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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.

This 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.

Here is a selection of adjustable mattresses to help people with different sleeping needs.

Please note that all prices are for queen-sized mattresses.

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.

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Best for a range of firmness: Saatva Solaire

Saatva Solaire adjustable Mattress
  • List price: $3,595
  • Type of mattress: air bed with memory foam support
  • Firmness: 50 firmness levels

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:


  • people can choose different firmnesses for each side of the mattress
  • 50 firmness levels
  • suitable for people of different weights and stature
  • suitable for varying sleep positions


  • more expensive than some other adjustable mattresses so may not be suitable for people who are on a budget
  • some reviewers say that the mattress slept hot
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Best for minimal smell: Nectar Mattress

Nectar adjustable Mattress
  • List price: $1,049
  • Type of mattress: memory foam
  • Firmness: medium-firm

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 top
  • a support layer that prevents sinking
  • minimal motion transfer
  • pressure point relief
  • support for spinal alignment


  • the mattress has a forever warranty
  • suitable for all sleeping positions
  • the mattress has a minimal smell
  • minimal motion transfer


  • some reviewers report off-gassing from this mattress
  • some reviewers state that the mattress gets softer as it warms up
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Best for a cool sleep: Tuft & Needle Original Mattress

Tuft & Needle Original adjustable Mattress
  • List price: $995
  • Type of mattress: all-foam
  • Firmness: medium-firm

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 body
  • breathable, open-cell foam
  • pressure relief
  • Greenguard Gold and CertiPUR-US certifications
  • box delivery


  • it contains graphite and gel beads that may lead to a cooler sleep
  • offers consistent, contouring support throughout the mattress which provides pressure relief
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Best for pressure relief: Zoma Hybrid Mattress

Zoma adjustable Mattress
  • List price: $1,149
  • Type of mattress: all-foam
  • Firmness: medium-firm

The Zoma foam mattress is suitable for use on any bed frame, including adjustable ones.

This mattress’ key feature is pressure relief. The memory foam cushions the shoulders which may prevent pressure points from forming. Additionally, the mattress has firmer foam in the midsection to support the lumbar area. This may help prevent pressure buildup from improper spinal alignment.

Other features include:

  • cooling gel memory foam that contours to the body
  • responsive foam to prevent sinking
  • CertiPUR-US certification


  • it has three zones of support, which may help reduce shoulder and hip pain
  • the mattress is suitable for any bed frame
  • the mattress contains cooling gel memory foam for a more comfortable sleep


  • some reviewers state that the gel memory foam does not prevent overheating
  • some customers say that they sink into the mattress, making it difficult to change positions
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Best orthopedic mattress: Secretland 12 Inch Gel Memory Foam Mattress

Secretland 12 Inch Gel Memory Foam  adjustable Mattress
  • List price: from around $230
  • Type of mattress: all-foam
  • Firmness: medium-plush

This mattress has three layers of foam and a hypoallergenic cover. It can fit any bed base, including an adjustable one.

The company state that this mattress has an orthopedic design and is built to provide firm support to the joints as well as to the spine. The mattress consists of a high-density foam base support which may help evenly distribute pressure points while people sleep.

Features include:

  • gel memory foam for temperature regulation
  • a washable cover
  • responsive, contouring foam
  • pressure relief
  • CertiPUR-US and Oeko-Tex certifications
  • box delivery


  • some reviewers say that it helps reduce aches and pains
  • the mattress has a hypoallergenic cover to protect against dust mites
  • suitable for couples as it has minimal motion disturbance


  • some reviewers state that the mattress does not expand fully and does not fit bedframes very well
  • may not be as durable as more expensive mattresses
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Best for motion firmness adjustment: Sleep Number 360 p6 Smart Bed

Sleep Number 360 p6 Smart Bed adjustable mattress
  • List price: $3,199
  • Type of mattress: air mattress
  • Firmness: adjustable firmness

The company highlights this product’s cooling technology, plush comfort and automatic firmness adjustment to movement on each side of the mattress. It is suitable for use with an adjustable base.

Features include:

  • five comfort layers
  • adjustable firmness levels on each side separately
  • pressure relief
  • response to movement
  • provides 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 mattress automatically adjusts its firmness in response to movement
  • the mattress has a moisture-wicking top layer which may be good for hot sleepers
  • the mattress has extra features such as foot warming and foot and head elevation


  • some reviewers found the mattress to be too noisy
  • some reviewers found the mattress had a lingering scent after unpacking
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Best for comfort: The Dreamcloud Luxury Hybrid

The Dreamcloud Luxury Hybrid isolated against a blue background.
  • List price: $1,332
  • Type of mattress: hybrid
  • Firmness: luxury firm

The company highlights that this mattress provides comfort, support, and cooler sleep. The mattress has a breathable cashmere blend cover which may help disperse body heat and a contouring supportive soft foam. It is suitable for use with most bed frames, including adjustable ones.

Features include:

  • gel memory foam for pressure relief
  • individually wrapped coils for targeted support
  • a 365-night sleep trial
  • a lifetime warranty


  • the gel memory foam may help people sleep cool
  • a breathable cashmere blend cover designed for comfort and body heat dispersion


  • some reviewers say the mattress is too soft, tall, or firm
  • some reviewers state that they could not sleep soundly due to motion transfer
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Best for allergies: Birch Natural Mattress

Birch Natural Mattress isolated against a blue background.
  • List price: $1,998
  • Type of mattress: hybrid
  • Firmness: medium-firm

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 certification
  • GOTS certification
  • a 100-night sleep trial
  • a 25-year warranty


  • reportedly offers good edge support and reduces aches and pains
  • suitable for people who have allergies as it contains organic and hypoallergenic materials


  • some customers state that there is not enough motion isolation
  • contains wool, so it is not suitable for vegans
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Best for durability: Purple Mattress

Purple Mattress against a blue background.
  • List price: $1,399
  • Type of mattress: foam mattress
  • Firmness: medium-firm

Purple states that this mattress offers people adaptive support, deep full-body comfort, and uninterrupted sleep. It also claims that it will keep your body at an optimal temperature throughout the night.

The mattress contains a foam base layer and a super-stretchy material called GelFlex which reportedly stretches and springs back effortlessly as the body moves. This GelFlex may also make the mattress more durable, as the company states it does not sink with use.

This mattress is suitable for most bed frames, including adjustable ones.

Features include:

  • a GelFlex Grid which provides comfort and support to pressure points
  • a dual-layer core that cushions the body and creates less motion movement
  • breathable foam and air channels to keep the body cool throughout the night


  • this mattress is durable due to its stretchy GelFlex grid which adapts to body movements
  • reviews say that the mattress provides good motion isolation and body temperature control
  • suitable for all sleeping positions


  • lightweight side-sleepers under 145 pounds may prefer a softer mattress which offers more pressure relief around the hips and shoulders
  • may not be suitable for people who are shopping on a budget
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Best organic mattress: Avocado Green

  • List price: $1,999
  • Type of mattress: hybrid
  • Firmness: firm
Avocado Green mattress against a blue background.

Avocado state that the green mattress is the number-one best-rated certified organic mattress in America. It claims that the mattress contains nontoxic materials and combines cushioning, pressure-point support, back support, and extended durability to provide people with the most comfortable sleep.

This mattress is suitable for various bed frames, including adjustable.

Features include:

  • needle-tufted rosettes made from pure white organic wool
  • Nontoxic and water-based adhesive-free material
  • reinforced steel perimeter which reduces motion transfer and relieves back pain
  • optional eco adjustable base or eco plus adjustable base with six massage settings to personalize sleep
  • GREENGUARD Gold certified
  • formaldehyde-free certifIed
  • MADE SAFE certified
  • Global Organic Latex Standard (GOLS) certified
  • GOTS-certified organic wool and organic cotton
  • Climate Neutral certified


  • people can opt for a pillow top for a plusher feel
  • holds more certifications than many competitors


  • contains wool, so it is not suitable for vegans
  • some customers say that the mattress is not comfortable for side sleepers because it is too springy and lacks support
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The following table compares the mattresses in this article.

Saatva Solaireair memory foamrange of firmness options$3,595
Nectarmemory foammedium-firm$1,049
Tuft & Needleall foammedium-firm$995
Zomamemory foammedium-firm$1,149
Secretlandfoam gelmediumfrom around $230
Sleep Numberair mattressrange of firmness options$3,199
Dreamcloudhybridluxury firm$1,332
Purplefoammedium-firm $1,399
Avocadohybrid firm$1,999

Medical News Today chooses mattresses, sheets, pillows, and other bedding that meet the following criteria:

  • Certifications: MNT will choose products that have CertiPUR-US or other certifications. This means that the products are low in pollutants and free from heavy metals and volatile organic compounds.
  • Size: MNT chooses products available in various sizes.
  • Materials and fill: MNT selects products made from different materials and fills, such as memory foam and latex, to suit a range of sleep and lifestyles.
  • Budget: MNT features products to suit a wide range of budgets.
  • Firmness: MNT selects mattresses that are available in a range of firmness options to suit most people’s sleeping styles.
  • Sleep trials: MNT chooses companies that offer a sleep trial.
  • Shipping: Where possible, MNT will include shipping information, such as where the company delivers and whether shipping is free.
  • Warranties and return policies: MNT will include products with warranties and clear returns policies.
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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 2022 study, a medium-firm zonal 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 prohibits manufacturers from using other harmful chemicals in foam mattresses.

Learn more about eco-friendly mattresses here.

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.

An adjustable bed may help improve spinal alignment. In a 2022 study, researchers found that an adjustable bed can also improve sleep quality.

An adjustable mattress may also help with sleep apnea.

A 2022 study found that raising the head of the bed so that people slept with mild head elevation significantly improved their obstructive sleep apnea. Additionally, elevating the head of the bed by 6–8 inches (in) (15–20 centimeters [cm]) may help reduce symptoms of gastroesophageal reflux disease (GERD).

However, adjustable mattresses and beds can be expensive and may require more maintenance than a regular bed and mattress.

Sleeping on an adjustable mattress may help improve the following conditions:

Sleep quality and duration

A 2022 study investigated the effects of sleep quality and duration on participants ages 23–60 over an 8-week period while sleeping on an adjustable mattress. On average, participants’ sleep duration increased by 21 minutes with fewer awakenings and better sleep quality. People also reported falling asleep quicker and waking up feeling more rested.

Obstructive sleep apnea

Recent research suggests that by elevating the position of the head and trunk by 30 degrees, it is possible to obtain a reduction of upper airway collapses and an improvement in symptoms of sleep apnea.

Gastrointestinal reflux

The National Institute of Health recommends people who have gastrointestinal reflux elevate their heads 6–8 inches and keep their upper back at an incline to reduce symptoms.

Lung function and oxygen saturation

A 2021 study suggests that sleeping at a 30-34 degree angle had better lung function and oxygen saturation compared to those who slept on a flat bed.


Adjustable beds may be beneficial for people with glaucoma. A 2018 study found that raising the head by 30 degrees significantly reduced pressure inside the eyes.


Recent research has found that sleeping at an incline of 10–20 degrees decreases snoring. In the study, 22% of participants stopped snoring at a 10-degree tilt, and 67% at a 20-degree tilt.

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.

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.

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.