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.
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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