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Detecting Ethanol Intoxication and Impairment Using Wearable Biosensors.

Eric E Kaczor1, Manohar Golleru2, Daniel C Carter1

  • 1Department of Emergency Medicine, University at Buffalo.

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|January 19, 2026
PubMed
Summary
This summary is machine-generated.

Objective measures for alcohol intoxication are needed. This study shows wrist-worn biosensors can reliably detect alcohol impairment using physiological data and machine learning, achieving 80% accuracy.

Keywords:
Alcohol intoxicationBiosensorsImpairmentMachine learning

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Area of Science:

  • Biomedical Engineering
  • Forensic Science
  • Physiology

Background:

  • Objective, real-time measures of alcohol intoxication are lacking for public use.
  • Wearable biosensors offer a potential solution for ubiquitous, on-demand intoxication assessment.

Purpose of the Study:

  • To evaluate the feasibility of using wrist-worn biosensors to assess ethanol intoxication.
  • To determine if physiological data from biosensors can accurately indicate alcohol impairment.

Main Methods:

  • Twenty-eight healthy participants were monitored using wrist-worn biosensors measuring heart rate, skin temperature, electrodermal activity, and accelerometry.
  • Participants consumed alcohol in a controlled laboratory setting, with regular breath alcohol content and field sobriety tests conducted.
  • Machine learning (XGBoost model) was employed to analyze biosensor data for impairment detection.

Main Results:

  • Statistically significant changes in physiological parameters (heart rate, skin temperature, electrodermal activity, accelerometry) were observed between sober and intoxicated states.
  • The developed XGBoost model achieved a high accuracy of 0.80 in identifying alcohol impairment.
  • Continuous physiological monitoring via biosensors proved effective in distinguishing intoxication levels.

Conclusions:

  • Wrist-worn biosensors are a feasible tool for assessing ethanol intoxication.
  • Physiological data combined with machine learning can provide objective measures of alcohol impairment.
  • This technology holds promise for real-world, on-demand intoxication assessment.