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7 Best Mattresses for Seniors of 2026

Find out which mattresses performed best in our testing for comfort, accessibility, value and more


The products and services discussed on this page have been independently tested and researched. AARP may earn a commission through affiliate links, but this does not influence our objective reviews. Proceeds earned go toward supporting our mission.

The Helix Midnight Luxe on display
Courtesy of Helix Sleep

Our sleep patterns change throughout our lives. Many older adults experience lighter, shorter sleep, which can affect energy levels, focus and overall well-being. Poor sleep is not an inevitable part of aging, but it can become more common. A 2024 AARP report found 70 percent of surveyed adults ages 40 and older reported having sleep difficulties, and more than 90 percent acknowledged poor sleep can hurt physical and mental health.

To help adults ages 50 and older find a mattress that supports better sleep, the AARP Smart Picks™ team tested more than 30 beds, evaluating comfort, ease of movement, price and more. To understand what matters most when choosing a new bed, we also surveyed 300 adults ages 50 and older in 2025 and gathered input from aging experts and focus group participants. 

Read on to learn which seven mattresses stood out in our testing. (All models tested were queen-size mattresses unless otherwise noted.)

Our top mattress for seniors

Helix Midnight Luxe

  • Cushioning and supportive
  • Impressive motion isolation
  • Strong bounce helps assist movement

The best mattresses for seniors of 2026

Comparing the best mattresses for seniors

Meet the testers

Sleeper profiles arranged on a grid with information like age and weight
AARP Smart Picks

Best Mattress for Seniors Overall: Helix Midnight Luxe

The Helix Midnight Luxe on display
Courtesy of Helix Sleep

Score: 8.9 out of 10

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Pros and cons

Pros

  • Almost-perfect pressure relief and spinal support
  • Secure edges
  • Springy feel with strong motion isolation

Cons

  • Expensive
  • Poor adjustable base compatibility

Features

  • Firmness: Medium
  • Trial period: 120 nights
  • Warranty: Limited lifetime

Key takeaways from our testing

Comfortable in all tested sleep positions. Testers were impressed by how well the Helix Midnight Luxe adapted to different sleep positions. Sandra, 76, a tester who experiences back pain, noted an even balance of pressure relief and support across all positions. “It’s flexible and bouncy, but doesn’t have a hard firmness,” she said. She gave it near-perfect scores on average for pressure relief (4.5 out of 5) and spinal alignment (4.8 out of 5).

Woman lying on her back on the Helix Midnight Luxe mattress
Tester Sandra described the feeling of the Helix Midnight Luxe as a “nice hug.”
AARP Smart Picks

Stable, firm edges. Mattress accessibility, which refers to how easy it is to get in and out of bed, ranked as a top priority for many of our survey respondents, especially those managing pain or stiffness. The Helix Midnight Luxe received a very good rating (4 out of 5) in our edge support test, which involves placing a 150-pound sandbag on the edge and measuring how much the bed dips. It only sank 3.5 inches, and the average among all beds was 4 inches. Strong edges can help reduce fall risk and may make it easier for people with mobility challenges to get in and out of bed.

Higher cost. The main drawback testers noted was the price: This is one of the most expensive mattresses on our list. One tester said the materials appeared to be high quality and performance was consistent across categories. But shoppers on a tighter budget may want to consider a lower-cost option like the Brooklyn Bedding Signature Hybrid, which is next on our list. 

Best Value: Brooklyn Bedding Signature Hybrid

The Brooklyn Bedding Signature Hybrid on display
Courtesy of Brooklyn Bedding

Score: 9.9 out of 10

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Pros and cons

Pros

  • Strong overall performance at a lower price
  • Superb pressure relief and support
  • Responsive coils help with ease of motion

Cons

  • So-so cooling capabilities
  • Average for adjustable base compatibility

Features

  • Firmness: Medium
  • Trial Period: 120 nights
  • Warranty: Limited lifetime

Key takeaways from our testing

Relieves pressure and supports spine at a lower cost. The Brooklyn Bedding Signature Hybrid earned perfect scores for pressure relief and spinal support across all sleeping positions, making it one of the highest-performing beds we tested. “This is very comfortable,” said Patricia, an 84-year-old tester and side sleeper who uses a CPAP machine at night. “It contours well to my body. I don’t feel pressure on my neck, hips, shoulders, or back.” It’s also the most affordable option on this list, priced at about $1,300 for a queen, with frequent sales bringing the cost closer to $1,000. For shoppers focused on comfort and value, this mattress delivers strong performance for the price.

Woman lying on her side on the Brooklyn Bedding Signature mattress.
Tester Patricia gave the Brooklyn Bedding Signature a perfect score for spinal alignment when positioned on her side.
AARP Smart Picks

High bounce for easier movement. In our bounce test, the mattress rebounded 19 inches when a 15-pound weighted ball was dropped on the surface. This result makes it one of the most responsive hybrid beds we evaluated, as the average bounce for all beds we tested was about 17 inches. This high level of bounce can be helpful for older adults who want a mattress that supports movement.

May feel too warm for hot sleepers. The Brooklyn Bedding Signature Hybrid earned a middling score (3 out of 5) for temperature regulation. Our lab team performed a cooling gun test to measure how well the mattress dissipates heat. The test used a heat sensor to measure the change in surface temperature before and after applying a heating pad. One minute after removing the heating pad, the mattress was 17.3 degrees hotter than its original temperature — the average of all mattresses we tested was 16.3 — reflecting only average cooling. If staying cool is a top priority, a bed designed with more advanced cooling features, such as the Leesa Sapira Chill Hybrid, may be a better fit.

Best for Back Pain: Nectar Premier Memory Foam

The Nectar Premier Memory Foam on display
Courtesy of Nectar

Score: 9.9 out of 10

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Pros and cons

Pros

  • Stellar spinal alignment in all sleep positions
  • Excellent motion isolation 
  • Extra support for the lower back

Cons

  • Limited bounce for repositioning
  • Average temperature regulation

Features

  • Firmness: Medium firm
  • Trial period: 365 nights
  • Warranty: Lifetime

Key takeaways from our testing

Supports spinal alignment. Testers found the Nectar Premier Memory Foam to be true to its advertised firmness feel (medium firm) and gave it a near-perfect rating on average (4.7 out of 5) for spinal alignment across sleep positions. A mattress that supports neutral spinal alignment can help reduce overnight strain on the back, says Pola Ham, occupational therapist and certified aging-in-place specialist at Touro University in New York City.

Woman in background sitting on edge of mattress while in the foreground sits a beaker filled with red liquid balancing on the bed
When our lab team conducted a ripple test to see how well the Nectar Premier Memory Foam limits motion, the bed nabbed a perfect score.
AARP Smart Picks

Exceptional choice for light sleepers with back pain. The Nectar Premier was among the top-performing beds for motion isolation of all beds that we’ve tested. Our lab team evaluated this bed by conducting a ripple test and a couples’motion isolation test. During the ripple test, the lab team placed a liquid-filled beaker on one side of the bed while a tester moved on the other. Testers noticed little to no movement of the liquid during this evaluation, which earned this bed a perfect rating. During the couples’ motion isolation test, a member of our lab team made a series of movements on one side of the bed while our blindfolded tester lay on the other and recorded how much movement they felt. This mattress earned a perfect score for that measure as well, as the tester and lab team member couldn’t feel each other reposition or get out of bed. These top-tier results are likely due to this bed’s memory foam construction that features thick foam layers. 

Check out our best mattresses, best mattress for hip pain and best mattress for back pain articles where the Nectar Premier Memory Foam is also our best overall pick.

Not ideal for ease of movement. While the all-foam construction has benefits for motion isolation, a drawback is that it limits bounce. Testers noted that changing positions required more effort than on hybrid beds. If getting in and out of bed can feel challenging for you, a more responsive option like the Helix Midnight Luxe may be a better fit. If you have questions about any mobility issues, or questions about any pain you may be experiencing, consult with your health care provider. 

Unsurprisingly, the Nectar Premier Memory Foam also is not great at limiting heat buildup, scoring only fair (3 out of 5) in our cooling gun test. Memory foam beds tend to retain heat since they lack the airflow that spring beds have.

Best for Side Sleepers: Saatva Classic

The Saatva Classic on display
Courtesy of Saatva

Score: 9.9 out of 10

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Pros and cons

Pros

  • Near-perfect pressure relief for side sleeping
  • Targeted support to help maintain spinal alignment
  • Reinforced edges to support movement

Cons

  • Poor temperature regulation
  • Midrange motion isolation

Features

  • Firmness: Medium firm
  • Trial period: 365 nights
  • Warranty: Limited lifetime

Key takeaways from our testing

Targeted support helps keep the spine aligned. The Saatva Classic features reinforced lumbar support through the center of the bed, with more forgiving foam under the shoulders and hips. This design helps side sleepers keep their midsections lifted while reducing pressure at the joints. Tester Sandra, a combination sleeper, said the surface allowed just enough sinkage to keep her spine neutral without feeling unsupported. “This is comfortable and I have no pain,” she said. “I have hip problems, and this is doing a great job relieving pressure.” She gave a perfect rating for  spinal alignment on her side, and a near-perfect rating (4.5 out of 5) for pressure relief on her side.

Reinforced edges. To better understand its construction, our lab team cut open and examined the bed’s internal layers. They noted dense foam walls around the perimeter that help stabilize the edges, a feature that can make sitting and standing feel more secure. The mattress also uses two coil layers instead of one, which adds responsiveness and makes it easier to change positions. The results of our edge support test reflect this: Testers awarded it 4.5 out of 5 for stable edges. 

Saatva offers this model in two heights — 11.5 inches (the one we tested) and 14.5 inches — allowing shoppers to choose a profile that feels safest for getting in and out of bed.

A peek at the construction of the Saatva Classic mattress.
The Saatva Classic has extra stability along the perimeter. (Note the block of yellow foam to the right.)
AARP Smart Picks

Not ideal for hot sleepers. The plush Euro pillow top retains heat. During our cooling gun test, the mattress surface remained 26 degrees warmer after one minute of cooling, significantly warmer than its starting temperature. This earned it a bottom-level score (1 out of 5) for temperature regulation. People who tend to overheat while sleeping may prefer an option with better temperature regulation, such as the Leesa Sapira Chill Hybrid. Lighter sleepers who share their beds with others also may be awakened easily on this mattress — it received a 2.5 out of 5 for its ability to dampen movement. 

Best Firm: DreamCloud Classic Hybrid

Score: 9.8 out of 10

The DreamCloud Classic Hybrid on display
Courtesy of DreamCloud

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Pros and cons

Pros

  • Firm yet pressure-relieving
  • Relatively low cost
  • Conforms well to adjustable bases

Cons

  • May be too firm for stomach sleepers
  • Midrange temperature regulation

Features

  • Firmness: Firm
  • Trial period: 365 nights
  • Warranty: Limited lifetime

Key takeaways from our testing

Firm and affordable. Jerry, a 77-year-old tester and side sleeper with back pain, said he appreciated how well the DreamCloud Classic Hybrid supported him while cushioning his joints. “I feel good pressure relief in my lower back,” he said. “It’s firm but it hugs my body.” At about $1,700 for a queen — and when marked down as low as $700 during frequent sales — it’s one of the most affordably priced options on this list. This bed also was a top pick in our review of the best mattresses for sciatica.

Man lies on his back on a bed with his eyes closed
Tester Jerry said the DreamCloud Classic Hybrid was supportive and comfortable.
AARP Smart Picks

Conforms well to adjustable bases. The DreamCloud Classic Hybrid received a perfect score for compatibility when our lab testers tried it on three different adjustable bases. Some older adults pair their mattresses with adjustable bases, which can elevate the head or feet to enhance comfort, help provide relief for health conditions like sleep apnea or acid reflux or help them to get out of bed.

Uncomfortable for some stomach sleepers. While general industry guidelines recommend firm mattresses for stomach sleepers for optimal support, firm beds don’t work for everyone. When positioned on his stomach, Jerry, a higher-weight sleeper, reported that his lower back felt slightly arched and wished it offered a bit firmer support. If you’re a higher-weight stomach sleeper, you may want to consider a more supportive bed, like the Saatva Classic.

If you’re looking for a bed with above-average cooling, we recommend skipping the DreamCloud Classic Hybrid. It received a fair rating (3 out of 5) for its ability to limit heat buildup. The Leesa Sapira Chill Hybrid is much better at cooling. 

Best for Cooling: Leesa Sapira Chill Hybrid

The Leesa Sapira Chill Hybrid on display
Courtesy of Leesa Sapira

Score: 9.6 out of 10

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Pros and cons

Pros

  • Top-tier temperature regulation
  • Excellent pressure relief for sensitive joints
  • Strong spinal alignment across tested sleeping positions

Cons

  • Middling edge support
  • Some couples may feel movement

Features

  • Firmness: Medium firm
  • Trial period: 120 nights
  • Warranty: Lifetime

Key takeaways from our testing

Top-tier temperature regulation. For people who tend to sleep hot, the Leesa Sapira Chill Hybrid stood out in our testing. During our cooling gun test, its surface temperature increased by 44 degrees after we placed and removed the heating pad, which was lower than most beds we tested. After one minute of cooling, the surface remained only about 8 degrees above its starting temperature, earning a perfect score. Ham, the occupational therapist, says older adults may overlook temperature regulation when choosing a mattress. But this feature can be worth considering. “As we age, our bodies become less efficient at maintaining a consistent temperature during sleep,” she says. “Some older adults wake up too hot or too cold, which can interrupt rest.” 

A thermal image of our cooling testing of the Leesa Sapira Chill.
The Leesa Sapira Chill Hybrid was only 7.9 degrees above its starting temperature in our cooling gun test, securing a perfect score.
AARP Smart Picks

Comfortable for pressure-sensitive sleepers. This bed earned perfect scores for pressure relief and spinal alignment across all tested sleeping positions. Tester Patricia reported feeling “very comfortable,” and that the bed was supportive yet cushioning. “I sink through the soft pillow top cover and then my body is evenly supported from the layers underneath,” she said. Older adults with pressure-sensitive conditions, such as rheumatoid arthritis, may appreciate this balance of cushioning and support.

So-so motion isolation. This is a bouncy hybrid mattress, which typically makes it easier to feel your partner’s movements in bed. The Leesa Sapira Chill Hybrid earned midrange marks in the ripple and couples’ motion isolation tests, and our testers felt enough movement to caution light sleepers. Older adults who want cooling performance with better motion isolation may prefer a more well-rounded option, such as the Helix Midnight Luxe

If you’re looking for strong edges, the Sapira Chill Hybrid may not be a good fit. It earned an average rating (3 out of 5) for edge support.

Best Soft: Nolah Evolution Comfort Plus

The Nolah Evolution Comfort Plus on display
Courtesy of Nolah

Score: 9.7 out of 10

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Pros and cons

Pros

  • Thick, plush comfort layers provide good support
  • Strong coils provide reinforcement and movement assistance
  • First-rate compatibility with adjustable bases

Cons

  • May be too tall for some people
  • Average bounce

Features

  • Firmness: Luxury firm
  • Trial period: 120 nights
  • Warranty: Limited lifetime

Key takeaways from our testing

Soft surface with sturdy support. Although the Nolah Evolution Comfort Plus is marketed as a medium-firm bed for higher-weight sleepers, testers found its pillow top noticeably soft. Jerry, a higher-weight tester, said the surface felt plush but noted he didn’t sink in too much. “I feel very comfortable, and my back is straight. No pressure is building up at all and my spine feels supported,” he said. Sandra, a tester who is average-weight and experiences back pain, agreed. “This is so comfortable,” she said. “I have no back pain and my hips feel great — they’re sinking just slightly which relieves pressure.” This combination of surface cushioning and reinforced coils may work well for older adults who like a firmer mattress. Overly plush mattresses may allow the body to sink too deeply, which can curve the spine and cause back pain.

An older adult tester lying on his back on the Nolah Comfort Plus mattress.
While positioned on his back on the Nolah Comfort Plus, tester Jerry said his body felt supported. He gave this bed a perfect score for pressure relief for back sleeping.
AARP Smart Picks

Works well with adjustable bases. Our lab team and testers were surprised by how well this mattress flexed with an adjustable base. At 13 inches tall, it’s one of the tallest mattresses we tested — the average bed height is about 11 inches — but it still bent smoothly for head and foot adjustments without noticeable sloping or gapping. This mattress stood out in our testing as an option for older adults who prioritize a softer surface feel without sacrificing adjustable-base compatibility.

Height may limit accessibility. While the height of this bed was not an issue for compatibility with adjustable bases, its profile may be a challenge for some people. When paired with an adjustable base or standard bed frame, the total height may be difficult for some older adults, especially those who are shorter or those who have mobility or balance concerns. Shoppers who would prefer a lower bed may want to consider the 11.5-inch Saatva Classic. In addition, this mattress isn’t the best for movement-assisting bounce. It scored a midrange 3 out of 5 in our bounce test.

How we tested the best mattresses for seniors

We started our process by researching the market. Which mattress features can help older adults fall asleep quicker and stay asleep longer? Which beds with these features are popular and why? Which companies have the best customer reviews — and are the reviews legitimate? After talking with medical experts and aging experts, we narrowed our list from 50 mattresses to the more than 30 that we tested in our lab.

To identify strengths and weaknesses, we used controlled lab tests to assess features that can be important for older adults, like pressure relief, edge support and temperature regulation. Then we recruited more than 15 testers, ages 50 and older, to give us their unbiased feedback.

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Testers answered questions like: Did the mattresses relieve pressure? Did the beds help limit heat buildup? Are the edges strong and stable? Beds that excelled in our tests made our list of the best mattresses for older adults. For more details, see our mattress testing methodology.

What seniors should look for in a new mattress

While mattress comfort is subjective, certain features can help older adults relieve pressure, fall asleep quicker and stay asleep longer.

“When older adults ask me for advice on choosing a mattress, I usually start by explaining that there isn’t a single ‘best’ option,” says Ham, the occupational therapist. “However, sleep is a crucial part of health, and the type of mattress a person uses can make a big difference in how well they rest and how they feel the next day.”

Our team selected mattresses in this review based on expert, survey and focus group input. The following five considerations were the most important for our testing, but this list is not meant to be clinical advice. If you have concerns about a condition that affects your sleep quality or mobility, or have questions about your health or how to sleep better, talk with your health care provider.

Sleeping position and firmness

Almost two-thirds (64 percent) of our survey participants said firmness is one of their top priorities when buying a new bed. Ham and focus group participants agreed that matching your sleep position to general firmness recommendations is a good starting point. 

In general, mattress companies rate their mattresses on a scale from 1 to 10, with 10 being the firmest. Experts generally recommend the guidelines below for firmness levels based on different sleep positions, though these guidelines are not intended as clinical advice.

  • Side sleepers: Soft to medium firm (4 to 6.5 out of 10)
  • Back sleepers: Medium to medium-firm (5 to 6.5 out of 10)
  • Stomach sleepers: Medium-firm to firm (6.5 to 9 out of 10)
  • Combination sleepers: Whichever firmness level matches your most common sleep position

The most common firmness levels on the market are medium and medium firm, based on our team’s research. A medium-firm mattress tends to work best for most people because it balances pressure relief and stability, Ham says. But preferences among people can vary. For instance, some older adults prefer firmer beds for easier movement, while others prefer softer mattresses that help reduce pressure.

Materials for comfort and support

A mattress’s construction and materials influence how responsive it feels, how well it regulates temperature and how comfortable it is overall. There is no single best mattress material for older adults, but some materials may offer more support, pressure relief or movement assistance than others.

Consider the following advantages and disadvantages of the materials for various types of mattresses.

  • Innerspring. These beds feature bouncy, metal coils. Coil-only beds tend to be bouncy and easy to move on, which may help people with mobility challenges. They also promote airflow but typically provide less pressure relief unless paired with a thick comfort layer on top.
  • Memory foam. All-foam beds are made of layers of polyurethane foams. They contour to the body and can help relieve pressure around joints which can be beneficial for people with joint or back pain. These mattresses, however, may retain heat, feel difficult to move on or lose shape over time.
  • Hybrid. Hybrid mattresses combine coils with foam layers, offering both support and pressure relief. These beds are popular, but construction varies widely, making it difficult to predict how stable or cool they will feel until you try them.
  • Latex. These natural rubber beds are a sustainable alternative to memory foam. They mold similarly to foam, but they’re more resilient and breathable. They also tend to feel dense, providing pressure relief with more bounce than memory foam. Beds made of this material tend to be breathable and supportive but also can be more expensive because natural rubber is harder to source.

Ham often recommends memory foam or hybrid mattresses because they help distribute weight evenly and reduce pressure on joints. In this review, we include hybrid, innerspring and memory foam options to reflect a range of comfort needs and budgets.

Safety considerations 

Safety is one of the most important factors for older adults to consider when buying a new bed, Ham says. “Vision changes, slower reaction times and balance challenges can increase fall risks, especially when getting in or out of bed,” she says.

Help prevent falls in your bedroom

Small changes in your bedroom can help reduce fall risks. Consider keeping pathways clear of clutter and cords, using nightlights or motion-sensor lighting and adding stable furniture or grab bars for support, says Pola Ham, occupational therapist and certified aging-in-place specialist at Touro University in New York City. A physical therapist or occupational therapist can assess your home to provide personalized safety recommendations. Talk with your health care provider if you’re interested in a referral or have questions. 

Start by considering your bed’s overall height, including the mattress and frame. “I recommend choosing a bed height that allows [your] feet to touch the floor comfortably when sitting at the edge,” says Ham.

Firmness at the edge also matters. Softer beds may sink too much, making movement difficult. Stronger edges can make it easier for you to sit securely while getting dressed, for instance, without having to be afraid of slipping.

If mobility remains a concern, an adjustable base may help, since elevating the head of the bed can make it easier to stand. Consult with your health care provider to get the best advice for your situation. 

Price

About 63 percent of our survey respondents said cost was a top consideration when choosing a mattress. About half of respondents said they had budgeted between $500 and $1,500 for a new mattress, while others were willing to spend more for features like accessibility.

Mattresses in this review range from $1,332 to $2,399. Discounts often can lower these prices by several hundred dollars, so look out for sales if you’re interested in a new bed. For instance, the Brooklyn Bedding Signature Hybrid — our best value pick — is frequently priced under $1,000 for a queen during promotions.

FAQs

Do seniors need a softer or firmer mattress?

The type of bed that older adults prefer can vary based on factors such as their sleeping positions, body weight and personal preferences. Many older adults may feel comfortable on a medium-firm mattress that offers cushioning but still feels supportive. Mattresses that are too soft may lack support, while overly firm beds can create uncomfortable pressure points around the joints. 

What is the best type of mattress for older adults?

There is no single best bed for seniors. For example, some older adults may prefer hybrid mattresses because they combine cushioning with bounce, which can make movement easier. Others may favor memory foam for its ability to dampen motion if they sleep with a partner who gets in and out of bed frequently. Meanwhile, the best mattress for older adults with mobility concerns may include firmer, more responsive materials that make changing positions easier. 

What is the best mattress for seniors with arthritis?

Older adults with arthritis can benefit from a bed that helps to relieve pressure while assisting with movement, such as hybrid mattresses with joint-contouring foam. Based on our testing, several options performed well across these areas, including the Saatva Classic and Helix Midnight. You can learn more about our picks for the best mattresses for arthritis in our review.

FAQs

Do seniors need a softer or firmer mattress?

The type of bed that older adults prefer can vary based on factors such as their sleeping positions, body weight and personal preferences. Many older adults may feel comfortable on a medium-firm mattress that offers cushioning but still feels supportive. Mattresses that are too soft may lack support, while overly firm beds can create uncomfortable pressure points around the joints. 

What is the best type of mattress for older adults?

There is no single best bed for seniors. For example, some older adults may prefer hybrid mattresses because they combine cushioning with bounce, which can make movement easier. Others may favor memory foam for its ability to dampen motion if they sleep with a partner who gets in and out of bed frequently. Meanwhile, the best mattress for older adults with mobility concerns may include firmer, more responsive materials that make changing positions easier. 

What is the best mattress for seniors with arthritis?

Older adults with arthritis can benefit from a bed that helps to relieve pressure while assisting with movement, such as hybrid mattresses with joint-contouring foam. Based on our testing, several options performed well across these areas, including the Saatva Classic and Helix Midnight. You can learn more about our picks for the best mattresses for arthritis in our review.

Terms, conditions and delivery

About 39 percent of survey respondents said they paid close attention to terms and conditions when buying a new mattress. Most of these respondents valued long warranties (22 percent), but some also looked for a generous trial period (6 percent). Respondents also paid attention to delivery options, as some looked for white-glove delivery services (11 percent). 

  • Warranty. All beds on this list have warranties of at least 120 days that typically cover manufacturing defects. Since coverage can vary for new mattresses, we suggest reviewing coverage details and any associated costs.
  • Trial period. Trial periods allow you to test a mattress at home before committing. Returned mattresses often are picked up by the company, sometimes for a fee. The trial periods for beds in this review range from 120 to 365 nights.
  • White-glove delivery. This service includes delivery, set-up of your new mattress and removal of your existing bed. Some companies offer this service for an additional fee, while others, like Saatva, include it with your purchase. This service is in contrast to standard delivery, which involves your bed arriving at your doorstep compressed in a box or in its normal shape.

How to know it’s time for a new mattress

In general, mattresses can last between seven and 10 years, depending on factors such as their materials, how you care for them and how often they’re used. Beds made with higher-quality materials, such as high-density foam or natural latex, may last longer than 10 years. If your mattress is nearing the end of this range — or if you notice signs of wear or damage like holes, springs that poke you or sagging — you may decide to start shopping for a replacement.

Also consider whether you still feel comfortable in your bed. Ham says she often asks patients about their sleep environment — which includes how their bedroom is arranged and their bedroom temperature — when they report poor rest or mobility concerns. Waking up with new or worsening pain, feeling unsteady when getting in and out of bed or struggling to change positions at night can all signal your mattress is no longer supporting you properly, she says.

Still not sure if it’s time for a new bed? One simple way to test whether your mattress is contributing to sleep or other issues is to notice how you feel when you’re on a different mattress, such as a hotel bed or guest bed. Or you can pay attention to how you feel on a temporary mattress topper. Consider switching things up for a few nights to gain some potentially useful insight. If your sleep quality improves after your experiment, your mattress may be part of the problem.

How aging can affect sleep

As we age, our bodies naturally adopt new sleep rhythms. External factors, such as medications or health conditions, can further disrupt sleep. Although changes in sleep patterns are common with age, poor sleep is not an inevitable part of aging. And it can affect daily life.

Most of our focus group participants said poor sleep often affected their mood, stress levels and overall well-being. “It messes up my whole day, and I become quick-tempered at everyone and everything,” said one female focus group participant, a 69-year-old combination sleeper.

Research shows chronic sleep deprivation accelerates the aging process. For example, people who reported getting five hours of sleep or less at age 50 were 30 percent more likely to be diagnosed with at least two chronic diseases over 30 years, compared to people who slept for up to seven hours, as AARP reported about a 2022 study in PLOS Medicine.

In this section, we’ve listed some age-related factors that can affect sleep quality. If you have questions about any sleeping problems, or questions about daytime drowsiness — including those related to any symptoms or potential treatments — consult your health care provider.

Circadian rhythm changes

Your circadian rhythm — your body’s 24-hour internal clock — regulates sleep and other processes like digestion and hormone release. This internal clock can shift with age, and some people may feel sleepy earlier in the evening, for example, and wake earlier in the morning.

Conditions that can become more common with age

Health conditions that can become more common with age can disrupt sleep. For example, menopause-related hot flashes may interrupt rest. And overactive bladder, a collection of symptoms that may affect how often you urinate and your urgency is most common in people 65 and older, according to Cleveland Clinic. 

Medications

Millions of older Americans take multiple medications, as chronic conditions such as arthritis, high blood pressure and diabetes, become increasingly common with age. Some prescription and over-the-counter medications also can affect your sleep. Learn more about this in our article about medications that can affect sleep

How much do the best mattresses for seniors cost?

The best mattresses for older adults that are on our list cost between $1,332 and $2,499. See the table below for a breakdown.

Questions or feedback? Email us at AARPSmartPicks@aarp.org.

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