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If you buy through links on this page, we may earn a small commission. Here’s our process. An adjustable mattress works with a bed base that moves into different positions. They may help people with certain health conditions, such as sleep apnea and gastroesophageal reflux. Share on PinterestThis article looks at what makes a mattress adjustable, the potential health benefits of sleeping on an adjustable mattress, and 9 of the best adjustable mattresses available. What is an adjustable mattress An adjustable mattress is a mattress that will work with a bed frame that a person can move into different positions to suit their sleeping needs. Some standard mattresses are not flexible enough to use on adjustable beds. Adjustable mattresses include memory foam, latex, innerspring, and air mattresses. An adjustable mattress needs to be thick enough to provide comfort but thin enough to be flexible. It also needs to be durable to prevent excess wear and tear from movement. Pros and cons An adjustable bed may help improve spinal alignment. In a 2013 study, researchers found an actively controlled adjustable bed improved spinal alignment and improved sleep quality. An adjustable mattress may also help with sleep apnea. A 2017 study found that raising the head of the bed so that people slept with mild head elevation significantly improved their obstructive sleep apnea. According to the same study, raising the bed may not be safe for people with certain health conditions such as lower limb edema and venous insufficiency. Elevating the head of the bed by 6–8 inches (in) (15–20 centimeters [cm]) may help reduce symptoms of gastroesophageal reflux disease (GERD). Adjustable mattresses and beds can be expensive and may require more maintenance than a regular bed and mattress. What to look for People may want to consider the following points when choosing an adjustable mattress:A split mattress provides individual control of each side of the bed.If buying a mattress and bed separately, measure them carefully, and check with the retailer that they are compatible.If people have back pain, they may want to choose a mattress with orthopedic support, such as pressure relief and spinal alignment. According to a 2015 review, a medium-firm mattress may be the best option for optimal sleep quality, comfort, and spinal alignment. However, firmness preferences may vary depending on individual sleeping styles, body weights, and health needs. People looking for a sustainable mattress can check for certified organic materials and labels such as the Global Organic Textile Standard (GOTS) and the Global Organic Latex Standard (GOLS). Volatile organic compound (VOC) emissions from some bedding materials and other products may be harmful to human health. The CertiPUR-US certification ensures low VOC emissions, as well as prohibiting manufacturers from using other harmful chemicals in foam mattresses. Learn more about eco-friendly mattresses here. Best adjustable mattresses Here is a selection of adjustable mattresses to help people with different sleeping needs. Please note that the writer of this article has not tried these products. All information presented is purely research-based and correct at the time of publication. Medical News Today follows a strict product selection and vetting process. Learn more here. Saatva Solaire MattressType of mattress: This is an air bed with memory foam support.Firmness: It has 50 firmness levels.Pro: People can choose different firmnesses for each side of the mattress.Con: Some reviewers say that it led to warm sleep.Price: The list price starts at $2,247. The Saatva Solaire Mattress is an air bed with memory foam support. Each side has 50 firmness levels, so it may suit couples with different needs or anyone who is unsure which firmness suits them. Other features include:pressure reliefapproval from the Congress of State Chiropractic Associationssix comfort layersmaterials that include Talalay latex, organic cotton, and gel-infused memory foamfoam certified by CertiPUR-US The Saatva Solaire Mattress is available for purchase online. Nectar MattressType of mattress: It contains memory foam.Firmness: It is medium firm.Pro: The company says that this mattress may provide more support for back and side sleepers.Con: Some reviewers report off-gassing from this mattress.Price: The list price starts at $873. Review sites generally rate this memory foam mattress highly, citing excellent value. It is suitable for use with an adjustable base. Features include:a quilted cooling topa support layer that prevents sinkingminimal motion transferpressure point reliefsupport for spinal alignment The Nectar Mattress is available for purchase online. Tuft & Needle Original MattressType of mattress: This is an all-foam mattress.Firmness: It has a medium-firm feel.Pro: It has graphite and gel beads that may lead to cooler sleep.Con: Some reviewers report limited edge support.Price: Its list price starts at $645. This is a 10-in (25-cm), medium-firm mattress suitable for use with an adjustable bed base. Features include:graphite and gel beads to draw heat away from the bodybreathable, open-cell foampressure reliefsupport for all sleeping positionGreenguard Gold and CertiPUR-US certificationsbox delivery The Tuft & Needle Original Mattress is available for purchase online. Zoma MattressType of mattress: This is an all-foam mattress.Firmness: It is medium firm.Pro: It has three zones of support, which may help reduce shoulder and hip pain.Con: Some reviewers report overheating while sleeping on this mattress.Price: Its list price starts at $649. Designed to relieve pain, the Zoma foam mattress is suitable for use on any bed frame, including an adjustable one. Features include:cooling gel memory foam that contours to the bodyresponsive foam to prevent sinkingsupport for spinal alignmentthree zones that target pressure pointsCertiPUR-US certification The Zoma Mattress is available for purchase online. AS2 Amerisleep MattressType of mattress: This is an all-foam mattress.Firmness: It is medium firm.Pro: The company says that this is suitable for back and stomach sleepers.Con: Some reviewers report that it was too firm and caused back pain.Price: The list price starts at $1,049. The AS2 is a medium-firm foam mattress is flexible and works with an adjustable base. Features include:spinal alignment supportpressure point reliefbreathability and airflowrapid-response memory foamCertiPUR-US certificationsag prevention and durability The AS2 Amerisleep Mattress is available for purchase online. Secretland 12 Inch Gel Memory Foam MattressType of mattress: This is an all-foam mattress. Firmness: It has a medium-plush feel.Pro: Some reviewers say that it is comfortable and reduces aches and pains.Con: Others say that it is too firm and does not expand fully.Price: The list price starts at around $280. This mattress has three layers of foam and a hypoallergenic cover. It can fit any bed base, including an adjustable one. Features include:gel memory foam for temperature regulationa washable coverresponsive, contouring foam pressure reliefCertiPUR-US and Oeko-Tex certificationsbox delivery The Secretland 12 Inch Gel Memory Foam Mattress is available for purchase online. Sleep Number 360 p6 Smart BedType of mattress: This is an air mattress.Firmness: It has a range of firmness options.Pro: It automatically adjusts its firmness in response to movement.Con: Some reviewers found it to be noisy.Price: The list price starts at $2,599. The company also highlights this product’s cooling technology and plush comfort. It is suitable for use with an adjustable base. Features include:five comfort layersadjustable firmness levels on each side separatelypressure reliefresponse to movementprovides sleep quality scores Extra features, such as foot warming, a feature called “zero gravity,” and head or foot elevation are available at an additional cost. Also, a split king option is available if a person buys the mattress with an adjustable base. The Sleep Number 360 p6 Smart Bed is available for purchase online. The Dreamcloud Luxury Hybrid Type of mattress: This is a hybrid mattress.Firmness: It has a “luxury firm” feel.Pro: Some reviewers say that they “slept cool,” or did not overheat, while using it.Con: Others have said that it is too soft, tall, or firm.Price: The list price starts at $1,273. The company highlights that this mattress provides comfort, support, and cooler sleep. It is suitable for use with most bed frames, including adjustable ones. Features include:gel memory foam for pressure reliefindividually wrapped coils for targeted supporta 365-night sleep triala lifetime warranty The Dreamcloud Luxury Hybrid Mattress is available for purchase online. Birch Natural Mattress Type of mattress: This is a hybrid mattress.Firmness: It has a medium-firm feel.Pro: Some reviewers report good edge support and a reduction in aches and pains.Con: Others report that the mattress was too soft and did not give enough support.Price: The list price starts at $1349. This medium-firm hybrid mattress contains hypoallergenic and organic materials, such as cotton, wool, and Talalay latex. It is suitable for most bed bases, including adjustable ones. Features include:Greenguard Gold certificationGOTS certificationa 100-night sleep triala 25-year warranty The Birch Natural Mattress is available for purchase online. Mattress comparison The following table compares the mattresses in this article.TypeFirmnessPriceSaatva Solaire Mattressair memory foamrange of firmness optionsfrom $2,247Nectar Mattressmemory foammedium firmfrom $873Tuft & Needle Original Mattressall foammedium firmfrom $645Zoma Mattressmemory foammedium firmfrom $649AS2 Amerisleep Mattressmemory foammedium firmfrom $1,049Secretland 12 Inch Gel Memory Foam Mattressfoam gelmediumfrom around $280Sleep Number 260 p6 Smart Bedair mattressrange of firmness optionsfrom $2,599Dreamcloud Luxury Hybridhybridluxury firmfrom $2,599Birch Natural Mattresshybridmedium firmfrom $1,349 Alternatives A person can also use other solutions to improve sleep position and help certain health conditions. The National Institute of Diabetes and Digestive and Kidney Diseases recommends placing blocks under the bedposts at the head of the bed to relieve GERD symptoms. Using a pillow to change the position of the head may help reduce snoring. Frequently asked questions Below are answers to common questions about adjustable mattresses. Do doctors recommend adjustable beds Healthcare professionals may recommend adjustable beds in certain circumstances. For example, there is evidence that elevating the head during sleep can help reduce symptoms of GERD, such as heartburn, indigestion, and regurgitation. Are adjustable mattresses worth it This depends on what a person is looking for. If a healthcare professional recommends an adjustable mattress for a condition such as GERD, the symptom relief may be worth the cost and inconvenience of buying a new mattress. The prices can vary. A person may be able to buy one that costs about as much as a nonadjustable mattress. Which adjustable mattress is best The best adjustable mattress for each person depends on several factors. People should consider the size of their bed frame, the firmness of the mattress, and whether they require any additional features, such as cooling technology. Summary An adjustable mattress works with an adjustable bed frame to change sitting or sleeping positions. It may help with certain health conditions. People may want to buy an adjustable bed that comes with a mattress, or they can check with retailers that a mattress and bed frame from different brands are compatible. If people have a health condition that may benefit from using an adjustable bed and mattress, they may want to check whether their health insurance covers it. Some health insurance companies may class an adjustable bed or mattress as medical support.Back PainSleep / Sleep Disorders / Insomnia 7 sourcescollapsedMedical News Today has strict sourcing guidelines and draws only from peer-reviewed studies, academic research institutions, and medical journals and associations. We avoid using tertiary references. We link primary sources — including studies, scientific references, and statistics — within each article and also list them in the resources section at the bottom of our articles. You can learn more about how we ensure our content is accurate and current by reading our editorial policy.About certified foam. (n.d.).https://certipur.us/about-the-seal/Cazan, D., et al. (2017). The effect on snoring of using a pillow to change the head position [Abstract].https://link.springer.com/article/10.1007/s11325-017-1461-1de Barros Souza, F. J., F, et al. (2017). The influence of head-of-bed elevation in patients with obstructive sleep apnea.https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5700252/Radwan, A., et al. (2015). Effect of different mattress designs on promoting sleep quality, pain reduction, and spinal alignment in adults with or without back pain: Systematic review of controlled trials [Abstract].https://www.sleephealthjournal.org/article/S2352-7218(15)00140-0/fulltextTreatment for GER and GERD. (2014).https://www.niddk.nih.gov/health-information/digestive-diseases/acid-reflux-ger-gerd-adults/treatmentVerhaert, V., et al. (2013). Smart control of spinal alignment through active adjustment of mechanical bed properties during sleep [Abstract].https://content.iospress.com/articles/journal-of-ambient-intelligence-and-smart-environments/ais216Volatile organic compounds' impact on indoor air quality. (n.d.).https://www.epa.gov/indoor-air-quality-iaq/volatile-organic-compounds-impact-indoor-air-qualityFEEDBACK:By Beth Sissons and Danielle Dresden — Updated on April 20, 2022 Latest newsWhat sets 'SuperAgers' apart? 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