Next Article in Journal
Editorial for the Special Issue “Polymeric Hydrogels for Biomedical Application”
Next Article in Special Issue
Survey of Sustainable Wearable Strain Sensors Enabled by Biopolymers and Conductive Organic Polymers
Previous Article in Journal
Magnetic Ionogel and Its Applications
 
 
Font Type:
Arial Georgia Verdana
Font Size:
Aa Aa Aa
Line Spacing:
Column Width:
Background:
Review

Eco-Friendly Conductive Hydrogels: Towards Green Wearable Electronics

by
José María Calderón Moreno
*,
Mariana Chelu
* and
Monica Popa
“Ilie Murgulescu” Institute of Physical Chemistry, 202 Splaiul Independentei, 060021 Bucharest, Romania
*
Authors to whom correspondence should be addressed.
Gels 2025, 11(4), 220; https://doi.org/10.3390/gels11040220
Submission received: 12 February 2025 / Revised: 13 March 2025 / Accepted: 19 March 2025 / Published: 21 March 2025

Abstract

:
The rapid advancement of wearable electronics has catalyzed the development of flexible, lightweight, and highly conductive materials. Among these, conductive hydrogels have emerged as promising candidates due to their tissue-like properties, which can minimize the mechanical mismatch between flexible devices and biological tissues and excellent electrical conductivity, stretchability and biocompatibility. However, the environmental impact of synthetic components and production processes in conventional conductive hydrogels poses significant challenges to their sustainable application. This review explores recent advances in eco-friendly conductive hydrogels used in healthcare, focusing on their design, fabrication, and applications in green wearable electronics. Emphasis is placed on the use of natural polymers, bio-based crosslinkers, and green synthesis methods to improve sustainability while maintaining high performance. We discuss the incorporation of conductive polymers and carbon-based nanomaterials into environmentally benign matrices. Additionally, the article highlights strategies for improving the biodegradability, recyclability, and energy efficiency of these materials. By addressing current limitations and future opportunities, this review aims to provide a comprehensive understanding of environmentally friendly conductive hydrogels as a basis for the next generation of sustainable wearable technologies.

Graphical Abstract

1. Introduction

1.1. Overview of Wearable Electronics (WE)

WE represent a rapidly evolving field that merges advanced materials, sensor technologies, and miniaturization with everyday consumer needs [1,2,3]. These devices, typically worn on the body (Figure 1), monitor, communicate, and interact with users, offering a wide range of applications from health tracking to immersive experiences [4,5]. Key areas of WE include health and fitness monitoring [6,7], medical wearables [8], augmented and virtual reality [9,10], smart clothing [11], and biometric and neural interfaces [12].
The most popular application of WE is in health and fitness monitoring devices like smartwatches and fitness trackers that collect data on heart rate, physical activity, sleep patterns, blood oxygen levels, and even stress indicators. Recent advances involve the use of biosensors for noninvasive monitoring of metabolic markers, glucose levels [13], and other biomarkers in wearable medical devices, including continuous noninvasive glucose monitors [14,15], electrocardiogram (ECG) monitors [16], contact-lens biosensors [17], and wearable insulin pumps, with the goal of improving chronic disease management. Recent developments include self-powered, skin-integrated implantable sensors [18,19] and advanced fabrics that can measure muscle activity [20], body temperature, and even detect falls or stress [1]. Research in this sector aims to create devices that provide real-time health diagnostics, drug delivery, and continuous monitoring [21], focused on enhancing the accuracy and battery life of these sensors and expanding their capabilities to monitor a broader range of health metrics that can significantly improve patient outcomes and reduce hospital visits [22,23]. Wearable devices that enable augmented and virtual reality experiences now offer improved resolution, lighter designs, and more sophisticated spatial tracking [24]. Recent research focuses on improving user immersion, minimizing motion sickness and making these devices more comfortable for extended use [25,26]. There is a growing interest in creating WE that can interact directly with the body’s biological systems [27]. Brain–computer interfaces that allow direct control of devices via neural signals are one example [28,29]. These devices can assist with everything from controlling prosthetics to providing communication solutions for people with disabilities. Current research focuses on improving signal acquisition and minimizing the invasiveness of these systems [30,31,32].
A critical challenge in WE is how to power the devices for long periods of time without compromising their functionality, size, or comfort [33]. A significant development in WE is the use of flexible, stretchable, and lightweight materials that conform to the body, such as conductive polymers, graphene, and organic electronics [34,35,36,37]. Flexible displays, integrated sensors, and energy storage devices that can bend, stretch, and conform to the skin are important components that open up new possibilities in designing more comfortable and discreet WE [38,39]. Recent innovations focus on energy-efficient systems and self-charging solutions. Energy harvesting technologies, including thermoelectric, piezoelectric, and solar power, are being integrated into wearables to extend battery life or even eliminate the need for external charging [40]. Supercapacitors, which can charge rapidly, are also being explored [41]. The evolution of wireless communication technologies, including 5G, enables seamless, low-power connectivity in WE [42]. This allows devices to communicate with each other and the cloud, facilitating real-time data processing and sharing. Artificial intelligence and machine learning are transforming wearable devices by enabling real-time data processing, predictive analytics, and personalized health recommendations [43]. For example, smartwatches can now analyze heart rate variability patterns and predict potential health risks such as arrhythmias or strokes [44]. In the future, wearables may incorporate more sophisticated algorithms for better disease prevention, early diagnosis, and mental health management [21]. Recent developments also focus on integrating multiple sensors in WE to provide comprehensive monitoring. This can include combining physiological data with environmental sensors (e.g., air quality, UV exposure), emotional state detection through facial expression recognition, or combining biometric data with machine learning to predict individual needs and behaviors [45]. As wearable devices gather more personal data, privacy and security concerns have become prominent. Ensuring that sensitive health data are protected from unauthorized access, along with maintaining user anonymity, is a critical challenge [46]. Advances in cryptography, blockchain, and decentralized data storage are being explored to safeguard wearable users’ privacy [47]. While functionality is key, another critical challenge is to achieve a sustainable customer engagement [23]. Future wearables will likely be esthetically pleasing and blend seamlessly into everyday fashion, with more collaborations between tech companies and fashion brands to blur the line between tech research and style.
Despite the rapid growth in WE, the main ongoing challenges remain: (i) battery life, as power consumption continues to be a limiting factor, especially in devices with continuous monitoring and processing requirements; (ii) comfort and design, it is a difficult task integrating high-performance sensors into small, portable devices without sacrificing comfort, esthetics, or ease of use; (iii) data management and safety, as processing and interpreting the data in a way that provides meaningful insights, as along with establishing clear regulatory pathways, is crucial to ensuring the safety and efficacy of these devices [23,27,48].

1.2. Importance of Conductive Hydrogels (CHG)

Recently, hybridization research of conductive polymers with organogels or hydrogels has been active and is forming a new research area. CHG are an emerging class of materials gaining significant attention in the field of WE due to their unique combination of properties, such as high flexibility and stretchability, biocompatibility, and electrical conductivity [37,49,50,51]. These materials are typically composed of water-absorbing polymer networks (hydrogels) embedded with conductive components like carbon-based materials or organic conductors. The synergy between their conductive and hydrogel properties makes them ideal for a range of applications in wearable devices. Most tissues in the human body are softer than most engineering materials (Figure 2). Differences in mechanical response can lead to severe tissue damage during prolonged contact. Hydrogels have tunable elasticity and can stretch to a significant extent without losing their integrity or performance [52]. This makes them well-suited for WE applications, where flexibility and the ability to conform to the body are crucial for comfort and usability. CHG can seamlessly integrate into garments, sensors, or skin patches that adhere naturally to the skin to monitor physiological signals or provide therapeutic treatment [53,54], offering both functional and comfortable solutions for wearable devices [12,55,56].
Many CHG are inherently biocompatible, especially those based on natural biopolymers (Figure 3). Natural biopolymers are biodegradable and affordable. They are non-toxic and safe for use on the skin or within biological systems. Their properties [57], for instance their hydrophilicity and ion permeability, make them ideal for use in many WE, particularly health monitoring devices, and even neural interfaces, where close contact with the human body or biological fluids for extended periods of time is required. Their ability to maintain a close fit with the skin also minimizes discomfort while enhancing the accuracy of measurements, such as skin temperature, hydration levels, or sweat analysis. CHG can mimic the ionic conductivity of biological tissues, allowing them to function effectively in applications that require the transmission of electrical signals, such as in sensors or electroactive devices. The presence of water within hydrogels allows for easy ion movement, making them excellent conductors of electricity in wet or moist environments. This property is particularly important in wearable biosensors and health-monitoring devices, where real-time electrical measurements (e.g., ECGs, EMGs) need to be taken with high precision.
Many CHG exhibit self-healing capabilities (Figure 4), meaning that after being damaged (such as from stretching or puncturing), they can recover their mechanical and electrical properties without external intervention [59,60]. For instance, if a hydrogel-based sensor embedded in a wearable device is strained or cut, it can naturally heal and continue to provide accurate data. These self-healing capabilities extend the lifespan of wearable devices by ensuring continued functionality despite wear and tear, a particularly useful attribute in WE, where mechanical stress is common.
Hydrogels show different responses to changes in environmental stimuli, such as changes in temperature, humidity, or pH [52]. This property is crucial for applications like sweat sensors or skin moisture monitoring, where accurate detection of environmental changes is needed. For example, in sportswear or medical wearables, hydrogels can monitor hydration levels, detect biomarkers in sweat, or track temperature variations, providing valuable real-time data to the wearer. The ability of CHG to retain water and exhibit ionic conductivity can be employed in energy storage and harvesting applications and makes them potential candidates for use in supercapacitors and batteries, where efficient energy storage is needed in compact, flexible, and lightweight formats [61]. As WE increasingly require integrated power solutions, CHG can provide energy storage that conforms to the human body without the bulkiness or rigidity of traditional batteries [62].
Figure 4. A self-healing hydrogel connected with a red LED bulb in a circuit: (a) original circuit, (b) completely broken hydrogel, and (c) self-healed. Reprinted with permission from [63]. Copyright 2021 American Chemical Society. (d) Stretching ability of a gelatin-based hydrogel and (e) self-healing after being cut. Reprinted with permission from [64]. Copyright 2019 American Chemical Society.
Figure 4. A self-healing hydrogel connected with a red LED bulb in a circuit: (a) original circuit, (b) completely broken hydrogel, and (c) self-healed. Reprinted with permission from [63]. Copyright 2021 American Chemical Society. (d) Stretching ability of a gelatin-based hydrogel and (e) self-healing after being cut. Reprinted with permission from [64]. Copyright 2019 American Chemical Society.
Gels 11 00220 g004
Despite their promising properties, several challenges remain in the development and widespread adoption of CHG in WE: (I) Stability, CHG can be susceptible to dehydration over time, which can affect their performance; it is necessary to improve the long-term stability and durability of CHG under various environmental conditions. (II) Scalability, large-scale production of CHG while maintaining consistent quality and performance remains a challenge; therefore, advanced manufacturing techniques need to be developed to produce these materials efficiently and cost-effectively for mass-market applications. (III) Integration with other materials: while CHG offer excellent performance on their own, integrating them seamlessly with other materials used in WE (such as sensors, circuits, and batteries) poses challenges. Innovations in hybrid materials that combine hydrogels with other conductors or energy storage materials are necessary for the development of fully functional wearable devices.
Specific solutions to address each challenge are:
(I)
Stability against dehydration: dehydration reduces hydrogel conductivity and flexibility, affecting long-term performance. Solutions include water retention strategies: incorporating hydrophilic polymers and humectants, such as glycerol, polyethylene glycol, or sorbitol, to retain moisture by forming hydrogen bonds with water molecules or ionic liquids (e.g., choline chloride-based) that prevent water evaporation while maintaining ionic conductivity; crosslinking strategies for water binding, as double-network hydrogels that combine covalent and physical crosslinking (e.g., polyacrylamide-alginate) to trap water within a stable matrix, e.g., polyacrylamide-clay hydrogels prevent water loss while maintaining flexibility [65]; introduction of hydrophobic domains (e.g., fluorinated or silicone-based groups) to reduce evaporation; surface coatings or encapsulation by protective layers (e.g., mussel-inspired polydopamine or zwitterionic coatings) to minimize water loss; elastomer encapsulation by thin layers of silicone allow flexibility while limiting dehydration [66].
(II)
Scalability for mass production: large-scale production must be cost-effective, energy-efficient, and repeatable to meet mass-market demands. Use of natural biopolymers, cellulose, chitosan, gelatin, and alginate-based conductive hydrogels reduce costs compared to synthetic polymers, as well as reduced reliance on costly carbon nanomaterials (CNTs, graphene) by optimizing MXenes, PEDOT:PSS, or metal nanowires. PEDOT:PSS with crosslinked biopolymers provides affordable conductivity. Use of high-throughput fabrication methods, such as 3D printing and direct ink writing; extrusion-based printing of hydrogel networks ensures precision while reducing material waste. Scalable crosslinking and polymerization by UV rapid photopolymerization and sustainable methods using enzyme-catalyzed gelation (e.g., horseradish peroxidase for silk-based hydrogels) reduce reaction time compared to traditional thermal curing [67].
(III)
Integration with other materials: wearable electronics require hydrogels to integrate with metals, polymers, and textiles while maintaining flexibility and conductivity. Hydrogel–elastomer blends combine hydrogels with silicone or polyurethane elastomers to improve mechanical strength [68]. Electrospun nanofiber reinforcement of hydrogels improves mechanical stability. MXenes, silver nanowires, CNTs, and graphene enhance conductivity while maintaining stretchability. Ionic liquids (e.g., LiCl, NaCl solutions) for ionically conductive hydrogels or carbon-based fillers for electronic conductivity enhance the conductivity. For better skin adhesion, mussel-inspired polydopamine coatings enhance adhesion between hydrogel and stretchable electronics [69]. Interpenetrating polymer networks enhance compatibility with soft substrates like textiles and silicone.
By addressing stability, scalability, and integration, conductive hydrogels can transition from lab research to real-world WE. Combining moisture-retention strategies, scalable manufacturing, and hybrid material integration will be key to unlocking commercial applications in smart textiles and biosensors.

2. Material Components of Eco-Friendly CHG

2.1. Natural Polymers

For CHG to be truly sustainable and eco-friendly, their base components need to be sourced from natural, renewable, and biodegradable materials (Figure 3). This section explores the material components of eco-friendly CHG, with a particular focus on natural polymers [63] and their integration into WE. The integration of natural polymers into eco-friendly CHG offers several advantages for WE. These biopolymers, derived from renewable sources like plants, algae, animals, or microorganisms, are biodegradable, making them suitable for sustainable applications in WE, and biocompatible, making them ideal for applications that involve direct contact with the skin, such as biosensors, health monitors, and flexible electronics [70,71]. Natural polymers, such as alginate, chitosan, cellulose, and gelatin, are ideal candidates for being the structural backbone of eco-friendly hydrogels [72,73,74]. When combined with conductive additives like graphene or conducting polymers, these natural polymer-based hydrogels can provide high electrical conductivity, mechanical flexibility, and moisture retention, making them well-suited for wearable applications [75]. Many natural polymers and conductive additives are lightweight and flexible, reducing the energy requirements for their production and operation in wearable devices [76]. Using renewable, biodegradable, and eco-friendly materials helps reduce the environmental impact of WE, addressing concerns related to e-waste and resource depletion [77].
Common natural polymers used in eco-friendly CHG include carbohydrate-based polysaccharides, protein polymers, and polyphenolic compounds. Polysaccharides are one of the most widely used groups of natural polymers in the development of hydrogels due to their excellent water retention capacity, biocompatibility, and biodegradability [78]. Cellulose, found in plant cell walls, is one of the most abundant natural polymers on Earth. It is biodegradable and renewable, making it an ideal candidate for eco-friendly hydrogels. Cellulose derivatives, such as carboxymethyl cellulose, are commonly used to enhance the structural integrity and water retention of hydrogels. By incorporating conductive nanoparticles, polymers, or graphene, cellulose-based hydrogels can also be made electrically conductive. These conductive cellulose-based hybrid materials exhibit excellent physicochemical properties, biodegradability, and biocompatibility [34,79,80,81,82]. Starch, like cellulose, is a natural polymer formed by glucose monomers and is used for flexible electronic sensors. Progress regarding starch-based WE has been recently reviewed [83]. Derived from brown seaweed, alginate is a versatile biopolymer used in hydrogels for biomedical and electronic applications [84]. Alginate is extracted from seaweed and can be crosslinked using divalent cations like calcium ions, making it an eco-friendly choice for hydrogel fabrication. The process does not require toxic solvents or chemicals, and alginate is biodegradable, making it an ideal material for environmentally friendly CHG [67]. Alginate hydrogels are highly hydrophilic, forming a gel-like structure that retains water effectively. Alginate can be chemically modified to enhance its mechanical properties and conductivity when combined with conductive materials like graphene or conductive polymers [85].
Chitosan is a natural biopolymer obtained from the shells of crustaceans such as shrimp and crabs that can form hydrogels through physical or chemical crosslinking [86]. It is biodegradable, biocompatible, and can be synthesized using water-based methods, eliminating the need for harmful solvents, and can be modified to improve its mechanical and conductive properties. Chitosan-based hydrogels are often used in biomedical applications and can serve as a matrix for embedding conductive materials to create electroactive hydrogels for wearables [87]. Pectin, a carbohydrate polymer found in fruits, particularly citrus fruits, is another polysaccharide used in the development of hydrogels [88]. It has excellent gelation properties and can be chemically modified to increase its water-holding capacity and conductivity. Pectin-based hydrogels offer a sustainable alternative for WE applications [89].
Proteins are natural polymers derived from animal and plant sources and are characterized by their biocompatibility and biodegradability. Protein-based hydrogels are becoming increasingly popular for eco-friendly WE due to their flexibility and ability to form conductive networks. Silk fibroin, derived from the silkworm, is a protein that has gained attention for its mechanical strength, flexibility, and biocompatibility. It is used in the development of hydrogels for wearable devices and biosensors [90,91]. Silk fibroin can be combined with conductive materials like carbon nanotubes (CNTs) or graphene to create CHG that are both environmentally friendly and highly functional. Gelatin, a protein obtained from animal collagen, is another natural polymer commonly used in hydrogel applications [64]. Gelatin-based hydrogels are biodegradable and can be engineered to improve their mechanical properties and water retention. Figure 4 illustrates the stretching (Figure 4d) and self-healing (Figure 4e) abilities of a gelatin-based hydrogel, based on the Schiff base reaction due to the imine bonds formed between amino-gelatin and carboxymethyl cellulose. Gelatin was reacted with ethylenediamine to increase the content of amino groups, and then dialdehyde carboxymethyl cellulose was used to cross-link amino-gelatin to fabricate the self-healing hydrogel [64].
Polyphenolic compounds, such as tannins and lignin, are natural polymers that can be extracted from plants and that offer both mechanical and electrical conductivity when properly processed. Lignin, a complex polymer found in plant cell walls, has recently been explored as a sustainable material for hydrogels. Lignin is abundant and biodegradable, and it has intrinsic conductivity, making it a promising component for eco-friendly CHG. Lignin-based hydrogels can be used in wearable sensors, providing an environmentally sustainable alternative to synthetic conductive materials. Tannins are polyphenolic compounds found in a variety of plants. They are biodegradable and have been shown to form conductive networks when incorporated into hydrogels. Tannin-based hydrogels are an emerging area of research, particularly for applications in sensors and energy storage devices.

2.2. Conductive Materials for Natural Polymer Hydrogels

While natural polymers provide the structural matrix for hydrogels, the addition of conductive materials is necessary to make them electrically active [92,93], consequently forming a smart hydrogel, endowed with electrical conductivity, electrochemical, and electromechanical properties [94]. Figure 5 illustrates different types of CHG structures: self-polymerized conductive polymers; hydrogel networks interpenetrated by conductive fillers; structures containing free ions; and hybrid structures containing a mixture of them, embedding conductive fillers/polymers/free ions into an existing non-conductive hydrogel matrix. Highly CHG can be fabricated by the addition of liquid metals or silver nanowires [7], but these conductive materials need to be eco-friendly and compatible with the natural polymers used in the hydrogel. Some commonly used conductive additives in eco-friendly conductive CHG include conductive polymers, organic materials that can conduct electricity [95]. They are a key component in enhancing the conductivity of natural polymer-based hydrogels. Polypyrrole (PPy) is a widely used conducting polymer that can be incorporated into natural polymer hydrogels. It can be synthesized from renewable resources and is biodegradable, making it an eco-friendly option for WE [96,97]. PPy has good stability and conductivity, making it suitable for use in sensors and other electronics. Polyaniline (PANI) is another conductive polymer that is often used in the fabrication of CHG. PANI is synthesized from aniline and can be doped to enhance its conductivity. It is stable, cost-effective, and can be combined with natural polymers like alginate or chitosan to create CHG for WE [98]. Poly(3,4-ethylene dioxythiophene):poly(styrene sulfonate) (PEDOT:PSS) is a composite material in which PEDOT (the conductive polymer) provides electrical conductivity, and PSS acts as a counter-ion to balance the charge and improve the water solubility and processability. These conductive polymers, PPy, PANI, and PEDOT, exhibit electrical conductivity due to the presence of delocalized π orbitals, allowing electron movement along the polymeric chains. They are some of the most widely used conducting polymers because of their ease of preparation, tunable electrochemical properties, and environmental friendliness [99,100]. Carbon-based materials, such as graphene, CNTs, and activated carbon, are frequently used to improve the conductivity of natural polymer hydrogels [101]. These materials have high surface areas and excellent electrical conductivity. Graphene, a one-atom-thick sheet of carbon atoms arranged in a hexagonal lattice, is a highly conductive material that can be easily integrated into natural polymer hydrogels. Graphene-based CHG are lightweight, flexible, and can be used in wearable devices for health monitoring, energy storage, and sensors. CNTs are cylindrical structures made of carbon atoms with excellent electrical and mechanical properties. CNTs are often embedded into hydrogels to enhance their conductivity while maintaining the flexibility and stretchability required for wearable applications. They can be combined with polysaccharides like alginate or chitosan to create eco-friendly CHG with increased durability and enhanced electrophysiological activity [102,103,104]. Derived from the pyrolysis of organic materials, biochar is a renewable, sustainable material with electrical conductivity. Biochar-based CHG are emerging as an eco-friendly alternative to synthetic conductive agents, offering a way to recycle organic waste materials while enhancing the conductivity of hydrogels [105]. Although ionic charge carriers tend to destroy the hydrogen-bonding network, natural polymers can be endowed with ionic conductivity by the introduction of ionic liquids [106] or free ions, for instance by salt solution soaking [107,108].
Research is increasingly focused on developing bio-inspired conductive materials that mimic the properties of biological tissues [82]. These materials, often derived from natural sources, are designed to be more environmentally friendly and capable of integrating into living systems [74].

2.3. Green Crosslinkers and Additives

The choice of green crosslinkers and additives is essential in the fabrication of eco-friendly CHG for WE applications. Green additives enhance the physicochemical and mechanical properties, allowing them to be flexible, stretchable, and durable, which is essential for wearable devices, while ensuring that the CHG remain biocompatible and biodegradable, safe for skin contact, and with reduced environmental impact. For instance, unmodified chitosan has very limited applications due to its poor solubility at neutral pH, low porosity, and poor mechanical properties. Consequently, crosslinking becomes necessary. Crosslinking is the process by which polymer chains are chemically bonded to each other, leading to the formation of a network structure that imparts mechanical strength, stability, and the ability to retain water in hydrogels [52,109]. In eco-friendly CHG, green crosslinkers derived from renewable, non-toxic, and biodegradable sources, contribute to the sustainability and environmental integrity. These crosslinkers must enable the formation of hydrogels with excellent mechanical properties while being biodegradable and non-toxic. Genipin is a naturally occurring water-soluble crosslinker derived from the gardenia fruit [110], widely used in biodegradable materials due to its low toxicity and ability to form crosslinked networks in biopolymers like chitosan, alginate, and gelatin. Genipin crosslinks hydrogels through the formation of covalent bonds between hydroxyl and amine groups, improving the stability and mechanical strength of the hydrogel without compromising its biocompatibility [111]. Modern crosslinkers, however, tend to use physical forces such as electrostatic interactions, H-bonding, and hydrophobic interactions to establish crosslinks across the chitosan chains [112,113]. Natural biopolymer-based polyelectrolyte complexes (PEC), formed by electrostatic interactions between two oppositely charged biopolymers, have been attracting increasing attention in recent years for their potential in tailoring specific applications [114,115]. Tannic acid, a polyphenolic compound found in plants, is a green crosslinker that can form stable crosslinks with proteins, polysaccharides, and other biopolymers [116]. It enhances the mechanical properties and water retention capacity of hydrogels. Tannic acid has been used to crosslink chitosan-based hydrogels, making them more durable for use in WE. Under UV light, riboflavin (vitamin B2), a naturally occurring vitamin, has been employed as a crosslinker in hydrogels [117,118]. This approach is environmentally friendly, as riboflavin is both renewable and biocompatible, making it ideal for creating sustainable and functional hydrogels for WE. Citric acid, a naturally occurring organic acid found in citrus fruits, has been explored as an eco-friendly crosslinker for biopolymers [119]. It forms ester bonds with hydroxyl groups in polysaccharides like cellulose, making it an eco-friendly alternative for creating stable, flexible, and biodegradable hydrogels. Epoxy resins derived from plant oils such as soybean or linseed oil can be used as green crosslinkers in the fabrication of hydrogels [120]. These resins undergo chemical reactions that create a crosslinked network of polymers, providing the desired mechanical strength and durability while being biodegradable. Green crosslinkers derived from natural sources such as genipin, tannic acid, and citric acid contribute to the overall biodegradability of the hydrogel, ensuring that the material breaks down naturally over time without harming the environment. Unlike many synthetic crosslinkers, green crosslinkers derived from renewable natural resources are often biocompatible, which is essential for WE that come into contact with skin and biological tissues and contribute to a more sustainable production process.
In addition to crosslinkers, various eco-friendly additives derived from natural sources are used to enhance the mechanical properties and provide specific functionalities of CHG needed in WE, such as plasticizers or softening agents, natural stabilizers, antioxidants, and natural dyes. Glycerol, a naturally derived plasticizer, is commonly used to improve the flexibility and water retention of hydrogels [121]. By reducing the stiffness of the polymer network, glycerol helps to maintain the mechanical integrity of the hydrogel, ensuring that it remains flexible and functional for wearable applications. Sucrose, a naturally occurring sugar, can also be used as a plasticizer to enhance the flexibility and water content of hydrogels [122]. It contributes to the formation of a more pliable and stretchable material, which is crucial for wearables that need to conform to the skin or body. Vitamin E (tocopherol) is a natural antioxidant that can be incorporated into CHG to improve their stability and prevent oxidative degradation. It can also enhance the longevity of the wearable device by protecting the hydrogel from environmental factors such as exposure to UV light or atmospheric oxygen [123]. Polyphenols, especially from green tea, are potent antioxidants that can stabilize the hydrogel matrix and protect it from degradation over time [124]. These polyphenols also contribute to the eco-friendly nature of the hydrogel, as they are derived from natural sources and have minimal environmental impact. Anthocyanins are water-soluble pigments found in fruits and vegetables that can be used to color hydrogels [125]. In addition to providing esthetic value, anthocyanins have antioxidant properties that can help protect the hydrogel from oxidative damage, making them useful for WE that need to remain durable over time. Derived from turmeric, curcumin is a natural dye with anti-inflammatory and antioxidant properties. It has been used as a green additive in hydrogels to improve their functional properties, particularly in the context of bioactive and medical wearable devices [126].

3. Green Synthesis Approaches

3.1. Solvent-Free and Aqueous Synthesis Methods

Green synthesis approaches are emerging as an essential strategy to produce eco-friendly materials for various applications, including WE. In the context of CHG, green synthesis aims to create materials using renewable resources, minimizing environmental impact, reducing energy consumption, and avoiding toxic chemicals. This approach aligns with the principles of green chemistry, which focuses on sustainable, non-toxic, and energy-efficient methods. This section discusses key green synthesis techniques used to produce CHG for WE, highlighting the role of renewable raw materials and environmentally friendly processes.
The synthesis of the hydrogel matrix itself can be performed using renewable, non-toxic, and biodegradable materials while reducing energy consumption and harmful byproducts [127,128,129]. The synthesis of conductive polymers using green approaches is critical to the sustainability of WE. Traditionally synthesized using hazardous chemicals and solvents, green synthesis methods for PPy focus on using natural, non-toxic solvents such as water or alcohols and renewable monomers [130]. Bio-derived pyrrole monomers, or pyrrole derivatives extracted from natural sources, can be polymerized using environmentally benign methods, such as electrochemical or enzyme oxidative polymerization [131,132,133], using mild conditions. Enzyme catalysis helps synthesize a more defect-free polymer as the polymerization occurs in a more controlled manner at low temperatures. Green synthetic routes of PANI, another widely used conductive polymer, focus on using natural oxidants like hydrogen peroxide or plant-based extracts, such as tannins or polyphenols, to facilitate polymerization [134]. These green oxidants replace toxic chemical agents like ammonium persulfate and improve the overall sustainability of the synthesis process. Other bio-based polymers, such as conducting polyphenols [135] or lignin derivatives [136], are often derived from natural sources like wood or plants and can be polymerized using water-based or low-energy methods. These green alternatives reduce the reliance on synthetic and petroleum-based materials, providing an eco-friendly path to conductive polymers.
The use of green solvents, such as water, ethanol, or ionic liquids, is an important aspect of green synthesis approaches that reduces the environmental footprint of the synthesis process and improves the material’s sustainability. These solvents are safer, non-toxic, and often biodegradable, replacing harmful solvents like chloroform, dichloromethane, or benzene. Electrochemical polymerization is an environmentally friendly method to synthesize conductive polymers like PPy and PANI [98,130]. This method uses electric current to drive the polymerization reaction, eliminating the need for toxic chemical oxidants or solvents. Electrochemical polymerization can be performed in aqueous solutions, making it a sustainable alternative to traditional chemical polymerization processes. Furthermore, this technique allows for precise control over the polymer’s properties, such as thickness and conductivity, making it well-suited for use in WE [76,137].
Graphene and CNTs are often incorporated into CHG to enhance their electrical properties. Traditional synthesis methods typically involve hazardous gases and high-energy processes [138,139]. Green synthesis approaches involving the use of renewable materials and safer processes, such as biomass or plant-based precursors, are increasingly being explored to produce these nanomaterials in a more environmentally friendly manner. For example, cellulose or lignin-based biomass can be converted into CNTs through pyrolysis or hydrothermal processes [140]. These methods eliminate the need for fossil fuels and reduce the environmental impact of CNT production. Graphene oxide (GO) is a precursor to graphene and is commonly used in the preparation of CHG. The reduction in GO to reduced graphene oxide (rGO) is typically performed using harsh reducing agents such as hydrazine, which is toxic and hazardous [141]. Green reduction methods replace these toxic agents with natural reducing agents, such as plant extracts (e.g., tea, coffee, or fruit extracts) or ascorbic acid (vitamin C). These green reducing agents are often rich in antioxidants, which can effectively reduce GO without harming the environment. Plant-based extracts contain polyphenolic compounds and flavonoids that have reducing properties. For example, extracts from green tea, grape seeds, or pomegranate are used to reduce GO to rGO in aqueous solutions [142]. This method not only eliminates toxic chemicals but also adds natural antioxidants to the system, improving the hydrogel’s stability and functionality [143,144].

3.2. Biocompatible Crosslinking Techniques

Crosslinking is necessary for enhancing the mechanical properties and stability of hydrogels [145]. Traditional crosslinking methods often rely on toxic reagents like glutaraldehyde [146]. However, green crosslinking methods are being developed to replace these toxic agents with safer, more sustainable alternatives (Table 1). As discussed earlier, crosslinkers like genipin (derived from the gardenia fruit), tannic acid (from plant polyphenols), and citric acid (from citrus fruits) are gaining popularity as environmentally friendly alternatives to synthetic crosslinkers. These natural crosslinkers form stable networks in hydrogels without relying on toxic chemicals. Ionic crosslinking is a common and biocompatible method used to crosslink polysaccharides, especially alginate, by introducing divalent cations like calcium ions (Ca2+) [147,148]. The calcium ions bind to the carboxyl groups in the alginate, forming a gel network. This process does not require any toxic chemicals and is performed in an aqueous environment, making it highly suitable for biomedical and wearable applications.
Physical crosslinking techniques do not require the use of chemicals, instead relying on physical forces or environmental conditions such as temperature, pH, or UV light. These methods are particularly useful for creating biocompatible hydrogels because they eliminate the need for chemical crosslinkers, reducing the risk of irritation or toxicity [149]. Thermal crosslinking utilizes heat to induce the crosslinking of polymers, such as polyvinyl alcohol (PVA), agarose, or gelatin, without the use of any toxic chemicals. This process involves heating the polymer solution to a temperature that allows the formation of crosslinks between polymer chains, resulting in the formation of a hydrogel network [12]. In some cases, the temperature is used to promote physical changes in the material, such as gelation or phase transitions, which help to stabilize the structure. Photopolymerization is a green crosslinking method that uses light (typically UV light) to initiate the formation of covalent bonds between polymer chains in a hydrogel matrix and induce polymerization, eliminating the need for chemical crosslinkers [150]. Compared with other chemical crosslinking, photocrosslinked hydrogels can achieve fast in situ polymerization crosslinking in mild reaction conditions, and low reaction heat release. The main benefit of UV crosslinking is its precise control over the crosslinking process, allowing for easy creation of complex shapes and structures [151]. This method is often used with natural polymers that contain unsaturated bonds and can be used to create hydrogels with controlled properties, such as hydrogels with adjustable mechanical strength and conductivity, without producing hazardous byproducts. Freeze–thaw crosslinking is a physical method where hydrogels are subjected to alternating freezing and thawing cycles. This technique relies on the formation of ice crystals during freezing, which helps in the physical crosslinking of polymers, such as PVA, agarose, or chitosan. The repeated freeze–thaw cycles result in a highly crosslinked hydrogel network [152].
Table 1. Summary of ecological crosslinking methods.
Table 1. Summary of ecological crosslinking methods.
MethodMaterial/
Agent Used
AdvantagesDisadvantagesReference
Chemical crosslinkingGenipin
Tannic acid
Citric acid
Caffeic acid
Non-toxicity, sustainability, bioavailability.Requires high concentrations of agents.
Insufficient mechanical strength.
[146]
Ionic crosslinkingCa2+, Cu2+,
Fe3+, Ag+
Forms stable 3D interconnected hydrogel structures and extremely robust.
High mechanical strength and stability, antibacterial properties drug delivery purposes.
CaCl2 leads to rapid and difficult to control gelation. CaSO4 and CaCO3 reduce the gelation rate and increase the working time.
Limited long-term stability under physiological conditions.
[147]
Thermal crosslinkingPolyvinyl alcohol, agarose, gelatinFormation of the 3D network in a single step, in situ.
Thermal and chemical stabilities of network structure.
Weak viscoelasticity.
Easily degradable
Poor mechanical properties.
[153]
Photo-
polymerization
UV lightRapid in situ crosslinking.
Elimination of toxic agents.
Intricate alteration procedure.
Storage conditions impact variability.
Prone to bacterial contamination.
[150,151]
Freeze–thaw crosslinkingPolysaccharides, polyvinyl alcoholNo organic solvents and toxically crosslinking agents.
Tunable structural, mechanical, biological properties.
Challenging uniform mixing of the initial polymer solution.
Deterioration of mechanical properties.
Uneven pore formation.
Weak spots, fractures, or cracks.
[152]
Enzymatic crosslinkingTransglutaminase,
Laccase, Peroxidase, Tyrosinase
Decreases food allergenicity by eliminating organic solvents and toxic crosslinking agents.Limited broad-spectrum substrate.[154,155,156]
Enzymatic crosslinking is a biocompatible approach where natural enzymes are used to catalyze the crosslinking of polymer chains [154]. This method is especially useful for hydrogels based on biopolymers like collagen, gelatin, or alginate, as enzymes can specifically target functional groups (e.g., amines, hydroxyls) in these materials, forming covalent crosslinks without the need for synthetic chemical agents. Transglutaminase is an enzyme that catalyzes the formation of covalent bonds between amine groups and glutamine residues in proteins, making it a useful crosslinking agent for protein-based hydrogels [155,156]. It has been applied in the fabrication of gelatin and collagen hydrogels that can be used in medical devices and WE. Laccase and peroxidase are enzymes that catalyze the crosslinking of phenolic compounds in natural polymers. These enzymes are often used to crosslink polysaccharides or proteins in a highly selective and controlled manner [157]. The use of these enzymes for crosslinking hydrogels avoids the need for chemical crosslinkers and ensures that the final product is biocompatible.
Green synthesis approaches for the production of eco-friendly CHG are transforming the way materials are made for WE. By focusing on renewable, non-toxic, and biodegradable materials, green chemistry principles help create sustainable solutions that not only improve the performance of wearables but also reduce their environmental impact. From bio-based conductive polymers and nanomaterials to environmentally friendly crosslinking methods, green synthesis is paving the way for the next generation of eco-friendly wearable devices. As the demand for sustainable technologies continues to grow, green approaches that require lower temperatures and less energy than traditional methods will play an essential role in shaping a more sustainable future for WE, making them more energy-efficient and cost-effective for large-scale production.

4. Functional Properties of Eco-Friendly CHG for WE

Eco-friendly CHG are gaining significant attention in WE due to their unique combination of flexibility, biocompatibility, and environmental sustainability. These hydrogels are designed to exhibit not only high conductivity but also favorable mechanical, thermal, and chemical properties, making them ideal for use in applications such as bioelectronics, sensors, energy storage, and health-monitoring devices [158]. This section outlines the key functional properties of eco-friendly CHG that make them suitable for WE.

4.1. Electrical Conductivity

One of the most critical properties for CHG in WE is their electrical conductivity. The incorporation of conductive polymers (e.g., PPy, PANI) or conductive fillers, such as carbon-based materials (e.g., graphene, CNTs) into natural polymer matrices enables to create hydrogels that exhibit high conductivity [63,159,160,161,162] and that can be used in bioelectronic sensors, energy storage devices (e.g., supercapacitors) [163], and flexible electrodes for wearable health-monitoring systems.
Eco-friendly CHG possess unique electrical properties that arise from their structure, combining a hydrated polymer network with conductive materials: on the one hand, efficient ion transport due to their water-rich structure, making them excellent electrolytes for energy storage devices and bioelectronic sensors [62]. Typical ionic conductivity ranges from 10⁻6 to 1 S/m, depending on composition and hydration levels [164]. Conductivities higher than 3 S/m have been reported by adding hydroxypropyl cellulose biopolymer fibers, followed by soaking in a salt solution inside a PVA hydrogel matrix [165] and in PVA/sodium alginate hydrogels through salt solution soaking [166]. On the other hand, hydrogels are generally poor electronic conductors due to the insulating nature of hydrophilic polymer chains [95]. However, by incorporating conductive materials, hydrogels can gain electronic conductivity [95,103]. The electrical properties can be adjusted by varying factors like hydration level, crosslinking density, and dopant concentration, for precise control of electrical behavior in applications such as sensors and energy storage. Unlike rigid conductors, CHG can maintain conductivity even under large deformations (stretching, bending, twisting) and after many stretching cycles, making them ideal for wearable applications. Wang et al. reported stretch-induced conductivity enhancement (6000x) in highly conductive CHG [164]. Self-healing hydrogels, in which broken conductive pathways reconnect after mechanical damage, restoring electrical functionality, are useful for durable and long-lasting wearable bioelectronics [63].
Many CHG exhibit excellent electrochemical performance, with high capacitance and charge storage ability, making them suitable for supercapacitors and batteries. Hydrogels have adjustable dielectric constants, enabling their use in capacitive sensors for motion detection, touch interfaces, and WE. Unlike many traditional conductors, CHG mimic the electrical properties of natural tissues, making them ideal for bioelectronic interfaces like neural electrodes, ECG, and EEG sensors. Figure 6 shows the responses of cellulose-based hydrogel sensors [162] exhibiting stable sensitivity to tensile strain, compressive pressure, and temperature over a wide range, including subzero temperatures. CHG-based sensors can detect physiological signals (e.g., heart rate, temperature, or sweat analysis) and enable real-time data transmission.
Tunable ionic conductivity is a key feature of CHG, particularly for applications involving electrochemical energy storage, sensors, and actuators. Ionic conductors in the hydrogel facilitate the movement of ions within the network, leading to effective charge storage and transport. This property is especially important for flexible and WE that require low-voltage, energy-efficient operation, particularly in the area of flexible triboelectric nanogenerators (TENGs) [167]. CHG with a high ionic conductivity are explored for use in energy storage devices such as supercapacitors or flexible batteries that can be integrated into smart clothing or patches, to act as a charge storage material, providing a sustainable power source for electronic devices while maintaining the benefits of flexibility and biocompatibility [168].

4.2. Mechanical Properties and Stretchability

The mechanical properties of hydrogels for WE must be tailored to ensure they can withstand the dynamic movements of the human body. Green hydrogels generally have lower mechanical strength compared to synthetic polymer-based hydrogels, due to weaker intermolecular interactions and lower crosslinking density. They tend to be softer and more brittle, and usually have lower elasticity and stretchability, making them less suitable for load-bearing applications [52]. Synthetic hydrogels tend to have higher mechanical strength and durability due to tunable crosslinking, allowing for stronger covalent or ionic bonding, and can be engineered for high flexibility and stretchability, making them a preferred option for applications requiring repeated deformation (e.g., tissue engineering, flexible electronics). The mechanical properties of green hydrogels vary significantly based on their composition, crosslinking method, and environmental conditions. Below are typical ranges for key mechanical properties:
Compressive strength (10–500 kPa): alginate: ~50–200 kPa, chitosan: ~100–300 kPa, gelatin: ~10–100 kPa, compared to 0.1–10 MPa for synthetic hydrogels: polyacrylamide: ~100 kPa–1 MPa, polyethylene glycol: ~500 kPa–5 MPa; elastic modulus (0.1–10 MPa): cellulose-based: ~1–10 MPa, alginate: ~0.1–1 MPa, gelatin: ~0.1–0.5 MPa, compared to 1 MPa–1 GPa for synthetic hydrogels; tensile strength (10 kPa–1 MPa): alginate: ~50–500 kPa, chitosan: ~100–800 kPa, gelatin: ~10–300 kPa, compared to 0.1–5 MPa for synthetic hydrogels: polyethylene glycol: ~0.5–2 MPa, polyacrylamide: ~1–5 MPa; fracture energy or toughness (10–1000 J/m2): gelatin ~10–200 J/m2, chitosan ~100–500 J/m2, alginate ~50–800 J/m2), compared to 100–10,000 J/m2 for synthetic hydrogels.
Eco-friendly CHG are often designed to be highly flexible and stretchable, allowing them to conform to curved surfaces or deform with the skin’s movement without losing their functionality [52]. The natural polymer matrix and crosslinking methods are critical for achieving these properties. Hydrogels with high stretchability are used in soft, skin-like WE that need to bend and stretch without cracking, such as flexible electrodes, sensor patches, and electronic skins (e-skins) [169,170]. Toughness refers to the ability of the hydrogel to absorb energy without breaking, which is important for WE that need to endure mechanical stresses over time. Eco-friendly CHG can be engineered for high toughness by controlling the crosslinking density, polymer composition, and the type of conductive filler used [74]. In applications like wearable sensors or actuators, where hydrogels are subject to repeated stretching, bending, and twisting, high toughness ensures longevity and prevents mechanical failure. Figure 7 illustrates the stretchability of CNT-reinforced gelatin-based [171] and cellulose-based CHG with outstanding mechanical properties and rapid self-healing performance [62,163]. Carboxymethyl cellulose can interact with adjacent polymer networks and metal ions through hydrogen bonding and dynamic noncovalent interactions due to the rich hydroxyl and carboxyl groups on the backbone chains, which is advantageous in the design and synthesis of conductive hydrogels with both high mechanical and self-healing properties. Using carboxymethyl cellulose and Al3+ as cross-linkers, in addition to polyacrylic acid due to their abundant ligand carboxyl groups, a cross-linking network was formed between polymeric chains by hydrogen interactions, and a secondary crosslinking network was introduced by dual ionic coordination bonds between Al3+ and COO− from polymeric chains. In the carboxymethyl cellulose-Al3+-polyacrylic acid interwoven cross-linked networks, the strong ionic coordination bonds as a primary network and the weak hydrogen bonds as a sacrificial network, endowing the conductive hydrogel with fast self-recovery, and good self-healing performance [172].

4.3. Skin-Friendliness

Biocompatibility is essential for materials used in WE, particularly those that come in direct contact with the skin. Eco-friendly CHG made from natural polymers (e.g., alginate, chitosan, or gelatin), are inherently biocompatible and non-toxic. Furthermore, these hydrogels can be modified to be hypoallergenic, reducing the risk of skin irritation or adverse reactions when worn for extended periods. Eco-friendly CHG are used in wearable health-monitoring devices, such as biosensors or sweat analyzers, where skin contact is prolonged [174,175]. The materials must not cause discomfort or irritation, ensuring user safety. Since eco-friendly CHG are often designed to be biodegradable, they can degrade safely in the environment or within the human body over time, making them ideal for disposable or medical applications. Non-toxic crosslinkers and biopolymers ensure that the materials are safe for short- or long-term use, reducing the environmental impact. In biomedical applications like wound healing or implantable sensors, biodegradable hydrogels offer the advantage of safe dissolution after use, eliminating the need for removal or disposal of electronic devices [58,176].
Skin-like hydrogel devices still face challenges, including poor surface adhesion [169]. Zhang et al. prepared a stretchable, wearable hydrogel strain sensor with double layers via in situ polymerization of nucleobase-driven adhesive hydrogels on the surface of conductive tough hydrogels crosslinked by hydrophobic association [177]. The hydrogels displayed tissue adhesiveness on the hand skin and no residue was observed after removal (Figure 8a). Han et al. prepared a glycerol-based hydrogel based on mussel chemistry and incorporating polydopamine-decorated CNTs, endowed with high tissue adhesiveness under wide temperature spectrum (−20 or 60 °C) (Figure 8b). The mussel-inspired hydrogel is a promising material for self-adhesive bioelectronics in cold or hot environments, and can also serve as a dressing to protect the skin from injuries related to frostbite or burns [178].
Green hydrogels, derived from natural polymers, exhibit excellent biodegradability (the ability of the hydrogel to break down into non-toxic components through enzymatic, microbial, or hydrolytic processes) and biocompatibility, making them ideal for biomedical and environmental applications. These properties are significantly influenced by the type of natural polymer used, its crosslinking density, and the surrounding conditions. Natural hydrogels degrade in biological environments due to enzymes (e.g., lysozyme for chitosan, cellulase for cellulose), by hydrolytic degradation in aqueous conditions without enzymatic assistance (e.g., gelatin, alginate), or by microbial degradation: certain natural polymers (e.g., starch, cellulose) decompose in soil or water due to microbial activity [179]. The degradation rate (% weight loss over time) varies from gelatin-based hydrogels (50–90% weight loss in 1–4 weeks in vivo) or alginate hydrogels (~80% degradation in 1–3 weeks) to chitosan-based hydrogels (30–70% weight loss in 2–6 weeks, dependent on crosslinking) and cellulose-based hydrogels, showing slow degradation (~10–40% in several weeks) due to high crystallinity. Hydrophilic natural polymers (e.g., gelatin, alginate) undergo rapid degradation due to water absorption and hydrolysis, while structural natural polymers (e.g., cellulose, chitosan) show slower degradation due to higher crystallinity and resistance to microbial attack.
Therefore, degradation half-life can be estimated to range from approximately ~1 week for alginate to several months for cellulose. Environmental conditions affecting degradation include pH sensitivity, alginate and chitosan degrade faster in acidic conditions; enzyme presence: chitosan degrades more rapidly in lysozyme-rich environments, and crosslinking density: higher crosslinking reduces degradation speed (e.g., glutaraldehyde crosslinked hydrogels degrade slower).
Regarding biocompatibility, the ability of the hydrogel to interact with biological tissues without causing toxicity, inflammation, or immune rejection, some natural hydrogels (e.g., gelatin, collagen) promote cell attachment and exhibit excellent biocompatibility, with cell viability after 24 h above 90%, while some (e.g., alginate) require modifications for better cell interaction. Inert polymers (e.g., alginate, cellulose), highly biocompatible but showing low cell adhesion, are often modified with RGD peptides for better tissue interaction. Chitosan-based hydrogels can trigger mild immune activation and may need neutralization for reduced cytotoxicity and inflammatory response via deacetylation. On the other hand, chitosan has antibacterial properties [180].

4.4. Swelling Behavior and Stimuli Responsive Properties

Hydrogels are known for their ability to retain large amounts of water within their structure, providing flexibility, stretchability, and softness. This high water content is important for maintaining the desired mechanical properties and ensuring that the hydrogels remain functional in humid environments or during physical activities. In WE, maintaining hydration is crucial for both comfort and device performance. For bioelectronics like skin sensors, high water content is essential for ensuring that the hydrogel can maintain conductivity even in the presence of sweat or moisture from the skin. The ability of CHG to swell or change their volume upon exposure to moisture or environmental changes is another important functional property. The swelling behavior of the hydrogel influences its mechanical stability, conductivity, and ability to interface with the body or skin. Swelling behavior is critical in applications like wound dressing [173,177,178] or sweat sensing devices [181,182], where the hydrogel must respond to changing moisture levels. Hydrogels with controlled swelling can also be used in drug delivery systems, where they release bioactive compounds in response to the swelling process. CHG for WE must retain their stability over a wide range of environmental conditions, including varying temperature and humidity. Eco-friendly CHG are often engineered to be stable under these conditions by incorporating additives or optimizing the network structure. This stability ensures reliable performance in real-world applications where users may experience sweating, temperature fluctuations, or prolonged wear. In wearable devices such as smart patches or biosensors, stability ensures that the hydrogel maintains its functionality over time, even during prolonged use or exposure to varying environmental factors like moisture or temperature.
Some CHG are designed to be sensitive to changes in pH or ionic concentration or designed to change shape or size in response to an external stimulus, such as electric fields, temperature changes, or humidity [183,184,185,186,187]. These hydrogels respond to physiological signals or environmental changes, making them useful for applications in sensors, actuators, or bioelectronics. Hydrogels that respond to changes in pH or ionic strength are used in wearable sweat sensors that detect biomarkers in sweat or skin sensors that monitor physiological conditions, such as dehydration or glucose levels. These responsive hydrogels can serve in WE as actuators in applications like haptic feedback devices, where the hydrogel changes its shape to provide tactile sensations to the user.
Incorporating natural ingredients into hydrogels significantly influences their swelling behavior and stimuli-responsive properties. This correlation is largely due to the intrinsic characteristics of natural polymers, such as hydrophilicity, functional groups, porosity, and crosslinking density. Natural polymers (e.g., alginate, chitosan, gelatin) have abundant hydroxyl (-OH), carboxyl (-COOH), and amine (-NH2) groups, which enhance water absorption and retention. Many green hydrogels have a porous structure, allowing for higher water uptake. A higher crosslinking density (e.g., ionic crosslinking in alginate with Ca2+) restricts swelling, while loosely crosslinked networks (e.g., physically crosslinked gelatin) enhance swelling. Several examples of swelling enhancement by natural polymers include alginate hydrogels, where swelling is highly dependent on ion concentration and decreases in the presence of calcium ions; chitosan hydrogels, which are pH-sensitive and swell more in acidic conditions due to the protonation of amine groups; and cellulose-based hydrogels, which show high swelling due to abundant hydroxyl groups but can be modified for controlled water retention [181,188].
Natural ingredients also influence hydrogel responsiveness. Many natural polymers have ionizable groups that respond to pH changes. Hydrogels like alginate shrink or swell depending on ionic concentration due to crosslinking density changes [181]. Some natural polymers are thermo-responsive and/or pH-responsive: gelatin hydrogels undergo a transition from sol (liquid) to gel (solid) at physiological temperatures [189]. Methylcellulose hydrogels decrease swelling at high temperatures due to hydrophobic interactions. Chitosan-based hydrogels swell in acidic environments due to the protonation of amine (-NH2) groups [190]. Alginate-based hydrogels reduce swelling at low pH due to the formation of insoluble alginic acid. Generally, incorporating natural ingredients enhances hydrophilicity, swelling, and stimuli responsiveness, making green hydrogels more adaptable for biomedical applications (drug delivery, wound healing) and environmental applications (adsorbents, water purification). However, fine-tuning crosslinking and composition is essential to achieve the desired balance between swelling and mechanical stability.

5. Applications in WE for Healthcare

Eco-friendly CHG are increasingly being used in WE due to their unique combination of properties such as flexibility, biocompatibility, conductivity, and environmental sustainability. These properties make them ideal for creating sensitive, comfortable, and sustainable sensors that can monitor a variety of physiological and environmental parameters [58,70]. Figure 9 [191] illustrates various wearable systems for human health monitoring, including blood pressure breath, sound, wrist pulse, electroencephalogram (EEG), electrocardiograph (ECG), electromyography (EMG), electrooculogram / intraocular pressure (EOG/IOP), and wound healing.
Some key applications as biosensors for monitoring electrophysiological signals, skin biomarkers, pressure changes, minute movements, temperature, pH, moisture, UV radiation, or exposure to toxins include:

5.1. ECG Sensors

CHG are used to create skin-friendly ECG sensors that monitor heart activity [201]. Their ability to maintain good skin contact and conduct electrical signals ensures accurate readings. Ankhili et al. [16] reported the fabrication of lightweight, flexible, stretchable, conformable, washable, and long-lasting wearable electrodes using conducting PEDOT:PSS gels on commercial knitted fabrics, allowing a good contact with the skin (Figure 10). Washability tests of connected underwear were carried out up to 50 washing cycles, and ECG data, recorded from a healthy volunteer, were found to be stable [202]. Textile fabrics coated with PEDOT:PSS gels were assembled into bras textiles structures, then textiles were connected to measurement devices and high-quality ECG signals were recorded [203]. Simple and reliable techniques allow the patterning of conducting polymers on textiles and the fabrication of electrodes that provide a low-impedance contact with human skin, enabling the recording of high-quality ECGs [204]. Three-dimensional printable hydrogels based on PEDOT:PSS have shown superior 3D printability for direct ink writing [205,206].

5.2. EEG Sensors

For brain activity monitoring, natural hydrogel-based EEG sensors offer a non-irritating and reusable alternative to traditional gel-based or Ag/AgCl wet electrodes. An alginate-based hydrogel developed for EEG applications ensures a faster and easier cleaning than commercial gels, eliminating the head washing and drying process, improving patient comfort. Additionally, the solid nature of the alginate hydrogel reduces the risks of electrode short-circuits, thus enhancing EEG reliability [207]. Hydrogel tapes offer a promising alternative to conductive paste, providing mess-free application and reliable electrode–skin contact in locations without hair (Figure 11) [208].

5.3. Electromyogram (EMG) Sensors

These sensors detect muscle activity, which is useful in physical therapy and sports training. The flexibility of hydrogels allows them to conform to the body’s movements without compromising signal quality. Surface electromyography (EMG) has not yet been effectively implemented in practical medical settings [209]. Pan et al. [210] reported a wearable and strain-sensitive hydrogel-based electronic skin which can mimic and detect some real skin epidermis movements such as finger bending, facial expression changes, and throat vocalization. The hydrogel can also be used as an adhesive electrode for the accurate detection of ECG and EMG signals (Figure 12).

5.4. Glucose Monitoring

CHG are integrated into wearable glucose monitors that measure glucose levels through sweat or interstitial fluid, offering a non-invasive alternative to traditional blood tests [211]. Chen et al. [212] presented a skin-like biosensor system (Figure 13), based on chitosan-containing glucose oxidase, for non-invasive and highly accurate intravascular blood glucose monitoring for continuous clinical-grade use. Kim et al. [213] reported smart contact lenses with long-term continuous glucose monitoring using nanoporous hydrogels.

5.5. Sweat Analysis

These hydrogels can detect various biomarkers in sweat, such as electrolytes, metabolites, and pH levels, which are important for monitoring hydration, stress, and metabolic health [214]. Wearable patch-based sensors have emerged as a promising solution for effective sweat management, offering easy induction, reliable collection, and precise analysis [215]. Hydrogel patches can simultaneously serve as an interface for sweat sampling and a medium for electrochemical sensing [216]. Silk fibroin-based double network hydrogel adhesive with strong and durable adhesion on wet surfaces can be integrated with epidermal sensor arrays and perform in real-time on-body sweat sensing [217]. PEDOT-based wearable hydrogel patches were used in noninvasive, electrochemical glucose sensors for natural sweat detection by enabling the analysis of sweat glucose during routine and sedentary activities [218].
Lactic acid sensors. Used by athletes, these sensors help monitor muscle fatigue by detecting lactic acid levels in sweat, providing real-time feedback during training [219]. Saha et al. developed a lactate monitoring platform that collects sweat over extended periods using hydrogels for osmotic extraction and paper microfluidic channels for sample evaporation to address insufficient sweating [220].

5.6. Soft Pressure and Motion Sensors

CHG can be used in sensors that monitor pressure changes, making them useful in detecting body posture, gait analysis, or even subtle changes in breathing patterns. Motion sensors to detect bending, stretching, and twisting are useful in sports and rehabilitation devices (Figure 14 and Figure 15).
Artificial skin-like materials have wide applications, particularly in flexible electronics. However, developing intelligent skin-like soft materials with a remarkable range of properties is still a challenge. Lin et al. [82] prepared a biomimetic skin-like hydrogel based on Ag/TA@cellulose nanocrystals, decorated with tannic acid (TA) and Ag nanoparticles nanohybrids, combined with PVA via chemical crosslinking, which achieved the combination of superstretchability (>4000%), efficient (within 10 min, 98.6%), and repeatable self-healing property, conformability, and the ability to sense and track human body motions with a relatively broad range of strain (up to 400%). The hydrogel can also be used for repairing circuits, constructing switches, programmed electrical circuit assembly, as electronic skin, and in touch screen pens. A Ti3C2Tx MXene-based PEDOT:PSS composite conductive aerogel was prepared using Cu-assisted electrogelation and assembled into pressure sensors for high-resolution robotic tactile sensing to directly recognize the tactile stimuli from human fingers and identify braille letters like human fingers [221].
Strain sensors can detect minute deformations caused by body movements (Figure 16), making them ideal for monitoring joint movements or detecting early signs of physical stress or strain [222,223,224].

5.7. Temperature and Thermal Therapy Monitoring

Wearable devices with hydrogel-based temperature sensors can track body temperature continuously, which is useful in healthcare monitoring for fever or hypothermia. For applications in thermal therapy, hydrogels can help ensure that the target area maintains the desired temperature range. The incorporation of a flexible temperature sensor is a significant breakthrough for realizing intelligent wearable devices. An environmental-friendly CHG was prepared by freeze–thaw, introducing CNTs and carbon black into a poly(vinyl alcohol)/glycerol hydrogel [225] for wearable strain and temperature sensors. Glycerol incorporation enables long-lasting moisture retention and low temperature tolerance. The CHG exhibited a linear relationship between temperature and relative resistance change during both the heating and cooling processes, demonstrating a constant temperature coefficient of resistance (TCR) of 0.945(10) %°C−1. A dynamic thermal response test between 20 °C and 80 °C (Figure 17), showed a clear signal response, demonstrating an excellent temperature discrimination capacity.

5.8. Smart Bandages

CHG are incorporated into smart bandages that monitor the wound healing process by detecting changes in wound environment, such as pH (pH changes in a chronic wound are typically interpreted as an indication of bacterial infection), temperature, and moisture levels. The data help in adjusting treatment protocols accordingly. Smart bandages able to interact with the wound automatically is an innovative concept for effective wound care and accelerated wound healing [226]. A smart bandage was engineered with multiple components, including sensors (pH and temperature), microheater, thermo-responsive drug carriers embedded in a hydrogel patch, and wireless electronics to read the data from the sensors and to trigger and control the thermal actuation system if required (Figure 18) [227].

5.9. Electronic Skin

Du et al. [228] reported wearable TENGs based electronic skin (e-skin) patches with PPy/Pluronic F127 hydrogel for accelerating wound healing by locally generating electrical fields to the wound area. These electronic skin patches used self-power electric generation and photothermal wound healing acceleration within 11 days. A bionic tactile Proanthocyanins/rGO/PVA hydrogel-based electronic skin (Figure 19), which simulates the tactual sensation of human skin and integrates stretchability (>5000%) and a self-healing (3 s, 95.73%) ability, can mimic and detect real skin epidermis movements such as finger bending, facial expression changes, and throat vocalization. Interestingly, the hydrogel can also be used as an adhesive electrode for the accurate detection of ECG and EMG signals [210].
However, the development of skin-like hydrogel devices is still in its infancy and faces challenges including limited functionality, low ambient stability, poor surface adhesion, and relatively high power consumption (as ionic sensors) [169].

5.10. UV and Pollution Sensors

Hydrogels can be engineered to respond to UV radiation or environmental pollutants, providing real-time data on exposure, alerting the wearer to dangerous conditions, and helping users take preventive measures. Apart from being used as wearable sensors, these sensors have the potential to be used along with UV-based workspace sterilizing devices to ensure that surfaces have been efficiently exposed to UV. UV sensors made by Finny et al. using alginate, gelatin, photoactive titanium dioxide nanoparticles, and dyes (methyl orange, methylene blue, and malachite green), in which the nanoparticles are used to initiate photocatalytic degradation of dyes, leading to discoloration of the dye, visible to the naked eye, are inexpensive, stable, extremely robust, biodegradable and easy to use [229].

5.11. Breath Sensors and Toxin Detection

They can be integrated into wearable devices that monitor exposure to hazardous chemicals or toxins, alerting the wearer to potential health risks. Wearable vapor sensors can help people monitor air composition in real time to avoid underlying risks, and for the early detection and treatment of diseases for home healthcare [230]. A sensitive humidity responsive sensor based on sodium hyaluronate incorporating multi-walled CNTs composite hydrogel was deposited on a flexible interdigital electrode by a drop coating method [231]. The sensor presents a broader detection range for relative humidity (11–98% RH) and fast response/recovery performance (0.32 s/0.27 s), stability after repeated humidity changes, long-term operation, temperature changes, and cyclic mechanical bending (Figure 20).
These applications demonstrate the versatility of eco-friendly CHG in wearable bioelectronic sensors, contributing to advanced health monitoring and environmental interaction while emphasizing sustainability and user comfort. Table 2 summarizes some recent biomedical applications of WE. We are enjoying rapid advances towards the goal of imperceptible WE for human health monitoring. Wearable and implantable bioelectronics have emerged as an alternative or adjunct to conventional healthcare. Bioelectronic systems must be designed eco-friendly for sustainable healthcare [232,233]. Furthermore, CHG can be used in the electrodes of flexible and stretchable displays, offering more comfortable and adaptable wearable screens. In wearable robotics, hydrogels can serve as actuators, mimicking natural muscle movement due to their ability to expand and contract in response to electrical stimuli. To assist patients with restricted mobility to control wheelchair freely, Wang et al. developed an eye-movement-controlled wheelchair prototype based on a flexible hydrogel biosensor made of conductive Hydroxypropyl cellulose/PVA hydrogel and flexible Polydimethylsiloxane substrate [234]. Bioinspired hydrogels hold promise for designing bioadhesive brain–machine interfaces with immune-evasive capability, actively preventing fibrous tissue encapsulation and neuroinflammation after implantation, and enabling communication between the brain and external machines. Mussel-inspired polydopamine hydrogels exhibit high adhesion, attributed to the presence of sufficient free catechol groups as well as mechanical and biochemical affinity for biological tissues, including brain tissue [235,236]. This enables seamless adhesion to brain tissue and integration with metal microcircuits (Figure 21).
Due to their biocompatibility, eco-friendly CHG are suitable for implantable devices that monitor or stimulate internal organs, like pacemakers or neural interfaces. Smart wearable patches can use hydrogels to control the release of drugs, responding to stimuli like body temperature or electrical signals. These applications highlight the versatility of eco-friendly CHG in advancing the field of WE, focusing on both user comfort and sustainability.

6. Challenges and Limitations

6.1. Trade-Offs Between Performance and Ecofriendliness

The development of eco-friendly CHG for WE presents several challenges, particularly in balancing high performance with sustainability. While efforts to replace synthetic and non-biodegradable components with natural and renewable materials are advancing, certain trade-offs between performance and ecofriendliness remain:
Electrical Conductivity vs. Biodegradability. A significant issue with the increasing prevalence of WE is the problem of electronic waste (e-waste). It is crucial to prioritize the development of electronics that utilize biodegradable and environmentally friendly materials and processes to mitigate the environmental impact. Currently, most wearables are made of metal nanowires, conducting polymers, carbon-based nanomaterials, and liquid metals, frequently combined with substrates like fabric or elastomers. Many highly conductive materials, such as metal nanoparticles, are not biodegradable and may pose environmental risks. Natural alternatives, such as bio-derived carbon materials and polymers, often exhibit lower conductivity or stability, limiting their efficiency in electronic applications [238].
Mechanical Strength vs. Sustainable Synthesis. Petroleum-based polymers provide excellent mechanical robustness and flexibility, but they are non-biodegradable. Biopolymer-based hydrogels (e.g., chitosan, cellulose, alginate) are more sustainable but often lack sufficient mechanical strength, requiring chemical crosslinking, which may introduce toxicity or reduce recyclability.
Stability and Longevity vs. Environmental Impact. Enhancing hydrogel durability is essential for long-term WE but often requires synthetic stabilizers or additives that hinder biodegradability. Sustainable alternatives, such as enzymatically crosslinked hydrogels, may degrade too quickly under certain conditions, limiting their practical use.
Scalability and Cost vs. Green Manufacturing. Large-scale production of eco-friendly hydrogels often requires expensive bio-sourced materials or complex synthesis routes that are less cost-effective compared to conventional methods. Green processing techniques, such as solvent-free fabrication or bio-based crosslinking, may be less efficient or require optimization to meet industrial demands.
Recyclability vs. Functional Properties. Designing CHG that are both recyclable and high-performing is a major challenge, as most existing hydrogels do not retain conductivity and mechanical properties after recycling. Developing self-healing and reprocessable hydrogels could address this issue, but current solutions often involve trade-offs in conductivity or structural integrity.
Balancing performance, durability, and sustainability remains a key challenge, but innovative material design and green chemistry approaches hold promise for next-generation eco-conscious WE.
To overcome these trade-offs, researchers are exploring hybrid materials that combine biodegradable polymers with sustainable conductive fillers and green synthesis strategies, such as enzymatic or supramolecular crosslinking, to enhance durability without compromising ecofriendliness and circular economy approaches, including recyclable and self-healing hydrogels, to extend material life cycles.

6.2. Scalability of Green Synthesis Methods

The transition toward eco-friendly CHG for WE relies heavily on sustainable synthesis approaches. However, scaling up these green synthesis methods from lab-scale research to industrial production presents several challenges:
  • Many green synthesis methods depend on natural polymers (e.g., cellulose, chitosan, alginate) or bio-derived conductive materials (e.g., carbon nanodots, polydopamine). Ensuring a stable supply chain for biodegradable and renewable raw materials with consistent properties is critical for scalability. Variability in natural sources, extraction efficiency, and purity can lead to inconsistencies in hydrogel properties, affecting performance and reproducibility.
  • Adapting and scaling low-energy, cost-effective fabrication techniques that maintain performance while remaining eco-friendly is an ongoing challenge. Some bio-based synthesis methods still rely on harsh conditions, high temperatures, or significant water consumption, which may offset their eco-friendly advantages. Developing low-energy, water-efficient, and waste-minimizing hydrogel production processes is crucial for large-scale implementation. Sustainable synthesis approaches, such as enzyme-assisted polymerization, solvent-free processing, or supramolecular self-assembly, are difficult to scale due to their complexity and cost (e.g., longer reaction times, precise pH conditions, temperature control). Bio-based crosslinking agents (e.g., genipin, citric acid) and natural dopants may be more expensive than synthetic alternatives, limiting commercial viability.
  • Adapting green hydrogel processing to existing manufacturing infrastructure (e.g., 3D printing, roll-to-roll processing) requires further optimization, due to limited industrial compatibility of eco-friendly hydrogels. Traditional hydrogel fabrication methods, such as chemical crosslinking with toxic reagents (e.g., glutaraldehyde), are well-established for mass production. Green alternatives, such as photo-crosslinking, ionic crosslinking, or biodegradable linkers, often result in weaker mechanical properties or slower gelation rates.

6.3. Durability and Long-Term Stability

Eco-friendly CHG are often prone to moisture absorption, microbial degradation, or oxidative instability, reducing their long-term usability. Chemical stabilization without compromising biodegradability remains a challenge, particularly for large-scale storage and transportation. To overcome these challenges, researchers are exploring bioinspired synthesis strategies that mimic natural self-assembly processes, enzyme-catalyzed or microorganism-assisted polymerization for sustainable material production, integration with scalable fabrication techniques like 3D printing, extrusion-based processing, or inkjet printing for wearable applications, and recyclable and self-healing hydrogel formulations to extend product life cycles and reduce waste. Developing scalable, cost-effective, and environmentally responsible hydrogel synthesis methods is essential for the widespread adoption of green WE in the future.
Each of these challenges is deeply interconnected, making it difficult to optimize one property without negatively impacting another. The key to addressing these trade-offs lies in hybrid approaches, such as bio-inspired conductive networks, multi-scale material integration, and dynamic crosslinking strategies. Advancements in green chemistry, nanotechnology, and additive manufacturing could further bridge the gap between sustainability and high-performance CHGs, paving the way for truly eco-friendly wearable electronics.

7. Future Directions and Opportunities

As eco-friendly CHG gain traction in WE, future advancements will focus on improving functionality, sustainability, and scalability. Two key areas of development are:

7.1. Integration of Multi-Functional Materials

The seamless physical integration at the interface between hydrogel sensors and rigid electronic devices remains an unresolved challenge. This is primarily due to the water-rich environment, natural flexibility, and relatively lower Young’s modulus of CHG compared to other conventional hydrogels.
To enhance the performance and versatility of CHG, integrating multi-functional materials is crucial: hybrid conductive networks combining bio-based conductive materials (e.g., carbon nanodots, polydopamine) with metallic nanoparticles, MXenes, or conductive polymers to optimize electrical and mechanical properties; stimuli-responsive hydrogels developing materials that respond to temperature, pH, moisture, light, or magnetic fields, enabling advanced sensing, actuation, and self-healing properties; self-powered systems, embedding triboelectric, piezoelectric, or thermoelectric nanomaterials to enable energy harvesting and eliminate the need for external power sources, and finally incorporating natural antimicrobial and biocompatible agents (e.g., plant extracts or chitosan) to improve wearability in biomedical applications.

7.2. Advances in Recycling and Reusability and Potential for Circular Economies in WE

One of the biggest challenges in sustainable WE is enhancing recyclability and reusability while maintaining material integrity: self-healing hydrogels by developing dynamic covalent bonds (e.g., boronate esters, Schiff bases) or supramolecular interactions to allow reprocessing and reusability without compromising conductivity; designing water-resistant yet recyclable materials is crucial for long-term usability, as many hydrogels degrade in aqueous environments, especially in biofluids; creating ionic-conducting hydrogels or bio-based conductive inks that can be easily extracted (e.g., dissolved), reassembled, or repurposed, or implementing closed-loop manufacturing green synthesis routes that minimize waste generation while ensuring recovery of valuable materials. Moving towards a circular economy in WE involves reducing waste, extending product lifecycles, and designing materials for end-of-life recovery: developing biodegradable, naturally decomposable CHG that reduce e-waste and pollution; encouraging replaceable and upgradable hydrogel-based electronic components to extend device longevity. By modular and repairable designs. Green manufacturing and disposal strategies ensure a minimal environmental footprint. Using low-energy fabrication, non-toxic synthesis methods, and sustainable packaging. Finally, utilizing regenerative and renewable material sources, such as waste-derived biopolymers (e.g., from food waste, algae, or plant residues) for a truly sustainable material cycle.
In conclusion, the future of eco-friendly CHG holds great promise for sustainable, high-performance WE by integrating multi-functional materials, enhancing recyclability, and implementing circular economy principles. These advancements will drive the next generation of green, durable, and intelligent electronic devices while minimizing environmental impact.

Author Contributions

Conceptualization, J.M.C.M., M.C. and M.P.; writing—original draft preparation, J.M.C.M.; writing—review and editing, J.M.C.M., M.C. and M.P. All authors have read and agreed to the published version of the manuscript.

Funding

This research received no external funding.

Institutional Review Board Statement

Not applicable.

Informed Consent Statement

Not applicable.

Data Availability Statement

No new data were created or analyzed in this study.

Conflicts of Interest

The authors declare no conflicts of interest.

Abbreviations

The following abbreviations are used in this manuscript:
CHGConductive Hydrogels
WEWearable Electronics
CNTsCarbon Nanotubes
ECGElectrocardiogram
EEGElectroencefalogram
PVAPolyvinyl Alcohol
PPyPolypyrrole
PANIPolyaniline
PEDOT:PSSPoly(3,4-ethylene dioxythiophene):poly(styrene sulfonate)
EMGElectromyogram
TENGsTriboelectric Nanogenerators
EOG/IOPElectrooculogram/Intraocular Pressure

References

  1. Meena, J.S.; Choi, S.B.; Jung, S.-B.; Kim, J.-W. Electronic textiles: New age of wearable technology for healthcare and fitness solutions. Mater. Today Bio 2023, 19, 100565. [Google Scholar] [CrossRef]
  2. Vo, D.-K.; Trinh, K.T.L. Advances in Wearable Biosensors for Healthcare: Current Trends, Applications, and Future Perspectives. Biosensors 2024, 14, 560. [Google Scholar] [CrossRef]
  3. Stoppa, M.; Chiolerio, A. Wearable Electronics and Smart Textiles: A Critical Review. Sensors 2014, 14, 11957–11992. [Google Scholar] [CrossRef]
  4. Majumder, S.; Mondal, T.; Deen, M.J. Wearable Sensors for Remote Health Monitoring. Sensors 2017, 17, 130. [Google Scholar] [CrossRef] [PubMed]
  5. Guk, K.; Han, G.; Lim, J.; Jeong, K.; Kang, T.; Lim, E.-K.; Jung, J. Evolution of Wearable Devices with Real-Time Disease Monitoring for Personalized Healthcare. Nanomaterials 2019, 9, 813. [Google Scholar] [CrossRef]
  6. Hua, J.; Su, M.; Sun, X.; Li, J.; Sun, Y.; Qiu, H.; Shi, Y.; Pan, L. Hydrogel-Based Bioelectronics and Their Applications in Health Monitoring. Biosensors 2023, 13, 696. [Google Scholar] [CrossRef] [PubMed]
  7. Wang, X.; Ji, H.; Gao, L.; Hao, R.; Shi, Y.; Yang, J.; Hao, Y.; Chen, J. Wearable hydrogel-based health monitoring systems: A new paradigm for health monitoring? Chem. Eng. J. 2024, 495, 153382. [Google Scholar] [CrossRef]
  8. Duan, H.; Zhang, Y.; Zhang, Y.; Zhu, P.; Mao, Y. Recent Advances of Stretchable Nanomaterial-Based Hydrogels for Wearable Sensors and Electrophysiological Signals Monitoring. Nanomaterials 2024, 14, 1398. [Google Scholar] [CrossRef]
  9. Lin, A.; Xu, H.; Chen, Z.; Wearable, A.R. System for Real-Time Pedestrian Conflict Alerts Using Live Roadside Data. Electronics 2025, 14, 99. [Google Scholar] [CrossRef]
  10. Si, J.; Duan, R.; Zhang, M.; Liu, X. Recent Progress Regarding Materials and Structures of Triboelectric Nanogenerators for AR and VR. Nanomaterials 2022, 12, 1385. [Google Scholar] [CrossRef]
  11. Hu, J.; Meng, H.; Li, G.; Ibekwe, S. A review of stimuli-responsive polymers for smart textile applications. Smart Mater. Struct. 2012, 21, 053001. [Google Scholar] [CrossRef]
  12. Shin, Y.; Lee, H.S.; Jeong, H.; Kim, D.-H. Recent advances in conductive hydrogels for soft biointegrated electronics: Materials, properties, and device applications. Wearable Electron. 2024, 1, 255–280. [Google Scholar] [CrossRef]
  13. Bruen, D.; Delaney, C.; Florea, L.; Diamond, D. Glucose Sensing for Diabetes Monitoring: Recent Developments. Sensors 2017, 17, 1866. [Google Scholar] [CrossRef] [PubMed]
  14. Lubinski, T.; Plotka, B.; Janik, S.; Canini, L.; Mäntele, W. Evaluation of a Novel Noninvasive Blood Glucose Monitor Based on Mid-Infrared Quantum Cascade Laser Technology and Photothermal Detection. J. Diabetes Sci. Technol. 2021, 15, 6–10. [Google Scholar] [CrossRef]
  15. Zafar, H.; Channa, A.; Jeoti, V.; Stojanović, G.M. Comprehensive Review on Wearable Sweat-Glucose Sensors for Continuous Glucose Monitoring. Sensors 2022, 22, 638. [Google Scholar] [CrossRef]
  16. Ankhili, A.; Tao, X.; Cochrane, C.; Coulon, D.; Koncar, V. Washable and Reliable Textile Electrodes Embedded into Underwear Fabric for Electrocardiography (ECG) Monitoring. Materials 2018, 11, 256. [Google Scholar] [CrossRef] [PubMed]
  17. Tseng, R.C.; Chen, C.-C.; Hsu, S.-M.; Chuang, H.-S. Contact-Lens Biosensors. Sensors 2018, 18, 2651. [Google Scholar] [CrossRef] [PubMed]
  18. Gonzalez-Solino, C.; Lorenzo, M.D. Enzymatic Fuel Cells: Towards Self-Powered Implantable and Wearable Diagnostics. Biosensors 2018, 8, 11. [Google Scholar] [CrossRef]
  19. Rodrigues, D.; Barbosa, A.I.; Rebelo, R.; Kwon, I.K.; Reis, R.L.; Correlo, V.M. Skin-Integrated Wearable Systems and Implantable Biosensors: A Comprehensive Review. Biosensors 2020, 10, 79. [Google Scholar] [CrossRef]
  20. Zhou, B.; Sundholm, M.; Cheng, J.; Cruz, H.; Lukowicz, P. Measuring muscle activities during gym exercises with textile pressure mapping sensors. Pervasive Mob. Comput. 2017, 38, 331–345. [Google Scholar] [CrossRef]
  21. Shajari, S.; Kuruvinashetti, K.; Komeili, A.; Sundararaj, U. The Emergence of AI-Based Wearable Sensors for Digital Health Technology: A Review. Sensors 2023, 23, 9498. [Google Scholar] [CrossRef]
  22. Rodgers, M.M.; Alon, G.; Pai, V.M.; Conroy, R.S. Wearable technologies for active living and rehabilitation: Current research challenges and future opportunities. J. Rehabil. Assist. Technol. Eng. 2019, 6, 2055668319839607. [Google Scholar] [CrossRef]
  23. Kang, H.S.; Exworthy, M. Wearing the Future-Wearables to Empower Users to Take Greater Responsibility for Their Health and Care: Scoping Review. MIR mHealth uHealth 2022, 10, e35684. [Google Scholar] [CrossRef]
  24. Zhan, T.; Yin, K.; Xiong, J.; He, Z.; Wu, S.-T. Augmented Reality and Virtual Reality Displays: Perspectives and Challenges. iScience 2020, 23, 101397. [Google Scholar] [CrossRef] [PubMed]
  25. Chang, E.; Kim, H.T.; Yoo, B. Virtual Reality Sickness: A Review of Causes and Measurements. Int. J. Hum. Comput. Interact. 2020, 36, 1658–1682. [Google Scholar] [CrossRef]
  26. Dopsaj, M.; Tan, W.; Perovic, V.; Stajic, Z.; Milosavljevic, N.; Paessler, S.; Makishima, T. Novel neurodigital interface reduces motion sickness in virtual reality. Neurosci. Lett. 2024, 825, 137692. [Google Scholar] [CrossRef] [PubMed]
  27. Canali, S.; Schiaffonati, V.; Aliverti, A. Challenges and recommendations for wearable devices in digital health: Data quality, interoperability, health equity, fairness. PLOS Digit. Health. 2022, 1, e0000104. [Google Scholar] [CrossRef]
  28. Shih, J.J.; Krusienski, D.J.; Wolpaw, J.R. Brain-computer interfaces in medicine. Mayo Clin. Proc. 2012, 87, 268–279. [Google Scholar] [CrossRef]
  29. Abdulkader, S.N.; Atia, A.; Mostafa, M.-S.M. Brain computer interfacing: Applications and challenges. Egypt. Inform. J. 2015, 16, 213–230. [Google Scholar] [CrossRef]
  30. Kawala-Sterniuk, A.; Browarska, N.; Al-Bakri, A.; Pelc, M.; Zygarlicki, J.; Sidikova, M.; Martinek, R.; Gorzelanczyk, E.J. Summary of over Fifty Years with Brain-Computer Interfaces—A Review. Brain Sci. 2021, 11, 43. [Google Scholar] [CrossRef]
  31. Sun, Y.; Chen, X.; Liu, B.; Liang, L.; Wang, Y.; Gao, S.; Gao, X. Signal acquisition of brain–computer interfaces: A medical-engineering crossover perspective review. Fundam. Res. 2025, 5, 3–16. [Google Scholar] [CrossRef]
  32. An, Y.; Wong, J.; Ling, S.H. Development of real-time brain-computer interface control system for robot. Appl. Soft Comput. 2024, 159, 111648. [Google Scholar] [CrossRef]
  33. Sun, Y.; Li, Y.-Z.; Yuan, M. Requirements, challenges, and novel ideas for wearables on power supply and energy harvesting. Nano Energy 2023, 115, 108715. [Google Scholar] [CrossRef]
  34. Zheng, C.; Yue, Y.; Gan, L.; Xu, X.; Mei, C.; Han, J. Highly Stretchable and Self-Healing Strain Sensors Based on Nanocellulose-Supported Graphene Dispersed in Electro-Conductive Hydrogels. Nanomaterials 2019, 9, 937. [Google Scholar] [CrossRef]
  35. Costa, J.C.; Spina, F.; Lugoda, P.; Garcia-Garcia, L.; Roggen, D.; Münzenrieder, N. Flexible Sensors—From Materials to Applications. Technologies 2019, 7, 35. [Google Scholar] [CrossRef]
  36. Htwe, Y.Z.N.; Mariatti, M. Printed graphene and hybrid conductive inks for flexible, stretchable, and wearable electronics: Progress, opportunities, and challenges. J. Sci. Adv. Mater. Devices 2022, 7, 100435. [Google Scholar] [CrossRef]
  37. Zhang, W.; Feng, P.; Chen, J.; Sun, Z.; Zhao, B. Electrically conductive hydrogels for flexible energy storage systems. Prog. Polym. Sci. 2019, 88, 220–240. [Google Scholar] [CrossRef]
  38. Liu, Y.; Wang, H.; Zhao, W.; Zhang, M.; Qin, H.; Xie, Y. Flexible, Stretchable Sensors for Wearable Health Monitoring: Sensing Mechanisms, Materials, Fabrication Strategies and Features. Sensors 2018, 18, 645. [Google Scholar] [CrossRef] [PubMed]
  39. Ferreira, R.G.; Silva, A.P.; Nunes-Pereira, J. Current On-Skin Flexible Sensors, Materials, Manufacturing Approaches, and Study Trends for Health Monitoring: A Review. ACS Sens. 2024, 9, 1104–1133. [Google Scholar] [CrossRef]
  40. Ali, A.; Shaukat, H.; Bibi, S.; Altabey, W.A.; Noori, M.; Kouritem, S.A. Recent progress in energy harvesting systems for wearable technology. Energy Strategy Rev. 2023, 49, 101124. [Google Scholar] [CrossRef]
  41. Zhang, J.; Gu, M.; Chen, X. Supercapacitors for renewable energy applications: A review. Micro Nano Eng. 2023, 21, 100229. [Google Scholar] [CrossRef]
  42. Devi, D.H.; Duraisamy, K.; Armghan, A.; Alsharari, M.; Aliqab, K.; Sorathiya, V.; Das, S.; Rashid, N. 5G Technology in Healthcare and Wearable Devices: A Review. Sensors 2023, 23, 2519. [Google Scholar] [CrossRef] [PubMed]
  43. LaBoone, P.A.; Marques, O. Overview of the future impact of wearables and artificial intelligence in healthcare workflows and technology. Int. J. Inf. Manag. Data Insights 2024, 4, 100294. [Google Scholar] [CrossRef]
  44. Bayoumy, K.; Gaber, M.; Elshafeey, A.; Mhaimeed, O.; Dineen, E.H.; Marvel, F.A.; Martin, S.S.; Muse, E.D.; Turakhia, M.P.; Tarakji, K.G.; et al. Smart wearable devices in cardiovascular care: Where we are and how to move forward. Nat. Rev. Cardiol. 2021, 18, 581–599. [Google Scholar] [CrossRef]
  45. Fernández-Caballero, A.; Martínez-Rodrigo, A.; Pastor, J.M.; Castillo, J.C.; Lozano-Monasor, E.; López, M.T.; Zangróniz, R.; Latorre, J.M.; Alicia Fernández-Sotos, A. Smart environment architecture for emotion detection and regulation. J. Biomed. Inform. 2016, 64, 55–73. [Google Scholar] [CrossRef] [PubMed]
  46. Cilliers, L. Wearable devices in healthcare: Privacy and information security issues. Health Inf. Manag. 2020, 49, 150–156. [Google Scholar] [CrossRef]
  47. Dwivedi, A.D.; Srivastava, G.; Dhar, S.; Singh, R. A Decentralized Privacy-Preserving Healthcare Blockchain for IoT. Sensors 2019, 19, 326. [Google Scholar] [CrossRef] [PubMed]
  48. Ferreira, J.J.; Fernandes, C.I.; Rammal, H.G.; Veiga, P.M. Wearable technology and consumer interaction: A systematic review and research agenda. Comput. Hum. Behav. 2021, 118, 106710. [Google Scholar] [CrossRef]
  49. Imani, K.B.C.; Dodda, J.M.; Yoon, J.; Torres, F.G.; Imran, A.B.; Deen, G.R.; Al-Ansari, R. Seamless Integration of Conducting Hydrogels in Daily Life: From Preparation to Wearable Application. Adv. Sci. 2024, 11, 2306784. [Google Scholar] [CrossRef]
  50. Thirumalai, D.; Santhamoorthy, M.; Kim, S.-C.; Lim, H.-R. Conductive Polymer-Based Hydrogels for Wearable Electrochemical Biosensors. Gels 2024, 10, 459. [Google Scholar] [CrossRef]
  51. He, Q.; Cheng, Y.; Deng, Y.; Wen, F.; Lai, Y.; Li, H. Conductive Hydrogel for Flexible Bioelectronic Device: Current Progress and Future Perspective. Adv. Funct. Mater. 2024, 34, 2308974. [Google Scholar] [CrossRef]
  52. Bashir, S.; Hina, M.; Iqbal, J.; Rajpar, A.H.; Mujtaba, M.A.; Alghamdi, N.A.; Wageh, S.; Ramesh, K.; Ramesh, S. Fundamental Concepts of Hydrogels: Synthesis, Properties, and Their Applications. Polymers 2020, 12, 2702. [Google Scholar] [CrossRef] [PubMed]
  53. Zhao, Y.; Ohm, Y.; Liao, J.; Luo, Y.; Cheng, H.Y.; Won, P.; Roberts, P.; Carneiro, M.R.; Islam, M.F.; Ahn, J.H.; et al. A self-healing electrically conductive organogel composite. Nat. Electron. 2023, 6, 206–215. [Google Scholar]
  54. An, Y.H.; Lee, J.; Son, D.U.; Kang, D.H.; Park, M.J.; Cho, K.W.; Kim, S.; Kim, S.H.; Ko, J.; Jang, M.H.; et al. Facilitated transdermal drug delivery using nanocarriers-embedded electroconductive hydrogel coupled with reverse electrodialysis-driven iontophoresis. ACS Nano 2020, 14, 4523–4535. [Google Scholar] [CrossRef]
  55. Wang, L.; Xu, T.; Zhang, X. Multifunctional conductive hydrogel-based flexible wearable sensors. TrAC Trends Anal. Chem. 2021, 134, 116130. [Google Scholar] [CrossRef]
  56. Lim, C.; Hong, Y.J.; Jung, J.; Shin, Y.; Sunwoo, S.H.; Baik, S.; Park, O.K.; Choi, S.H.; Hyeon, T.; Kim, J.H.; et al. Tissue-like skin-device interface for wearable bioelectronics by using ultrasoft, mass-permeable, and low-impedance hydrogels. Sci. Adv. 2021, 7, eabd3716. [Google Scholar] [CrossRef]
  57. Samir, A.; Ashour, F.H.; Hakim, A.A.A.; Bassyouni, M. Recent advances in biodegradable polymers for sustainable applications. npj Mater. Degrad. 2022, 6, 68. [Google Scholar] [CrossRef]
  58. Hosseini, E.S.; Dervin, S.; Ganguly, P.; Dahiya, R. Biodegradable Materials for Sustainable Health Monitoring Devices. ACS Appl. Bio Mater. 2021, 4, 163–194. [Google Scholar] [CrossRef]
  59. Devi, V.K.A.; Shyam, R.; Palaniappan, A.; Jaiswal, A.K.; Oh, T.H.; Nathanael, A.J. Self-Healing Hydrogels: Preparation, Mechanism and Advancement in Biomedical Applications. Polymers 2021, 13, 3782. [Google Scholar] [CrossRef]
  60. Taylor, D.L.; in H$et Panhuis, M. Self-Healing Hydrogels. Adv. Mater. 2016, 28, 9060–9093. [Google Scholar] [CrossRef]
  61. Ding, J.; Yang, Y.; Poisson, J.; He, Y.; Zhang, H.; Zhang, Y.; Bao, Y.; Chen, S.; Chen, Y.M.; Zhang, K. Recent Advances in Biopolymer-Based Hydrogel Electrolytes for Flexible Supercapacitors. ACS Energy Lett. 2024, 9, 1803–1825. [Google Scholar] [CrossRef] [PubMed]
  62. Lv, J.; Chen, J.; Lee, P.S. Sustainable wearable energy storage devices self-charged by human-body bioenergy. Susmat 2021, 1, 285–302. [Google Scholar] [CrossRef]
  63. Li, X.; He, L.; Li, Y.; Chao, M.; Li, M.; Wan, P.; Zhang, L. Healable, Degradable, and Conductive MXene Nanocomposite Hydrogel for Multifunctional Epidermal Sensors. ACS Nano 2021, 15, 7765–7773. [Google Scholar] [CrossRef] [PubMed]
  64. Lei, J.; Li, X.; Wang, S.; Yuan, L.; Ge, L.; Li, D.; Mu, C. Facile Fabrication of Biocompatible Gelatin-Based Self-Healing Hydrogels. ACS Appl. Polym. Mater. 2019, 1, 1350–1358. [Google Scholar] [CrossRef]
  65. Lv, H.; Liang, Q.; He, Y.; Liang, H.; Xiang, S.; Yuan, W.; Li, S.; Hong, J.; Wu, J.; Zhao, L.; et al. A transparent, moisturizing, antibacterial and mechanically flexible hydrogel for emergency conservation of unearthed bone relics. Eur. Polym. J. 2025, 222, 113590. [Google Scholar] [CrossRef]
  66. Macron, J.; Gerratt, A.P.; Lacour, S.P. Thin Hydrogel–Elastomer Multilayer Encapsulation for Soft Electronics. Adv. Mater. Technol. 2019, 4, 1900331. [Google Scholar] [CrossRef]
  67. Yu, C.; Schimelman, J.; Wang, P.; Miller, K.L.; Ma, X.; You, S.; Guan, J.; Sun, B.; Zhu, W.; Chen, S. Photopolymerizable Biomaterials and Light-Based 3D Printing Strategies for Biomedical Applications. Chem. Rev. 2020, 120, 10695–10743. [Google Scholar] [CrossRef]
  68. Meng, L.; He, J.; Pan, C. Research Progress on Hydrogel–Elastomer Adhesion. Materials 2022, 15, 2548. [Google Scholar] [CrossRef]
  69. Kondaveeti, S.; Choi, G.; Veerla, S.C.; Kim, S.; Kim, J.; Lee, H.J.; Kuzhiumparambil, U.; Ralph, P.J.; Yeo, J.; Jeong, H.E. Mussel-inspired resilient hydrogels with strong skin adhesion and high-sensitivity for wearable device. Nano Converg. 2024, 11, 12. [Google Scholar] [CrossRef]
  70. Zhao, L.; Zhou, Y.; Zhang, J.; Liang, H.; Chen, X.; Tan, H. Natural Polymer-Based Hydrogels: From Polymer to Biomedical Applications. Pharmaceutics 2023, 15, 2514. [Google Scholar] [CrossRef]
  71. Zhang, Y.; Tang, Q.; Zhou, J.; Zhao, C.; Li, J.; Wang, H. Conductive and Eco-friendly Biomaterials-based Hydrogels for Noninvasive Epidermal Sensors: A Review. ACS Biomater. Sci. Eng. 2024, 10, 191–218. [Google Scholar] [CrossRef] [PubMed]
  72. Banitaba, S.N.; Khademolqorani, S.; Jadhav, V.V.; Chamanehpour, E.; Mishra, Y.K.; Mostafavi, E.; Kaushik, A. Recent progress of bio-based smart wearable sensors for healthcare applications. Mater. Today Electron. 2023, 5, 100055. [Google Scholar] [CrossRef]
  73. Cui, C.; Fu, Q.; Meng, L.; Hao, S.; Dai, R.; Yang, J. Recent Progress in Natural Biopolymers Conductive Hydrogels for Flexible Wearable Sensors and Energy Devices: Materials, Structures, and Performance. ACS Appl. Bio Mater. 2021, 4, 85–121. [Google Scholar] [CrossRef] [PubMed]
  74. Liu, S.; Yu, J.-M.; Gan, Y.-C.; Qiu, X.-Z.; Gao, Z.-C.; Wang, H.; Chen, S.-X.; Xiong, Y.; Liu, G.-H.; Lin, S.-E.; et al. Biomimetic natural biomaterials for tissue engineering and regenerative medicine: New biosynthesis methods, recent advances, and emerging applications. Mil. Med. Res. 2023, 10, 16. [Google Scholar] [CrossRef]
  75. Xie, F.; Gao, C.; Avérous, L. Alginate-based materials: Enhancing properties through multiphase formulation design and processing innovation. Mater. Sci. Eng. R Rep. 2024, 159, 100799. [Google Scholar] [CrossRef]
  76. Le, C.V.; Yoon, H. Advances in the Use of Conducting Polymers for Healthcare Monitoring. Int. J. Mol. Sci. 2024, 25, 1564. [Google Scholar] [CrossRef]
  77. Dulal, M.; Afroj, S.; Ahn, J.; Cho, Y.; Carr, C.; Kim, I.D.; Karim, N. Toward Sustainable Wearable Electronic Textiles. ACS Nano 2022, 16, 19755–19788. [Google Scholar] [CrossRef]
  78. Berradi, A.; Aziz, F.; Achaby, M.E.; Ouazzani, N.; Mandi, L. A Comprehensive Review of Polysaccharide-Based Hydrogels as Promising Biomaterials. Polymers 2023, 15, 2908. [Google Scholar] [CrossRef]
  79. Trache, D.; Thakur, V.K.; Boukherroub, R. Cellulose Nanocrystals/Graphene Hybrids—A Promising New Class of Materials for Advanced Applications. Nanomaterials 2020, 10, 1523. [Google Scholar] [CrossRef]
  80. Wang, H.; Biswas, S.K.; Zhu, S.; Lu, Y.; Yue, Y.; Han, J.; Xu, X.; Wu, Q.; Xiao, H. Self-Healable Electro-Conductive Hydrogels Based on Core-Shell Structured Nanocellulose/Carbon Nanotubes Hybrids for Use as Flexible Supercapacitors. Nanomaterials 2020, 10, 112. [Google Scholar] [CrossRef]
  81. Tong, R.; Chen, G.; Tian, J.; He, M. Highly Stretchable, Strain-Sensitive, and Ionic-Conductive Cellulose-Based Hydrogels for Wearable Sensors. Polymers 2019, 11, 2067. [Google Scholar] [CrossRef] [PubMed]
  82. Lin, F.; Wang, Z.; Shen, Y.; Tang, L.; Zhang, P.; Wang, Y.; Chen, Y.; Huang, B.; Lu, B. Natural Skin-Inspired Versatile Cellulose Biomimetic Hydrogels. J. Mater. Chem. A 2019, 7, 26442–26455. [Google Scholar] [CrossRef]
  83. Xie, F. Natural polymer starch-based materials for flexible electronic sensor development: A review of recent progress. Carbohydr. Polym. 2024, 337, 122116. [Google Scholar] [CrossRef]
  84. Abka-khajouei, R.; Tounsi, L.; Shahabi, N.; Patel, A.K.; Abdelkafi, S.; Michaud, P. Structures, Properties and Applications of Alginates. Mar. Drugs 2022, 20, 364. [Google Scholar] [CrossRef]
  85. Raus, R.A.; Nawawi, W.M.F.W.; Nasaruddin, R.R. Alginate and alginate composites for biomedical applications. Asian J. Pharm. Sci. 2021, 16, 280–306. [Google Scholar] [CrossRef]
  86. Chelu, M.; Musuc, A.M.; Popa, M.; Calderon Moreno, J.M. Chitosan Hydrogels for Water Purification Applications. Gels 2023, 9, 664. [Google Scholar] [CrossRef]
  87. Das, A.; Ghosh, S.; Pramanik, N. Chitosan biopolymer and its composites: Processing, properties and applications—A comprehensive review. Hybrid. Adv. 2024, 6, 100265. [Google Scholar] [CrossRef]
  88. Wu, X.; Sun, H.; Qin, Z.; Che, P.; Yi, X.; Yu, Q.; Zhang, H.; Sun, X.; Yao, F.; Li, J. Fully physically crosslinked pectin-based hydrogel with high stretchability and toughness for biomedical application. Int. J. Biol. Macromol. 2020, 149, 707–716. [Google Scholar] [CrossRef]
  89. Roman-Benn, A.; Contador, C.A.; Li, M.-W.; Lam, H.-M.; Ah-Hen, K.; Ulloa, P.E.; Ravanal, M.C. Pectin: An overview of sources, extraction and applications in food products, biomedical, pharmaceutical and environmental issues. Food Chem. Adv. 2023, 2, 100192. [Google Scholar] [CrossRef]
  90. Nguyen, T.P.; Nguyen, Q.V.; Nguyen, V.-H.; Le, T.-H.; Huynh, V.Q.N.; Vo, D.-V.N.; Trinh, Q.T.; Kim, S.Y.; Le, Q.V. Silk Fibroin-Based Biomaterials for Biomedical Applications: A Review. Polymers 2019, 11, 1933. [Google Scholar] [CrossRef]
  91. He, F.; You, X.; Gong, H.; Yang, Y.; Bai, T.; Wang, W.; Guo, W.; Liu, X.; Ye, M. Stretchable, Biocompatible, and Multifunctional Silk Fibroin-Based Hydrogels toward Wearable Strain/Pressure Sensors and Triboelectric Nanogenerators. ACS Appl. Mater. Interfaces 2020, 12, 6442–6450. [Google Scholar] [CrossRef] [PubMed]
  92. Sharma, S.; Sudhakara, P.; Omran, A.A.B.; Singh, J.; Ilyas, R.A. Recent Trends and Developments in Conducting Polymer Nanocomposites for Multifunctional Applications. Polymers 2021, 13, 2898. [Google Scholar] [CrossRef]
  93. Fu, F.; Wang, J.; Zeng, H.; Yu, J. Functional Conductive Hydrogels for Bioelectronics. ACS Mater. Lett. 2020, 10, 1287–1301. [Google Scholar] [CrossRef]
  94. Shi, Z.; Gao, X.; Ullah, M.W.; Li, S.; Wang, Q.; Yang, G. Electroconductive natural polymer-based hydrogels. Biomaterials 2016, 111, 40–54. [Google Scholar] [CrossRef]
  95. Kougkolos, G.; Golzio, M.; Laudebat, L.; Valdez-Nava, Z.; Flahaut, E. Hydrogels with electrically conductive nanomaterials for biomedical applications. J. Mater. Chem. B 2023, 11, 2036–2062. [Google Scholar] [CrossRef] [PubMed]
  96. Zare, E.N.; Agarwal, T.; Zarepour, A.; Pinelli, F.; Zarrabi, A.; Rossi, F.; Ashrafizadeh, M.; Maleki, A.; Shahbazi, M.-A.; Maiti, T.K.; et al. Electroconductive multi-functional polypyrrole composites for biomedical applications. Appl. Mater. Today 2021, 24, 101117. [Google Scholar] [CrossRef]
  97. Nazarzadeh Zare, E.; Mansour Lakouraj, M.; Mohseni, M. Biodegradable polypyrrole/dextrin conductive nanocomposite: Synthesis, characterization, antioxidant and antibacterial activity. Synth. Met. 2014, 187, 9–16. [Google Scholar] [CrossRef]
  98. Beygisangchin, M.; Abdul Rashid, S.; Shafie, S.; Sadrolhosseini, A.R.; Lim, H.N. Preparations, Properties, and Applications of Polyaniline and Polyaniline Thin Films—A Review. Polymers 2021, 13, 2003. [Google Scholar] [CrossRef] [PubMed]
  99. Tran, V.V.; Lee, S.; Lee, D.; Le, T.-H. Recent Developments and Implementations of Conductive Polymer-Based Flexible Devices in Sensing Applications. Polymers 2022, 14, 3730. [Google Scholar] [CrossRef]
  100. Goswami, S.; Nandy, S.; Fortunato, E.; Martins, R. Polyaniline and its composites engineering: A class of multifunctional smart energy materials. J. Solid. State Chem. 2023, 317A, 123679. [Google Scholar] [CrossRef]
  101. Wang, X.; Wu, D.; Song, X.; Du, W.; Zhao, X.; Zhang, D. Review on Carbon/Polyaniline Hybrids: Design and Synthesis for Supercapacitor. Molecules 2019, 24, 2263. [Google Scholar] [CrossRef] [PubMed]
  102. Shin, S.R.; Jung, S.M.; Zalabany, M.; Kim, K.; Zorlutuna, P.; Kim, S.B.; Nikkhah, M.; Khabiry, M.; Azize, M.; Kong, J. Carbon-nanotube-embedded hydrogel sheets for engineering cardiac constructs and bioactuators. ACS Nano 2013, 7, 2369–2380. [Google Scholar] [CrossRef] [PubMed]
  103. Min, J.H.; Patel, M.; Koh, W.-G. Incorporation of Conductive Materials into Hydrogels for Tissue Engineering Applications. Polymers 2018, 10, 1078. [Google Scholar] [CrossRef] [PubMed]
  104. Qin, Z.; Sun, X.; Yu, Q.; Zhang, H.; Wu, X.; Yao, M.; Liu, W.; Yao, F.; Li, J. Carbon Nanotubes/Hydrophobically Associated Hydrogels as Ultrastretchable, Highly Sensitive, Stable Strain, and Pressure Sensors. ACS Appl. Mater. Interfaces 2020, 12, 4944–4953. [Google Scholar] [CrossRef]
  105. Yameen, M.Z.; Naqvi, S.R.; Juchelková, D.; Khan, M.N.A. Harnessing the power of functionalized biochar: Progress, challenges, and future perspectives in energy, water treatment, and environmental sustainability. Biochar 2024, 6, 25. [Google Scholar] [CrossRef]
  106. Zhang, W.; Li, Z.; Zhang, Q.; Zheng, S.; Zhang, Z.; Chen, S.; Wang, Z.; Zhang, D. Ionic conducting hydrogels as biomedical materials: Classification, design strategies, and skin tissue engineering applications. J. Biomater. Sci. Polym. Ed. 2024, 1–24. [Google Scholar] [CrossRef]
  107. Zhao, D.; Zhu, Y.; Cheng, W.; Xu, G.; Wang, Q.; Liu, S.; Li, J. A dynamic gel with reversible and tunable topological networks and performances. Matter 2020, 2, 390–403. [Google Scholar] [CrossRef]
  108. Chen, M.; Chen, J.; Zhou, W.; Han, X.; Yao, Y.; Wong, C.P. Realizing an All-Round Hydrogel Electrolyte toward Environmentally Adaptive Dendrite-Free Aqueous Zn-MnO2 Batteries. Adv. Mater. 2021, 33, e2007559. [Google Scholar] [CrossRef]
  109. Varaprasad, K.; Raghavendra, G.M.; Jayaramudu, T.; Yallapu, M.M.; Sadiku, R. A mini review on hydrogels classification and recent developments in miscellaneous applications. Mater. Sci. Eng. C 2017, 79, 958–971. [Google Scholar] [CrossRef]
  110. Yoo, J.S.; Kim, Y.J.; Kim, S.H.; Choi, S.H. Study on genipin: A new alternative natural crosslinking agent for fixing heterograft tissue. Korean J. Thorac. Cardiovasc. Surg. 2011, 44, 197–207. [Google Scholar] [CrossRef]
  111. Khezerlou, A.; Sani, M.A.; Rhim, J.-W. Genipin crosslinked polysaccharide packaging films: An eco-friendly and innovative strategy to improve the performance of food packaging materials. Carbohydr. Polym. Technol. Appl. 2025, 9, 100732. [Google Scholar] [CrossRef]
  112. Ravishankar, K.; Dhamodharan, R. Advances in chitosan-based hydrogels: Evolution from covalently crosslinked systems to ionotropically crosslinked superabsorbents. React. Funct. Polym. 2020, 149, 104517. [Google Scholar] [CrossRef]
  113. Mikušová, V.; Mikuš, P. Advances in Chitosan-Based Nanoparticles for Drug Delivery. Int. J. Mol. Sci. 2021, 22, 9652. [Google Scholar] [CrossRef] [PubMed]
  114. Luo, Y.; Wang, Q. Recent development of chitosan-based polyelectrolyte complexes with natural polysaccharides for drug delivery. Int. J. Biol. Macromol. 2014, 64, 353–367. [Google Scholar] [CrossRef]
  115. Ishihara, M.; Kishimoto, S.; Nakamura, S.; Sato, Y.; Hattori, H. Polyelectrolyte Complexes of Natural Polymers and Their Biomedical Applications. Polymers 2019, 11, 672. [Google Scholar] [CrossRef]
  116. Zhang, W.; Roy, S.; Ezati, P.; Yang, D.-P.; Rhim, J.-W. Tannic acid: A green crosslinker for biopolymer-based food packaging films. Trends Food Sci. Technol. 2023, 136, 11–23. [Google Scholar] [CrossRef]
  117. Kim, E.; Kim, M.H.; Song, J.H.; Kang, C.; Park, W.H. Dual crosslinked alginate hydrogels by riboflavin as photoinitiator. Int. J. Biol. Macromol. 2020, 154, 989–998. [Google Scholar] [CrossRef]
  118. Heo, J.; Koh, R.H.; Shim, W.; Kim, H.D.; Yim, H.G.; Hwang, N.S. Riboflavin-induced photo-crosslinking of collagen hydrogel and its application in meniscus tissue engineering. Drug Deliv. Transl. Res. 2016, 6, 148–158. [Google Scholar] [CrossRef]
  119. Dudeja, I.; Mankoo, R.K.; Singh, A.; Kaur, J. Citric acid: An ecofriendly cross-linker for the production of functional biopolymeric materials. Sustain. Chem. Pharm. 2023, 36, 101307. [Google Scholar] [CrossRef]
  120. Manarin, E.; Corsini, F.; Trano, S.; Fagiolari, L.; Amici, J.; Francia, C.; Bodoardo, S.; Turri, S.; Bella, F.; Griffini, G. Cardanol-Derived Epoxy Resins as Biobased Gel Polymer Electrolytes for Potassium-Ion Conduction. ACS Appl. Polym. Mater. 2022, 4, 3855–3865. [Google Scholar] [CrossRef]
  121. Gao, C.; Pollet, E.; Avérous, L. Properties of glycerol-plasticized alginate films obtained by thermo-mechanical mixing. Food Hydrocoll. 2017, 63, 414–420. [Google Scholar] [CrossRef]
  122. Eslami, Z.; Elkoun, S.; Robert, M.; Adjallé, K. A Review of the Effect of Plasticizers on the Physical and Mechanical Properties of Alginate-Based Films. Molecules 2023, 28, 6637. [Google Scholar] [CrossRef]
  123. Chavda, V.P.; Acharya, D.; Hala, V.; Daware, S.; Vora, L.K. Sunscreens: A comprehensive review with the application of nanotechnology. J. Drug Deliv. Sci. Technol. 2023, 86, 104720. [Google Scholar] [CrossRef]
  124. Yan, Z.; Zhong, Y.; Duan, Y.; Chen, Q.; Li, F. Antioxidant mechanism of tea polyphenols and its impact on health benefits. Anim. Nutr. 2020, 6, 115–123. [Google Scholar] [CrossRef] [PubMed]
  125. Khoo, H.E.; Azlan, A.; Tang, S.T.; Lim, S.M. Anthocyanidins and anthocyanins: Colored pigments as food, pharmaceutical ingredients, and the potential health benefits. Food Nutr. Res. 2017, 61, 1361779. [Google Scholar] [CrossRef]
  126. El-Saadony, M.T.; Yang, T.; Korma, S.A.; Sitohy, M.; Abd El-Mageed, T.A.; Selim, S.; Al Jaouni, S.K.; Salem, H.M.; Mahmmod, Y.; Soliman, S.M.; et al. Impacts of turmeric and its principal bioactive curcumin on human health: Pharmaceutical, medicinal, and food applications: A comprehensive review. Front. Nutr. 2023, 9, 1040259. [Google Scholar] [CrossRef]
  127. Trombino, S.; Sole, R.; Di Gioia, M.L.; Procopio, D.; Curcio, F.; Cassano, R. Green Chemistry Principles for Nano- and Micro-Sized Hydrogel Synthesis. Molecules 2023, 28, 2107. [Google Scholar] [CrossRef]
  128. Chelu, M.; Musuc, A.M.; Popa, M.; Calderon Moreno, J. Aloe vera-Based Hydrogels for Wound Healing: Properties and Therapeutic Effects. Gels 2023, 9, 539. [Google Scholar] [CrossRef] [PubMed]
  129. Chelu, M.; Calderon Moreno, J.; Atkinson, I.; Pandele Cusu, J.; Rusu, A.; Bratan, V.; Aricov, L.; Anastasescu, M.; Seciu-Grama, A.-M.; Musuc, A.M. Green synthesis of bioinspired chitosan-ZnO-based polysaccharide gums hydrogels with propolis extract as novel functional natural biomaterials. Int. J. Biol. Macromol. 2022, 211, 410–424. [Google Scholar] [CrossRef]
  130. Sood, Y.; Singh, K.; Mudila, H.; Lokhande, P.E.; Singh, L.; Kumar, D.; Kumar, A.; Mubarak, N.M.; Dehghani, M.H. Insights into properties, synthesis and emerging applications of polypyrrole-based composites, and future prospective: A review. Heliyon 2024, 10, e33643. [Google Scholar] [CrossRef]
  131. Kausaite-minkstimiene, A.; Mazeiko, V.; Ramanaviciene, A.; Ramanavicius, A. Sensors and Actuators B: Chemical Evaluation of amperometric glucose biosensors based on glucose oxidase encapsulated within enzymatically synthesized polyaniline and polypyrrole. Sens. Actuators B Chem. 2011, 158, 278–285. [Google Scholar] [CrossRef]
  132. Kausaite, A.; Ramanaviciene, A.; Ramanavicius, A. Polyaniline synthesis catalysed by glucose oxidase. Polymer 2009, 50, 1846–1851. [Google Scholar] [CrossRef]
  133. Bouldin, R.; Ravichandran, S.; Kokil, A.; Garhwal, R.; Nagarajan, S.; Kumar, J.; Bruno, F.F.; Samuelson, L.A.; Nagarajan, R. Synthesis of polypyrrole with fewer structural defects using enzyme catalysis. Synth. Met. 2011, 161, 1611–1617. [Google Scholar] [CrossRef]
  134. ur Rahman, S.; Röse, P.; ul Haq Ali Shah, A.; Krewer, U.; Bilal, S. An Amazingly Simple, Fast and Green Synthesis Route to Polyaniline Nanofibers for Efficient Energy Storage. Polymers 2020, 12, 2212. [Google Scholar] [CrossRef] [PubMed]
  135. de Araújo, F.F.; de Paulo Farias, D.; Neri-Numa, I.A.; Pastore, G.A. Polyphenols and their applications: An approach in food chemistry and innovation potential. Food Chem. 2021, 338, 127535. [Google Scholar] [CrossRef] [PubMed]
  136. Vasile, C.; Baican, M. Lignins as Promising Renewable Biopolymers and Bioactive Compounds for High-Performance Materials. Polymers 2023, 15, 3177. [Google Scholar] [CrossRef]
  137. Pan, Y.; Zhang, J.; Guo, X.; Li, Y.; Li, L.; Pan, L. Recent Advances in Conductive Polymers-Based Electrochemical Sensors for Biomedical and Environmental Applications. Polymers 2024, 16, 1597. [Google Scholar] [CrossRef]
  138. Calderon Moreno, J.M.; Yoshimura, M. Hydrothermal processing of high-quality multiwall nanotubes from amorphous carbon. J. Am. Chem. Soc. 2001, 123, 741–742. [Google Scholar] [CrossRef]
  139. Motiei, M.; Hacohen, Y.R.; Calderon-Moreno, J.; Gedanken, A. Preparing carbon nanotubes and nested fullerenes from supercritical CO2 by a chemical reaction. J. Am. Chem. Soc. 2001, 123, 8624–8625. [Google Scholar] [CrossRef]
  140. Yogalakshmi, K.N.; Sivashanmugam, P.; Kavitha, S.; Kannah, Y.; Varjani, S.; AdishKumar, S.; Kumar, G. Lignocellulosic biomass-based pyrolysis: A comprehensive review. Chemosphere 2022, 286, 131824. [Google Scholar] [CrossRef]
  141. Guex, L.G.; Sacchi, B.; Peuvot, K.F.; Andersson, R.L.; Pourrahimi, A.M.; Ström, V.; Farris, S.; Olsson, R.T. Experimental review: Chemical reduction of graphene oxide (GO) to reduced graphene oxide (rGO) by aqueous chemistry. Nanoscale 2017, 9, 9562–9571. [Google Scholar] [CrossRef] [PubMed]
  142. Jin, X.; Li, N.; Weng, X.; Li, C.; Chen, Z. Green reduction of graphene oxide using leaf extract and its application to remove dye. Eucalyptus 2018, 208, 417–424. [Google Scholar] [CrossRef]
  143. Chelu, M. Hydrogels with Essential Oils: Recent Advances in Designs and Applications. Gels 2024, 10, 636. [Google Scholar] [CrossRef]
  144. Chelu, M.; Calderon Moreno, J.M.; Musuc, A.M.; Popa, M. Natural Regenerative Hydrogels for Wound Healing. Gels 2024, 10, 547. [Google Scholar] [CrossRef]
  145. Li, Z.; Yu, C.; Kumar, H.; He, X.; Lu, Q.; Bai, H.; Kim, K.; Hu, J. The Effect of Crosslinking Degree of Hydrogels on Hydrogel Adhesion. Gels 2022, 8, 682. [Google Scholar] [CrossRef]
  146. Ali, F.; Khan, I.; Chen, J.; Akhtar, K.; Bakhsh, E.M.; Khan, S.B. Emerging Fabrication Strategies of Hydrogels and Its Applications. Gels 2022, 8, 205. [Google Scholar] [CrossRef] [PubMed]
  147. Lee, K.Y.; Mooney, D.J. Alginate: Properties and biomedical applications. Prog. Polym. Sci. 2012, 37, 106–126. [Google Scholar] [CrossRef]
  148. Ručigaj, A.; Golobič, J.; Kopač, T. The role of multivalent cations in determining the cross-linking affinity of alginate hydrogels: A combined experimental and modeling study. Chem. Eng. J. Adv. 2024, 20, 100678. [Google Scholar] [CrossRef]
  149. Parhi, R. Cross-Linked Hydrogel for Pharmaceutical Applications: A Review. Adv. Pharm. Bull. 2017, 7, 515–530. [Google Scholar] [CrossRef]
  150. El Sayed, M.M. Production of Polymer Hydrogel Composites and Their Applications. J. Polym. Env. 2023, 31, 2855–2879. [Google Scholar] [CrossRef]
  151. Liu, J.; Su, C.; Chen, Y.; Tian, S.; Lu, C.; Huang, W.; Lv, Q. Current Understanding of the Applications of Photocrosslinked Hydrogels in Biomedical Engineering. Gels 2022, 8, 216. [Google Scholar] [CrossRef] [PubMed]
  152. Waresindo, W.X.; Luthfianti, H.R.; Priyanto, A.; Hapidin, D.A.; Edikresnha, D.; Aimon, A.H.; Suciati, T.; Khairurrijal, K. Freeze–thaw hydrogel fabrication method: Basic principles, synthesis parameters, properties, and biomedical applications. Mater. Res. Express 2023, 10, 024003. [Google Scholar] [CrossRef]
  153. Xue, X.; Hu, Y.; Wang, S.; Chen, X.; Jiang, Y.; Su, J. Fabrication of physical and chemical crosslinked hydrogels for bone tissue engineering. Bioact. Mater. 2022, 12, 327–339. [Google Scholar] [CrossRef] [PubMed]
  154. Moreira Teixeira, L.S.; Feijen, J.; van Blitterswijk, C.A.; Dijkstra, P.J.; Karperien, M. Enzyme-catalyzed crosslinkable hydrogels: Emerging strategies for tissue engineering. Biomaterials 2012, 33, 1281–1290. [Google Scholar] [CrossRef]
  155. Heck, T.; Faccio, G.; Richter, M.; Thöny-Meyer, L. Enzyme-catalyzed protein crosslinking. Appl. Microbiol. Biotechnol. 2013, 97, 461–475. [Google Scholar] [CrossRef] [PubMed]
  156. Rachel, N.M.; Pelletier, J.N. Biotechnological Applications of Transglutaminases. Biomolecules 2013, 3, 870–888. [Google Scholar] [CrossRef]
  157. Kumar, A.; Chandra, R. Ligninolytic enzymes and its mechanisms for degradation of lignocellulosic waste in environment. Heliyon 2020, 6, e03170. [Google Scholar] [CrossRef]
  158. Wang, J.; Yang, B.; Jiang, Z.; Liu, Y.; Zhou, L.; Liu, Z.; Tang, L. Recent Advances of Conductive Hydrogels for Flexible Electronics. Electron. Mater. 2024, 5, 101–131. [Google Scholar] [CrossRef]
  159. Peng, Q.; Chen, J.; Wang, T.; Peng, X.; Liu, J.; Wang, X.; Wang, J.; Zeng, H. Recent advances in designing conductive hydrogels for flexible electronics. InfoMat 2020, 2, 843–865. [Google Scholar] [CrossRef]
  160. Khan, B.; Abdullah, S.; Khan, S. Current Progress in Conductive Hydrogels and Their Applications in Wearable Bioelectronics and Therapeutics. Micromachines 2023, 14, 1005. [Google Scholar] [CrossRef]
  161. Sui, X.; Guo, H.; Cai, C.; Li, Q.; Wen, C.; Zhang, X.; Wang, X.; Yang, J.; Zhang, L. Ionic conductive hydrogels with long-lasting antifreezing, water retention and self-regeneration abilities. Chem. Eng. J. 2021, 419, 129478. [Google Scholar]
  162. Wang, Y.; Zhang, L.; Lu, A. Transparent, Antifreezing, Ionic Conductive Cellulose Hydrogel with Stable Sensitivity at Subzero Temperature. ACS Appl. Mater. Interfaces 2019, 11, 41710–41716. [Google Scholar] [CrossRef] [PubMed]
  163. Tadesse, M.G.; Lübben, J.F. Review on Hydrogel-Based Flexible Supercapacitors for Wearable Applications. Gels 2023, 9, 106. [Google Scholar] [CrossRef] [PubMed]
  164. Wang, S.; Yu, L.; Wang, S.; Zhang, L.; Chen, L.; Xu, X.; Song, Z.; Liu, H.; Chen, C. Strong, tough, ionic conductive, and freezing-tolerant all-natural hydrogel enabled by cellulose-bentonite coordination interactions. Nat. Commun. 2022, 13, 3408. [Google Scholar] [CrossRef]
  165. Zhou, Y.; Wan, C.; Yang, Y.; Yang, H.; Wang, S.; Dai, Z.; Ji, K.; Jiang, H.; Chen, X.; Long, Y. Highly stretchable, elastic, and ionic conductive hydrogel for artificial soft electronics. Adv. Funct. Mater. 2018, 29, 1806220. [Google Scholar] [CrossRef]
  166. Jiang, X.; Xiang, N.; Zhang, H.; Sun, Y.; Lin, Z.; Hou, L. Preparation and characterization of poly(vinyl alcohol)/sodium alginate hydrogel with high toughness and electric conductivity. Carbohydr. Polym. 2018, 186, 377–383. [Google Scholar] [CrossRef]
  167. Wu, A.; Luo, Y.; Cuthbert, T.J.; Shokurov, A.V.; Chu, P.K.; Feng, S.-P.; Menon, C. Hydrogels as Soft Ionic Conductors in Flexible and Wearable Triboelectric Nanogenerators. Adv. Sci. 2022, 9, 2106008. [Google Scholar] [CrossRef]
  168. Guo, Y.; Bae, J.; Zhao, F.; Yu, G. Functional Hydrogels for Next-Generation Batteries and Supercapacitors. Trends Chem. 2019, 1, 335–348. [Google Scholar] [CrossRef]
  169. Ying, B.; Liu, X. Skin-like hydrogel devices for wearable sensing, soft robotics and beyond. iScience 2021, 24, 103174. [Google Scholar] [CrossRef]
  170. Su, J.; Li, J.; Liang, J.; Zhang, K.; Li, J. Hydrogel Preparation Methods and Biomaterials for Wound Dressing. Life 2021, 11, 1016. [Google Scholar] [CrossRef]
  171. Sun, X.; Qin, Z.; Ye, L.; Zhang, H.; Yu, Q.; Wu, X.; Li, J.; Yao, F. Carbon nanotubes reinforced hydrogel as flexible strain sensor with high stretchability and mechanically toughness. Chem. Eng. J. 2020, 382, 122832. [Google Scholar] [CrossRef]
  172. Pang, J.; Wang, L.; Xu, Y.; Wu, M.; Wang, M.; Liu, Y.; Yu, S.; Li, L. Skin-inspired cellulose conductive hydrogels with integrated self-healing, strain, and thermal sensitive performance. Carbohydr. Polym. 2020, 240, 116360. [Google Scholar] [CrossRef] [PubMed]
  173. Su, G.; Yin, S.; Guo, Y.; Zhao, F.; Guo, Q.; Zhang, X.; Zho, T.; Yu, G. Balancing the mechanical, electronic, and self-healing properties in conductive self-healing hydrogel for wearable sensor applications. Mater. Horiz. 2021, 8, 1795–1804. [Google Scholar] [CrossRef] [PubMed]
  174. Mao, P.; Li, H.; Yu, Z. A Review of Skin-Wearable Sensors for Non-Invasive Health Monitoring Applications. Sensors 2023, 23, 3673. [Google Scholar] [CrossRef]
  175. Fan, J.A.; Yeo, W.-H.; Su, Y.; Hattori, Y.; Lee, W.; Jung, S.-Y.; Zhang, Y.; Liu, Z.; Cheng, H.; Falgout, L.; et al. Fractal design concepts for stretchable electronics. Nat. Commun. 2014, 5, 3266. [Google Scholar] [CrossRef]
  176. Wan, Z.; Qu, R.; Sun, Y.; Gao, Y.; Gao, G.; Chen, K.; Liu, T. Physically crosslinked polyvinyl alcohol, phytic acid and glycerol hydrogels for wearable sensors with biocompatibility, antimicrobial stability and anti-freezing. Eur. Polym. J. 2024, 211, 112974. [Google Scholar] [CrossRef]
  177. Zhang, Q.; Liu, X.; Duan, L.; Gao, G. Ultra-stretchable wearable strain sensors based on skin-inspired adhesive, tough and conductive hydrogels. Chem. Eng. J. 2019, 365, 10–19. [Google Scholar] [CrossRef]
  178. Han, K.; Liu, K.; Wang, M.; Wang, K.; Fang, L.; Chen, H.; Zhou, J.; Lu, X. Mussel-Inspired Adhesive and Conductive Hydrogel with Long-Lasting Moisture and Extreme Temperature Tolerance. Adv. Funct. Mater. 2018, 28, 1704195. [Google Scholar] [CrossRef]
  179. Mndlovu, H.; Kumar, P.; du Toit, L.C.; Choonara, Y.E. A review of biomaterial degradation assessment approaches employed in the biomedical field. npj Mater. Degrad. 2024, 8, 66. [Google Scholar] [CrossRef]
  180. Ul-Islam, M.; Alabbosh, K.F.; Manan, S.; Khan, S.; Ahmad, F.; Ullah, M.W. Chitosan-based nanostructured biomaterials: Synthesis, properties, and biomedical applications. Adv. Ind. Eng. Polym. Res. 2024, 7, 79–99. [Google Scholar] [CrossRef]
  181. Feng, W.; Wang, Z. Tailoring the Swelling-Shrinkable Behavior of Hydrogels for Biomedical Applications. Adv. Sci. 2023, 10, 2303326. [Google Scholar] [CrossRef]
  182. Tavakoli, S.; Klar, A.S. Advanced Hydrogels as Wound Dressings. Biomolecules 2020, 10, 1169. [Google Scholar] [CrossRef] [PubMed]
  183. Posada-Quintero, H.F.; Chon, K.H. Innovations in Electrodermal Activity Data Collection and Signal Processing: A Systematic Review. Sensors 2020, 20, 479. [Google Scholar] [CrossRef] [PubMed]
  184. Xu, J.; Fang, Y.; Chen, J. Wearable Biosensors for Non-Invasive Sweat Diagnostics. Biosensors 2021, 11, 245. [Google Scholar] [CrossRef]
  185. Banerjee, H.; Suhail, M.; Ren, H. Hydrogel Actuators and Sensors for Biomedical Soft Robots: Brief Overview with Impending Challenges. Biomimetics 2018, 3, 15. [Google Scholar] [CrossRef]
  186. Zhang, X.; Pint, C.L.; Lee, M.H.; Schubert, B.E.; Jamshidi, A.; Takei, K.; Ko, H.; Gillies, A.; Bardhan, R.; Urban, J.J.; et al. Optically-and thermally-responsive programmable materials based on carbon nanotube-hydrogel polymer composites. Nano Lett. 2011, 11, 3239–3244. [Google Scholar] [CrossRef]
  187. Mo, F.; Zhou, P.; Lin, S.; Zhong, J.; Wang, Y. A Review of Conductive Hydrogel-Based Wearable Temperature Sensors. Adv. Health Mater. 2024, 13, e2401503. [Google Scholar] [CrossRef] [PubMed]
  188. Rizwan, M.; Yahya, R.; Hassan, A.; Yar, M.; Azzahari, A.D.; Selvanathan, V.; Sonsudin, F.; Abouloula, C.N. pH Sensitive Hydrogels in Drug Delivery: Brief History, Properties, Swelling, and Release Mechanism, Material Selection and Applications. Polymers 2017, 9, 137. [Google Scholar] [CrossRef]
  189. Jeong, B.; Kim, S.W.; Bae, Y.H. Thermosensitive sol–gel reversible hydrogels. Adv. Drug Deliv. Rev. 2012, 64, 154–162. [Google Scholar] [CrossRef]
  190. Li, H.; Wang, J.; Luo, Y.; Bai, B.; Cao, F. pH-Responsive Eco-Friendly Chitosan–Chlorella Hydrogel Beads for Water Retention and Controlled Release of Humic Acid. Water 2022, 14, 1190. [Google Scholar] [CrossRef]
  191. Deng, Z.; Guo, L.; Chen, X.; Wu, W. Smart Wearable Systems for Health Monitoring. Sensors 2023, 23, 2479. [Google Scholar] [CrossRef] [PubMed]
  192. Güder, F.; Ainla, A.; Redston, J.; Mosadegh, B.; Glavan, A.; Martin, T.J.; Whitesides, G.M. Paper-Based Electrical Respiration Sensor. Angew. Chem. Int. Ed. 2016, 55, 5727–5732. [Google Scholar] [CrossRef] [PubMed]
  193. Tian, L.; Zimmerman, B.; Akhtar, A.; Yu, K.J.; Moore, M.; Wu, J.; Larsen, R.J.; Lee, J.W.; Li, J.; Liu, Y.; et al. Large-area MRI-compatible epidermal electronic interfaces for prosthetic control and cognitive monitoring. Nat. Biomed. Eng. 2019, 3, 194–205. [Google Scholar] [CrossRef]
  194. Tao, L.Q.; Tian, H.; Liu, Y.; Ju, Z.Y.; Pang, Y.; Chen, Y.Q.; Wang, D.Y.; Tian, X.G.; Yan, J.C.; Deng, N.Q.; et al. An intelligent artificial throat with sound-sensing ability based on laser induced graphene. Nat. Commun. 2017, 8, 14579. [Google Scholar] [CrossRef] [PubMed]
  195. Araci, I.E.; Su, B.L.; Quake, S.R.; Mandel, Y. An implantable microfluidic device for self-monitoring of intraocular pressure. Nat. Med. 2014, 20, 1074–1078. [Google Scholar] [CrossRef]
  196. Kim, D.-H.; Lu, N.; Ma, R.; Kim, Y.-S.; Kim, R.-H.; Wang, S.; Wu, J.; Won, S.M.; Tao, H.; Islam, A.; et al. Epidermal Electronics. Science 2011, 333, 838–843. [Google Scholar] [CrossRef]
  197. Guo, L.; Li, Z.; Hu, W.; Liu, T.; Zheng, Y.; Yuan, M.; Dai, Y.; Ning, R.; Zhu, Y.; Tao, K.; et al. A flexible dual-structured MXene for ultra-sensitive and ultra-wide monitoring of anatomical and physiological movements. J. Mater. Chem. A 2021, 9, 26867–26874. [Google Scholar] [CrossRef]
  198. Wang, X.; Gu, Y.; Xiong, Z.; Cui, Z.; Zhang, T. Silk-Molded Flexible, Ultrasensitive, and Highly Stable Electronic Skin for Monitoring Human Physiological Signals. Adv. Mater. 2014, 26, 1336–1342. [Google Scholar] [CrossRef]
  199. Si, Y.; Zhang, Z.; Wu, W.R.; Fu, Q.X.; Huang, K.; Nitin, N.; Ding, B.; Sun, G. Daylight-driven rechargeable antibacterial and antiviral nanofibrous membranes for bioprotective applications. Sci. Adv. 2018, 4, eaar5931. [Google Scholar] [CrossRef]
  200. Jung, D.; Lim, C.; Shim, H.J.; Kim, Y.; Park, C.; Jung, J.; Han, S.I.; Sunwoo, S.H.; Cho, K.W.; Cha, G.D.; et al. Highly conductive and elastic nanomembrane for skin electronics. Science 2021, 373, 1022–1026. [Google Scholar] [CrossRef]
  201. Nigusse, A.B.; Mengistie, D.A.; Malengier, B.; Tseghai, G.B.; Langenhove, L.V. Wearable Smart Textiles for Long-Term Electrocardiography Monitoring—A Review. Sensors 2021, 21, 4174. [Google Scholar] [CrossRef]
  202. Ankhili, A.; Tao, X.; Cochrane, C.; Koncar, V.; Coulon, D.; Tarlet, J.-M. Ambulatory Evaluation of ECG Signals Obtained Using Washable Textile-Based Electrodes Made with Chemically Modified PEDOT:PSS. Sensors 2019, 19, 416. [Google Scholar] [CrossRef]
  203. Castrillón, R.; Pérez, J.J.; Andrade-Caicedo, H. Electrical Performance of PEDOT: PSS-Based Textile Electrodes for Wearable ECGMonitoring: A Comparative Study. Bio Med. Eng. Online 2018, 17, 38. [Google Scholar] [CrossRef]
  204. Takamatsu, S.; Lonjaret, T.; Crisp, D.; Badier, J. Direct Patterning of Organic Conductors on Knitted Textiles for Long-Term Electrocardiography. Nat. Publ. Group. 2015, 5, 15003. [Google Scholar] [CrossRef]
  205. Wang, F.; Xue, Y.; Chen, X.; Zhang, P.; Shan, L.; Duan, Q.; Xing, J.; Lan, Y.; Lu, B.; Liu, J. 3D Printed Implantable Hydrogel Bioelectronics for Electrophysiological Monitoring and Electrical Modulation. Adv. Funct. Mater. 2024, 34, 2314471. [Google Scholar] [CrossRef]
  206. Yu, J.; Tian, F.; Wang, W.; Wan, R.; Cao, J.; Chen, C.; Zhao, D.; Liu, J.; Zhong, J.; Wang, F.; et al. Design of Highly Conductive, Intrinsically Stretchable, and 3D Printable PEDOT:PSS Hydrogels via PSS-Chain Engineering for Bioelectronics. Chem. Mater. 2023, 35, 5936–5944. [Google Scholar] [CrossRef]
  207. Pedrosa, P.; Fiedler, P.; Schinaia, L.; Vasconcelos, B.; Martins, A.C.; Amaral, M.H.; Comani, S.; Haueisen, J.; Fonseca, C. Alginate-based hydrogels as an alternative to electrolytic gels for rapid EEG monitoring and easy cleaning procedures. Sens. Actuators B Chem. 2017, 247, 273–283. [Google Scholar] [CrossRef]
  208. Considine, C.; Besio, W. Conductive Hydrogel Tapes for Tripolar EEG: A Promising Solution to Paste-Related Challenges. Sensors 2024, 24, 4222. [Google Scholar] [CrossRef]
  209. Al-Ayyad, M.; Owida, H.A.; De Fazio, R.; Al-Naami, B.; Visconti, P. Electromyography Monitoring Systems in Rehabilitation: A Review of Clinical Applications, Wearable Devices and Signal Acquisition Methodologies. Electronics 2023, 12, 1520. [Google Scholar] [CrossRef]
  210. Pan, X.; Wang, Q.; He, P.; Liu, K.; Ni, Y.; Chen, L.; Ouyang, X.; Huang, L.; Wang, H.; Xu, S. A bionic tactile plastic hydrogel-based electronic skin constructed by a nerve-like nanonetwork combining stretchable, compliant, and self-healing properties. Chem. Eng. J. 2020, 379, 122271. [Google Scholar] [CrossRef]
  211. Tang, L.; Chang, S.J.; Chen, C.-J.; Liu, J.-T. Non-Invasive Blood Glucose Monitoring Technology: A Review. Sensors 2020, 20, 6925. [Google Scholar] [CrossRef] [PubMed]
  212. Chen, Y.; Siyuan, L.; Zhang, S.; Li, Y.; Qu, Z.; Chen, Y.; Lu, B.; Wang, X.; Feng, X. Skin-like biosensor system via electrochemical channels for noninvasive blood glucose monitoring. Sci. Adv. 2017, 3, e1701629. [Google Scholar] [CrossRef] [PubMed]
  213. Kim, S.; Lee, G.; Jeon, C.; Han, H.H.; Kim, S.; Mok, J.W.; Joo, C.; Shin, S.; Sim, J.; Myung, D.; et al. Bimetallic Nanocatalysts immobilized in nanoporous hydrogels for long-term robust continuous glucose monitoring of smart contact lens. Adv. Mat. 2022, 34, 2110536. [Google Scholar] [CrossRef] [PubMed]
  214. Gao, F.; Liu, C.; Zhang, L.; Liu, T.; Wang, Z.; Song, Z.; Cai, H.; Fang, Z.; Chen, J.; Wang, J.; et al. Wearable and flexible electrochemical sensors for sweat analysis: A review. Microsyst. Nanoeng. 2023, 9, 1. [Google Scholar] [CrossRef]
  215. Shinde, S.; Kim, K.H.; Park, S.Y.; Kim, J.H.; Kim, J.; Joe, D.J.; Lee, H.E. Wearable sweat-sensing patches for non-invasive and continuous health tracking. Sens. Actuators Rep. 2025, 9, 100265. [Google Scholar] [CrossRef]
  216. Lin, S.; Wang, B.; Zhao, Y.; Shih, R.; Cheng, X.; Yu, W.; Hojaiji, H.; Lin, H.; Hoffman, C.; Ly, D.; et al. Natural Perspiration Sampling and in Situ Electrochemical Analysis with Hydrogel Micropatches for User-Identifiable and Wireless Chemo/Biosensing. ACS Sens. 2020, 5, 93–102. [Google Scholar] [CrossRef] [PubMed]
  217. Wang, J.; Zhang, N.; Tan, Y.; Fu, F.; Liu, G.; Fang, Y.; Zhang, X.X.; Liu, M.; Cheng, Y.; Yu, J. Sweat-resistant silk fibroin-based double network hydrogel adhesives, ACS Appl. Mater. Interfaces 2022, 14, 21945–21953. [Google Scholar] [CrossRef]
  218. Lin, P.H.; Sheu, S.C.; Chen, C.W.; Huang, S.C.; Li, B.R. Wearable hydrogel patch with noninvasive, electrochemical glucose sensor for natural sweat detection. Talanta 2022, 241, 123187. [Google Scholar] [CrossRef]
  219. Assalve, G.; Lunetti, P.; Di Cagno, A.; De Luca, E.W.; Aldegheri, S.; Zara, V.; Ferramosca, A. Advanced Wearable Devices for Monitoring Sweat Biochemical Markers in Athletic Performance: A Comprehensive Review. Biosensors 2024, 14, 574. [Google Scholar] [CrossRef]
  220. Saha, T.; Songkakul, T.; Knisely, C.T.; Yokus, M.A.; Daniele, M.A.; Dickey, M.D.; Bozkurt, A.; Velev, O.D. Wireless Wearable Electrochemical Sensing Platform with Zero-Power Osmotic Sweat Extraction for Continuous Lactate Monitoring. ACS Sens. 2022, 7, 2037–2048. [Google Scholar] [CrossRef]
  221. Zhang, S.; Tu, T.; Li, T.; Cai, Y.; Wang, Z.; Zhou, Y.; Wang, D.; Fang, L.; Ye, X.; Liang, B. 3D MXene/PEDOT:PSS Composite Aerogel with a Controllable Patterning Property for Highly Sensitive Wearable Physical Monitoring and Robotic Tactile Sensing. ACS Appl. Mater. Interfaces 2022, 14, 23877–23887. [Google Scholar] [CrossRef]
  222. Huang, X.; Xue, Y.; Ren, S.; Wang, F. Sensor-Based Wearable Systems for Monitoring Human Motion and Posture: A Review. Sensors 2023, 23, 9047. [Google Scholar] [CrossRef] [PubMed]
  223. Tang, L.; Wu, S.; Qu, J.; Gong, L.; Tang, J. A Review of Conductive Hydrogel Used in Flexible Strain Sensor. Materials 2020, 13, 3947. [Google Scholar] [CrossRef] [PubMed]
  224. Liu, R.; Li, J.; Li, M.; Zhang, Q.; Shi, G.; Li, Y.; Hou, C.; Wang, H. MXene-coated air-permeable pressure-sensing fabric for smart wear. ACS Appl. Mater. Interfaces 2020, 12, 46446–46454. [Google Scholar] [CrossRef] [PubMed]
  225. Gu, J.; Huang, J.; Chen, G.; Hou, L.; Zhang, J.; Zhang, X.; Yang, X.; Guan, L.; Jiang, X.; Liu, H. Multifunctional Poly(vinyl alcohol) Nanocomposite Organohydrogel for Flexible Strain and Temperature Sensor. ACS Appl. Mater. Interfaces 2020, 12, 40815–40827. [Google Scholar] [CrossRef] [PubMed]
  226. Wang, S.; Wu, W.; Yeo, J.C.C.; Soo, X.Y.D.; Thitsartarn, W.; Liu, S.; Tan, B.H.; Suwardi, A.; Li, Z.; Zhu, Q.; et al. Responsive hydrogel dressings for intelligent wound management. BMEMat 2023, 1, e12021. [Google Scholar] [CrossRef]
  227. Mostafalu, P.; Tamayol, A.; Rahimi, R.; Ochoa, M.; Khalilpour, A.; Kiaee, G.; Yazdi, I.K.; Bagherifard, S.; Dokmeci, M.R.; Ziaie, B.; et al. Smart bandages for monitoring. Small 2018, 14, 1703509. [Google Scholar] [CrossRef]
  228. Du, S.; Suo, H.; Xie, G.; Lyu, Q.; Mo, M.; Xie, Z.; Zhou, N.; Zhang, L.; Tao, J.; Zhu, J. Self-powered and photothermal electronic skin patches for accelerating wound healing. Nano Energy 2022, 93, 106906. [Google Scholar] [CrossRef]
  229. Finny, A.S.; Jiang, C.; Andreescu, S. 3D Printed Hydrogel-Based Sensors for Quantifying UV Exposure. ACS Appl. Mater. Interfaces 2020, 12, 43911–43920. [Google Scholar] [CrossRef]
  230. Luo, Y.; Li, J.; Ding, Q.; Wang, H.; Liu, C.; Wu, J. Functionalized Hydrogel-Based Wearable Gas and Humidity Sensors. Nano-Micro Lett. 2023, 15, 136. [Google Scholar] [CrossRef]
  231. Cai, C.; Zhao, W.; Yang, J.; Zhang, L. Sensitive and flexible humidity sensor based on sodium hyaluronate/MWCNTs composite film. Cellulose 2021, 28, 6361–6371. [Google Scholar] [CrossRef]
  232. Kim, S.; Baek, S.; Sluyter, R.; Konstantinov, K.; Kim, J.; Kim, S.; Kim, Y.H. Wearable and implantable bioelectronics as eco-friendly and patient-friendly integrated nanoarchitectonics for next-generation smart healthcare technology. EcoMat. 2023, 5, e12356. [Google Scholar] [CrossRef]
  233. Chelu, M.; Stroescu, H.; Anastasescu, M.; Calderon-Moreno, J.M.; Preda, S.; Stoica, M.; Fogarassy, Z.; Petrik, P.; Gheorghe, M.; Parvulescu, C.; et al. High-quality PMMA/ZnO NWs piezoelectric coating on rigid and flexible metallic substrates. Appl. Surf. Sci. 2020, 529, 147135. [Google Scholar] [CrossRef]
  234. Wang, X.; Xiao, Y.; Deng, F.; Chen, Y.; Zhang, H. Eye-Movement-Controlled Wheelchair Based on Flexible Hydrogel Biosensor and WT-SVM. Biosensors 2021, 11, 198. [Google Scholar] [CrossRef] [PubMed]
  235. Han, L.; Lu, X.; Liu, K.; Wang, K.; Fang, L.; Weng, L.-T.; Zhang, H.; Tang, Y.; Ren, F.; Zhao, C.; et al. Mussel-Inspired Adhesive and Tough Hydrogel Based on Nanoclay Confined Dopamine Polymerization. ACS Nano 2017, 11, 2561–2574. [Google Scholar] [CrossRef]
  236. Zhang, C.; Wu, B.; Zhou, Y.; Zhou, F.; Liu, W.; Wang, Z. Mussel-inspired hydrogels: From design principles to promising applications. Chem. Soc. Rev. 2020, 49, 3605–3637. [Google Scholar] [CrossRef]
  237. Wang, X.; Sun, X.; Gan, D.; Soubrier, M.; Chiang, H.; Yan, L.; Li, Y.; Li, J.; Yu, S.; Xia, Y.; et al. Bioadhesive and conductive hydrogel-integrated brain-machine interfaces for conformal and immune-evasive contact with brain tissue. Matter 2022, 5, 1204–1223. [Google Scholar] [CrossRef]
  238. Teo, M.Y.; Lim, K.; Aw, K.C.; Kee, S.; Stringer, J. Towards biodegradable conducting polymers by incorporating seaweed cellulose for decomposable wearable heaters. RSC Adv. 2023, 13, 26267–26274. [Google Scholar] [CrossRef]
Figure 1. Various WE devices used in healthcare. Reprinted with permission from [5].
Figure 1. Various WE devices used in healthcare. Reprinted with permission from [5].
Gels 11 00220 g001
Figure 2. Properties of CHG used in bioelectronic devices. (a) Elastic moduli compared to human tissues and other conductive materials. (b) Gap at the interface with human skin of other materials (left) compared to conformal contact of hydrogels (right). Reprinted with permission from [56]. Copyright 2021 American Association for the Advancement of Science. (c) CHG tunable properties. Reprinted with permission from [12]. Copyright 2024 Elsevier.
Figure 2. Properties of CHG used in bioelectronic devices. (a) Elastic moduli compared to human tissues and other conductive materials. (b) Gap at the interface with human skin of other materials (left) compared to conformal contact of hydrogels (right). Reprinted with permission from [56]. Copyright 2021 American Association for the Advancement of Science. (c) CHG tunable properties. Reprinted with permission from [12]. Copyright 2024 Elsevier.
Gels 11 00220 g002
Figure 3. Natural biodegradable polymers. Reprinted with permission from [58]. Copyright 2021 American Chemical Society.
Figure 3. Natural biodegradable polymers. Reprinted with permission from [58]. Copyright 2021 American Chemical Society.
Gels 11 00220 g003
Figure 5. Structures of different CHG networks. Reprinted with permission from [93]. Copyright 2020 American Chemical Society.
Figure 5. Structures of different CHG networks. Reprinted with permission from [93]. Copyright 2020 American Chemical Society.
Gels 11 00220 g005
Figure 6. Performance of cellulose hydrogel sensors: (left) piezoresistive strain sensor, (center) capacitive pressure sensor, and (right) piezoresistive temperature sensor. Reprinted with permission from [162]. Copyright 2019 American Chemical Society.
Figure 6. Performance of cellulose hydrogel sensors: (left) piezoresistive strain sensor, (center) capacitive pressure sensor, and (right) piezoresistive temperature sensor. Reprinted with permission from [162]. Copyright 2019 American Chemical Society.
Gels 11 00220 g006
Figure 7. (a) Excellent biaxial stretchability of a green hydrogel. Reprinted with permission from [173]. Copyright 2021 Elsevier. The inset shows the hydrogel sample before stretching (scale bar, 1 cm). (b) Elasticity of CNTs reinforced gelatin-based hydrogels under stretching; twisting; and compression. Reprinted with permission from [171]. Copyright 2020 Elsevier. (c) Healing process of a cellulose-based hydrogel and (d) the tensile stress vs. strain behavior of original and self-healed hydrogels with different healing time, from 10 m to 60 m. Reprinted with permission from [172]. Copyright 2020 Royal Society of Chemistry.
Figure 7. (a) Excellent biaxial stretchability of a green hydrogel. Reprinted with permission from [173]. Copyright 2021 Elsevier. The inset shows the hydrogel sample before stretching (scale bar, 1 cm). (b) Elasticity of CNTs reinforced gelatin-based hydrogels under stretching; twisting; and compression. Reprinted with permission from [171]. Copyright 2020 Elsevier. (c) Healing process of a cellulose-based hydrogel and (d) the tensile stress vs. strain behavior of original and self-healed hydrogels with different healing time, from 10 m to 60 m. Reprinted with permission from [172]. Copyright 2020 Royal Society of Chemistry.
Gels 11 00220 g007
Figure 8. (a) Hydrogel showing tissue adhesiveness on the hand skin and no residue after removal. Reprinted with permission from [177]. Copyright 2021 Elsevier. (b) Glycerol-based hydrogel showing high tissue adhesiveness under temperatures from −20 to 60 °C. Reprinted with permission from [178]. Copyright 2018 Wiley.
Figure 8. (a) Hydrogel showing tissue adhesiveness on the hand skin and no residue after removal. Reprinted with permission from [177]. Copyright 2021 Elsevier. (b) Glycerol-based hydrogel showing high tissue adhesiveness under temperatures from −20 to 60 °C. Reprinted with permission from [178]. Copyright 2018 Wiley.
Gels 11 00220 g008
Figure 9. WE monitoring devices for (a) breath, reprinted with permission from [192], copyright 2016 Wiley; (b) EEG, reprinted with permission from [193], copyright 2019 Springer Nature; (c) sound, reprinted with permission from [194], copyright 2017 Springer Nature; (d) EOG/IOP, reprinted with permission from [195], copyright 2014 Springer Nature; (e) ECG, reprinted with permission from [196], copyright 2011 American Association for the Advancement of Science; (f) joint motion, reprinted with permission from [197], copyright 2021 Royal Society of Chemistry; (g) wrist pulse and blood pressure, reprinted with permission from [198], copyright 2014 Wiley; (h) wound healing monitoring, reprinted with permission from [199], copyright 2018 American Association for the Advancement of Science; (i) EMG, reprinted with permission from [200], copyright 2021 American Association for the Advancement of Science. Reprinted with permission from [191].
Figure 9. WE monitoring devices for (a) breath, reprinted with permission from [192], copyright 2016 Wiley; (b) EEG, reprinted with permission from [193], copyright 2019 Springer Nature; (c) sound, reprinted with permission from [194], copyright 2017 Springer Nature; (d) EOG/IOP, reprinted with permission from [195], copyright 2014 Springer Nature; (e) ECG, reprinted with permission from [196], copyright 2011 American Association for the Advancement of Science; (f) joint motion, reprinted with permission from [197], copyright 2021 Royal Society of Chemistry; (g) wrist pulse and blood pressure, reprinted with permission from [198], copyright 2014 Wiley; (h) wound healing monitoring, reprinted with permission from [199], copyright 2018 American Association for the Advancement of Science; (i) EMG, reprinted with permission from [200], copyright 2021 American Association for the Advancement of Science. Reprinted with permission from [191].
Gels 11 00220 g009
Figure 10. (a) PEDOT:PSS-modified cotton electrodes sewn into bras, reprinted with permission from [16]. ECG signal collected from PEDOT:PSS-coated textile electrode (b) before and (c) after 50 washing cycles, reprinted with permission from [202].
Figure 10. (a) PEDOT:PSS-modified cotton electrodes sewn into bras, reprinted with permission from [16]. ECG signal collected from PEDOT:PSS-coated textile electrode (b) before and (c) after 50 washing cycles, reprinted with permission from [202].
Gels 11 00220 g010
Figure 11. (a) EEG containing eye blinks recorded using an alginate hydrogel, reprinted with permission from [207]. Copyright 2017 Elsevier. (b) The inset in the lower right shows the hydrogel tape on the sensor placed on the right mastoid process for EEG recording, reprinted with permission from [208].
Figure 11. (a) EEG containing eye blinks recorded using an alginate hydrogel, reprinted with permission from [207]. Copyright 2017 Elsevier. (b) The inset in the lower right shows the hydrogel tape on the sensor placed on the right mastoid process for EEG recording, reprinted with permission from [208].
Gels 11 00220 g011
Figure 12. Hydrogel electrodes used to detect signals for the EMG, reprinted with permission from [210]. Copyright 2020 Elsevier.
Figure 12. Hydrogel electrodes used to detect signals for the EMG, reprinted with permission from [210]. Copyright 2020 Elsevier.
Gels 11 00220 g012
Figure 13. Chitosan–glucose oxidase hydrogel biosensors with serpentine (a) and interdigital (b) pattern and calibration amperometric I vs. t results of (c) low-density and (d) moderate-density glucose. (Inset) Biosensor response as a function of density. Reprinted with permission from [212]. Copyright 2017 American Association for the Advancement of Science.
Figure 13. Chitosan–glucose oxidase hydrogel biosensors with serpentine (a) and interdigital (b) pattern and calibration amperometric I vs. t results of (c) low-density and (d) moderate-density glucose. (Inset) Biosensor response as a function of density. Reprinted with permission from [212]. Copyright 2017 American Association for the Advancement of Science.
Gels 11 00220 g013
Figure 14. (a) Resistive sensors to monitor human motions. (bi) Resistance changes by (b) slight finger click; (c) swallowing; speaking the words (d) ‘thank you’, and (e) ‘how are you’; (f) finger, (g) elbow, (h) knee bending, and (i) finger bending at different subzero temperatures, reprinted with permission from [161]. Copyright 2021 Elsevier.
Figure 14. (a) Resistive sensors to monitor human motions. (bi) Resistance changes by (b) slight finger click; (c) swallowing; speaking the words (d) ‘thank you’, and (e) ‘how are you’; (f) finger, (g) elbow, (h) knee bending, and (i) finger bending at different subzero temperatures, reprinted with permission from [161]. Copyright 2021 Elsevier.
Gels 11 00220 g014
Figure 15. Cellulose-based hydrogels: (a) ionic-conductive and stretchable, (b) twistable, and (c) flexional. Resistance variations in the strain sensor: (d) tapping the keyboard, (e) grasping, and (f) writing the letters “w”, “z”, and “h” [81]. (g) Bending the finger at different angles and 90° bending speeds. Reprinted with permission from [180]. Copyright 2019 Elsevier.
Figure 15. Cellulose-based hydrogels: (a) ionic-conductive and stretchable, (b) twistable, and (c) flexional. Resistance variations in the strain sensor: (d) tapping the keyboard, (e) grasping, and (f) writing the letters “w”, “z”, and “h” [81]. (g) Bending the finger at different angles and 90° bending speeds. Reprinted with permission from [180]. Copyright 2019 Elsevier.
Gels 11 00220 g015
Figure 16. Application of a silk fibroin-based hydrogel incorporating PEDOT:PSS and graphene oxide (GO) sensor for monitoring body signals. (af) Relative resistance variations for different facial gestures: smile, anger, sadness, laugh, eating, and blinking. (g) Schematic illustration of the fabrication of the silk fibroin-based hydrogel, sensor, and TENG. Reprinted with permission from [91]. Copyright 2020 American Chemical Society.
Figure 16. Application of a silk fibroin-based hydrogel incorporating PEDOT:PSS and graphene oxide (GO) sensor for monitoring body signals. (af) Relative resistance variations for different facial gestures: smile, anger, sadness, laugh, eating, and blinking. (g) Schematic illustration of the fabrication of the silk fibroin-based hydrogel, sensor, and TENG. Reprinted with permission from [91]. Copyright 2020 American Chemical Society.
Gels 11 00220 g016
Figure 17. (a) Scheme of the CHG: PVA, glycerol-based hydrogel incorporating carbon black, and CNTs. (b) Dynamic thermal response test of the CHG between 20 °C and 80 °C. (c) Current vs. time response of the CHG-based strain sensor in: wrist bending, and knee movements, including standing, walking, and running. Reprinted with permission from [225]. Copyright 2020 American Chemical Society.
Figure 17. (a) Scheme of the CHG: PVA, glycerol-based hydrogel incorporating carbon black, and CNTs. (b) Dynamic thermal response test of the CHG between 20 °C and 80 °C. (c) Current vs. time response of the CHG-based strain sensor in: wrist bending, and knee movements, including standing, walking, and running. Reprinted with permission from [225]. Copyright 2020 American Chemical Society.
Gels 11 00220 g017
Figure 18. Conceptual schematic of a smart bandage. Flexible pH sensors and a heater trigger the delivery of antibiotics from thermo-responsive carriers embedded in a layer of alginate hydrogel. An automated electronic module records the sensor signals, powers the heater when needed, and is able to communicate wirelessly. Reprinted with permission from [227]. Copyright 2018 Wiley.
Figure 18. Conceptual schematic of a smart bandage. Flexible pH sensors and a heater trigger the delivery of antibiotics from thermo-responsive carriers embedded in a layer of alginate hydrogel. An automated electronic module records the sensor signals, powers the heater when needed, and is able to communicate wirelessly. Reprinted with permission from [227]. Copyright 2018 Wiley.
Gels 11 00220 g018
Figure 19. (a) Proanthocyanins/rGO/PVA hydrogel adjusted to sphere, cuboid, and curve shapes and stretched into a skin-like film. (b) The hydrogel dynamically adapts to the 3D surface of the finger and simultaneously moves with it: (i) pristine state, (ii) 45° bending, (iii) 90° bending, and (iv) pristine state (scale bar: 5 cm). Reprinted with permission from [210]. Copyright 2020 Elsevier.
Figure 19. (a) Proanthocyanins/rGO/PVA hydrogel adjusted to sphere, cuboid, and curve shapes and stretched into a skin-like film. (b) The hydrogel dynamically adapts to the 3D surface of the finger and simultaneously moves with it: (i) pristine state, (ii) 45° bending, (iii) 90° bending, and (iv) pristine state (scale bar: 5 cm). Reprinted with permission from [210]. Copyright 2020 Elsevier.
Gels 11 00220 g019
Figure 20. Humidity sensor (a) monitors and distinguishes breath status. (b) Response and recovery time during rapid breath monitoring. Reprinted with permission from [224]. Copyright 2018 Springer.
Figure 20. Humidity sensor (a) monitors and distinguishes breath status. (b) Response and recovery time during rapid breath monitoring. Reprinted with permission from [224]. Copyright 2018 Springer.
Gels 11 00220 g020
Figure 21. Adhesion mechanism of mussel inspired hydrogel to soft tissue and metal substrates. Reprinted with permission from [237]. Copyright 2022 Elsevier.
Figure 21. Adhesion mechanism of mussel inspired hydrogel to soft tissue and metal substrates. Reprinted with permission from [237]. Copyright 2022 Elsevier.
Gels 11 00220 g021
Table 2. Recent biomedical applications of WE.
Table 2. Recent biomedical applications of WE.
ApplicationCHGWE DescriptionReference
ECG sensorPolyamide, polyester, and cotton knitted fabrics coated with chemically modified PEDOT:PSS solution and silver-coated polyamide yarns used for signal transmission.Low cost electrodes for cutaneous electrophysiology.[16,202]
EEG sensorAlginate-based hydrogels injected into the EEG electrode cavity.Electrolytic gels for rapid EEG
monitoring and easy cleaning procedures.
[205]
EMG and ECG sensorHydrogel-based electronic skin formed by proanthocyanins/reduced graphene oxide (PC/rGO) composite incorporated into glycerol-plasticized polyvinyl alcohol-borax (PVA-borax) hydrogel system.Electronic skin, adhesive electrode.[208]
Glucose monitoringGold platinum bimetallic nanocatalysts modified with hyaluronate immobilized in nanoporous hydrogels (HA-Au@Pt BiNCs).Smart contact lenses for continuous tear glucose monitoring (CGM).[215]
Sweat analysisSilk fibroin-polyacrylamide (SF-PAAm) double network (DN) hydrogel adhesive.Hydrogel patch-based sensor for real-time sweat detection on the body, biocompatible, with strong and durable adhesion to wet surfaces.[215]
Soft pressure and motion sensorBiomimetic hydrogel based on Ag/TA@CNC (cellulose nanocrystals (CNCs) decorated with tannic acid (TA) and Ag nanoparticles) nanohybrids and polyvinyl alcohol.Soft artificial and intelligent material, similar to skin.[82]
Temperature and tension sensorCarbon nanotubes (CNT) and carbon black (CB) integrated into a poly(vinyl alcohol)/glycerol (PVA/Gly) nanocomposite organohydrogel.Sensors with high sensitivity to stretch, strain and temperature.[225]
UV and pollution sensor3D printed tattoo-type sensors, based on hydrogel ink containing alginate nanoparticles, gelatin, photoactive titanium dioxide and dyes (methyl orange, methylene blue and malachite green).Measures sun exposure by decreasing the color of the printed material.[229]
Breath sensors and toxin detectionSodium hyaluronate (SH)/multi-walled carbon nanotubes (MWCNTs) composite film.Flexible interdigital electrode for non-contact monitoring of respiration and detection of skin sweat evaporation.[231]
Disclaimer/Publisher’s Note: The statements, opinions and data contained in all publications are solely those of the individual author(s) and contributor(s) and not of MDPI and/or the editor(s). MDPI and/or the editor(s) disclaim responsibility for any injury to people or property resulting from any ideas, methods, instructions or products referred to in the content.

Share and Cite

MDPI and ACS Style

Calderón Moreno, J.M.; Chelu, M.; Popa, M. Eco-Friendly Conductive Hydrogels: Towards Green Wearable Electronics. Gels 2025, 11, 220. https://doi.org/10.3390/gels11040220

AMA Style

Calderón Moreno JM, Chelu M, Popa M. Eco-Friendly Conductive Hydrogels: Towards Green Wearable Electronics. Gels. 2025; 11(4):220. https://doi.org/10.3390/gels11040220

Chicago/Turabian Style

Calderón Moreno, José María, Mariana Chelu, and Monica Popa. 2025. "Eco-Friendly Conductive Hydrogels: Towards Green Wearable Electronics" Gels 11, no. 4: 220. https://doi.org/10.3390/gels11040220

APA Style

Calderón Moreno, J. M., Chelu, M., & Popa, M. (2025). Eco-Friendly Conductive Hydrogels: Towards Green Wearable Electronics. Gels, 11(4), 220. https://doi.org/10.3390/gels11040220

Note that from the first issue of 2016, this journal uses article numbers instead of page numbers. See further details here.

Article Metrics

Back to TopTop