Nowadays, wearable electronic devices with rich functions have significantly facilitated individual combat in the military and daily lives of people. To achieve implanting and sustainable wearable electronic systems, it is necessary to develop self-powered sensors utilizing environmental energy harvesting with superior mechanical stretchability and flexibility. Triboelectric nanogenerators (TENGs) can capture the low-frequency mechanical energy in human motion and convert it into electricity, which is expected to be a potential solution for this urgent need. In this review, based on advanced applications, the rich functions of TENG-based wearable devices are thoroughly discussed, including human body perception and human-machine interaction, personnel identification, as well as generation and recognition of coded information. Then, we elaborate on three crucial strategies for achieving an optimal design of TENG-based wearable devices, including selection and optimization of flexible materials, structural design and optimization, and synergistic information acquisition using multiple sensors. The representative signal processing methods are investigated to exploit the potential information behind the output signals, including basic qualitative waveform features and quantization thresholds, anti-interference processing and joint processing of multiple signals, and implementation of complex functions based on artificial intelligence. The review concludes with an overview of the remaining key challenges and potential technologies that can achieve the ultimate goal of a “fully self-powered wearable microsystem”.
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