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.Replacing your mattress can be an exhausting proposition. Not only are there hundreds of models to choose from, but a big part of what makes a good one is very personal: One person's luxury is another person's backache waiting to happen.Further, there's the matter of cost; mattresses can go for literally thousands of dollars. , an independent mattress review website."For something that you're going to sleep on every day for 10 years, you want materials that are durable and high quality," he says. "And most likely, you won't find good materials that can withstand daily uses for under $1,000." That said, you should never pay full price for a mattress — always shop the sales, and don't be afraid to negotiate with the salesperson either for a discount or for extras (a bed frame, pillows, sheets) to be thrown in.Here's the savvy way to navigate a showroom full of mattresses with confidence:START WITH SUPPORT The first decision you have to make has to do with a mattress's core, which provides the support.
There are four common types: innerspring, foam, latex, and air-filled.If you like a bed with bounce... Innerspring mattresses have that familiar bouncy feel. Still, you can choose how springy you want it to be. The metal coils are typically gauged anywhere from 12 (the thickest and firmest) to 18 (the thinnest and most compressible). Heavier folks tend to prefer a thicker gauge's support. Coils that are interconnected are extra-durable, but individual "pocketed" coils, each covered with fabric, reduce the ripple effect that happens when someone on one side of the bed moves.Innerspring mattresses typically have either a fiberfill or foam outer layer, covered in quilted ticking. But even if you want an uber-plush feel, don't be swayed by a thick-looking pillowtop."A really puffy layer might feel great in the store, but in a few months, you'll see it compressing and not coming back," says Magnuson. It's often best to choose a firmer, well-quilted mattress, and then cover it with a replaceable mattress pad or feather bed.
If you prefer an extra-firm base... Memory foam mattresses (which have a polyurethane core) have much less spring. "You sit on it, and it doesn't really sink or budge beyond the topmost layer," Magnuson says. To determine their quality, ask for the specs on a) how thick the layer of foam is, and b) the foam's density. Thickness can vary from 2 to 6 inches, which will determine how deep you'll sink. In terms of density, 5 pounds per cubic foot is considered very high quality, while down to 3 pounds per cubic foot is less so.If you like a little buoyancy... Latex mattresses are similar to memory foam models in terms of firmness, but have a bit more spring-back. Natural latex (some mattresses are synthetic) is also antimicrobial, resistant to mold and dust mites. These mattresses can be pricey, but claim to last up to 20 years or more.There are two types of latex: Dunlop latex is more dense and heavier than the lighter Talalay latex, which has a softer feel.If you like customization...
Consider an an air-filled vinyl or rubber chamber mattress, which has a remote that lets you to control how much air is inside. Many have two side-by-side chambers, which allow the mattress firmness to be customized separately for you and your partner. The top surface is similar to an innersprings: quilted fiberfill or foam. Beyond the four types of mattresses, there are other factors in their construction that you'll need to think about. From sleep style to body type, to negotiating with a bedfellow, your lifestyle can help you make the best choice:If you tend to sleep on your side... You'll want a surface with a lot of "pressure relief" or the ability to disperse while supporting your body weight, and conforming to your shape."Imagine you're lying on a hard floor and there's a heat map showing the points at which your body is producing the most pressure," Magnuson says.Cushy memory foam or a mattress with a fluffy topper will have the most pressure relief, while a very firm mattress will offer the least.
Innersprings may have more pressure relief than a foam or latex mattress. Test out mattresses lying down to get a real feel.If you tend to sleep on your stomach... Following that heat-map analogy, the last thing a stomach-sleeper probably wants is an enveloping memory foam — it would feel smothering! Instead, a firm top surface will provide the best support. Consider a dense innerspring, air-filled, or latex mattress.If you tend to sleep on your back... Here, you'll want something in the middle — a surface that supports, but has some give so your spine is kept in a healthy alignment. You'll find happiness with any of the mattress types, but you should do your best princess-and-the-pea impression to see what feels best to you.If your partner tosses and turns all night... Consider an innerspring mattress with pocketed coils, or memory foam, latex, or a dual-chamber air-filled mattress. These will all have good "motion isolation." But remember, these models could actually be less comfortable on the body of a restless sleeper, as there's little forgiveness against one's movements.
If you and your partner's preferences don't match... The air-filled mattresses with dual chambers are made just for you. If you find that the top surface isn't comfy enough, you can add a separate topper.If you tend to sleep hot... Mattresses topped with foam or latex can hold in body heat, especially if they're very soft and a lot of your body sinks in. For this reason, you may prefer a fiberfill-topped innerspring mattress. Or — even better — use a removable fiberfill or feather mattress topper that can be removed and washed.If you have allergies... Foam and latex are both inherently antimicrobial and resistant to dust mites and mold. If you opt for innerspring or air topped with fiberfill, be sure to encase it in an allergen-resistant cover to keep irritants at bay.If you can't pinpoint what matters most ... Some savvy manufacturers make a hybrid style mattress that combines the buoyancy of an innerspring core with the motion isolation of memory foam. It's a best-of-both-worlds option that can satisfy many partner disputes and sleeping styles, though it comes at a cost — these luxury models can be pricey.