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Best Mattress for Seniors in 2026
As we age, natural changes in our sleep cycle and the increasing prevalence of chronic health conditions can make getting a restful night of sleep more difficult. The right bed can mean the difference between a full 8 to 9 hours of sleep or a restless night of uncomfortable tossing and turning.
Our Top Picks
Best Overall Mattress
:Luxury Firm WinkBed
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Best Value Mattress
:Brooklyn Bedding CopperFlex Memory Foam
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Best Mattress and Adjustable Base Combo
:Nectar Adjustable Bundle
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Best Mattress for Side Sleepers
:Helix Midnight Luxe
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Most Comfortable Mattress
:Leesa Sapira Chill Hybrid
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Best Mattress for Back Pain
:Saatva Classic
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Best Mattress for Arthritis
:Nolah Evolution 15
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Best Mattress for Hip Pain
:Bear Elite Hybrid
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Best Organic Mattress
:Birch Luxe
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Best Mattress for Pressure Relief
:Layla Hybrid
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Best Mattress Deals for Presidents’ Day
- Save $771 — Luxury Firm WinkBed
$1,799(List Price $2,570) - Save $150 — Brooklyn Bedding CopperFlex Memory Foam
$449(List Price $599) - Save $2,436 — Nectar Adjustable Bundle
$1,398(List Price $3,834) - Save $600 — Helix Midnight Luxe
$1,799(List Price $2,399) - Save $748 — Leesa Sapira Chill Hybrid
$1,719(List Price $2,467)
How We Tested the Best Mattresses for Seniors
Testing Criteria for Older Sleepers
As we age, changes in joint sensitivity, muscle tone, and mobility can affect sleep comfort and support needs. For this category, we focused on mattresses that can help reduce soreness, cradle pressure points, and promote easier movement.
The following factors guided our evaluation of the best mattresses for seniors.
- Pressure relief: Comfort layers that relieve pressure can make a huge difference for sleepers who are experiencing stiffness or tenderness in common pressure points, like the shoulders, hips, and lower back. We prioritized mattresses that have plush, contouring surfaces without letting the body sink too deeply.
- Zoned support: Not all parts of the body benefit from uniform firmness. We looked for mattresses with zoned support systems that provide added reinforcement at the midsection while offering gentle conformity where needed. This targeted support can help sleepers maintain natural spinal alignment and reduce overall soreness.
- Ease of movement: Getting in and out of bed can become more difficult with age or limited mobility. We evaluated how easily sleepers could shift positions, sit up, and stand using each mattress, considering responsiveness, surface stability, and how the build interacts with mobility aids or assistance if needed.
How We Evaluated
Evaluating mattresses for seniors required blending performance data with practical, hands-on testing in our Seattle Test Lab. We began by reviewing sleeper ratings and performance scores across categories that matter most in later life, including:
A variety of mattress types, including hybrid, innerspring, and foam
Different firmness options
Ample edge support
After sorting through our mattress database, we chose a handful of beds that performed well in these categories. Each finalist underwent in-depth evaluation to examine comfort layering, structural support, and responsiveness under varied body weights and positions.

Multiple testers with different mobility profiles and sleep preferences assessed how each mattress performed in real-world scenarios. We also compared results across different constructions, such as foam, hybrid, and latex-infused designs, to ensure a range of options that deliver both comfort and practical support.
Based on these findings, we selected 10 mattresses for different types of senior sleepers.
Our Testing Team

Logan Foley
Editorial Director
Full Bio

Mary Fenton
Head of Product Content
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Jeremy Klein
Senior Product Testing Manager
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Brad Nehring
Senior Product Analyst
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Colin Simpson
Product Research Manager
Full Bio
Best Overall: Luxury Firm WinkBed
Best Overall
9.5/10Test Lab Score
Luxury Firm WinkBed
High end hybrid bed providing ample support, cushion, and cool sleep.
Key Details
- Who It’s Best For: Stomach, back, and side sleepers over 130 pounds, as well as seniors who want strong edge support.
- Feel: Medium firm (6) that blends pressure-point relief with moderate bounce and pushback. Resists heat buildup and feels sturdy.
- What It’s Made Of: Base of durable metal coils, layers of polyfoam, including a layer of lumbar support and gel-infused polyfoam, quilted into a Euro-style pillow-top.
- What We Don’t Like: May feel too hard for sleepers under 130 pounds. Some motion transfer.
Scoring & Reviews
The following ratings show how suitable this mattress is for different sleeping positions and sleeper weights. These scores are determined by how well the mattress supports and relieves pressure for each sleeper type.
In addition to the hands-on feedback from our team, we conduct a number of quantitative tests in our Test Lab. The below ratings are based on the experience of our testers.
SELECT AN ICON TO VIEW DETAILS:
Motion Isolation
The Luxury Firm WinkBed offers above-average motion isolation compared to other hybrids we’ve tested. The polyfoam layers significantly absorb vibrations, preventing motion from traveling across the surface. Although the coil core gives the mattress some bounce, the foam layers are substantial enough to dampen motion transfer.

Pressure Relief
Like with many hybrid models, the Luxury WinkBed’s strong contouring can help relieve painful pressure points. Using pressure-mapping sensors, we found the mattress generously cradles your body and ease pressure off sensitive joints, thanks largely to the multiple foam layers.

Temperature Control
The Luxury WinkBed’s Tencel cover wicks heat and moisture away from the sleeper’s body. Polyfoam infused with cooling gel also helps to minimize heat retention annd the coil core promotes significant air circulation. All of these components make the Luxury WinkBed one of the best cooling mattresses on the market.

Edge Support
While many hybrid models have sturdy edges, the Luxury WinkBed’s perimeter is exceptionally strong. Thanks to extra reinforcement along the edges, our testers noticed minimal compression when sitting along the edge. Most sleepers should feel secure enough to sleep or sit on the full surface of the mattress without worrying about rolling off.

Ease of Movement
The Luxury WinkBed Mattress features polyfoam comfort layers. Polyfoam is more responsive than memory foam, so the mattress won’t hug your body as closely as hybrid mattresses made with memory foam. The result is strong ease of movement across the surface.

Durability
The WinkBed is an innerspring mattress with an impressive array of features and options. The mattress is available in four firmness options, including the Luxury Firm WinkBed that offers a balanced medium firm (6) feel for seniors who enjoy cushioning for their body but also need a fair amount of support.
How It Performs
The coil-based support system provides a slight bounce, while keeping sleepers cool due to superior airflow through the mattress. As a result, the Luxury Firm WinkBed has excellent temperature regulation. The coils are also zoned to reinforce the midsection and reduce perimeter sinkage.
The mattress is also a good option for couples because of its ability to minimize motion transfer.
Best Value: Brooklyn Bedding CopperFlex Memory Foam
Best Value
8.6/10Test Lab Score
Brooklyn Bedding CopperFlex Memory Foam
Hugs and soothes pressure points for restful sleep.
Key Details
- Who It’s Best For: Side and back sleepers, especially those under 230 pounds, as well as couples hot sleepers.
- Feel: Medium firm (6), plush, and adaptive, creating a close cradle for your body without too much sinkage.
- What It’s Made Of: Comfort system of a thin layer of adaptive polyfoam, followed by two memory foam layers. Transitional foam divided into three density zones. Two high-density base foam layers make up the support core, and the cover is GlacioTex fabric.
- What We Don’t Like: Too soft for most stomach sleepers, particularly those over 230 pounds. Initial odor for the first few nights after unboxing.
Scoring & Reviews
The following ratings show how suitable this mattress is for different sleeping positions and sleeper weights. These scores are determined by how well the mattress supports and relieves pressure for each sleeper type.
In addition to the hands-on feedback from our team, we conduct a number of quantitative tests in our Test Lab. The below ratings are based on the experience of our testers.
SELECT AN ICON TO VIEW DETAILS:
Motion Isolation
The CopperFlex Memory Foam provides great motion isolation, with our testers clocking almost no motion transfer across the bed during movement. This is due to the all-foam construction—with memory foam comfort layers and an all-foam base, there is little means for one side of the bed to affect the other.
Pressure Relief
This bed provides excellent pressure relief, which notably reduced pressure on the shoulders and hips compared to other beds. With a thick foam comfort layer and a foam base, the bed conforms close to the body and ‘hugs’ the sleeper quite a bit.
Temperature Control
As an all-foam bed, the CopperFlex is inevitable going to trap a decent amount of body heat. Luckily, the top layer of quilted polyfoam isn’t very dense, allowing for some airflow. We don’t find copper-infused foam to make too much of a difference in cooling.
Edge Support
Like most all-foam beds, the edge support of the CopperFlex memory foam is mediocre. The high density support core provides a bit of support, but there’s definitely some noticeable sinkage when sitting around the edges. Perhaps not the best choice for those with mobility issues.
Ease of Movement
As an all foam bed with a memory foam comfort layer, it’s no surprise that our testers found the CopperFlex Memory Foam a bit hard to move around on. The foam conforms close to the body, giving you that sinking sensation, and it definitely requires a bit more effort to roll around on the bed, especially for heavier sleepers.
Durability
The CopperFlex Memory Foam’s expected lifespan is about 5 to 6 years with proper use and regular rotations. This is average for an all-foam model. The topmost layers will eventually develop impressions and indentations that make the surface feel uneven, but the base layer is dense enough to provide several years of solid reinforcement.
The Brooklyn Bedding Essential is a foam hybrid mattress that caters to sleepers who need moderate contouring but don’t enjoy the deep “hug” of some foam beds. The hybrid design strikes a nice balance between support and contouring, and the price-point is reasonable for a hybrid of this quality.
How It Performs
The mattress has a relatively thin comfort system compared to other hybrids we’ve tested. That said, we found the foam layers offered just enough cradling to ease pressure off joints that are prone to pressure buildup, while the coil base generated enough pushback to keep the spine aligned.
Back and side sleepers under 130 pounds benefited the most from this design, since these sleepers need some cushioning for the shoulders, hips, and spine, but also require support in the lower back.
Best Mattress Bundle: Nectar Adjustable Bundle
Best Mattress Bundle
8.5/10Test Lab Score
Nectar Adjustable Bundle
An all-inclusive sleep bundle at a terrific price.
Key Details
- Who It’s Best For: Seniors with acid reflux, snoring, leg swelling, and back pain.
- Feel: Medium firm (6), comfortable, and supportive. Can help alleviate pain.
- What It’s Made Of: Memory foam in top layer. Depending on the model, the base layer is either dense polyfoam or metal coils. The adjustable frame is metal and controlled with a remote.
- What We Don’t Like: Not available in all standard sizes. Too soft for some sleepers over 230 pounds.
Scoring & Reviews
The following ratings show how suitable this mattress is for different sleeping positions and sleeper weights. These scores are determined by how well the mattress supports and relieves pressure for each sleeper type.
In addition to the hands-on feedback from our team, we conduct a number of quantitative tests in our Test Lab. The below ratings are based on the experience of our testers.
SELECT AN ICON TO VIEW DETAILS:
Motion Isolation
Nectar mattresses – like many foam and foam hybrid models we’ve tested – provide excellent motion isolation. Their thick memory foam layers absorb movement and prevent motion from transferring to the other side of the mattress. As a result, Nectar models have proven very popular with couples and co-sleepers. You may notice slightly more transfer on the hybrids due to their coil layers, but even then the potential for sleep disturbances is low.
Pressure Relief
Pressure relief is a defining strength of each Nectar foam and hybrid model. Each contains a thick memory foam layer that hugs the body closely to promote even alignment, support the spine, and prevent pressure buildup in the shoulders, lower back, and hips. If you weigh more than 230 pounds, a firmer mattress is recommended to ensure proper support.
Temperature Control
Like a lot of memory foam mattresses on the market, Nectar models may trap heat in their top memory foam layers. Some models use cooling materials to offset heat retention, but some warmth is to be expected. The Nectar hybrids sleep somewhat cooler due to more airflow in their coil systems. Cooling sheets can also make a noticeable difference.
Edge Support
Perimeter support depends on which model you choose for your bundle, but our team has found that Nectar mattresses tend to offer a stronger edge than many competing all-foam and foam hybrid models. A thick base layer of high-density polyfoam helps secure each Nectar mattress when you lie close to the edges or get in and out of bed. People who weigh more than 230 pounds may notice more compression, but even then Nectar beds are relatively sturdy.
Ease of Movement
Nectar mattresses can be difficult to move on – especially softer models with thick top layers. Memory foam has a tendency to sink when compressed, and this can create a hugging effect akin to feeling “trapped” by your mattress. Combination sleepers and people who frequently get up during the night may struggle with these mattresses.
Durability
While a new mattress and adjustable base can amount to a hefty price tag, the Nectar Adjustable Bundle allows you to save a lot of money on both purchases and you’ll receive a slew of sleep accessories as well.
How It Performs
The base allows you to program multiple memory presets, so the bed automatically adjusts to your favorite positions with the tap of a button. Other features include a dual-zone head and foot massage and USB ports on each side of the bed for charging your electronics at night. Sturdy steel legs provide excellent overall support. There’s also plenty of clearance beneath the bed for storing your belongings.
Best for Side Sleepers: Helix Midnight Luxe
Best for Side Sleepers
9.7/10Test Lab Score
Helix Midnight Luxe
A premium quality, hybrid mattress created with side sleepers in mind.
Key Details
- Who It’s Best For: Side and back sleepers under 230 pounds.
- Feel: Medium firm (6) with notable cushioning around hot spots and support for areas like the low back, shoulders, and hips. Doesn’t overheat and maintains edge stability.
- What It’s Made Of: Two top layers are memory foam. Beneath is a resilient polyfoam on a core of pocketed innerspring coils and more dense foam. Tencel exterior and optional cooling cover.
- What We Don’t Like: Not supportive enough for stomach sleepers, especially those over 230 pounds. Light odor for a brief period after unboxing.
Scoring & Reviews
The following ratings show how suitable this mattress is for different sleeping positions and sleeper weights. These scores are determined by how well the mattress supports and relieves pressure for each sleeper type.
In addition to the hands-on feedback from our team, we conduct a number of quantitative tests in our Test Lab. The below ratings are based on the experience of our testers.
SELECT AN ICON TO VIEW DETAILS:
Motion Isolation
As a medium firm mattress with thick foam comfort layers, it’s no surprise that the Midnight Luxe tested very well for motion isolation. Our testers could barely feel any movement across the surface of the mattress when fellow testers rolled around on it.

Pressure Relief
All of the Helix Luxe models have thick foam comfort layers and conform fairly close to the body. Consequently, they’ve all performed well in our pressure mapping tests, with notably less pressure in the hips and shoulders than many hybrids. With it’s 6 out of 10 firmness, The Midnight Luxe in particular performs average among other Helix Luxe beds.

Temperature Control
The Helix mattresses perform about average for hybrids when it comes to sleeping cool. Memory foam is well-known for its tendency to sleep hot, as it often traps and retains heat through the night, but the coil cores of these beds promote airflow to help balance out heat retention.

Edge Support
All Helix mattresses feature a reinforced perimeter, meaning the coils on the edges are thicker than the coils in the middle of the bed. When putting this to the test, we found significantly less sinkage on the edge than the middle while applying weight.

Ease of Movement
Helix Luxe mattresses tend to be somewhat responsive and bouncy, and all tested pretty well for ease of movement. The Midnight Luxe in particular had a middle-of-the-road performance in our tests, as the medium firm surface conforms a bit to the body, but doesn’t fully provide that ‘stuck’ feeling and inhibit motion.

Durability
The Helix Luxe collection of hybrid mattresses is built for durability, and the firmer options will likely extend the life even further. Each model is 14 inches thick and features three layers of foam (memory and poly), plus has 1,000 individually wrapped coils, including zone and perimeter support. It’s likely that you’ll be able to enjoy this mattress for close to a decade.
The Helix Midnight Luxe is specifically designed with side sleepers in mind. Three foam layers contour evenly to take pressure off your downward-facing shoulder and hip, but a robust support system minimizes sinkage and keeps you on an even plane.
How It Performs
A medium firm (6) mattress, our tests have shown the Midnight Luxe is best suited to side sleepers weighing between 130 and 230 pounds. The back sleepers on our team weighing less than 130 pounds also found the mattress especially comfortable, but ratings were generally favorable among all of our side and back sleepers up to 230 pounds.
Minimal heat buildup during our temperature control tests indicates the mattress sleeps fairly cool, though people who consider themselves exceptionally hot sleepers should consider the GlacioTex upgrade for maximum breathability and thermoregulation.
Most Comfortable Mattress: Leesa Sapira Chill Hybrid
Most Comfortable Mattress
9.0/10Test Lab Score
Leesa Sapira Chill Hybrid
A foam hybrid that cushions your body without trapping heat.
Key Details
- Who It’s Best For: Couples, hot sleepers, and seniors prone to aches, pains, and pressure buildup while they sleep.
- Feel: Available in firmness levels of medium (5), medium firm (6), and firm (7).
- What It’s Made Of: A four-layer comfort system with adaptive polyfoam and memory foam over zoned pocketed coils and high-density base foam.
- What We Don’t Like: Initial off-gassing smells can persist up to 72 hours after unboxing. The 14-inch profile requires a fitted sheet with deep pockets.
Scoring & Reviews
The following ratings show how suitable this mattress is for different sleeping positions and sleeper weights. These scores are determined by how well the mattress supports and relieves pressure for each sleeper type.
In addition to the hands-on feedback from our team, we conduct a number of quantitative tests in our Test Lab. The below ratings are based on the experience of our testers.
SELECT AN ICON TO VIEW DETAILS:
Motion Isolation
In our tests, the Sapira Chill Hybrid’s foam-heavy comfort system absorbed most motion with ease. Even when one tester shifted positions or got up, the other hardly noticed — especially on the medium and medium firm models. For couples, this mattress is a standout in motion isolation for a hybrid.
Pressure Relief
Pressure relief was a top-scoring category across the board. Our side sleepers noted significant cushioning in the hips and shoulders, and even our back sleepers experienced a nice balance of support and contouring. The plush top layers adapted closely without making us feel stuck.
Temperature Control
Though it contains multiple foam layers, the Sapira Chill didn’t trap as much heat as we expected. The open-cell construction and airflow from the coil core helped maintain a neutral sleep temperature for most of our testers — particularly on the firmer options where we didn’t sink in as deeply.
Edge Support
We were impressed with how well the Sapira Chill held up around the edges. The reinforced perimeter coils gave us a stable feel when sitting or lying near the sides of the bed, which is especially helpful for co-sleepers or anyone who likes to spread out.
Ease of Movement
Movement on the Sapira Chill felt smooth, especially for a hybrid with four foam layers. While the softer model had a bit of a “sink-in” feel, the underlying coil support and responsive transition foam made it easy to shift positions or get in and out of bed on all three firmness levels.
Durability
The Leesa Sapira Chill Hybrid earns high marks for durability. As a hybrid mattress that uses four distinct foam layers, two of which are high-density polyfoam, sleepers can rely on cradling support without sinkage. Add to that the pocketed coil layer with individually wrapped springs, and the mattress should provide at least eight years of comfort.
If you and your partner are shopping for a new mattress, the Leesa Sapira Chill Hybrid checks a lot of important boxes for seniors and couples. The foam-over-coil design strikes a nice balance between deep cushioning and strong support, and you can choose from three firmness levels to further optimize your sleep surface. Above-average motion isolation and a robust perimeter add to the broad appeal.
How It Performs
The medium (5) Sapira Chill Hybrid earned high ratings from side and back sleepers on our testing team who weigh less than 130 pounds, as this model conforms very closely. Those seeking maximum support should consider the firm (7), which was popular among our back and stomach sleepers over 230 pounds. The medium firm (6) is a nice compromise between the other two, with gentle cushioning and sturdy reinforcement from head to toe. This model received top marks from most of our testers who weigh 130 to 230 pounds.
Best for Back Pain: Saatva Classic
Best for Back Pain
9.5/10Test Lab Score
Saatva Classic
Traditional innerspring with a plush euro-top and excellent breathability.
Key Details
- Who It’s Best For: Depends on firmness level.
- Feel: Plush soft (3), luxury firm (6) and firm (8) options, all with noticeable bounce, stability, and edge support.
- What It’s Made Of: Top layers include polyfoam and lumbar support with memory foam. A layer of supportive micro-coils on top of a taller layer of innerspring coils that are reinforced around the perimeter.
- What We Don’t Like: Plush model is not firm enough for most sleepers over 130 pounds. Return fee of $99.
Scoring & Reviews
The following ratings show how suitable this mattress is for different sleeping positions and sleeper weights. These scores are determined by how well the mattress supports and relieves pressure for each sleeper type.
In addition to the hands-on feedback from our team, we conduct a number of quantitative tests in our Test Lab. The below ratings are based on the experience of our testers.
SELECT AN ICON TO VIEW DETAILS:
Motion Isolation
Motion isolation is one of the Saatva Classic’s weaker performance areas. The dual-coil design makes the surface responsive to movement, resulting in a noticeable bounce when you switch sleep positions or get in and out of bed. This can be problematic if you share your bed with a partner, as their movements can disrupt your sleep and vice versa.

Pressure Relief
While all of the Saatva firmness options have pressure-relieving potential, the amount of pressure relief that an individual experiences on the mattress will vary based partially on their weight and sleep position. Individuals who weigh under 130 pounds will likely experience the most pressure relief on the Plush Soft version of the mattress, while sleepers over 230 pounds will likely get the best balance of contouring and support from the Firm version.

Temperature Control
While hybrid mattresses tend to sleep cool, the Saatva Classic’s construction may help it sleep even cooler than many other hybrid models. While all the firmness options may help promote a cooler night’s sleep, the Plush Soft version has more conforming that could lead to slightly more heat retention.

Edge Support
The Saatva Classic has a sturdy enough edge to allow almost all individuals to sit or sleep near the perimeter without excessive sinkage. This reinforcement is excellent even compared to most hybrid models.Because the Plush Soft version of the Saatva allows individuals to sink in more, its edges may not feel quite as secure as those of the Luxury Firm and Firm versions of the mattress.

Ease of Movement
The Saatva Classic’s comfort system consists of polyfoam and minicoils. While these materials conform to your body, they regain their shape more quickly than memory foam. This prevents sleepers from feeling “trapped” in the bed.All three designs are relatively easy for sleepers to move across and change positions on. However, most individuals will probably find the firmer versions of the mattress easier to move on, since they conform less than the Plush Soft version.

Durability
The Saatva Classic is stacked with features that help ensure durability. It’s constructed with both pocketed and support coils, plus polyfoam and memory foam comfort layers for additional comfort and support. Shoppers have a choice of thickness and firmness levels, and in general, going with thicker and firmer options can help add to the longevity. With its thick, 13-gauge coils in the bottom layer providing a sturdy base, this mattress should easily make it to the 10-year mark.
The Saatva Classic is a luxury hybrid mattress, but an affordable price-point and additional perks for buyers make this model appealing to shoppers with limited budgets. The Classic features a Euro-top cushioned with foam and fiber fill, followed by transitional minicoils and an hourglass coil support core. This coil-on-coil design ensures strong support and consistent airflow to keep you cool.
How It Performs
Customers can choose from three firmness levels. During our hands-on tests, the soft (3) feel was most popular with side sleepers up to 230 pounds, and back and stomach sleepers under 130 pounds. This model contours closely to cushion the spine and alleviate pressure in the shoulders, lower back, and hips.
Those seeking a more balanced feel should opt for the medium firm (6) feel, which received favorable ratings from our side and back sleepers up to 230 pounds. Lastly, the firm (8) feel is most supportive and well suited to back and stomach sleepers weighing at least 130 pounds.
Best for Arthritis: Nolah Evolution 15
Best for Arthritis
8.7/10Test Lab Score
Nolah Evolution 15
A cloud-like experience with a plush euro-top in multiple firmnes options.
Key Details
- Who It’s Best For: Side sleepers (luxury firm), people under 130 pounds (medium), and some side sleepers over 230 pounds (firm).
- Feel: Medium (5), medium firm (6), and firm (8) options. Inviting feel, supporting hot spots like the hips, shoulders, and neck.
- What It’s Made Of: Comfort layers include four layers of responsive polyfoam. Support core is tall pocketed coils that are reinforced.
- What We Don’t Like: Can require sheets with deep pockets. Return fee of $99.
Scoring & Reviews
The following ratings show how suitable this mattress is for different sleeping positions and sleeper weights. These scores are determined by how well the mattress supports and relieves pressure for each sleeper type.
In addition to the hands-on feedback from our team, we conduct a number of quantitative tests in our Test Lab. The below ratings are based on the experience of our testers.
SELECT AN ICON TO VIEW DETAILS:
Motion Isolation
Thanks to its thick polyfoam layers, the Nolah Evolution 15 Hybrid absorbs enough movement to prevent most sleep disruptions. However, there is still some motion transfer because of the bounciness of the coils. You can expect the most motion transfer on the firm (8) model and the least on the plush (5) option. Across the board, though, our testers noticed only light motion transfer across all three firmness levels.

Pressure Relief
The combination of zoned coils and multiple polyfoam layers, including zoned AirFoam, enable the Nolah Evolution Hybrid to cushion pain points and provide above-average pressure relief. Choosing the right firmness option can optimize pressure relief. While individual preferences vary, a plush (5) or luxury firm (6) model works best for most side sleepers under 230 pounds, while the luxury firm (6) or firm (8) are better suited to the majority of back and stomach sleepers.

Temperature Control
Like many hybrids, the Nolah Evolution 15 excels at temperature regulation. Cooling fibers in the cover are engineered to draw heat away from the body, and the aerated polyfoam layers help reduce heat retention. The coil layer also promotes steady ventilation.In our testing, all three models resisted heat retention. That said, compared to the firm (8) model, the plush (5) and luxury firm (6) permit more sink and allow slightly less cooling airflow around the skin.

Edge Support
The sturdy 8-inch coils gives the Nolah Evolution Hybrid a reliable level of edge support. While there can be some sink from the foam layers, resilient polyfoam prevents instability around the perimeter of the bed.Edge support does vary based on the firmness level. Our team noticed a reduction in edge support between the firm (8) and the luxury firm (6) and plush (5) models. Even on the softer models, though, you get solid edge support from this mattress.

Ease of Movement
The Nolah Evolution 15’s foam layers don’t sink or hug excessively, and the bounce of the coils facilitates movement on the surface. This makes this mattress a solid fit for combination sleepers or anyone who hates feeling stuck in place when lying in bed. With its softer surface, the plush (5) model restricts movement a bit more than the other two. The firm (8) model provided standout ease of movement to all of our sleepers.

Durability
With a stunning 15-inch profile, seven inches of which are polyfoam found in the comfort layer, the Nolah Evolution 15 is a highly durable mattress. Beneath that are 8-inch coils to give the bed more support. If longevity is your main concern, going with the firmer of the three options may extend the life a bit more. Otherwise, you can generally expect around eight or nine years of comfort.
The Nolah Evolution 15 is sold in three firmness options: medium (5), medium firm (6), and firm (8). This selection makes the mattress a good option for most people regardless of their weight or sleep position. All three models feature thick comfort systems that significantly reduced pressure buildup during our tests.
How It Performs
The Evolution 15 offers excellent temperature neutrality thanks to its heat-resistant foams, breathable cover, and consistent internal airflow. Sturdy edge support also eases the process of getting in and out of bed for people with mobility limitations.
Best for Hip Pain: Bear Elite Hybrid
Best for Hip Pain
8.5/10Test Lab Score
Bear Elite Hybrid
A close-conforming memory foam hybrid offering great pressure relief.
Key Details
- Who It’s Best For: Sleepers looking for support, pain relief, and a comfortable sleeping temperature.
- Feel: Cooling comfort, springiness and sturdiness, and contours to the body to relieve joint pressure.
- What It’s Made Of: Copper-infused memory foam and zoned polyfoam in its top layers. Dense polyfoam and thick coils in its base. The cover is Celliant fabric.
- What We Don’t Like: May need sheets with deeper pockets. Odor usually lasts a few days after unpacking.
Scoring & Reviews
The following ratings show how suitable this mattress is for different sleeping positions and sleeper weights. These scores are determined by how well the mattress supports and relieves pressure for each sleeper type.
In addition to the hands-on feedback from our team, we conduct a number of quantitative tests in our Test Lab. The below ratings are based on the experience of our testers.
SELECT AN ICON TO VIEW DETAILS:
Motion Isolation
The Bear Elite Hybrid shows considerable ability to prevent vibrations from traveling across the surface of the mattress. Its memory foam layer only reacts where weight is directly applied, which helps keep movement from causing ripple effects that spread to the other side of the bed.However, the bounce of the coils can cause some motion transfer, especially on the firm model that has a reduced amount of contouring.
Pressure Relief
The Bear Elite Hybrid offers excellent pressure relief that stems from its comfort system and the zoned, pocketed coils in its support core. In our testing, it was side and back sleepers who tended to get the best pressure relief and support. That said, stomach sleepers liked the firm (8) model that maintained a flat, stable surface with just enough cushioning for the midsection.
Temperature Control
This mattress doesn’t feel overwhelmingly hot, but it also probably shouldn’t be the top choice for hot sleepers. The copper-infused foam makes it slightly cooler than some other memory foam mattresses, but heat can still collect in and around the foam. The risk of overheating is highest on the Luxury Plush model because it has the closest contouring around the skin, which may make it harder for heat around the body to dissipate during the night.
Edge Support
Reinforced edges in the support core help give this mattress a solid rating for edge support. While you’ll notice foam compression around the perimeter, it’s not so significant that you’ll feel like the mattress is giving out beneath you.Of the three different firmness options, edge support is clearly strongest in the firm (8) model and weakest in the one with a firmness level of medium (5).
Ease of Movement
When you need to switch your sleeping position or adjust your body’s alignment on the mattress, you generally won’t encounter much resistance. Sleepers over 230 pounds may find that there’s less ease of movement, especially on the softer models. But in most cases, the springiness from the thick layer of pocketed coils enables relatively easy movement on the surface of the Bear Elite Hybrid.
Durability
The Bear Elite Hybrid Mattress scores above average for durability thanks to its pocketed coils, reinforced perimeter, and memory foam and polyfoam layers. The mattress comes in three firmness levels, and going firmer will typically extend the life of the mattress a bit more. Overall, you should expect around seven to eight years of use.
Many seniors live with chronic or frequent back pain, and the wrong mattress can exacerbate stiffness, soreness, and pressure points along the spine.
The Bear Elite Hybrid pairs thick foam layers with a sturdy coil system to create a sleep surface that cushions and cradles your body without sacrificing support. By conforming to your unique curves and distributing your weight, the mattress should provide the pain relief you need night after night.
How It Performs
All versions of the mattress feature a top layer of adaptive memory foam that cradles the body and evenly distributes your weight. The second layer is a denser polyfoam divided into five zones, resulting in extra reinforcement for your midsection and gentler cradling for the head and legs.
In the support core, thick coils line the perimeter to push back against your weight and stabilize the edges when you get in and out of bed. A cover made of Celliant fabric encases the mattress. Celliant dissipates heat on contact and the coils promote steady air circulation, so the mattress should sleep cool throughout the year.
Best Organic: Birch Luxe
Best Organic
9.3/10Test Lab Score
Birch Luxe
Luxury latex hybrid with a medium firm feel.
Key Details
- Who It’s Best For: Side sleepers over 130 pounds and most back and stomach sleepers under 230 pounds.
- Feel: Medium firm (6) with light cushioning of joints and targeted support for pain points. Impressive edge support and temperature regulation.
- What It’s Made Of: Layers of organic wool on top of two layers of responsive organic latex. Support core is pocketed coils and wool batting. Cover is quilted with organic cotton and wool.
- What We Don’t Like: Expensive and transfers motion.
Scoring & Reviews
The following ratings show how suitable this mattress is for different sleeping positions and sleeper weights. These scores are determined by how well the mattress supports and relieves pressure for each sleeper type.
In addition to the hands-on feedback from our team, we conduct a number of quantitative tests in our Test Lab. The below ratings are based on the experience of our testers.
SELECT AN ICON TO VIEW DETAILS:
Motion Isolation
Any mattress with springs inevitably transfers some motion, which is why all-foam models typically outperform hybrids in this category. Latex is bouncier than foam, so the Birch Luxe Mattress isn’t as effective at curbing movement when compared to hybrids with foam comfort systems.
Pressure Relief
The Birch Luxe offers a moderate amount of pressure relief. The latex contours somewhat, but the mattress is firm enough to help evenly distribute body weight and encourage a straighter spine. Side sleepers and those who weigh less than 130 pounds might prefer a softer model with more cushioning. People over 130 pounds of any sleep position should experience notable contouring and adequate support.
Temperature Control
Hybrids are typically better at regulating temperature than all-foam mattresses, as foam tends to trap heat. The Birch Luxe regulates temperature exceptionally well. The cover and comfort system use naturally breathable materials, including cotton and wool, to help draw heat and moisture away from the body. When compared to memory foam, natural latex has an airier structure that resists heat buildup. Plus, the pocketed spring support core also offers space for air to circulate.
Edge Support
The Birch Luxe features a hefty coil core that’s designed to minimize sagging throughout the mattress. Heavier gauge coils along the perimeter provide extra reinforcement, delivering above-average edge support.
Ease of Movement
The Birch Luxe’s construction makes it easy for sleepers to move around on its surface. Latex is notable for its responsiveness, which is helpful when changing sleeping positions. The coil support system also makes getting in and out of bed easier. The medium firm (6) feel of the bed doesn’t compress significantly, preventing the feeling of being trapped in the bed.
Durability
Thanks to its use of natural, durable materials, the Birch Luxe should perform for at least nine to 10 years, which is considerably longer than the average bed. Unlike foam, latex resists impressions and sagging, and the wool and cotton used throughout the construction should prove sturdy, too. Coils are generally more durable than polyfoam for support and should maintain their performance over time.
The Birch Luxe is a high-quality latex hybrid constructed with premium, long-lasting materials, but its sticker price is fairly approachable compared to other luxury mattresses on the market today.
The Luxe begins with a Euro-top filled with organic wool and cotton batting. These materials provide plush cushioning to create a cloud-like surface. A comfort layer of proprietary Pulse latex contours gently while pushing back against your weight, resulting in a bouncy feel for the mattress.
How It Performs
The mattress earned positive ratings across the board during our hands-on tests. Side sleepers weighing at least 130 pounds were especially impressed with the Luxe, as were our back and stomach sleepers between 130 and 230 pounds. We also recommend the mattress to couples due to its sturdy perimeter and consistent responsiveness for sex.
Best for Pressure Relief: Layla Hybrid
Best for Pressure Relief
8.5/10Test Lab Score
Layla Hybrid
A close-conforming, flippable hybrid with a different firmness on each side.
Key Details
- Who It’s Best For: Nearly all side and back sleepers, depending on side.
- Feel: Softer side feels like a “hug,” with a plush top layer that allows you to sink in. Firm side doesn’t allow for as much sinkage but still cushions high-impact zones.
- What It’s Made Of: Softer side is topped with copper-infused memory foam, followed by resilient polyfoam and a coil-based support core. Firm side has a thinner layer of memory foam.
- What We Don’t Like: May be too soft for stomach sleepers, especially those over 230 pounds. Pretty heavy and somewhat difficult to move.
Scoring & Reviews
The following ratings show how suitable this mattress is for different sleeping positions and sleeper weights. These scores are determined by how well the mattress supports and relieves pressure for each sleeper type.
In addition to the hands-on feedback from our team, we conduct a number of quantitative tests in our Test Lab. The below ratings are based on the experience of our testers.
SELECT AN ICON TO VIEW DETAILS:
Motion Isolation
The Layla Hybrid has better motion isolation than the average hybrid mattress, especially on the soft side. Since the mattress uses memory foam in the comfort system, it absorbs movements and prevents them from transferring across the bed. The coils in the support core are pocketed, meaning they respond individually to pressure and minimize motion transfer. The firm side still isolates motion well since it incorporates memory foam in its comfort system.

Pressure Relief
A thicker memory foam layer on the Layla Hybrid’s soft side conforms closely to the body and cushions pressure points at the shoulders, back, and hips. This is especially helpful for side sleepers and sleepers under 130 pounds.The firm side is better for back and stomach sleepers who weigh 130 pounds or more. This side gently contours to the body but has less foam padding and provides more support. This side is likely too firm to reduce pressure for sleepers under 130 pounds.

Temperature Control
The Layla Hybrid doesn’t sleep as hot as other memory foam hybrids, but how cool it feels depends on which side you’re using. Both sides incorporate copper-infused memory foam that draws heat away from the body. The coils add airflow and dissipate heat. The soft side of the mattress conforms more closely and can restrict airflow around the body. The firm side of the Layla Hybrid allows more air to circulate more easily around the body. Hot sleepers should prefer this side.

Edge Support
The Layla Hybrid has lower gauge coils around the perimeter to bolster the edges of the bed. Having sturdy edge support increases the usable surface area of the mattress. Sleepers should feel supported sleeping near the edge of the bed. Those who often sit near the edge of the bed and those who need additional assistance getting in and out of bed will also notice the robust edge support of the mattress.

Ease of Movement
The soft side of the mattress has thicker memory foam and softer polyfoam, so it returns to its original shape more slowly when pressure is removed. This can inhibit movement to a certain extent, but it also provides traction.The firm side of the mattress has more bounce, so sleepers will find it easier to change positions. This side is less conforming so it does not restrict movement. This is beneficial for couples and combination sleepers.

Durability
The Layla Hybrid is a relatively durable bed that should last at least seven to eight years thanks to its hybrid construction. While the polyfoam and less-durable memory foam used in the comfort layers deteriorate and lose support as they wear out, inner coils generally prove quite durable. The Layla Hybrid’s coils are about average thickness, and its foam isn’t high density, so it should perform about average for a hybrid bed.
If you share your sleep surface with a partner, both of your needs and preferences should be taken into account before you purchase a new mattress. The Layla Hybrid offers more versatility than most competitors due to its flippable design.
With a medium soft (4) feel on one side and a firm (7) feel on the other, both surfaces offer distinct levels of body contouring and support. This allows you to switch between firmness levels with a simple flip of your mattress — though we recommend lifting with at least one other person, as the Layla Hybrid is somewhat heavy.
How It Performs
The medium soft side features a 2.5-inch memory foam comfort layer, followed by 2 inches of zoned transitional polyfoam. These materials provide deep cushioning to create a floating feel many of our testers have described as “cloud-like.”
The firmer side features thinner layers of the same materials, resulting in some conforming but stronger overall support. Cooling copper gel is infused into the memory foam to offset heat retention and help you sleep cool.
Why Sleep Can Become More Difficult With Age
“As a sleep medicine physician,” says Dr. Audrey Wells, MD, “I often see problems with sleep as a person ages. With each passing decade, there is often less time spent in slow-wave deep sleep and more time in lighter sleep stages. Sleep fragmentation may be more prominent, either spontaneously or related to a sleep disorder.”
According to Dr. Wells, sleep apnea becomes more common with age due to factors like weight gain and muscle tone changes in the airway. Restless legs syndrome and insomnia are also more common with age.
“Older adults often experience shifts in their internal body clock,” says Dr. Wells, “leading to earlier bedtimes and wake times, which may not align with social or environmental demands. Conditions like arthritis, back pain, or heart disease can disrupt sleep, as can the need for frequent nighttime bathroom trips due to conditions like benign prostatic hyperplasia or overactive bladder.”
Dr. Wells notes additional factors that can affect sleep for seniors. These include joint and muscle pain, difficulty falling and staying asleep for people who take many medications or supplements, and sleep disruption that can occur due to hormonal shifts for women experiencing perimenopause or menopause.
What to Look for in a Mattress as You Get Older
Sleep needs change with age, so it stands to reason your mattress needs and preferences evolve too. Many seniors benefit from a mattress that alleviates aches and pains, sleeps cool, and doesn’t sink too much along the perimeter when they get in and out of bed. Beyond these, your mattress should also align with your personal preferences, body type, and primary sleep position.
Must-Haves: Prioritizing Your Health
The following mattress elements are crucial for your physical comfort and health as a senior. These considerations should be top priority during your mattress search.
Spinal Alignment
If your mattress feels too soft or too firm, the surface may not promote proper spinal alignment in your neck, shoulders, and lower back. Pain and pressure buildup in these areas can commonly occur as a result.
If you carry extra weight in your torso and hips, a zoned mattress with a firmer midsection may be worth considering.
Support and Comfort
In mattress terminology, “comfort” means how closely a mattress contours to your body and alleviates pressure. “Support” refers to the mattress’ ability to withstand your weight and resist sinkage around the midsection. A balance of comfort and support is important for any senior, especially those with conditions that cause frequent or chronic pain such as arthritis.
Sleeping Position
Side sleepers typically need a softer, more adaptive mattress to promote even alignment and cushion their shoulders and hips. If you’re a back sleeper, you may need a firmer mattress to keep your body on an even plane. Stomach sleepers often need firm to extra firm mattresses that prevent their bodies from sinking beneath the surface, though this position is largely discouraged because, on average, it leads to more aches and pains than side or back sleeping.
“Choosing to sleep on the back (supine position) may alleviate back or neck pain and can also prevent issues with shoulders, hips, and knees during the night,” says Dr. Wells. “Sleeping on your back for the long term is also known to reduce wrinkles.”
Dr Wells also notes the benefits of sleeping on your side. “Side sleeping can play a role in reducing snoring,” she says, “although snoring should be evaluated to determine if a problem with sleep apnea is present. Sleeping with your head elevated can help with acid reflux symptoms.”
Mattress Firmness
We classify mattress firmness using a 10-point scale with 1 being the softest and 10 the firmest. Most mattresses made today fall between a 3 (soft) and 8 (firm). Choosing a mattress firmness that’s compatible with your sleep position and body type is key to a good night’s sleep.
Softer mattresses contour closely, and may be the best option for people with chronic pain or stiff joints. People who weigh less than 130 pounds also usually feel comfortable on softer mattresses that provide deep cushioning. If you have limited mobility or weigh more than 230 pounds, a firmer, more responsive mattress prevents uncomfortable sinkage.
Edge Support
A mattress with sturdy edge support is less likely to sink and feel unstable when you lie or sit close to the perimeter or get in and out of bed. Our testing team has found innersprings and hybrids offer the strongest edge support due to their steel coil support cores. All-latex mattresses may also feel secure along the perimeter because latex is bouncier and more responsive to movement than foam.
Up-to-Yous: Tailoring to Your Taste
You should also take personal preferences into account when choosing a new mattress. While these considerations may not be as crucial as those listed above, a mattress that aligns with your tastes can help ensure a comfortable night’s rest.
Mattress Material
The materials in a mattress impacts not only how it feels, but also how long it will last and how well it performs in areas like pressure relief, edge support, and ease of movement. Material composition takes on extra importance if you need a mattress that alleviates pain or provides orthopedic support. You should also opt for a mattress with foam layers if you’re allergic to latex.
Mattress Height
If your mobility is limited, a mattress with a lower profile that lies close to the ground may allow you to get in and out of bed without causing too much strain. We recommend a mattress measuring 10 inches or shorter in these instances. Also make sure to factor in the height of your bed frame when choosing a mattress.
Temperature Regulation
Many people run hot in bed, and a mattress that absorbs and traps heat can add to this discomfort — especially for those who reside in exceptionally warm or humid locations. Breathable cover fabrics, ventilated comfort layers, and coil support cores that promote air circulation can all help a mattress sleep cool when temperatures are high without sacrificing insulation for chillier times of the year.
Budget
A new mattress can cost anywhere from a couple hundred to several thousand dollars, but most queen size models fall within the range of $1,000 to $2,000. Many mattress brands offer discounts for seniors, as well as retired teachers, first responders, and military personnel. If you can’t or don’t want to pay the entire cost of a new mattress, you may be able to set up a payment plan with the seller.
Delivery and Setup
Most online mattress brands offer free ground shipping to deliver to your doorstep. This may be less than ideal for seniors who live alone and cannot easily carry or set up a mattress on their own. White Glove delivery may be an enticing alternative because couriers bring the mattress into your residence, set it up, and remove your old mattress upon request. Many brands provide White Glove delivery for an extra fee, and some even waive these charges.
When to Say Goodbye to Your Mattress
There are different ways to tell your mattress needs to be replaced, including these signs.
- Your mattress has reached its limits: The average mattress needs to be retired after seven years of continuous use. All-foam and innerspring mattresses may need to be replaced sooner if you notice heavy wear and tear.
- You’re not sleeping as well: A well-used mattress with an uneven sleep surface can make it harder to fall and stay asleep, especially if you frequently need to change positions in order to be comfortable.
- You can see damage: Indentations of 1 inch or deeper, creaky or protruding springs, and “trenching” down the middle of the mattress are all signs of significant wear and tear. You should replace your mattress if you notice any of these issues.
- You wake up with stiffness or soreness: If you frequently wake up feeling sore or stiff, your mattress may be partially to blame. Comfort layers beneath the surface develop impressions over time that can make the mattress feel uneven and create pressure buildup.
- Your allergies or asthma are getting worse: Dust builds up in your mattress over time. If you’ve been sleeping on your mattress for several years and notice worsening asthma or allergy symptoms, you should consider replacing it.
Shopping for a New Mattress Online
Prior to the 2010s, most people purchased mattresses in brick-and-mortar stores. The recent online mattress boom now means you can order a new bed with a few mouse clicks. There are advantages and drawbacks to buying a mattress online or at a store.
| Shopping Online | Shopping In Stores | |
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Navigating Sleep Trials and Warranties
Many people dislike the idea of buying a mattress before trying it out, so many online brands offer sleep trials. These trials typically run for at least 90 nights, and some last up to a year. If you aren’t satisfied with your mattress after a few months, you can return it to the brand and receive a full refund — though some companies do charge return fees.
The vast majority of mattresses sold today are covered under warranties for at least 10 years after the purchase date. Warranties guarantee the brand will cover repair or replacement costs if your mattress has a structural defect that leads to early wear and tear. Most warranties don’t cover stains or physical damage, but some companies offer accident protection plans for an extra fee.
What Type of Mattress Should Seniors Consider?
Every mattress is uniquely designed, but most fall into one of five general construction categories based on their comfort and support materials. Each type has its own pros and cons to consider.
Hybrid
Definition: Hybrids combine the cushion of foam or latex with the steel coils of traditional innersprings, resulting in a nice balance of close contouring to promote even alignment, strong support to minimize sinkage when you move on the surface, and temperature control to keep you cool. Softer hybrids tend to perform better when it comes to pressure relief and motion isolation, whereas firmer hybrids usually feel sturdier along the perimeter. In terms of pricing, most hybrids are above average cost.
Highlight: Strong edge support. Because of their coil systems, hybrids tend to have strong perimeters without much sinkage. This can be helpful if you have trouble getting in and out of bed or tend to sit on the edge to get dressed. “Hybrid mattresses offer features that are usually well suited for seniors,” says Dr. Wells. “They provide a good balance of comfort and support, have good edge stability, and allow one to move easily in the bed and off the bed.”
Foam
Definition: Foam mattresses are usually constructed with one or two top layers of memory foam or adaptive polyfoam and support cores of high-density base foam. They excel when it comes to pressure point relief and the foam layers also isolate motion well. However, all-foam mattresses tend to sleep hot, and edge support is often minimal.
Highlight: Deep contouring. These mattresses contour evenly to promote proper alignment and alleviate discomfort for people with achy joints, chronic back or hip pain, and other conditions that can negatively affect sleep quality.
Latex
Definition: Latex is derived from a liquid extract found in rubber trees. This material is naturally resilient, making it more responsive to movement than memory foam, and also won’t retain as much heat as foam. People who dislike the hug of adaptive foam may prefer the springiness and gentle contour of latex. All-latex mattresses are somewhat expensive compared to other mattress types, and people with latex allergies should avoid these models.
Highlight: Mobility. People with limited mobility who need extra bounce on their mattress surface when getting in and out of bed will appreciate the even, responsive feel of latex. The good news is that while it responds to motion, it still isolates it relatively well so your partner is less likely to feel your movements.
Innerspring
Definition: Traditional innersprings are constructed with thin comfort layers and thick coil systems. Unlike hybrids, innersprings offer little to no contouring and feel exceptionally bouncy. They also sleep quite cool thanks to consistent airflow throughout their coil layers. Durability is questionable, as many innerspring owners report deep indentations after only a few years of use, and those who frequently experience aches and pains may need a mattress with more cushioning. Innersprings are also highly responsive and may cause sleep disruptions for couples.
Highlight: Affordability. Innersprings are the cheapest mattress type on average, so if you’re on a tight budget, an innerspring might be the best fit.
Airbed
Definition: Airbeds feature support cores with adjustable air chambers. By adding or removing air from these chambers, you can adjust how soft or firm the mattress feels in different areas of the sleep surface. Most airbeds offer dual firmness, allowing you and your partner to customize the feel of your respective sides of the bed. Luxury airbeds are also constructed with memory foam or latex comfort layers. Airbeds are by far the most expensive mattress type — expect to pay at least $2,000, and possibly much higher, for a queen size model.
Highlight: Customization. If your comfort needs change, or you share your bed with a partner, an airbed allows for almost endless customization. You can try out different firmness levels, and in the case of a dual firmness bed, you and your partner can each settle on what you like best.
How We Test: Your Comfort Is Our Science
At Sleep Foundation, we’ve personally tested nearly 2,000 mattresses over the past eight years in our Seattle-based Test Lab.
Our product testing team obsesses over the science of sleep and the latest in sleep trends, and many of us have spent time working directly with manufacturers. Since a bed’s comfort and feel largely depends on your body weight and sleeping position, the testers on our team represent a wide range of body types, sleep positions, and comfort preferences.
To get to our selections for top picks, we evaluate mattresses across a number of performance and testing categories. Specifically, we look at construction analysis and pour over product research in our database. We conduct quantitative testing in our Seattle-based Test Lab, perform field testing in our homes, and perhaps most importantly, solicit feedback from owners to see how the bed sleeps in the real world.
To learn more about our mattress evaluation process, you can check out our research methodology page, but below is a quick breakdown.
Construction analysis: We begin by examining each mattress in terms of its design, making note of manufacturer specifications such as firmness and height. From there, we perform a detailed analysis to determine how materials and individual layers impact the bed’s ability to alleviate pressure, isolation motion, regulate temperature, and support your body.
Product testing: Using a slew of tools and tech resources, our team tests each mattress for performance in six individual categories. These tests also involve us lying on the mattress to gauge how comfortable and supportive it feels for different body types and sleep positions.
Field testing: In addition to our lab-based tests, we calculate ratings for mattresses based on feedback from field testers who use mattresses in their own homes. These testers provide data based on their experience with each bed over the course of several weeks.
User testing: Feedback from verified mattress owners also plays a role in our evaluation process. We collect data from surveys and product reviews to ensure our mattress ratings reflect real-world experiences.


To determine a mattress’s overall score, we assign weighted percentages to performance categories based on how important they are to the individual sleep experience. For instance, areas like pressure relief and temperature control tend to matter more to people than something like off-gassing, and because more people sleep on their side and back than on their stomach, we weigh those positions more heavily.
Performance Categories
Motion Isolation
This criteria alludes to the amount of motion a mattress absorbs when a sleeper moves on the surface. We use two testers lying side by side to evaluate motion isolation, who each feel for transfer while the other person moves on the mattress.
Temperature Control
To determine how well a mattress regulates temperature, we perform temperature tests and look closely at its materials and construction. Many mattresses are designed with cooling components meant to reduce heat retention.
Pressure Relief
A bed with strong pressure relief excels at preventing pressure from building up in areas like the shoulders and hips. Beds with even contouring and weight distribution are top performers when it comes to pressure relief.
Off-Gassing
A mattress in a box may release unpleasant chemical odors for a short period after you’ve unboxed it. The initial smell may be strong but typically fades within 2 or 3 days.
Ease of Movement
This criteria reflects how easily a sleeper can move across a bed’s surface. Responsive surfaces made of latex typically perform better than foam surfaces, which can inhibit movement.
Edge Support
We perform sit tests along a bed’s perimeter to measure how well the edges push back against weight. Mattresses with strong edge support have minimal sagging when sleepers sit on or lie close to the perimeter.

Dive Deeper – Mattress Guides by Sleeper Type
In addition to age, the best mattresses for seniors also depend on sleep position, body type, and physical conditions associated with pain and discomfort such as arthritis and sciatica. The guides below offer additional assistance for older people seeking their ideal mattress.
Best Mattress by Sleeper Type
- Best Mattress for Athletes
- Best Mattress for Couples
- Best Mattress for Stomach Sleepers
- Best Cooling Mattress for Hot Sleepers
- Best Tempur-Pedic Mattress for Side Sleepers
- Best Tempur-Pedic Mattress for Back Sleepers
- Best Tempur-Pedic Mattress for Stomach Sleepers
- Best Mattress for Arthritis and Joint Pain
- Best Mattress for Back Pain
Frequently Asked Questions
Now let’s take a look at a few final items that are also important to consider as a senior buying a new mattress.
What mattress is best for arthritis?
The best mattress for arthritis provides enough cushioning to ease aches and pains in your joints. Softer mattresses that fall between 3 and 5 on our firmness scale are usually best. However, you may need a firmer mattress if you weigh more than 230 pounds or sleep on your back or stomach. We recommend testing a few different models with sleep trials of at least 90 nights to narrow down what feels most comfortable.
What mattress is best for back pain?
People with upper or lower back pain should invest in a mattress with targeted support for these areas. A zoned mattress that feels firmer around your midsection and softer beneath the head and legs can maintain an even surface for your entire body while alleviating back pain. We’ve also found mattresses with thick foam or latex layers provide decent padding for sore spots along the spine.
“Pillow supports in addition to a good mattress are often necessary for those with back pain,” says Dr. Wells. “And sometimes, replacing an old mattress is just the trick.”
How can I protect my mattress from incontinence?
If incontinence is a concern, we recommend investing in a waterproof mattress pad or protector. Liquid can seep into your mattress and permanently damage the internal layers. Waterproof pads and protectors form a barrier to block liquid. Incontinence can occur due to medical conditions or certain medications, so we recommend visiting your doctor if the problem persists.
Is an orthopedic mattress medical-grade?
Medical-grade mattresses are specifically intended for people with injuries, diseases, limited mobility, and other conditions that require significant bed rest. Many medical-grade mattresses are designed to provide orthopedic support for people with bone or joint pain. However, mattresses with orthopedic properties are not necessarily medical-grade.
Will Medicare or insurance cover the cost of a new mattress?
The cost of your mattress may be covered under health insurance, but first you’ll need a prescription from your doctor to justify why the mattress is medically necessary. The amount of coverage varies by provider. Medicare may cover up to 80% of the cost of a new mattress. You’ll also need a prescription to qualify, and you should contact Medicare to make sure the mattress you’d like to buy meets the coverage criteria.
What type of mattress is best for an adjustable bed?
The best mattresses for adjustable beds are flexible enough to move with the base during position changes, and durable enough to maintain an even shape and sturdy support over time. If you share an adjustable bed with a partner, a split size allows both of you to sleep in your preferred positions without disturbing the other person.
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