The demand for non-invasive, continuous health monitoring has accelerated research on wearable biosensors for real-time sweat analysis. Conducting polymer nanocomposites (CPNs), particularly those derived from polyaniline (PANI), polypyrrole (PPy), and PEDOT:PSS, have gained prominence owing to their unique combination of electrical conductivity, redox activity, mechanical flexibility, and biocompatibility. Current review broadly survey wearable biosensors, this article specifically highlights the engineering strategies and structure–property relationships of CPNs for sweat-based applications. Recent advances in nanomaterial integrationincluding carbon nanotubes, graphene derivatives, MXenes, and metal nanoparticlesare critically examined for their role in enhancing electron transfer, stability, and analyte selectivity. Fabrication approaches such as electropolymerization, inkjet printing, electrospinning, and 3D printing are compared in terms of scalability, reproducibility, and device durability. Transduction mechanisms like electrochemical, chemiresistive, and colorimetricare discussed. Device-level considerations, including substrate flexibility, microfluidic sweat handling, and wireless data transmission, are also analyzed. Key challenges like dopant leaching, film cracking under mechanical deformation, and signal drift in humid environments are identified, along with strategies for improved stability and performance. By integrating polymer engineering insights with wearable electronics, this review provides a forward-looking framework for designing next-generation sweat biosensors based on conducting polymer nanocomposites.
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