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Kenny is a Staff Writer at Sleepopolis and a certified sleep science coach. He tests the good, the bad, and the ugly of all things sleep, so you can skip the trial and error and jump straight into a good night’s rest. Kenny graduated from William Peace University with a degree in English and a minor in communication. Outside of testing and writing about mattresses, he enjoys hiking, biking, or avoiding the pit at your local heavy metal concert.
Sosha Lewis is a senior staff writer for Sleepopolis and a certified sleep science coach. Lewis is happy that she is able to combine her love of sleep with her love of writing. Lewis also has had articles featured in The Washington Post, Huffington Post, MUTHA Magazine, Charlotte Magazine, and The Charlotte Observer. Her weekly column, Soshally Awkward, is featured on the nationally-syndicated radio show, Bob & Sheri.
She lives in Charlotte, NC with her husband, daughter, and lovable trash-panda of a dog, Olive.
Sosha Lewis is a senior staff writer for Sleepopolis and a certified sleep science coach. Lewis is happy that she is able to combine her love of sleep with her love of writing. Lewis also has had articles featured in The Washington Post, Huffington Post, MUTHA Magazine, Charlotte Magazine, and The Charlotte Observer. Her weekly column, Soshally Awkward, is featured on the nationally-syndicated radio show, Bob & Sheri.
She lives in Charlotte, NC with her husband, daughter, and lovable trash-panda of a dog, Olive.
Dan is a Performance Editor and Certified Sleep Coach at Sleepopolis, where he writes and edits mattress roundups to give readers the most up-to-date information on sleep products. In 2020, Dan earned his MFA In Playwriting from UT Austin, and his plays have been seen around the country in Chicago, Austin, Washington D.C., and elsewhere. He’s also a pop-culture fanatic, having written for publications such as The A.V. Club, Consequence, Pitchfork, and Vox. He co-hosts two popular horror podcasts on the Bloody Disgusting Podcast Network — The Losers’ Club: A Stephen King Podcast and Halloweenies: A Horror Franchise Podcast. When he’s not catching up on the latest King novel, you can find Dan in and around Brooklyn walking his dog Hank, seeing a play with his wife, and going to way too many concerts.
Livvi DiCicco is a staff writer and Certified Sleep Science Coach. She has been writing, editing, and researching sleep-based content for over a year. After graduating from the University of Iowa with a degree in English & Creative Writing, she decided to work in the digital marketing field, continuing her creative works on the side. Her other interests (besides napping and writing) include digital art, history, and boba tea.
Riley is a staff writer and Certified Sleep Science Coach at Sleepopolis. She’s a firm believer that there’s nothing better than a good night’s sleep. Riley graduated from Elon University with a degree in journalism and creative writing. In her free time, she loves to paint, cook, and spend time with family (especially her pets).
Obstructive sleep apnea (OSA) is a sleep disorder that causes repeated interruptions in breathing throughout the night. These pauses can lead to frequent awakenings, poor sleep quality, and a range of health issues, including daytime fatigue and an increased risk of heart disease and stroke. For many folks with sleep apnea, a high-quality mattress can help minimize these disruptions by promoting better sleep posture, reducing pressure points, and supporting easier breathing.
Finding the right mattress is essential if you live with this disorder. The wrong bed can make it harder to maintain a healthy sleep posture, stay cool, and rest undisturbed — all of which can worsen symptoms of sleep apnea. But with so many options available, knowing which mattress truly supports better sleep with OSA can feel overwhelming.
To make your search easier, my fellow mattress testers and I have rounded up the top 10 mattresses that offer the support, pressure relief, and cooling features that people with sleep apnea need. These beds come in various styles and firmness levels, so no matter how you sleep, there’s something here for you.
Sleepopolis’s team of expert reviewers and certified sleep science coaches have helped over 60,000 people find the right bed for their needs. We use a rigorous, research-backed review methodology developed by collaborating with medical professionals, including doctors, physical therapists, and sleep specialists.
We consulted our chief medical advisor, Dr. Raj Dasgupta, MD, FACP, FCCP, FAASM, to ensure our methodology and specific recommendations are accurate. Additionally, our chief medical product tester, Dr. Joe Tedesco, DPT, OCS, ATC, CSCS, joined us while testing these mattresses to offer trusted insights from a clinical perspective.
Each of these mattresses is designed to support healthier sleep and minimize the issues that can worsen obstructive sleep apnea. Read on to see which ones made the list.
Titan Plus – Best Mattress for Heavy Sleepers with Sleep Apnea
Disclaimer: Please note that the content in this article is meant for informational purposes only and should not be construed as medical advice or serve as a substitute for seeing a medical professional regarding any sleep problems you may have. Please see your doctor regarding any urgent medical issues.
What I Looked for in the Best Mattresses for Sleep Apnea
When choosing the best mattresses for people with sleep apnea, I focused on features that minimize disruptions and promote a stable, supportive sleep environment. Since sleep apnea often leads to frequent awakenings, every aspect of the mattress should help reduce additional discomforts or obstacles that could make falling back asleep harder. Here are the categories in our testing methodology that matter most.
Edge Support: Consistent support is essential for keeping the body in healthy alignment and reducing the likelihood of airway obstruction during sleep. A mattress that maintains spinal alignment can prevent the throat from collapsing inward — a common trigger for apnea events. Typically, a strong perimeter tells us that the mattress provides consistent and comfortable support across its entire surface. As Dr. Dasgupta explains, “A supportive mattress will distribute your body weight evenly. Uneven weight distribution can lead to pressure buildup and additional discomfort.”
Cooling: Overheating at night can worsen sleep disruptions for those with sleep apnea. A mattress with cooling features, including breathable covers, cooling gel-infused foams, or coil systems that promote airflow, helps maintain a more comfortable body temperature. To assess a bed’s cooling abilities, our testers use a thermal gun to measure the surface temperature before and after lying on it for 5 minutes. We typically find that mattresses warm up by an average of 7.14 degrees during this test. In other words, mattresses that increase by fewer degrees are better than average at cooling.
Motion Isolation: Since OSA already hinders sleep, minimizing movement from a restless partner becomes essential. A mattress with effective motion isolation absorbs movement rather than transferring it across the surface. Effective motion dampening allows someone with sleep apnea to rest more undisturbed, even if their partner frequently changes positions or gets in and out of bed.
Pressure Relief: People with sleep apnea often benefit from side sleeping, which helps keep airways more open. However, this position can increase pressure on the shoulders and hips. A pressure-relieving mattress cushions these areas, reducing pain and discomfort that could otherwise cause frequent repositioning or waking at night. During testing, we use a pressure map to identify where pressure builds up while lying on each mattress in the back- and side-sleeping positions. The mat records data in pounds per square inch (PSI), which we use to calculate an overall pressure relief score. Based on our long-term testing, the average PSI is 15.1 for back sleeping and 12.6 for side sleeping. Mattresses that score below these averages typically offer better pressure relief and are less likely to cause discomfort in those positions.
We rate each mattress on a scale from 1 to 5 to reflect its overall quality. This number is comprised of individual scores from hands-on testing of materials, firmness, pressure relief, motion transfer, cooling, responsiveness, and more.
4.3
Helix
Helix Midnight Mattress
Cooling Mattress
Medium-Firm Comfort
Reinforced Edges
Hybrid mattress
100-night trial on all mattresses
Free shipping on all orders
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This is a hybrid mattress, meaning it combines soft foams and sturdy coils for a balance of comfort and support.
Firmness
We rated the Helix Midnight a 6 out of 10 on the firmness scale, where 1 is the softest and 10 is the firmest. This means it’s slightly softer than the industry standard (6.5 out of 10).
Price
$937–$1,749 (before any discounts)
Size
Twin, twin XL, full, queen, king, California king
Side Sleepers
Ideal for average weight side sleepers.
Back Sleepers
Ideal for back sleepers of all weights.
Couples
This bed has great motion isolation, so you shouldn’t feel your partner tossing and turning at night.
Pros of the Helix Midnight
Back sleepers should get some cushioning in the lumbar region, and the coils will help keep their spines neutrally aligned.
Side sleepers should experience nice pressure relief and contouring at their shoulders and hips. For extra pressure relief, we recommend the Helix Midnight Luxe, the standard Helix Midnight’s luxury version.
The Helix Midnight has low motion transfer, which means partners aren’t likely to feel each other moving around at night.
The Midnight is a responsive mattress, so it’s ideal for combination sleepers.
You can return your bed after the 30-day “break-in” period and before the trial period ends for a full refund.
The Helix Midnight is amongst Helix’s line of six standard mattresses. It’s known for its more balanced feel, allowing it to accommodate a wide range of sleepers. We also recommend it for couples, as it scored well on our motion isolation, responsiveness, edge support, and cooling tests. For a plusher and more cooling version of this mattress, see the Helix Midnight Luxe. Learn more in our video review.
What our tester says:
“I would recommend this mattress for side or back sleepers because it’s supportive, without putting pressure on your joints.” – Nichole Mondshein, lead reviewer and staff writer
If you’re looking for a new mattress that won’t exacerbate your sleep apnea, it doesn’t get much better than the Helix Midnight. The Midnight is my top pick for folks with sleep apnea because it’s supportive, comfortable, and great for side sleepers (side sleeping is an effective sleeping position for sleep apnea, as it helps open your airway). Our mattress testers gave the Midnight a 4 out of 5 or higher in pressure relief, motion isolation, and edge support.
According to the Johns Hopkins Hospital, positioning yourself on your side can help keep your airways open and alleviate mild apnea. For this reason, we wanted to find mattresses that offered ample pressure relief and comfort to side sleepers. The Helix Midnight is one such mattress, earning a 4.3 out of 5 for side-sleeping pressure relief.
“This mattress feels very comfortable on my side,” said mattress tester Riley Otis. “The top layer is plush and cozy, yet the supportive coils underneath prevent me from sinking in. My hips and shoulders are getting some nice cushioning that’s relieving pressure. I could sleep on this bed long-term in the side-sleeping position with no issues.”
Our pessure map results for the Helix Midnight.
If you’re already dealing with sleep apnea, you don’t want a mattress that causes additional sleep disruptions. Sharing a bed with a restless partner or pet can leave you at your wits’ end, even without throwing OSA in the mix. Fortunately, the Helix Midnight has excellent motion-dampening qualities that help isolate motion to one side of the mattress. During testing, our team gave the Midnight a 4 out of 5 in the motion isolation category.
We test motion isolation by placing a clear tub of water on one side of the mattress while one of our testers gets in and out of bed on the opposite side. Our tester will also roll around and change between sleeping positions to see if the water ripples or remains still. Less movement means better motion isolation.
“When I got into bed, the water gently rippled in the tub, but overall it remained mostly undisturbed,” Riley said. “The water didn’t spill or even look like it would. I was pretty impressed by how much motion it absorbed compared to other hybrid beds.”
Folks with sleep apnea also need a mattress that offers consistent support across the surface. No matter where they are on the mattress, they shouldn’t worry about awkward dips that could cause additional issues. The Helix Midnight is a high-quality hybrid mattress with sturdy innerspring coils that support sleepers even when they gravitate toward the far reaches of the bed. For that reason, our mattress testers awarded it a 4.4 out of 5 for edge support.
Despite being our top pick for people with sleep apnea, the Helix Midnight isn’t perfect for everyone. It only scored a 3 out of 5 for cooling, which is just average. We don’t think this will present an issue for most sleepers, but if you sleep hot, we would recommend one of our best cooling mattress picks instead.
Similarly, Helix’s sleep trial also hits in the middle of the pack. At 100 nights, most folks should have ample time to determine if it is the right choice for them. Still, other comparable mattress brands offer customers up to 365 nights to decide whether the mattress is a good fit.
Want to read more about the Midnight before making your decision? Check out our full Helix Midnight mattress review to see how it performed on all our tests. If the only thing holding you back from buying the Helix Midnight is its cooling performance, we recommend looking at the Helix Midnight Luxe instead.
Nectar Premier – Best Mattress for Couples with Sleep Apnea
Best for Couples
Sleepopolis Score
We rate each mattress on a scale from 1 to 5 to reflect its overall quality. This number is comprised of individual scores from hands-on testing of materials, firmness, pressure relief, motion transfer, cooling, responsiveness, and more.
4.3
Nectar
Nectar Premier Mattress
Medium-Soft Feel
Cushioning Foam
Cooling Cover
Foam
365 nights
Free shipping
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Foam, for a soft, pressure-relieving feel and plenty of sinkage.
Firmness
This one scored 6 out of 10 on our scale, so we’d classify it as medium-soft.
Price
$1,480–$2,842 (before any discounts)
Size
Twin, twin XL, full, queen, king, California king, split king
Side Sleepers
Lightweight and average weight side sleepers may like the body contouring the Premier offers.
Back Sleepers
If you’re a back sleeper looking for better spinal alignment, you’ll find it with this mattress.
Hip Pain
The Premier should provide plenty of pressure relief for side and back sleepers with hip pain.
Pros of the Nectar Premier
Includes a thick, contouring comfort layer that helps alleviate joint pain.
Isolates motion well, making it great for couples.
It tested well for edge support, so you should be able to spread out across the mattress surface.
This mattress gets its support from a eight-inch layer of high-density poly foam.
Cons of the Nectar Premier
Stomach sleepers won’t get the support they need from the Nectar Premier.
Shipping
Free shipping
Trial Period
365 nights
Warranty
Lifetime warranty
Returns
Full refund after 30 days and within the 365-night trial period
The Nectar Premier is a luxurious all-foam mattress equipped with quality materials. A moisture-wicking cover and gel-infused comfort layer create a cooling, thermoregulating mattress for hot sleepers. Perhaps its strongest attribute is its next-level pressure relief. Six inches of foam work to contour sensitive areas, but the high-density foam at the bottom of the bed provides plenty of support. Watch our video review to learn more.
What our tester says:
“My favorite thing about the Nectar Premier is its great pressure relief. This medium-soft mattress is a great fit for side sleepers looking for plush comfort. It might also be a nice fit for sleepers who deal with shoulder pain.” – Nichole Mondshein, lead reviewer and staff writer
Sharing an all-foam bed with a partner who has sleep apnea can be challenging, especially if you tend to sleep hot or feel like you sink too deeply into the mattress and have trouble moving around. Thankfully, the Nectar Premier is an excellent mattress for couples who enjoy the cushioning feel of memory foam, but don’t want to deal with these common drawbacks.
The Nectar mattress is supportive enough to help keep obstructed airways open while being responsive and cool enough to eliminate some of the most common complaints we hear from couples. Our mattress testers gave the Nectar Premier a 4 out of 5 in edge support, cooling, and responsiveness.
I typically wouldn’t recommend a memory foam mattress to those with sleep apnea because these folks usually need a bed with extra support, as being elevated and properly aligned can cut down on some of the side effects of sleep apnea. However, I’m making an exception for the Nectar Premier. Our mattress testers were surprised at how supportive and balanced the bed’s surface felt. The mattress earned a 4 out of 5 in the edge support category for its consistent stability across the entire surface, meaning that couples can spread out and use the whole surface of the bed without fear of the perimeter collapsing around them.
“Despite feeling some sinkage, I felt supported while lying near the edge of the mattress,” said mattress tester and certified sleep science coach Dan Caffrey. “I could lie near the edge and switch positions without feeling like rolling off.”
The Nectar Premier is also one of the rare all-foam models that I would recommend for sleepers who heat up easily. Our mattress testers loved its cool-to-the-touch cover layer and awarded it another 4 out of 5 in the cooling category.
After a day of testing the cooling capabilities of a plethora of mattresses in our Charlotte, NC, sleep studio, Dan found that the Nectar heated up the least. He took an initial temperature with a thermal gun before resting on the bed for 5 minutes and getting another reading. “After getting up and feeling the surface, I noticed it didn’t take long to revert to its original temperature,” Dan said.
A closer look at the all-foam construction of the Nectar Premier.
Aside from heat and lack of support, we hear another complaint from couples about memory foam mattresses: they’re easy to get stuck in because these types of beds don’t typically respond quickly when weight is applied. When you have two people in bed, this can be particularly noticeable. Again, the Nectar Premier deviated from memory foam norms and earned another 4 out of 5 in the responsiveness category. Our mattress testers loved how easy it was to maneuver and switch between different sleeping positions on this bed.
While the Nectar Premier should be a hit for most couples, it still has some areas it can work on. First, it’s not the best choice for folks with mobility concerns. The Nectar Premier has impressive edge support for a memory foam mattress, but the slippery cover layer might make it difficult to push yourself out of bed in the morning.
We also found that its motion isolation was just average, which was shocking (in a bad way) considering its memory foam construction. Most sleepers shouldn’t be disturbed by their partner or pet on this mattress, but if you’re particularly sensitive to movement, I would recommend something with better motion-dampening abilities. Ready to fall in love with the Nectar? Check out our full Nectar Premier mattress review to get to know it a little better. If you need something with better motion isolation, check out the Saatva Contour5 instead.
We rate each mattress on a scale from 1 to 5 to reflect its overall quality. This number is comprised of individual scores from hands-on testing of materials, firmness, pressure relief, motion transfer, cooling, responsiveness, and more.
This is a hybrid mattress, meaning it combines soft foams and sturdy coils for a balance of comfort and support.
Firmness
We rated the DreamCloud a 7 out of 10 on our mattress firmness scale, where 1 is the softest and 10 is the firmest. A 7 means that the DreamCloud is fairly firm.
Price
$839–$2,178 (before any discounts)
Size
Twin, twin XL, full, queen, king, California king, split king
Back Sleepers
You should get enough cushioning for your lumbar region and enough support for a neutral spinal alignment.
Hot Sleepers
The coils in the support layer leave plenty of room for airflow.
Combination Sleepers
The DreamCloud is responsive enough for you to easily change positions.
Pros of the DreamCloud
Soft memory foam for cushioning at the lumbar region and sturdy coils for spinal support.
Springs that provide a lot of bounce and responsiveness, both of which help you change positions.
Strong edge support, allowing couples to use the whole surface of the bed.
Free returns after at least 30 days and within the 365-night trial period
With soft foam and a sturdy layer of innerspring coils, the DreamCloud strikes a balance between comfort and support — a little bit of contouring up top and on-top-of-the-bed feel that comes from the bottom. It’s a fairly firm mattress that we think is most comfortable for back sleepers. It also has some luxury touches such as a cashmere-blend cover that are reminiscent of a high-end hotel. Learn more in our DreamCloud video review.
What our tester says:
“I really like how luxurious this mattress feels and how it could work for a variety of sleepers. Along with that, I found that the breathable cashmere cover helps the DreamCloud sleep cool throughout the night. Thanks to its medium-firm to firm support, I think the DreamCloud is a durable mattress. It balances support with plenty of pressure relief for back sleepers.” – Bridget Chapman, former Sleepopolis senior product editor
If you manage OSA and lower back pain, a mattress with robust support can help you maintain an open airway by promoting healthy sleep posture. It can also reduce pressure on sensitive areas to ease tension and discomfort. Fortunately, the DreamCloud mattress could be a solution for both issues. Our testers rated it 4 out of 5 or higher for pressure relief while back sleeping, edge support, and cooling.
During their trial run with the DreamCloud mattress, our testers found that it felt the most comfortable on their backs thanks to its supportive innerspring coil system and plush top layer. They gave it an impressive 4 out of 5 and an even more impressive 4.8 out of 5 for back-sleeping pressure relief.
“I feel very comfortable on my back,” said mattress tester Riley Otis. “I’m getting a lot of pressure relief on my upper back and shoulders. My hips are also finding a bit of sinkage that feels quite soothing. Most importantly, though, my lumbar region still feels supported.”
Pressure map results for the DreamCloud mattress.
If you’re a hot sleeper with sleep apnea, cooling becomes even more important because you’re likely already experiencing disrupted sleep, and overheating can further complicate catching those precious Zs. Thankfully, the DreamCloud has exceptional cooling abilities. Our mattress testers gave it a 4.5-star cooling score because of its impressive results on our thermal gun test. During this test, we measure the surface temperature of the mattress using a thermal gun before and after lying on it for 5 minutes. After 5 minutes of uninterrupted rest, Riley found that the DreamCloud only increased by 4.3 degrees — some of the best results we’ve ever seen on this test.
“The cover initially felt cool to the touch, and as I lay down, I couldn’t feel it heating up too much,” Riley said. “I believe it’s gel-infused memory foam helped keep the overall temperature neutral.”
However, the DreamCloud may not be right for everyone. With a side-sleeping pressure relief score of 3.3 out of 5, it’s not ideal for strict side sleepers or side sleepers with sensitive joints. These sleepers will likely need a mattress that’s a touch softer to get the cushioning and contouring they need around those high-pressure areas. While it offers stellar back-sleeping pressure relief, some back sleepers under 130 pounds may also find the surface too firm to relieve pressure around their lower lumbar spine.
Dreaming of a good night’s sleep on the DreamCloud? Read our full DreamCloud mattress review to make sure it’s right for you before buying it. If you’re interested in the DreamCloud’s luxurious features, but would prefer something a bit softer, check out the DreamCloud Memory Foam instead.
WinkBed Plus – Best Mattress for Side Sleepers with Sleep Apnea
Best for Side Sleepers
Sleepopolis Score
We rate each mattress on a scale from 1 to 5 to reflect its overall quality. This number is comprised of individual scores from hands-on testing of materials, firmness, pressure relief, motion transfer, cooling, responsiveness, and more.
The WinkBed Plus is a medium-firm, hybrid mattress designed specifically to accommodate sleepers with larger body types. Through our testing, we found it works best for back sleepers, particularly those over 230 pounds. It also does a good job of isolating motion, which will likely appeal to you if you sleep with a partner. If you want to learn more about the WinkBed Plus, check out our video review.
What our tester says:
“This mattress was designed with plus-size sleepers. However, I think the Plus in its name could also be a nod to all that this mattress has going for it. By using testers with different weights and body types, we learned that this mattress can also be a solid choice for many lightweight and average-weight sleepers.” – Sosha Lewis, senior staff writer and certified sleep science coach
Balancing support and pressure relief is especially important for side sleepers, who need contouring around the shoulders and hips to avoid pressure buildup. This balance becomes even more crucial for people with sleep apnea, as proper spinal alignment and comfortable side positioning can help reduce airway obstruction during the night. The WinkBed Plus, a specialized version of WinkBeds’ flagship hybrid mattress, provides enhanced support while cushioning key pressure points. My fellow mattress testers and I gave it a 4 out of 5 or higher in the pressure relief, motion isolation, and cooling categories.
My colleague, Livvi DiCicco, and I agreed that this mattress was super comfortable in the side-sleeping position and gave it a 4.7 for pressure relief. “I felt lifted and supported, even as the pillow top conformed to my joints and relieved pressure,” she said. “Side sleepers looking for a more supportive mattress should love this bed.”
The WinkBed Plus also does a great job of eliminating other areas of discomfort for folks with sleep apnea, namely overheating and disturbances caused by a restless partner. The WinkBed impressed us across the board and earned a perfect 5 out of 5 for cooling and a 4.3 for motion isolation. In other words, you won’t have to worry about waking up covered in sweat or feeling disturbed by your partner’s or pet’s movements on this mattress.
Pressure map results for the WinkBed Plus.
“I was concerned that the cozy pillow top would retain heat,” Livvi said. “However, it seems that its coils are pulling their weight here, keeping air flowing. Hot sleepers should be very satisfied with this bed.”
The WinkBed Plus is one of my favorite mattresses. However, I’d still like to see some improvements in some areas. This mattress is built with heavier sleepers in mind, giving it a firmer feel. Some lightweight sleepers may prefer a softer mattress to contour high-pressure areas like their hips and shoulders.
I also wouldn’t recommend this bed to folks with mobility concerns. At 13 and a half inches tall, this bed might be challenging to get in and out of, depending on the height of your bed frame.
Want to learn more about the WinkBed before adding it to your cart? Check out our full WinkBed Plus mattress review to see how it performed on our tests. If you need a mattress that’s a bit shorter, I would recommend the original WinkBed instead.
Bear Original – Best Memory Foam Mattress for Sleep Apnea
Best Memory Foam
Sleepopolis Score
We rate each mattress on a scale from 1 to 5 to reflect its overall quality. This number is comprised of individual scores from hands-on testing of materials, firmness, pressure relief, motion transfer, cooling, responsiveness, and more.
4.5
Bear
Bear Original Mattress
Supportive Foam
Firm Comfort
Cooling Gel
Foam
120 nights
Free shipping
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Even though it’s made entirely of foam, the Bear has a firm, supportive feel that should be sturdy enough for back sleepers and stomach sleepers alike. Additionally, combination sleepers should be able to easily move around on its surface. You can also pay extra for a Celliant cover that may help with cooling and muscle recovery. Learn more in our video review.
What our tester says:
“I found the double poly foam construction produced a firm, supportive feel. Though you’re likely to sink into its top layer of memory foam, this sinkage is somewhat curbed by the taut poly foam transition layer. This means most folks are going to be positioned more “on top” of the structure than “in” it.” – Nichole Mondshein, lead reviewer and mattress tester
If you struggle with sleep apnea and want a memory foam mattress, you should pay close attention to firmness. Memory foam tends to be plush, providing sleepers with a contouring, hug-like feel. However, if it’s too soft and you sink too far into the material, it can exacerbate your sleep apnea. Instead, you’ll want a firmer memory foam mattress to elevate your body, which can help keep your airways open. For this, we recommend the Bear Original. Our testers gave it a 7 out of 10 on our mattress firmness scale, placing the Bear slightly above the industry average of medium-firm. We also awarded it a 4 out of 5 or higher in edge support and cooling, meaning it should be a comfortable pick for folks who prefer an all-foam model.
The Bear Original is not only firmer than most memory foam mattresses — it’s also more supportive. During testing, our team gave this mattress a 4 out of 5 for its edge support because it provided consistent stability across the entire surface of the mattress. They could lie on the far reaches of the mattress without feeling like they were losing support or as though they were falling off the bed.
“No matter where I was on the mattress, I felt comfortable lying on my back,” said mattress tester Riley Otis. “I could feel the firm support lifting my hips in line with my shoulders, even on the edge of the bed.”
Our colleague, Kate Meier, who has owned the Bear Original for three years, can also vouch for its consistent and firm support.
“I enjoy sitting in my bed and working,” Kate said. “And the firmness and support I get from the Bear make it possible. I also love that it’s helped with my back pain considerably!”
If you already have trouble breathing as you sleep, the last thing you need is a mattress that makes you feel stuffier. Another perk folks with sleep apnea should appreciate about the Bear is its stellar cooling abilities. Our mattress testers were impressed with its breathable top layer and awarded it a near-perfect 4.5 out of 5 for cooling.
“I thought this mattress had a nice cool-to-the-touch feel when I first lay down on it,” Riley said. “As I lay there, I felt the bed adjusting to my body heat. The Bear Original felt cool the entire time I was on it, which is impressive for an all-foam bed.”
Our thermal gun reading of the Bear Original after one of our testers has rested on it for 5 minutes.
However, you should consider a few things before buying the Bear Original. Since this mattress is firmer, we don’t recommend it to side sleepers with sensitive hips and shoulders. These sleepers likely won’t sink enough into the mattress layers to get the cushioning and contouring they need to alleviate tension in these high-pressure areas.
Similarly, this mattress will likely feel too firm for sleepers under 130 pounds. We typically recommend a softer mattress that falls under 6.5 out of 10 on the firmness scale for these sleepers.
Ready to experience the Bear for yourself? Head over to our full Bear Original mattress review to learn more about it. If you need something that offers a little more cushioning than the Bear Original, I recommend checking out the Bear Elite Hybrid instead.
We rate each mattress on a scale from 1 to 5 to reflect its overall quality. This number is comprised of individual scores from hands-on testing of materials, firmness, pressure relief, motion transfer, cooling, responsiveness, and more.
4.1
Brooklyn Bedding
Brooklyn Bedding Signature Hybrid
Medium-Firm Comfort
Budget-Friendly
Responsive Coils
Hybrid
120 nights
Free shipping
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The Medium mattress is too firm for side sleepers
and too soft for stomach sleepers
(though the Soft or Firm model may work, respectively)
Shipping
Free shipping
Trial Period
120 Nights
Warranty
10-year warranty
Returns
Full refund within the 120-night trial. Brooklyn Bedding charges a $99 pick up fee
The Brooklyn Bedding Signature Hybrid mattress combines a foam comfort layer and sturdy coils. This combination of materials makes it bouncy and easy to move around on. It comes in three firmness levels, and we recommend the Medium model for most back sleepers. It’s a great choice for shoppers who are looking for a new mattress on a budget. For more information, check out our video review.
What our tester says:
“Given that the Signature Hybrid has some excellent bounce, I’d highly recommend this mattress for combination sleepers who often change positions multiple times throughout the night. I also think the Signature Hybrid could be a great fit for couples. You shouldn’t be overly disturbed by a restless partner on this bed, and it has nice, firm edge support.” – Nichole Mondshein, lead reviewer and staff writer
The Brooklyn Bedding Signature Hybrid is a prime example of why people love hybrid mattresses. During testing, my fellow mattress testers and I gave it a 4 out of 5 or higher in cooling and edge support, both areas in which hybrid beds are known to excel. If you have sleep apnea and are looking for a supportive sleep surface that will prevent you from feeling stuffy and constricted, the Signature Hybrid might be what you need.
While testing this mattress, I was immediately impressed by how supported I felt by its encased coil system. My spine felt aligned, and my hips were elevated, regardless of where I lay on the Signature Hybrid. I also couldn’t feel any pressure buildup and found it did a good job of conforming to my hips and shoulders. After lying near the perimeter of the mattress for a while, I awarded it a 4.3 out of 5 for edge support. The only negative was that the soft top layer made it slightly challenging to change sleeping positions on the sides of the bed because I sank in a little bit.
Additionally, the Brooklyn Bedding Signature Hybrid’s superior support system makes it a solid choice for folks with sleep apnea, regardless of sleeping position. Dr. Joe Tedesco, our chief medical product tester and licensed physical therapist, found the Signature Hybrid offered consistent support across every position.
“I feel great across the board on this bed,” said Dr. Tedesco. “This mattress provides a very supportive feeling, and I don’t feel any significant pressure anywhere.”
My testing partner, Livvi DiCicco, and I were also impressed with its ability to regulate temperature and gave it a 4.5 out of 5 for cooling. After lying on the Signature Hybrid for 5 minutes, I felt the part of the mattress where I had lain. While it was evident that someone was just there, I couldn’t detect a noticeable increase in temperature while I was lying on the bed. I measured the surface temperature of the mattress with a thermal gun and found that the bed heated up by 7.4 degrees after lying on it, which indicates good cooling.
Using a thermal gun to read the temperature of the Brooklyn Bedding Signature Hybrid mattress.
As much as the other testers and I loved the Signature Hybrid, it has a couple of downsides. This mattress may not be ideal for sleepers who wake easily, as we gave its motion isolation an average rating of 3.6 out of 5 stars. While it should work well for most people, those sensitive to movement might notice their wiggly partner or pet moving during the night. It also lacks premium features like a Euro top or phase change material. So if you’re seeking the best sleep setup money can buy, you might want to consider the brand’s high-end models instead.
We rate each mattress on a scale from 1 to 5 to reflect its overall quality. This number is comprised of individual scores from hands-on testing of materials, firmness, pressure relief, motion transfer, cooling, responsiveness, and more.
Innerspring, for a bouncy mattress that’s easy to move around.
Firmness
Multiple firmness options. We tested the Luxury Firm model and scored it a 6.5 out of 10, meaning it’s the industry standard for medium firm.
Price
$935–$2,450 (before any discounts)
Size
Twin, twin XL, full, queen, king, California king, split king, split California king
Hot Sleepers
If you ever overheat while you sleep, this mattress should help you stay cool.
Back Pain
This bed is ideal for anyone suffering from back pain.
Back Sleeping
This mattress is ideal for back sleepers of all weights.
Stomach Sleeping
It’s also a nice option for lightweight and average weight stomach sleepers.
Pros of the Saatva
With three firmness options, most sleepers should find a Saatva model that works for them
The Saatva uses high-quality materials that will last you a long time
Its bouncy and responsive feel means it’s great for combination sleepers
The Saatva’s reinforced edges give it some of the best edge support we’ve ever seen
Cons of the Saatva
If you’re looking for lots of sinkage or amazing motion isolation, you’re better off with one of the best memory foam mattresses.
None of the Saatva Classic models will likely be supportive enough for heavy stomach sleepers. For these folks, we recommend the Saatva HD.
Shipping
Free white glove delivery
Trial Period
365 nights
Warranty
Lifetime warranty
Returns
Full refund within the 365-night trial period. Saatva charges a $99 pick-up fee
The Saatva’s coil-on-coil construction provides a classic innerspring feel. It’s a good option for combo sleepers, who will want to feel free to switch positions and avoid feeling “stuck” in the mattress. It comes in three firmness levels, so you should be able to find one that suits your needs. The white glove delivery Saatva provides is an added perk and will save you the headache of getting rid of your old mattress (they take it away for free!). For more information, watch our video review.
What our tester says:
“I think the Saatva is a great option for back sleepers, as the Luxury Firm model provides enough cushioning for their lumbar region, but also lots of support to keep their spine in a neutral alignment.” – Nichole Mondshein, lead reviewer and staff writer
The Saatva has two layers of innerspring coils to support spinal alignment and help open up the airway, which may decrease the risk of exacerbating breathing-related issues associated with OSA. Double the layers means double the benefits. The coils enhance airflow for better cooling — a welcome relief for hot sleepers with sleep apnea, as a regulated body temperature eliminates the uncomfortable sleep issue of overheating. Another bonus is Saatva’s generous 365-night sleep trial, meaning you get ample time to determine if this mattress helps your OSA. Overall, my fellow mattress tester, Livvi DiCicco, and I were impressed with its performance and gave it a 4 out of 5 or higher in edge support and cooling.
Although the Saatva Classic has many exemplary attributes, I want to give a special shout-out to its stellar support. Livvi and I gave it a 4.8 out of 5 for edge support because it offers near-perfect stability across its entire surface. If you want an innerspring mattress with responsive support to prevent you from sinking too far into its layers, then the Saatva is one of the best options out there.
I felt great lying on my back and stomach on this bed; it offered solid support, and my spine stayed aligned. Although there wasn’t any noticeable sinkage around my body, the surface still felt very comfortable. Having the right amount of sinkage helps keep your body elevated and evenly supported, which helps prevent pressure buildup and maintain healthy posture throughout the night.
Livvi, who also happens to have the Saatva Classic at home, agreed with me. “After owning the Saatva for six months, I feel qualified enough to say the edge support is top-notch,” she said. “I sleep with one leg off the bed sometimes and wake up without falling off.”
Our lightweight tester Asha lying on a pressure mat to test the Saatva’s pressure relief in the side-sleeping position.
If two certified sleep science coaches’ opinions weren’t enough, we also invited Dr. Joe Tedesco, our chief medical product tester and licensed physical therapist, to take the Saatva Classic for a spin in our studio. He was also quite impressed with its support.
“I feel weightless and comfortable on this mattress,” Dr. Tedesco said. “My spine is in a neutral position, and I’m not getting a posterior tilt. If you sleep on your back, this could help with various issues.”
The Saatva Classic is also a good choice if you are a hot sleeper. Unlike its memory foam counterparts, the Saatva contains two layers of innerspring coils that help promote airflow for a restful sleep. We gave the Saatva a 4 out of 5 in cooling. “I didn’t feel any noticeable heating as I lay down, even as the pillow top slowly contoured to my body,” Livvi said. “I think this bed would be great for hot sleepers.”
Unfortunately, I wouldn’t recommend this mattress to sleepers under 130 pounds or folks sensitive to motion. The Saatva Classic is on the firmer side at 7.5 out of 10 on our firmness scale, meaning it will probably feel uncomfortably stiff for lightweight sleepers.
The Saatva is also incredibly bouncy because of its dual layers of innerspring coils. While this is advantageous for combination sleepers needing a springy surface to easily change sleeping positions, people sensitive to motion will likely feel everything their bedmate does at night.
Want to see if the Saatva is the right mattress for you? Check out our full Saatva Classic mattress review to see how it performed across all our testing categories. For something that offers better motion isolation, I would recommend the Saatva Rx instead.
Nolah Natural – Best Hypoallergenic Mattress for Sleep Apnea
Best for Allergies
Sleepopolis Score
We rate each mattress on a scale from 1 to 5 to reflect its overall quality. This number is comprised of individual scores from hands-on testing of materials, firmness, pressure relief, motion transfer, cooling, responsiveness, and more.
4.3
Nolah
Nolah Natural Mattress
Medium-Soft
Cooling Mattress
Responsive and bouncy
Latex
120-night trial and lifetime warranty
Free Shipping
Sale (35% off!)
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The Nolah Natural is made with eco-friendly Talalay latex and supportive coils. This mattress has GOTS (Global Organic Textile Standard) organic wool, cotton, natural latex, and recycled steel. The latex makes this mattress responsive, which is great for couples and combination sleepers. This material is also naturally hypoallergenic and cooling, which can help hot sleepers prevent overheating. For more information, watch our video review.
What our tester says:
“It has a very soft, plush feel that provides you some cushioning as well. I’d say you’re going to feel more “on top” of this bed than “in it” — thanks to its bouncy latex.” – Bridget Chapman, former senior product editor.
Are your breathing difficulties caused by sleep apnea and worsened by allergies? A hypoallergenic mattress may provide some much-needed relief. As its name suggests, the Nolah Natural is an all-natural, hypoallergenic mattress with eco-friendly components and tons of certifications. The Nolah features organic latex, GOTS (Global Organic Textile Standard) certified organic wool, GOTS-certified cotton, and recycled steel coils. The Natural model is also a great choice for folks with sleep apnea because of its excellent performance in the side-sleeping pressure relief and edge support categories, earning a 4 out of 5 or higher in both of these categories.
Many side sleepers with sleep apnea struggle to find a mattress that offers enough support to keep their spines in healthy alignment, yet enough cushioning to relieve pressure around sensitive areas like their hips and shoulders. Fortunately, this mattress provides both. Our mattress testers gave its pressure relief in the side-sleeping position a 4 out of 5 because it struck an even balance of contouring and support.
“I like that this latex mattress is a little firmer,” said tester Erin Chiles. “I’m not sinking in too much and feel comfortable and supported on my side.”
Pressure map results for the Nolah Natural.
Edge support was another area where the Nolah Natural mattress excelled, earning a near-perfect score of 4.8 out of 5. Side sleepers can rest comfortably anywhere on the bed, confident they will receive the same sturdy support, even at the outermost corners.
“The Nolah Natural has some pretty impressive support all around,” said mattress tester Riley Otis. “I didn’t feel any significant sinkage or sagging anywhere on the mattress surface.”
However, as great as the Nolah Natural is for folks with allergies and side sleepers with sleep apnea, it’s not perfect. Its cooling was only average, meaning it’s not the best choice for hot sleepers. We also found that it had weaker motion isolation than most mattresses. In other words, if you are easily disturbed by movement, you could go insane if your partner is a combo sleeper.
Are you naturally drawn to the eco-friendly materials in the Nolah? Check out our full Nolah Natural mattress review to see how it performed on all our tests. If you need a mattress with solid motion isolation, I recommend checking out the Nolah Evolution instead.
We rate each mattress on a scale from 1 to 5 to reflect its overall quality. This number is comprised of individual scores from hands-on testing of materials, firmness, pressure relief, motion transfer, cooling, responsiveness, and more.
4.3
Brooklyn Bedding
Brooklyn Bedding Plank Firm Mattress
Extra-Firm Feel
Flippable Design
Supportive Foams
Foam
120 nights
Free shipping
Memorial Sale
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The Plank Firm is a flippable mattress with a different firmness option on each side. We score firmest with 1 being the softest and 10 being the firmest, and the Plank Firm features a Firm side (7.5/10) and an Ultra Firm side (8.5/10).
Price
$749–$1,532 (before any discounts)
Size
Twin, twin XL, full, queen, king, California king, split California king, short full, short queen, Olympic queen, short king, RV king
Back pain
Support for those living with back pain.
Stomach Sleepers
Ideal for average weight and heavyweight stomach sleepers.
Back Sleepers
Ideal for average weight and heavyweight back sleepers.
Pros of the Plank Firm
The Plank Firm often appears on many of our roundups pertaining to spinal health and back pain.
This mattress is a good choice for couples; it scored 4 out 5 or more for motion isolation, edge support, and cooling.
The quality materials, from its firm cover to its high-density foams, make it an extremely durable option.
Cons of the Plank Firm
Side sleepers won’t receive the proper cushioning or contouring on the Plank Firm. They should look at our best mattresses for side sleepers
instead.
It’s not the best mattress for alleviating joint pain because of its firmer feel — take a look at our best soft mattresses
for alternative options
Shipping
Free within the contiguous US, but $125 for AK and HI
Trial Period
120 nights
Warranty
10-year warranty
Returns
There is a $99 return fee.
The Plank Firm more than lives up to its name with its ultra-sturdy foams and supportive feel. While this bed certainly isn’t for everyone, it should be an ideal fit for back sleepers, stomach sleepers, and combination sleepers who want to feel more on top of their mattress than in it. For more information, check out our video review.
What our tester says:
“I think the Plank Firm is one of the best mattresses for stomach sleepers. Both sides of the mattress, the firm side and extra firm side, should give these sleepers the support they need to keep their hips in line with their shoulders. Back sleepers who like a firmer feel should also be happy on the firm side of the Plank.” – Nichole Mondshein, lead reviewer and staff writer
A firm mattress is often recommended for folks with sleep apnea because it helps maintain spinal alignment and airway openness throughout the night. If you are in the market for an ultra-firm and supportive mattress, the Plank Firm by Brooklyn Bedding is hard to beat. This flippable hybrid mattress offers two firmness levels: Firm and Extra-Firm. The Extra-Firm side stood out in key performance areas, such as cooling, edge support, and motion isolation, scoring 4.3 or higher in each category.
Surprisingly, our testers found the Firm side felt stiffer than the Extra-Firm side, rating it a 9 out of 10, while the Extra-Firm came in at 7.5. Regardless of side, both received a perfect 5 out of 5 for responsiveness, meaning it’s easy to shift positions — ideal for restless sleepers with apnea who may toss and turn to maintain airflow.
Poor posture or spinal misalignment can exacerbate both back pain and OSA. The good news is that Dr. Joe Tedesco, our chief medical product tester and licensed physical therapist, thinks the Firm side of the Plank can help with that.
“My pelvis, hips, and spine are in a neutral position,” Dr. Tedesco said while testing the Plank Firm. “People with back pain who are back sleepers will feel supported and neutral.”
The Plank’s 5-star responsiveness also makes it easy to switch positions, which is crucial for those with sleep apnea who frequently need to adjust themselves to breathe better.
“It’s like rolling on a flat surface,” said tester Riley Otis. “There is no deep sinkage to prevent mobility, but there’s also no bounce to help switch positions. However, it’s not needed since the firm foams don’t trap the body.”
That said, this mattress isn’t for everyone. Side sleepers will likely find both sides too rigid, leading to pressure buildup around the shoulders and hips. Similarly, couples sensitive to movement may notice some motion transfer because of how responsive it is.
Pressure map results for an average-weight tester side-sleeping (left) and back-sleeping (right) on the Plank Firm mattress.
Interested in the Plank? Head over to our full Plank Firm mattress review to see how it performed on both sides. If you’re interested in a firm mattress with a few more bells and whistles, check out the Plank Firm Luxe instead.
Titan Plus – Best Mattress for Heavy Sleepers with Sleep Apnea
Best for Heavy People
Sleepopolis Score
We rate each mattress on a scale from 1 to 5 to reflect its overall quality. This number is comprised of individual scores from hands-on testing of materials, firmness, pressure relief, motion transfer, cooling, responsiveness, and more.
4.7
Brooklyn Bedding
Titan Plus
Firm, Supportive Feel
Built for Heavy People
Extra-Strong Coils
Hybrid
120 nights
Free shipping
Memorial Sale
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Brooklyn Bedding offers returns and exchanges with a $99 return fee
The Titan Plus mattress is a durable mattress made with heavy sleepers in mind. It’s firm and features heavy-duty coils and Titanflex foam that makes it bouncy and easy to move around on. We think that heavy back sleepers and stomach sleepers should be especially comfortable. For more information on the Titan Plus, check out our video review.
What our tester says:
“I think the Titan Plus lives up to its name as a good mattress for heavier sleepers. It will offer them the deep compression support and durability they need.” – Nichole Mondshein, lead reviewer and staff writer
People with bigger bodies who struggle with OSA need a mattress that can support them while reducing pressure points and minimizing movement that could further disrupt sleep. Specifically engineered for individuals over 230 pounds, the Titan delivers on all fronts with a robust combination of edge support, responsiveness, and motion isolation, earning 4.5 out of 5 or higher in each category during our testing. Its high-density memory foam and strong coil system create a stable, supportive surface that resists sagging, helping to keep the head, neck, and spine aligned. Proper alignment helps keep airways open by preventing throat collapse during sleep.
One standout feature is its excellent edge support, a key quality for those who tend to sink too far into the mattress as they move away from the center. Our testers gave it a 4.6 out of 5 in this category because they could rest along the mattress perimeter without worrying about slipping or feeling unsupported.
“I felt very secure on my back, side, and stomach when lying close to the edge of the Titan,” said mattress tester Sosha Lewis. “It was easy to switch positions, and I wasn’t afraid of toppling out of bed when I was on my side.”
This level of support is essential for people with sleep apnea who move between positions to find better airflow during sleep.
Our chief medical product tester, Dr. Joe Tedesco, praised the Titan Plus for its side-sleeper comfort and support.
“I was more comfortable on my side on the Titan Plus than on my back,” Dr. Tedesco noted. “I didn’t feel any significant pressure buildup. I was looking for pressure buildup in my shoulder, but didn’t feel much.”
Our pressure map results for the Titan Plus.
The Titan Plus also shines in motion isolation and responsiveness — a rare combination in firm, supportive beds. Whether you’re repositioning to breathe easier or sleeping beside a restless partner, you’ll benefit from the stability and ease of movement. Our testers awarded it a perfect 5 out of 5 in both categories.
“I sleep with a very restless partner, and the motion isolation on this bed makes me wish I owned it,” said Sosha. “If I wouldn’t do grave bodily harm, I could easily do a flip onto this mattress without worrying about the motion carrying over to the other side.”
Keep in mind: the Titan Plus is on the firmer side. Side sleepers with sensitive joints may occasionally notice pressure buildup around their shoulders or hips. Those under 130 pounds may find the mattress too firm for comfort, especially when it comes to contouring and lumbar support.
Do you think the Titan Plus could be a good fit for you? Check out our full Titan Plus mattress review to learn more about its features and construction. For a slightly softer feel with similar support, you might also consider the Titan Plus Elite.
While they didn’t make the final cut for the top spots, these two mattresses stood out in testing. They offer consistent support and helpful features that can contribute to a more restful, uninterrupted night’s sleep.
The Brooklyn Bedding Titan Plus Elite is a robust 14.5-inch hybrid mattress designed for sleepers with bigger bodies. During testing, I found it excels in three key areas that are especially important for people with sleep apnea: cooling, edge support, and motion isolation. Its firm, supportive feel helps maintain spinal alignment and airway openness, particularly for back and stomach sleepers. I didn’t place it on the main list because it’s on the pricier side as the most upscale model in the Titan line.
The Saatva Rx is a high-end luxury mattress designed with sturdy, therapeutic support at the forefront. The Rx is a strong option for folks with sleep apnea, especially those who sleep on their stomachs or struggle with back pain. Its responsive, zoned construction helps maintain optimal spinal alignment and can assist in keeping the upper body elevated, which may reduce airway obstruction during sleep. That said, its steep price (over $3,000 for a queen) ultimately kept it off the main list in favor of the more affordable but still supportive Saatva Classic.
How We Picked and Tested These Mattresses for Sleep Apnea
Since this condition often requires specific sleep conditions and stable body alignment, we prioritized features that promote open airways, reduce movement-related disruptions, and prevent overheating. We assessed each mattress using targeted tests to evaluate edge support, cooling ability, motion isolation, and pressure relief.
Edge Support
A mattress with consistent support is crucial for people with sleep apnea, as many need something that offers enough support to keep them lifted and their airways unblocked. Stable edge support can simplify moving around, reduce strain, and help maintain a more restful sleep environment. It also allows full use of the mattress surface without the feeling of instability near the edges — something that can be helpful for both individuals and couples.
Edge support can also help us determine a mattress’s durability. As Dr. Dasgupta explains, “A durable mattress is built with high-quality materials, a sturdy support core, and reliable edge support. It should deliver lasting comfort while retaining its shape and performance over time.”
Our tester Riley Otis testing out the DreamCloud’s edge support.
To evaluate edge support, our testers sit and lie along the perimeter of each mattress, observing how well it holds up under pressure. We pay close attention to how stable and secure the edge feels when transitioning between sitting and lying down, which helps us understand how supportive it will be in everyday use.
We also assess edge support by placing weights on top of each other directly on the perimeter of the bed. We repeat this process three times using three stacks of weights. These stacks weigh 99 pounds, 154 pounds, and 198 pounds. We then measure the sinkage using a tape measure.
One of our testers using weights to measure the DreamCloud’s sinkage and edge support.
This edge support test simulates how much the sides of a mattress might sink when sleepers in various weight categories sit or lie on them. The 99-pound stack represents lightweight sleepers, while the 154-pound and 198-pound stacks represent average-weight and heavyweight sleepers, respectively.
Cooling
Many mattress brands are guilty of making big promises regarding their cooling technology, so we test each model using a thermal gun. This tool uses color-coded imaging to measure how quickly a mattress heats up and how efficiently it releases body heat. We take its temperature before and after lying on the mattress for 5 minutes. The goal is to assess how well each mattress regulates temperature night-to-night.
Here’s how we categorize the thermal gun test results:
5 degrees or less: Excellent
5 to 10 degrees: Good
10 to 15 degrees: Satisfactory
15 or more degrees: Poor
One of our testers reading the Avocado Green’s temperature after 5 minutes of lying on it.
Motion Isolation
For people with sleep apnea, uninterrupted rest becomes even more important. Sharing a bed with a partner who moves around at night can be especially challenging. A mattress with low motion transfer can reduce disturbances from a restless partner, helping sleep apnea sufferers stay asleep longer and avoid additional awakenings that disrupt their already fragmented rest.
Two of our testers performing the partner test on the DreamCloud mattress.
My fellow testers and I use a couple of techniques to evaluate motion isolation. First, we lie on the mattress together and take turns switching sleeping positions to see how much movement we feel on the opposite side. This test helps us assess how well the mattress absorbs motion during real-life scenarios.
Our tester Riley Otis performing the ripple test on the DreamCloud.
Next, we place a full tub of water on one side of the bed and move around near it. If the water stays still or barely ripples, it’s a strong sign that the mattress isolates motion well, ideal for light sleepers and couples alike.
Pressure Relief
We perform a pressure relief test to measure how well a mattress reduces pressure on key body parts and minimizes pain. Using a specialized pressure-mapping mat, we capture digital thermal readings that reveal where pressure builds up when someone lies on the bed. By placing this mat on the mattress and testing it in different sleeping positions (side and back), we can see how much support and relief each mattress provides.
Our testers taking pressure map readings.
This information is especially valuable when recommending mattresses for people with sleep apnea. Since many individuals with sleep apnea already struggle with disrupted sleep, eliminating additional sources of discomfort — like pressure buildup around the hips, shoulders, or lower back — can make a significant difference.
What to Consider When Buying a Mattress for Sleep Apnea
If you have obstructive sleep apnea (OSA), your mattress can help or hurt your overall sleep quality. The right bed can support healthier sleep posture, reduce disruptions, and work with other treatment options like using a CPAP machine or elevated head positions. Here are a few things to consider as you shop for the right mattress.
Firmness and Preferred Sleeping Position
Your preferred sleeping position significantly influences the ideal mattress firmness. For many people with sleep apnea, side sleeping is often recommended as the best position because it can help keep the airway open. Side sleepers generally do best on medium to medium-soft mattresses that cushion pressure points while still offering enough support to align the spine.
Back sleepers may benefit from a medium-firm to firm mattress, which provides enough support to prevent the lower back from sagging while keeping the chest and airways elevated. Stomach sleeping is typically discouraged for people with apnea, as it can increase airway restriction. But if it’s your only comfortable position, a firmer mattress is necessary to avoid sinking too deeply.
We also asked Dr. Dasgupta what level of firmness sleepers should look for when choosing a mattress: “A medium-firm mattress tends to be the most effective for promoting healthy spinal alignment and reducing pressure points,” he explained. “It strikes the right balance between support and comfort, which is especially important for long-term sleep health.”
Sleep Trials and Warranties
A generous sleep trial is a must-have since it can take time to adjust to a new mattress and gauge how well it supports your sleep health. Look for brands that offer at least a 90-night sleep trial, ideally with free returns or exchanges if the mattress isn’t right for you. A good sleep trial allows you to test the bed in real-world conditions without pressure.
A strong warranty also signals quality craftsmanship. Good warranties typically cover the mattress for 10 years or longer and protect against manufacturing defects, sagging beyond a certain depth (often 1 inch or more), or issues with materials and construction. Read the fine print to ensure coverage for the entire duration and understand the process for making a claim.
Adjustable Bed Frame Compatibility
Adjustable bed frames can be especially beneficial for people with OSA. Raising the head of the bed helps prevent the airway from collapsing by positioning the upper body at an incline. This elevation can reduce the frequency and severity of apnea episodes, particularly for those who struggle with back sleeping or nasal congestion.
When choosing a mattress for an adjustable base, ensure it’s flexible and designed to move with the frame without damaging the materials. Memory foam, latex, and hybrid mattresses typically work well if they’re not overly thick or reinforced with stiff edge support systems that could interfere with adjustability.
Also, confirm the mattress brand explicitly states it’s adjustable-base compatible. You may void the warranty if you place the mattress on an unsupported or incompatible base, so checking ahead can prevent issues.
FAQs
Which sleeping position is best for sleep apnea?
Sleeping on your side can help reduce the symptoms of sleep apnea, as this position allows the airway to remain open. This should make it easier for you to breathe, and reduce issues with airway obstruction.
What type of mattress is best for sleep apnea?
Since sleeping on your side is the best position for sleep apnea, we recommend sleeping on a mattress with at least one layer of memory foam or latex. These materials will help keep your body in proper alignment and alleviate pressure to help you sleep comfortably.
Should I use an adjustable base if I have sleep apnea?
Using an adjustable base can help you sleep more comfortably if you have sleep apnea. An adjustable base allows you to elevate certain parts of your body to improve circulation. Having better blood flow can help lessen your aches and pains throughout the night. We recommend tilting your head up slightly to promote airflow.
Kenny is a Staff Writer at Sleepopolis and a certified sleep science coach. He tests the good, the bad, and the ugly of all things sleep, so you can skip the trial and error and jump straight into a good night’s rest. Kenny graduated from William Peace University with a degree in English and a minor in communication. Outside of testing and writing about mattresses, he enjoys hiking, biking, or avoiding the pit at your local heavy metal concert.