Skin CO 2 sniffing for wearable metabolic monitoring

CO 2 is a key physiological parameter used to assess hypoventilation and to estimate metabolic rates. However, current CO 2 monitoring relies on bulky breath-analysis systems that are impractical for continuous use in daily life. Here, we present a wearable on-skin gas-sniffing system that quantifies skin-emitted CO 2 and establishes its physiological relevance through direct correlation with exhaled CO 2 and metabolic rate. Participant studies demonstrate strong correlations between CO 2 flow rates from the skin and breath during both rest and exercise, with skin-emitted CO 2 approximately four orders of magnitude lower than exhaled CO 2 . Skin-emitted CO 2 also correlates with metabolic rate, suggesting its potential as a surrogate for breath-based indirect calorimetry. With its wearable form factor and physiological relevance, this skin gas sniffing system enables continuous, noninvasive metabolic monitoring and opens opportunities for studying skin gas exchange.