Leveraging blockchain with zero knowledge proofs in wearable health technologies for personalized healthcare

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Abstract

Wearable health technology has revolutionized remote monitoring and personalized healthcare by allowing real-time surveillance of patient health measurements and vital signs. However, their widespread acceptance is hampered by issues with security, privacy preservation, data protection, and interoperability. Blockchain Technology (BT), in particular Zero-Knowledge Proofs (ZKPs) and smart contracts, present a viable way to enhance the privacy, provenance, and integrity of wearable health data. This paper proposes a BT-enabled system that guarantees decentralized, unforged data management, transparency, immutability, and dynamic traceability for wearable health devices, particularly smartwatches with biosensors. To evaluate the effectiveness of the proposed work, the main performance-related metrics—latency, throughput, computational overhead, security robustness, and scalability—are looked at. The experiment’s simulated findings show that BT integration is effective, with a 99.33% improvement in data integrity and protection. Automated access control protocols demonstrate data protection by utilizing smart contracts, and ZKPs guarantee verifiable data exchanges without jeopardizing patient privacy. These results demonstrate improved interoperability, decreased processing time, and increased security in comparison to comparable cutting-edge centralized platforms.

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APA

Khan, A. A., Laghari, A. A., Almansour, H., Kumar, T., Jaghdam, I. H., Hajjej, F., & Mohamed, M. A. (2025). Leveraging blockchain with zero knowledge proofs in wearable health technologies for personalized healthcare. Scientific Reports, 15(1). https://doi.org/10.1038/s41598-025-25146-6

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