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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.

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 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 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.

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.

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

Please note, the writer has not tested these products. All information is research-based.

Saatva Solaire Mattress

The Saatva Solaire Mattress is an air bed with memory foam support.

It offers 50 different firmness levels on each side, so it may suit couples with different requirements or people who are unsure which firmness suits them best.

Other features include:

The Saatva Solaire Mattress is available for purchase online.

Nectar Mattress

Review sites rate the Nectar Mattress highly as a memory foam mattress with excellent value. It is suitable for an adjustable base.

Features include:

  • quilted cooling top for comfort
  • support layer prevents sinking into the mattress
  • minimal motion transfer
  • medium-firm feel
  • relieves pressure points and supports spinal alignment

The Nectar Mattress is available for purchase online.

Idle Hybrid Mattress

The Idle Hybrid Mattress combines sprung coils with foam for support and pressure relief. It is flexible enough to use on an adjustable base.

Features include:

  • flippable mattress to reduce sagging and double the lifespan
  • people can choose to have different firmness levels on each side of the mattress
  • medium-firm option for side or combination sleepers
  • luxury-firm option for heavier weights and back or stomach sleepers
  • CertiPUR-US certified
  • 18-month home trial

The Idle Hybrid Mattress is available for purchase online.

Tuft & Needle Original Mattress

The Tuft & Needle mattress is a 10-in (25-cm), medium-firm mattress suitable for an adjustable bed base.

Features include:

  • graphite and gel beads to draw heat away from the body
  • breathable, open-cell foam
  • pressure relief
  • supports all sleep styles
  • Greenguard Gold and CertiPUR-US certifications
  • box delivery

The Tuft & Needle Original Mattress is available for purchase online.

Zoma Mattress

Designed to relieve pain, the Zoma foam mattress is suitable for use on any bed frame, including an adjustable bed.

Features include:

  • cooling gel memory foam that contours to the body
  • responsive foam to avoid excess sinking
  • supports spinal alignment
  • three zones to target pressure points
  • CertiPUR-US certified

The Zoma Mattress is available for purchase online.

AS2 Amerisleep Mattress

The AS2 is a medium-firm foam mattress that might be a good option for people looking to relieve back pain.

Features include:

  • supports spinal alignment
  • ideal for back or stomach sleepers
  • relieves pressure points
  • breathable and allows airflow
  • rapid-response memory foam
  • CertiPUR-US certified
  • anti-sag and durable
  • adjustable and flexible, so will work with an adjustable base with no wear or tear

The AS2 Amerisleep Mattress is available for purchase online.

Lucid 12 Inch Latex Hybrid Mattress

The Lucid 12 Inch Mattress is a hybrid with layers of coils, latex, and memory foam, which works with an adjustable base.

Features include:

  • gel memory foam for temperature regulation
  • individually cased coils for pressure relief and limited motion transfer
  • edge support
  • CertiPUR-US certified

The Lucid 12-Inch Latex Hybrid Mattress is available for purchase online.

Secretland 12 Inch Gel Memory Foam Mattress

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

Features include:

  • gel memory foam for temperature regulation
  • washable cover
  • responsive foam provides pressure relief and contours to the body
  • medium firmness
  • foam is CertiPUR-US certified, and Oeko-Tex certified
  • box delivery

The Secretland 12 Inch Gel Memory Foam Mattress is available for purchase online.

Sleep Number 360 p6 Smart Bed

According to the product website, the Sleep Number mattress contains cooling technology and offers plush comfort.

This mattress is suitable for use with an adjustable base.

Features include:

  • five comfort layers
  • a person can adjust comfort and firmness levels on each side of the mattress
  • pressure relief
  • responds to movement and adjusts firmness
  • provides individual sleep quality score
  • split king option available, but only if a person buys the mattress with an adjustable base

Extra features, such as foot-warming, zero gravity, and head or foot elevation, are available at an additional cost.

The Sleep Number 360 p6 Smart Bed is available for purchase online.

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 (NIDDK) recommend 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.

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.