The Best Mattress for a Better Night's Sleep Buying a new mattress? Here are tips for finding the right mattress for you. You spend about a third of every day in bed. Whether that time is spent blissfully slumbering -- or tossing and turning -- depends a lot on your mattress. "A mattress can impact a person's sleep," says Michael Decker, PhD, RN, associate professor at Georgia State University and spokesman for the American Academy of Sleep Medicine. One way that your mattress affects your sleep has to do with the network of fine blood vessels, called capillaries, that runs underneath your skin. "When you lie on any part of your body for an extended period of time, the weight of it reduces the flow of blood through those blood vessels, which deprives the skin of oxygen and nutrients," Decker says. This causes nerve cells and pain sensors in your skin to send a message to your brain for you to roll over. Rolling over restores blood flow to the area, but it also briefly interrupts your sleep.
Ideally, a mattress that reduces the pressure points on your body should give you a better night's sleep, Decker says. Yet the ideal mattress is different for each person. Which Mattress Is Right for You? Finding the right mattress isn't about searching out the highest-tech brand or spending the most money. "A much more expensive mattress doesn't necessarily mean it's better," Decker says. A high price tag is a product of both the materials that go into the mattress, and the marketing that helps sell it. Instead of focusing on price and brand name, think about what you want in a mattress. "Selecting a mattress is very personal," Decker says. Some people prefer a firmer mattress; others favor a softer style. Although there isn't a lot of scientific evidence to prove that one type of mattress will help you sleep better than another, people with certain medical conditions do seem to rest easier on a particular mattress style. Anyone with back or neck pain should take a Goldilocks approach to mattress buying: not too hard, and not too soft.
"If you're on too soft [of] a mattress, you'll start to sink down to the bottom. But on too hard of a mattress you have too much pressure on the sacrum, and on the shoulders, and on the back of the head," says Howard Levy, MD, an Emory University assistant professor of orthopaedics, physical medicine, and rehabilitation. A medium-firm mattress, or a firm mattress with a softer pillow top, will give your spine that "just-right" balance of support and cushioning. An adjustable bed can be a good buy if you need to sleep with your head raised. Doctors sometimes recommend elevating the head to help people with COPD breathe easier, or to prevent nighttime heartburn from GERD. These beds can also allow you to adjust your knees and hips to a 90-degree angle, relieving some of the pressure on sore joints, Levy says. If you have allergies or asthma, you might have considered buying a bed labeled "hypoallergenic." "There are a lot of claims made by mattress manufacturers that their mattresses are hypoallergenic or don't support the growth of dust mites, but I don't know of scientific evidence to support these claims," says Paul V. Williams, MD, a pediatrics professor at the University of Washington School of Medicine and an allergist at Northwest Allergy and Asthma Center in Washington state.
Williams says dust mites will live anywhere there's food -- and that food is your dead skin cells. Instead of investing in an allergy-free mattress, slip on a washable mattress encasing. It will form a barrier that prevents dust mites from getting to you. A mattress encasing cuts allergen growth by robbing dust mites of their food supply, Williams says. And what about those space-age memory foam mattresses, which can cost thousands of dollars? There is some evidence they can help with back problems and improve sleep, but their advantage over a regular coil mattress is only slight. Where memory foam mattresses can really help you sleep is if you have an active bed partner who is keeping you awake, Decker says. Foam mattresses reduce motion transfer, letting you lie still while your partner tosses and turns. Test Drive a Mattress Before You Buy "You wouldn't buy a car without test driving it," Decker says. So why would you invest hundreds -- or even thousands of dollars in a mattress without trying it out first?
Take any new mattress you're considering for a test nap. "People should not be embarrassed to go into a store and lay on a mattress for 20 minutes," Decker says. For a more realistic test, sleep in the beds at different hotel chains when you travel. If you get an especially good night's sleep on one of them, ask the desk clerk what brand it is. When you test out a mattress, make sure it feels comfortable in every position, especially the side you favor for sleeping. The mattress should be supportive where you need it, without putting too much pressure on your body, Levy says. Time for a New Mattress If you've been having trouble sleeping, the problem might not be your mattress type, but its age. "It's really important for people to realize that mattresses have a certain lifespan," Decker says. Keep your mattress too long, and the foam and other materials inside it will start to break down, compromising its ability to support your body. Decker recommends keeping your mattress for no more than 10 years.
After that, it's time to go mattress shopping again.Which is the Best Mattress of 2017? For more, watch our interactive video. You can skip to chapters on the different types of mattresses, tips for test driving a mattress, and more. Common claims that haven’t held up in our tests: Foam Layers Make a Better Bed More innerspring mattresses now include foam on top. But the foam is often too thin to make a difference on some of the hybrid models. Hybrid innerspring models that scored well in our tests had a foam layer several inches thick, though performance still varied. More Coils, the Better The better innerspring models we tested had 600 to 1,000 coils. But even if one mattress has more coils than another, the coils could be made of thinner-gauge metal. You’ll also hear about coil variations such as Bonnell (hourglass type), continuous wire, and individually pocketed springs. None of those is inherently superior. Gel Provides a Cooler Sleep Some mattresses (noted in our Ratings) have a layer of gel-infused foam that’s supposed to provide a cooling effect.
But that layer is buried beneath other layers. While our tests have shown that innerspring mattresses containing gel did tend to sleep slightly cooler, the reverse was true with gel-infused foam beds. Extra Lumbar Support Helps Back Sleepers A special lumbar-support zone is one of many ways manufacturers try to differentiate their product lines. But there’s no guarantee that it makes any real difference, and it hasn’t shown significant benefits in our tests. Forget About Comparison Shopping If you like a mattress at one store and ask elsewhere for something similar, you're likely to be steered toward a same-brand mattress claimed to have the same construction, components, and firmness. But they’re probably not the same. Mattress makers offer some lines nationally, but when those brands are sold through major chains such as Macy's, Sears, and Sleepy’s, they're for lines exclusive to those chains. And manufacturers don't publish a directory of comparable mattresses.
When we went to three bedding chains and asked for mattresses similar to those we’d bought at three department stores, five of the six were way off the mark. So use our Ratings as a guide, and insist on the precise make and model that scored well in our tests. Also check our Ratings of mattress brands and stores, based on subscriber surveys. If possible, lie on any mattress that you’re considering. Wear loose clothes and shoes you can slip off. Make yourself comfortable, and shoo away the salesperson if you’re feeling pressured. Salespeople should expect you to take your time. Spend at least five or ten minutes on each side and on your back (your stomach, too, if that's a preferred sleeping position). Panelists who took beds home for a month-long trial rarely changed the opinion they formed after the first night. Shopping online or at a warehouse club? Tryouts aren’t usually an option, so checking return policies before you buy is extra important. Make sure the store offers a full refund or credit toward another mattress.
Return periods, often called “comfort guarantees,” range from a couple of weeks to 120 days. Some retailers, including Macy’s and Sears, charge a 15-percent restocking fee. Costco and some online sellers provide free pickup if you want a refund or exchange, but otherwise, you’ll have to pay for it—or cart the mattress to the store. And you’ll be responsible for any damage. Once you’ve settled on a model, try to bring the price down. Many businesses, such as warehouse clubs, have fixed prices and won’t budge. But for retailers that do negotiate—particularly specialty chains—huge markups allow them to lower prices by 50 percent or more during their frequent sales. Our recommendation: Any time of year, insist on a sale price you’ve seen for the mattress you know you want, and don’t be afraid to walk out if you feel you’re getting a raw deal. Don’t Be Bullied Into Buying a Box Spring You might not need it. For an innerspring mattress, the box spring (also called a “foundation”) is a wood frame enclosing stiff wire and covered with fabric to match the mattress.
For foam or adjustable-air mattresses, it’s a box several inches high. If you're switching to a foam or adjustable-air bed from an innerspring, you'll need a boxy foundation that lacks springs and wire. Otherwise, if your box spring isn't broken and is still structurally sound, consider keeping it and saving money (roughly $150 to $300 for a queen-size). One caveat: Some brands require you to buy their box spring to receive full warranty coverage. It can range from 10 to 25 years and covers only manufacturing defects such as sagging and loose or broken coil wires. Coverage is frequently prorated, meaning that it decreases over time. Never accept delivery without inspecting the mattress (and the box spring, if you buy one) for stains and other damage. Also be sure that the mattress has a label that states “all-new material” before you send the driver on his way. If it’s not there, refuse delivery. And keep it on afterward in case you do have to file a warranty claim in the future.