Related to Sleep Disorders Memory Foam: Pros and Cons Considering a memory foam mattress or similar product? Read what sleep experts say about it. Few things feel as good as a good night's sleep. That's especially true if sleep seems to escape you, night after night after night. If you've heard about memory foam, you may wonder if it could improve the quality of yoursleep. Some people swear by it. Others are less enthusiastic. What exactly is memory foam? And what are its pros and cons? Here's information to help you decide whether memory foam is worth a try. What Is Memory Foam? First designed in the mid-1960s for NASA airplane seats, memory foam is made from a substance called viscoelastic. It is both highly energy absorbent and soft. Memory foam molds to the body in response to heat and pressure, evenly distributing body weight. It then returns to its original shape once you remove the pressure. In addition to protecting against impact, these properties make memory foam very comfortable.
After its "virgin flight" for NASA, memory foam made a foray into other applications. For example, it was used as cushioning in helmets and shoes. Medicine found a use for it in prosthetics and products to prevent pressure ulcers such as seating pads for people who are severely disabled. Then, memory foam really took off. It's now well known for its use in pillows, mattress pads, and mattresses, which come in different densities and depths. What Are the Benefits of Memory Foam? Could the special properties of memory foam enhance your sleep? Sleep specialist Donna L. Arand, PhD, says that objective studies supporting the claimed benefits of memory foam -- or the effects of any particular type of sleeping surface -- are lacking. This is true for a variety of reasons, she says. This type of sleep study can be expensive, if conducted independently. Or it is "chased" by a shadow of bias, if supported by industry. Also, some sleep technology, such as memory foam, is relatively new, so it hasn't been well studied.
But perhaps one of the more difficult stumbling blocks to testing the health benefits of mattresses such as memory foam is the subjective nature of sleep. It is simply difficult to measure. Sometimes the brain's electrical activity, measured with an electroencephalogram (EEG), and other findings recorded during a sleep test don't always match up perfectly with a person's subjective experience, says Arand, who is the clinical director of the Kettering Sleep Disorders Center in Dayton, Ohio. "They might say, ‘I had a great night's sleep,' but the EEG parameters might not really indicate that." Sleep is not only subjective, but preferences for sleep surfaces are individual, Arand says. "There's quite a bit of variability between individuals in terms of what type of surface -- whether it's firm, hard, or soft -- they prefer when they're sleeping," she says. "As far as we know, there is no rhyme or reason for that." Many of Arand's patients who use memory foam have offered unsolicited glowing reports like these about memory foam: "I'm sleeping great."
"Best sleep I've ever had." "I love going to bed at night." Arand says these anecdotal responses may be one-sided. That's because she and other staff don't ask all their patients about their sleep surfaces. "We may only be hearing the good stuff," Arand says. Kathy R. Gromer, MD, sleep specialist with the Minnesota Sleep Institute in Minneapolis, agrees that memory foam may improve sleep. "It can, if it relieves painful pressure points," she says. But Gromer adds that memory foam doesn't do anything for sleep apnea or other sleep-breathing disorders -- and sleep disorders are the primary complaint of most her patients. "When you lie on the memory foam, the heat from your body softens it in appropriate points," Arand says, "so this helps to support your body along the curves and natural lines of the body." Memory foam manufacturers claim this helps relieve pain and thereby promotes more restful sleep. And, though consumers often believe that very firm mattresses are best, more "giving" mattresses like these may lead to better sleep in people with back pain, according to the National Sleep Foundation.
Although there aren't scientific data to support the hypothesis, Arand wonders whether memory foam sleep surfaces might be especially helpful for older people. For them, minimizing extra movement could reduce the number of times they awaken during the night. Being less aware of a bed partner's movements might be an extra benefit, she adds. "Without the coiled springs, you feel your sleep partner's movement less, and that might help, too." What Are the Disadvantages of Memory Foam? Gromer says that memory foam products may retain body heat, which could make them less comfortable in warm weather. However, Arand has not heard this complaint from her patients. "In our culture, most people can adjust their thermostats or blankets for the appropriate season," Arand says. When new, memory foam can produce an odd chemical smell -- a phenomenon called offgassing. To minimize this problem, the Sleep Products Safety Council, a sleep products trade group, recommends airing out the mattress or pad for at least 24 hours before putting sheets on it.
"If you follow directions, the smell dissipates quickly," Arand says, "But I've never heard of anyone having reactions to it." Are Memory Foam Products Safe for Young Children? "I would strongly recommend avoiding this and similar very soft materials for use in infants' beds," Gromer says. "That's because soft bedding traps [carbon dioxide] and increases the risk of sudden infant death syndrome (SIDS) deaths." 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.