Cement-based materials that exhibit piezoresistivity with sufficient magnitude and reversibility contain electrically conductive fibers. The phenomenon allows the materials to sense their own strain. The fibers are preferably discontinuous. Carbon fibers (15 mm diameter) are most effective. Steel fibers (8 mm diameter) are less effective. Carbon filaments (0.1 mm diameter) are ineffective. The piezoresistive behavior, mechanism and materials are reviewed, including cement-based materials with continuous and discontinuous fibers.