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• Hydroxyapatite (HAP) composite paper with biocompatibility and hygroscopicity was prepared. • HAP composite paper has better hygroscopic and triboelectric properties than pure paper, making it more suitable for wearable sensing applications. • The HAP composite paper-based triboelectric nanogenerator can detect and distinguish different joint movements. • Hemostatic and disposable HAP composite paper can be degraded in the natural environment without harm. Wearable triboelectric nanogenerators (TENGs) have attracted considerable attention in the field of self-powered sensors that can be worn on the skin directly without packaging because of their breathability, conformability, and sensitivity to collect biomechanical energy. However, high humidity on the skin can affect the wearable TENG output performance, substantially affecting the sensor performance and stability. When worn for a long time, humidity can even cause skin inflammation. Thus, for a wearable TENG, moisture control and biocompatibility are also key factors that need to be addressed. Herein, we report a hygroscopic and biocompatible paper-based TENG using a hydroxyapatite (HAP) mineral coating to enhance the paper fiber. The mineral coating can maintain the surface of the paper fiber, which will not cause large external deformation of the paper fiber under a force, avoid squeezing out excess water, and keep the friction surface dry, avoiding humidity affecting the output performance. Without interfering with the performance of the TENG, the maximum water absorption of the HAP composite paper is ∼8 μL. The HAP composite paper–based TENG (4 cm2) has an open-circuit voltage and short-circuit current 5.8 times and 4.2 times that of pure paper, respectively, and can obtain 80.4 mW/m2 output and directly light 117 LEDs. At relative humidity values of 25.7 %, 43.1 %, and 58.8 %, the performance retained the peak values of 80.2 %, 68 %, and 63.7 %, respectively. Even at a high relative humidity of 71.7 %, the triboelectric performance of HAP composite paper is retained 59.3 %, and the stability under humidity is better than that of pure paper (45.6 %). In addition, the mineral paper can even work with tissue fluid and output performance decreases by 43.8 %. The mineral-enhanced paper TENG with high power generation performance, hygroscopicity, biocompatibility, and degradability provides a new perspective for disposable wearable sensors, even in medical treatment. [ABSTRACT FROM AUTHOR]