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• Attrition resistance in aqueous-media adsorbents has been sporadically studied.
• The degree of attrition in an adsorbent depends on its synthesis and structure.
• Loss on attrition in adsorbents is mostly quantified by gravimetry-based methods.
• Analysis of attrition should be extended to large scale aqueous adsorption systems.
Attrition resistance in an adsorbent is one measure of its mechanical strength. It quantifies its ability to resist the impact of frictional forces generated in a milieu where hydrodynamic agitation exists. However, attrition resistance has been only sporadically examined in adsorbents used to remove aqueous adsorbates. Since attrition is relevant in aqueous adsorption process design, this review discusses the quantification of attrition resistance, variability in loss due to attrition across adsorbents, and the implications of attrition on adsorption systems. Finally, some key research opportunities that could be explored for a better understanding of attrition in real-scale water purification are presented. It is inferred that substantial research and development still needs to be accomplished to better understand the attrition resistance-adsorbent behavior within real-scale aqueous adsorption environments. The results can be harnessed to design and produce more robust, efficient and cost-effective adsorbents.