Sleep Quality Is Critical for Your Physical and Mental Health — Here’s How to Find a Mattress That Can Help

Sleep Quality Is Critical for Your Physical and Mental Health — Here’s How to Find a Mattress That Can Help

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Mattresses are a significant investment, and when you consider that humans spend around one-third of their lives sleeping, that investment makes sense.

While most guidelines suggest that adults need seven to nine hours of sleep for optimal health, a 2024 study using an under-mattress sleep analyzer found that only 15 percent of people slept the recommended seven to nine hours at least five nights a week.

Getting enough sleep is crucial for the recovery of your bodily systems, including your immune system, brain, and musculoskeletal system. A 2022 study found that sleep quantity and quality affect mood and quality of life, and chronic sleep deprivation significantly raises your risk of heart disease and impaired blood sugar regulation.

Choosing the best mattress for your needs can quickly become overwhelming. From evaluating different mattress constructions and firmness levels to picking the right mattress for your sleeping position and any health concerns, there’s a lot to consider beyond the price and size. So we spoke with two sleep experts who gave us the lowdown on what to look for when choosing a mattress for a variety of sleep needs. They also answered some important mattress-related questions. Read on to find the mattresses we recommend, based on these insights and hours of research.

Cooling Mattresses

Cooling mattressess
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Anyone who sleeps hot or is experiencing menopause-related night sweats knows how important a cooling mattress can be. According to Tom Hensen, a physiotherapist, certified sleep coach, and cofounder of German sleep-comfort brand Feder & Kern, airflow is key when choosing a mattress that will keep you cool. Coil systems (innerspring mattresses) are typically the most breathable because air circulates freely within the mattress, but there are other materials with an open structure that also help heat dissipate. While many people like the contouring capabilities of memory foam, its dense structure tends to retain more heat.

That said, “Some foams are designed to be more breathable,” says Hensen, “and gel-infused memory foam is often used to reduce heat buildup.” And don’t forget about the mattress cover. Hensen recommends choosing breathable, moisture-wicking fabrics, which can make a noticeable difference in temperature.

Brooklyn Bedding aurora luxe cooling mattress

For Extra Lumbar Support

Brooklyn Bedding Aurora Luxe Cooling

The Brooklyn Bedding Aurora Luxe Cooling mattress is made with ThermoPhase foam, which contains a phase-change material (PCM) designed to absorb and release heat to help maintain a comfortable sleeping temperature.

Since it’s a hybrid mattress made with both foam and inner coils, it has better airflow and breathability, compared with foam-only mattresses. There’s also an option to add a GlacioTex Cooling Cover to further increase its cooling capabilities.

But the perks of this mattress don’t stop at its cooling abilities. It also features three-zoned lumbar support, which helps keep your spine supported as you sleep. The memory foam contours to your body to relieve pressure points, and with three different firmness options (soft, medium, and firm), there’s something for everyone. Finally, Brooklyn Bedding offers free shipping, a limited lifetime warranty, and a 120-night trial for peace of mind.

Leesa sapira chill hybrid mattress

For Superior Airflow

Leesa Sapira Chill Hybrid

The Leesa Sapira Chill Hybrid is another mattress that stands out for its advanced cooling features. Its quilt top is infused with fibers that pull heat away from your body, helping maintain a comfortable sleeping temperature. It also has support foam with enhanced airflow to provide both pressure-relieving contouring and improved cooling. Its zoned spring system further enhances airflow while ensuring that your hips and spine are well supported.

This mattress is available in three comfort levels: plush, medium-firm, and firm. Like many of the mattresses on this list, it’s eligible to buy with health savings account (HSA) or flexible spending account (FSA) funds, which can help offset the high initial cost.

Mattresses for Back Pain

Mattressess back pain
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Estimates suggest that around 619 million people worldwide experience low back pain, with around 28 percent of adults in the United States having chronic low back or sciatic pain at any given time.

A review published in 2021 found that medium-firm mattresses reduce the risk of developing low back pain.

But that’s not the only feature to consider when choosing a mattress for back pain. Gbolahan Okubadejo, MD, a spinal and orthopedic surgeon at the Institute for Comprehensive Spine Care in the New York City area, recommends choosing a mattress with zoned support (firmer in the lumbar area and softer around the shoulders for targeted spinal support) and a comfort layer, such as memory foam or latex, that contours to your body and helps relieve pressure points.
Brooklyn Bedding signature hybrid mattress

Budget in Price Not Quality

Brooklyn Bedding Signature Hybrid

For a budget-friendly mattress for back pain, consider the Brooklyn Bedding Signature Hybrid mattress. With their factory-direct pricing, you can get a quality mattress with a limited lifetime warranty, 120-night sleep trial, and free shipping. It’s also HSA/FSA-eligible for qualified customers, which can help reduce costs. The Signature Hybrid comes in three firmness levels (soft, medium, and firm), and you can add a Cloud Cooling Pillow Top (for an additional fee) to increase comfort and cooling capabilities, without compromising support.

Like other hybrid mattresses, the Signature Hybrid combines foam layers with an encased coil system. One of the foam layers is infused with PCM that absorbs and releases heat to help keep you cool as you sleep.

And the pressure-relieving quilt foam reduces pressure points, which Dr. Okubadejo says can be particularly beneficial for people with back pain.
Winkbed

Gel for Cooling and Comfort

WinkBeds The WinkBed

The WinkBed has a breathable Tencel cover and gel foam that keeps you cool while you sleep, as well as motion isolation, which helps if you sleep comfortably next to a partner who tosses and turns. Since it’s a hybrid mattress, it features two types of gel foam and individually wrapped coils that support and relieve pressure — two key factors when looking for a mattress for back pain, according to Okubadejo. Finally, it has a gel-infused Euro-pillow top, giving it a luxurious feel.

It comes in four firmness options, with the Luxury Firm and Firmer options likely being the best for back pain in people less than 250 pounds. If you’re more than 250 pounds, the Plus option is designed for heavier sleepers seeking a durable mattress with good back support.

Mattresses for Hip Pain

mattresses for hip pain
Everyday Health

While you may think that a mattress that helps with back pain will also help with hip pain, there are some key differences to be aware of. Hips need more cushioning than the back, so Okubadejo recommends a softer mattress surface and a thick comfort layer to allow the hips to sink into the mattress and relieve pressure points. A mattress with motion-isolating materials can also be beneficial because it prevents disruptions for a person with hip pain, he adds.

Nectar premier memory foam mattress

For Superior Pressure Relief

Nectar Premier Memory Foam Mattress

If you want to go all in on the pressure-relieving capabilities of a memory foam mattress for hip pain, the Nectar Premier Memory Foam Mattress is our top pick. At less than $1,000 for a queen-size mattress, it’s on the budget-friendly side. While many memory foam mattresses retain heat (which can be uncomfortable for people who sleep hot), the Premier Memory Foam Mattress has 60 percent more cooling fibers than the Nectar Classic and also features a cooling cover to help offset the heat-retaining properties of the memory foam.

This mattress is a great choice if you share your bed with a partner, as it has a specialized foundation base that minimizes motion transfer. And a big perk: While most mattresses we researched have 120-night trials, Nectar offers an impressive 365-night home trial, so you have ample time to get a feel for whether it’s the right mattress for you.

Helix midnight glaciotex cooling mattress

For Side Sleepers Who Sleep Hot

Helix Midnight Luxe

The Helix Midnight Luxe is a highly rated mattress with medium firmness that’s ideal for side sleepers. It provides enhanced lumbar support for proper spinal alignment, which Okubadejo recommends for people with hip pain. For those who sleep hot, there’s an option to upgrade the cover to a GlacioTex Cooling Cover + CoolForce Layer for an additional amount. It feels instantly cool when you climb into bed and has a heat-transfer layer to help your body heat dissipate.

If you experience back pain alongside hip pain, you can add (for an additional cost) an ErgoAlign Layer made from firm, ultra-dense foam to reduce stress on your hips, bottom, and lower back. This mattress is also HSA/FSA-eligible, which, when combined with Helix’s frequent site-wide sales, can provide significant cost savings.

Memory Foam Mattresses

memory foam mattressess
Everyday Health

While memory foam is great for pressure relief, many memory foam mattresses tend to be on the softer side, says Hensen. He recommends choosing a memory foam mattress that offers a balance between pressure relief, stability, and support.

If you sleep hot, he adds that it’s also important to choose memory foam made with heat-releasing materials (such as gel-infused memory foam), since memory foam mattresses can quickly become uncomfortably hot, due to their dense structure, which can block airflow and trap heat, especially in warmer climates.

Nolah signature mattress

Memory Foam That Keeps You Cool

Nolah Signature

The Nolah Signature Memory Foam Mattress is another great option for those seeking a high-quality memory foam mattress. It combines AirFoam (which helps maximize airflow) and Tri-Zone Foam (which gives a softer, more flexible feel at the shoulders) to provide extra cushioning for people who need a mattress with good pressure relief. It also has layers of gel- and copper-infused foam to reduce heat retention. Its all-foam construction provides excellent motion isolation, which is key if you share your bed with a partner.

If you want to bump the comfort level up a notch, you can upgrade to a GlacioTex Cooling Pillow Top for an additional amount. This cover draws heat away from the body, while providing a plush layer that offers even more pressure relief.

Novilla bliss memory foam mattress

A Breathable Option in Many Sizes

Novilla Bliss Memory Foam Mattress

Writer and editor Katrina Cossey shared the Novilla Bliss Memory Foam Mattress with her husband for several years before passing it on to their son, and she says that she appreciated that the memory foam is soft without being too soft. It’s also highly breathable (thanks to the knitted rayon AirBreeze cover), and CertiPUR-US certified (meaning it’s free of harmful chemicals like formaldehyde and phthalates).

It’s available in a range of sizes and heights, so there are plenty of options for different needs.

Although it’s fairly easy to move, due to its lighter weight, it lacks side handles, which could make it a bit more cumbersome to carry. That said, it’s still a great option, and Novilla offers free shipping and returns, a 10-year warranty, and a 100-night sleep trial — a bit less than the typical 120-night trial other companies offer.

Hybrid Mattresses

Hybrid mattressess
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While many of the mattresses on this list are hybrids, they’re designed with specific types of pain in mind. However, not everyone needs a specialized hybrid mattress. The two options below combine the pressure relief of foam layers with the support and better airflow of a coil support core. Hensen notes that while many people can benefit from a hybrid mattress, they’re particularly good for those who move around a lot at night or sleep hot.

Dreamcloud ultra hybrid mattress

The Most Luxurious Hybrid

DreamCloud Ultra Hybrid Mattress

DreamCloud has several hybrid mattresses to choose from, but if you’re looking for a top-of-the-line, luxurious mattress, the Ultra Hybrid Mattress is hard to beat. While you may initially think that the medium-soft comfort level won’t provide enough support, this mattress also features five foam zones with varying densities that distribute support across your body to promote proper spinal alignment and reduce pressure points.

This mattress also provides exceptional cooling. Its Euro top (which has padding underneath the cover and is flush with the edge of the mattress for a cleaner look) has cooling fibers to help regulate temperature. It also has a dynamic temperature-control layer that contains PCMs that actively absorb and release heat to help maintain a comfortable sleeping environment. We love that this mattress has a forever warranty and a 365-night home trial. At almost $2,000, it’s a big investment, but the extended home trial gives you plenty of time to make sure it meets your needs.

Sweetnight twilight hybrid spring memory foam

An Affordable Yet High-Quality Option

SweetNight Twilight Hybrid Mattress

If you’re looking for a more affordable hybrid mattress, we like the SweetNight Twilight Hybrid Mattress. It’s one of the most affordable mattresses we found, yet it doesn’t skimp on quality. Editor Olivia Campbell raved about this mattress. Despite being a fan of firmer mattresses, she says that she found it “surprisingly comfy.” It combines high-density memory foam with gel-infused memory foam, a high-density coil system, and a breathable, ultrasoft cover, ensuring you stay cool and supported as you sleep.

One downside of this mattress is that its motion isolation isn’t as good as that of some other mattresses, so you can feel when someone is getting in and out of the bed. That said, its affordability and supportive construction make it a solid choice.

How Does Sleeping Position Affect Mattress Choice?

Sleeping position should play a big role when choosing the right mattress. “Side sleepers usually need more give around the shoulders and hips to relieve pressure,” says Hensen. In contrast, back and stomach sleepers can typically benefit from a firmer surface that properly supports the spine and prevents the body from sinking too much in the middle, he explains.

What Do Mattress Certifications Mean?

Mattress certifications are third-party verifications that a mattress meets safety, material, and environmental impact standards. Here are some of the main certifications that you may come across during your mattress search:

  • OEKO-TEX Standard 100 This tests every part of the mattress for harmful substances, such as pesticides, heavy metals, and formaldehyde. It is recognized globally.
  • CertiPUR-US This is specific to polyurethane foam, and it certifies that it’s made without ozone-depleting chemicals, heavy metals, or flame retardants. It also ensures that a mattress has low emissions of volatile organic compounds, which is very common in mattresses made in the United States.
  • GREENGUARD/GREENGUARD Gold This certification indicates that a mattress emits low levels of chemicals into indoor air. The Gold certification is stricter and is approved for use around children and schools.

While there are plenty of quality mattresses that don’t carry certifications, certifications can provide peace of mind that you’re choosing a safe and environmentally friendly product.

How Do I Clean and Maintain My Mattress?

While cleaning your mattress may not be high on your list of priorities, Okubadejo explains that occasional mattress maintenance can help extend its lifespan. This generally includes knowing when to rotate or flip your mattress (depending on the type) and regularly cleaning it to remove allergens and other contaminants.

However, there are a few things to keep in mind when it comes to mattress maintenance. For example, foam, latex, and newer innerspring mattresses should be rotated every 6 to 12 months, while older innerspring mattresses should be rotated every two to six months. If you have a mattress with zoned support, rotation generally isn’t recommended, as it may make the mattress less comfortable and supportive.

To clean your mattress, Okubadejo recommends using your vacuum’s upholstery attachment or a specialized mattress vacuum on the top and sides. He adds that you can blot any stains with a gentle cleanser, then wipe them with a clean cloth dipped in cold water. That said, he advises against getting the mattress too wet, as it can trap moisture and cause odors or mold growth, especially if it’s a memory foam or polyfoam mattress.

When Should I Replace My Mattress?

“Generally speaking, most mattresses should be replaced every 7 to 10 years,” says Okubadejo. However, if you’re constantly waking up with aches and stiffness or aren’t getting good-quality sleep, your mattress may no longer be supporting you properly. Additionally, if you can feel sagging, lumps, or coils through the surface, it may be time to replace it.

FAQ

How long does it take to adjust to a new mattress?

Most people adjust to a new mattress in two to six weeks, says Okubadejo. He adds that while some mild initial discomfort is normal (like breaking in a new pair of shoes), a good mattress should never cause significant pain or stiffness. If it does, the firmness level likely isn’t right for you.

While a good mattress doesn’t usually need a mattress topper, it can help fine-tune the feel of your mattress (for example, if your mattress feels a bit too firm or if you’d like a more plush feel, without compromising on support), says Hensen. However, if the mattress is fundamentally unsuitable for your sleep needs or is already worn out, a mattress topper won’t make much of a difference, he adds.

Off-gassing refers to the release of volatile organic compounds, which are common by-products of mattress manufacturing. Despite the unpleasant odor, off-gassing is generally harmless, though it may cause temporary symptoms such as headaches, nausea, and dizziness in people with chemical sensitivities.

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Sarah Glinksi

Sarah Glinski, RD

Author

Sarah is a registered dietitian and accomplished health and nutrition writer known for her expertise in crafting engaging content. She received dual bachelor’s degrees in nutrition...

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Chester Wu, MD

Medical Reviewer

Chester Wu, MD, is double board-certified in psychiatry and sleep medicine. He cares for patients through his private practice in Houston, where he provides evaluations, medication...

Daniel Oakley

Fact-Checker

Daniel Oakley is a journalist, editor, and fact-checker. He has written, edited, taught, and produced media for Dow Jones, S&P Global, IHS Markit, Third Coast Studios Magazine, and...

Ally Hirschlag

Ally Hirschlag

Editor

Ally Hirschlag is an award-winning journalist with over 10 years of experience editing and writing health, fitness, beauty, lifestyle, and science content. Her work has appeared in...

Katrina Cossey

Katrina Cossey

Tester

Katrina Cossey is a writer and editor with over 10 years of experience in broadcast and service journalism. Over her career, she’s covered topics such as the COVID-19 pandemic, new...

Olivia Campbell

Tester

Olivia Campbell is the New York Times bestselling author of Women in White Coats: How the First Women Doctors Changed the World of Medicine and Sisters in Science: How Four Women P...

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Everyday Health follows strict sourcing guidelines to ensure the accuracy of its content, outlined in our editorial policy. We use only trustworthy sources, including peer-reviewed studies, board-certified medical experts, patients with lived experience, and information from top institutions.
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