for managing disorders of substance abuse

Towards on-skin analysis of sweat for managing disorders of substance abuse

Wearable Electrochemical Sensor for Sweat-Based Potassium Ion and Glucose Detection in Exercise Health Monitoring.

The increasing prevalence of wearable devices has sparked a growing interest in real-time health monitoring and physiological parameter tracking. This study focuses on the development of a cost-effective sweat analysis device, utilizing microfluidic technology and selective electrochemical electrodes for non-invasive monitoring of glucose and potassium ions. The device, through real-time monitoring of glucose and potassium ion levels in sweat during physical activity, issues a warning signal when reaching experimentally set thresholds (K+ concentration at 7.5 mM, glucose concentrations at 60 μM and 120 μM). This alerts users to potential dehydration and hypoglycemic conditions. Through the integration of microfluidic devices and precise electrochemical analysis techniques, the device enables accurate and real-time monitoring of glucose and potassium ions in sweat. This advancement in wearable technology holds significant potential for personalized health management and preventive care, promoting overall well-being, and optimizing performance during physical activities.

Wearable Janus nanofiber membrane-based colorimetric sensors for directional transfer and analysis of sweat

Wearable sweat sensors are promising for real-time personalized health monitoring in a noninvasive manner. However, how to improve the wearing comfort and accuracy affected by sweat accumulation and unstable assay regent immobilization still remains challenges. Herein, we proposed a wearable colorimetric sensor for in situ and simultaneous monitoring of glucose, Ca2+ and Zn2+ in sweat by using Janus nanofiber membranes as a matrix. The sensor was prepared by an electrospinning method and patterned by a direct writing technique. The Janus nanofiber membrane allowed sweat directionally transport across the membrane in an irreversible way, thus effectively avoiding sweat retention on skin surface and keeping skin dry. To achieve uniform distribution and stable immobilization of detection regents, the reagents were in situ encapsulated into the nanofibers during electrospinning, which was beneficial for enhancing the accuracy and stability of the sensor. The obtained wearable device demonstrated excellent sensing performances in view of sensitivity, specificity, stability and accuracy. Human studies conveyed that the sensor possessed the ability for glucose, Ca2+ and Zn2+ monitoring in actual samples comparable to commercial assay kits.

A wearable flexible electrochemical biosensor with CuNi-MOF@rGO modification for simultaneous detection of uric acid and dopamine in sweat

BackgroundIn health assessment and personalized medical services, accurate detection of biological markers such as dopamine (DA) and uric acid (UA) in sweat is crucial for providing valuable physiological information. However, there are challenges in detecting sweat biomarkers due to their low concentrations, variations in sweat yield among individuals, and the need for efficient sweat collection. ResultsWe synthesized CuNi-MOF@rGO as a high-activity electrocatalyst and investigated its feasibility and electrochemical mechanism for simultaneously detecting low-concentration biomarkers UA and DA. Interaction between the non-coordinating carboxylate group and the sample produces effective separation signals for DA and UA. The wearable biomimetic biosensor has a wide linear range of 1–500 μM, with a detection limit of 9.41 μM and sensitivity of 0.019 μA μM−1 cm−2 for DA, and 10–1000 μM, with a detection limit of 9.09 μM and sensitivity of 0.026 μA μM−1 cm−2 for UA. Thus, our sensor performs excellently in detecting low-concentration biomarkers. To improve sweat collection, we designed a microfluidic-controlled device with hydrophilic modification in the microchannel. Experimental results show optimal ink flow at 2% concentration. Overall, we developed an innovative and highly active electrocatalyst, successfully enabling simultaneous detection of low-concentration biomarkers UA and DA. SignificanceThis study provides a strategy for sweat analysis and health monitoring. Moreover, the sensor also showed good performance in detecting real sweat samples. This study has shown great potential in future advances in sweat analysis and health monitoring.

Wireless and battery-free wearable biosensing of riboflavin in sweat for precision nutrition

Nutrition assessment is crucial for dietary guidance and prevention of malnutrition. Recent endeavors in wearable biochemical sensors have enabled real-time, in situ analysis of nutrients in sweat. However, the monitoring of riboflavin, an indispensable vitamin B involved in energy metabolism, remains challenging due to its trace level and variations in the sweat matrix. Herein, we report a wireless, battery-free, and flexible wearable biosensing system for the in situ monitoring of sweat riboflavin. Highly sensitive and selective electrochemical voltammetric detection is realized based on the synergistic effect of electrodeposited reduced graphene oxide (rGO) and platinum nanoparticles (PtNPs) with a low detection limit of 1.2 nM. The fully integrated system is capable of sweat sampling with the microfluidic patch, real-time riboflavin analysis and pH calibration with the flexible electrode array, as well as wirelessly simultaneous near field communication (NFC) energy harvesting and data transmission with the flexible circuit and a smartphone. On-body human sweat analysis demonstrates high accuracy cross-validated with gold-standard measurements, and reveals a strong correlation between sweat and urine riboflavin levels. The proposed wearable platform opens up attractive possibilities for noninvasive nutrient tracking, providing strong potential for personalized dietary guidance towards precision nutrition.

Quantitative analysis of sweat evaporation loss in epidermal microfluidic patches.

Sweat analysis is identified as a promising biochemical technique for the non-invasive assessment of human health status. Epidermal microfluidic patches are the predominant sweat sampling and sensing devices. However, the sweat stored inside the patches may suffer from evaporation loss of moisture, which can increase the concentration of biomarkers and cause the biochemical analysis results of sweat to deviate from the actual results. This study focuses on quantitatively analysing the sweat evaporation loss within epidermal microfluidic patches. Analytical models based on the dissolution diffusion mechanism and corresponding partial differential equations for the diffusion process were initially developed. The analytical solution of the equation was derived using the method of separation of variables, and the steady-state concentration distribution of water in the materials of microfluidic patches was calculated when considering the application of epidermal microfluidics. Evaporation losses of sweat through different paths were quantitatively calculated and analysed, including permeation through covers, diffusion along microchannels, and absorption by sidewalls. Then, experiments on the evaporation loss of sweat within microfluidic patches were conducted to validate the theoretical calculations and analytical results. At last, the design of the anti-evaporation structure for microfluidic patches was discussed. This study can provide theoretical and experimental references for the design of water-retention structures in epidermal microfluidic patches, which significantly enhances the overall reliability of sweat biochemical analysis results.

IntelliCare: Integrating IoT and Machine Learning for Remote Patient Monitoring in Healthcare: A Comprehensive Framework

The development of smart health monitoring systems has emerged as a consequence of the integration of Internet of Things (IoT) and Machine Learning (ML) technologies within the healthcare sector. This transformation has significantly reshaped patient care methodologies, shifting from traditional approaches to electronic healthcare systems. Leveraging IoT technology fosters a contemporary medical device ecosystem, fostering seamless communication among healthcare professionals, patients, and medical devices. Through the deployment of IoT devices, encompassing sensors and transmitters, coupled with Machine Learning algorithms, various applications have arisen, spanning from remote patient monitoring to real-time health assessment during ambulance transit to medical facilities. This proposed framework aims to monitor essential physiological parameters including body temperature, blood pressure, heart rate, sweat analysis, glucose levels, ECG, EEG, and pulse oximetry, transmitting pertinent data for tailored processing and analysis. Implantable IoT devices serve as conduits for wireless communication, data storage, centralized computation, and portable processing, facilitating connectivity among sensors, GPS-enabled ambulances, medical practitioners, and patients. To mitigate potential health risks, sensors are equipped with Machine Learning capabilities to promptly assess illness severity and recommend appropriate interventions, potentially triggering automated alerts to healthcare providers. This seamless exchange of information via IoT and wireless networks enables rapid communication between doctors and patients, facilitating personalized medical recommendations, prescription management, and hospital selection based on individual health profiles.

Skin-interfaced microfluidic sweat collection devices for personalized hydration management through thermal feedback.

Non-electronic wearables that utilize skin-interfaced microfluidic technology have revolutionized the collection and analysis of human sweat, providing valuable biochemical information and indicating body hydration status. However, existing microfluidic devices often require constant monitoring of data during sweat assessment, thereby impeding the user experience and potentially missing anomalous physiological events, such as excessive sweating. Moreover, the complex manufacturing process hampers the scalability and large-scale production of such devices. Herein, we present a self-feedback microfluidic device with a unique dehydration reminder through a cost-effective "CAD-to-3D device" approach. It incorporates two independent systems for sweat collection and thermal feedback, including serpentine microchannels, reservoirs, petal-like bursting valves and heating chambers. The device operates by sequentially collecting sweat in the channels and reservoirs, and then activating thermal stimulators in the heating chambers through breaking the valves, initiating a chemical exothermic reaction. Human trials validate that the devices effectively alert users to potential dehydration by inducing skin thermal sensations triggered by sweat sampling. The proposed device offers facile scalability and customizable fabrication, and holds promise for managing hydration strategies in real-world scenarios, benefiting individuals engaged in sporting activities or exposed to high-temperature settings.

A Miniaturized Flexible Patch Based on CNT Fiber Sensors and Highly Integrated SoC for Analysis of Sweat

A Miniaturized Flexible Patch Based on CNT Fiber Sensors and Highly Integrated SoC for Analysis of Sweat

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...

Engineering of graphene-based composites with hexagonal boron nitride and PEDOT:PSS for sensing applications.

A unique nanomaterial has been developed for sweat analysis, including glucose level monitoring. Simple resusable low-cost sensors from composite materials based on graphene, hexagonal boron nitride, and conductive PEDOT:PSS (poly(3,4-ethylenedioxythiophene)polystyrene sulfonate) polymer have been developed and fabricated via 2D printing on flexible substrates. The sensors were tested as biosensors using different water-based solutions. A strong increase in the current response (several orders of magnitude) was observed for aqua vapors or glucose solution vapors. This property is associated with the sorption capacity of graphene synthesized in a volume of plasma jets and thus having many active centers on the surface. The structure and properties of graphene synthesized in a plasma are different from those of graphene created by other methods. As a result, the current response for a wearable sensor is 3-5 orders of magnitude higher for the reference blood glucose concentration range of 4-14 mM. It has been found that the most promising sensor with the highest response was fabricated based on the graphene:PEDOT:PSS composite. The graphene:h-BN:PEDOT:PSS (h-BN is hexagonal boron nitride) sensors demonstrated a longer response and the highest response after the functionalization of the sensors with a glucose oxidase enzyme. The reusable wearable graphene:PEDOT:PSS glucose sensors on a paper substrate demonstrated a current response of 10-10 to 10-5 A for an operating voltage of 0.5 V and glucose range of 4-10 mM.