Key Takeaways Why trust NCOA

Sleep apnea is a common sleep disorder. About 6 million people in the United States have been diagnosed with sleep apnea, but it’s estimated that 24 million more are living undiagnosed. When someone has sleep apnea, their breathing pauses and restarts throughout the night, causing reduced airflow and lower blood oxygen levels. 

As we age, we’re more likely to develop obstructive sleep apnea (OSA), meaning our throat muscles relax and block our airway while sleeping. Some research shows that 56% of people age 65 and older have a high risk of developing OSA. 

Using a continuous positive airway pressure (CPAP) machine is a common treatment for obstructive sleep apnea. There are also alternative sleep apnea treatments, including oral appliances, weight loss and exercise, and positional therapy, which encourages sleeping on your side to help keep your airway open. Research shows that elevating your upper body may also reduce the severity of mild to moderate obstructive sleep apnea. The right treatment for one person may not be right for another, so if you’re diagnosed with sleep apnea, it’s crucial to work with your physician to determine which approach reduces the frequency of apneic events (times when you stop breathing).

Even the best mattress won’t cure your sleep apnea, but it can support sleeping positions that help ease symptoms. Our Reviews Team has selected the best mattresses for sleep apnea based on support for side sleepers, pressure relief, and adjustable bed compatibility. 

Best mattress for sleep apnea in 2024

• Helix Midnight Luxe: Best Overall 
• Saatva Classic: Best for Back Pain
• Nectar Premier: Best Memory Foam
• The WinkBed: Best Hybrid
• Bear Elite Hybrid: Best for Side Sleepers
• Nolah Signature: Best for Couples
• Titan Plus: Best for Heavy Sleepers
• Brooklyn Bedding Aurora Luxe: Best for Pressure Relief

What we look for in a mattress for sleep apnea

We found several important factors when testing mattresses specifically for sleep apnea, including:

Compare the best mattresses for sleep apnea, as of June 2024

*White-glove delivery: Shipping and setup of new mattress and removal of old mattress

Best mattresses for sleep apnea of 2024, reviewed by experts

Best Mattress for Sleep Apnea Overall: Helix Midnight Luxe

Our expert take on the Helix Midnight Luxe mattress

How the mattress may help sleep apnea: The Helix Midnight Luxe is a hybrid mattress that balances a softer, more plush surface with supportive innerspring coils. The pillow top and foam layers offer a cushioned surface for side sleeping, the recommended position for sleep apnea. The hybrid mattress has innerspring coils beneath a pillow top and three foam layers, offering sleepers reinforced support without too much sinkage to help keep the airway open. We think side sleepers who weigh less than 250 pounds will feel nice pressure relief in the shoulders and hips since the mattress hugs these pressure points without too much sinkage. Sleepers weighing more than 250 pounds may sink too deeply into the mattress for proper support. 

The brand also offers the Helix adjustable base, which is compatible with all Helix mattresses. 

While side sleeping is generally the best position for sleep apnea, we know staying in one position throughout the night isn’t realistic for many sleepers. Fortunately, the mattress should support most sleeping positions, but this will vary based on your weight and personal preferences. Our testers were comfortable lying on their side, back, and stomach because of the mattress’s cushioning yet firm zoned supportⓘ Multiple firmness levels, or “zones,” built into a mattress so it can support different areas of the sleeper’s body in different ways. . 

Our tester on the Helix Midnight Luxe mattress:

“It’s easy to push up and stand up from the edge of bed. A big positive for this mattress!” 

Our mattress expert’s take

Who may love it 

• Side and back sleepers may feel nice pressure relief from the plush pillow-top
• People with lower back pain who benefit from extra support in the lower back area
• Stomach sleepers of any weight 

Who may want to avoid it

• May not support higher-weight sleepers 
• People who need a responsive bed for easy mobility
• Sleepers looking for a firmer mattress 

Customer reviews

The Helix Midnight Luxe has a 4.4 star rating out of five with more than 6,100 reviews on the brand’s website. Many reviewers say the mattress is comfortable and supportive for side sleeping. 

“[…]The mattress is designed with side sleepers in mind, and as someone who primarily sleeps on my side, I’ve noticed a dramatic reduction in pressure points, especially around my hips and shoulders. The pillow top adds an extra layer of plush comfort that makes getting into bed a joy.”

– Cody M., verified buyer on 6/13/24

“I am sleeping so good…perfect mattress if you side sleep.”

 – Siobhan D., verified buyer on 6/13/24

“If you are a side sleeper this one is for you! As a back and side sleeper I like it, mostly. If I have been on my back a bit I do have a little discomfort from it not being as firm as it should be. But when I’m mostly on my side it’s heavenly.”

– Heather S., verified buyer on 6/7/2024 

The Helix Midnight Luxe has a 4.3 star rating out of five with more than 8,700 reviews on Google. Some reviewers didn’t feel properly supported on the mattress and were unhappy with their delivery experience. Others said the mattress is great for side sleepers. 

Read our full Helix Midnight Luxe review. 

Best Mattress for Back Pain and Sleep Apnea: Saatva Classic 

Our expert take on the Saatva Classic mattress

How the mattress may help with sleep apnea: The Saatva Classic is a hybrid-innerspring mattress with a central memory foam layer to support the lower back. It comes in three firmness options—plush soft, luxury firm, and firm—to help accommodate sleepers with different body weights and personal preferences. If you sleep on your side to help ease your sleep apnea symptoms, you can choose the firmness level with the best support for this position. Saatva also offers two adjustable bases, but the bases aren’t compatible with the Saatva Classic 14.5-inch mattress. You’ll have to select the Saatva Classic 11.5-inch if you’d like to pair your Saatva Classic with an adjustable base for head elevation.    

We tested the luxury firm Classic, which Saatva classifies as medium firm, but our testers thought it was on the firmer side and gave it a seven out of 10 on the mattress firmness scale (6.5 is the middle ground). While we felt more “on top” of the mattress than sunken into the surface, our testers felt supported and comfortable when lying on their sides. 

The mattress has a layer of memory foam in the center designed for lower back support. This small layer offers nice pressure relief by contouring to your lower back, which may help manage back pain. Always speak with your doctor before selecting a mattress for back pain or other health conditions.  

The small memory foam layer is followed by two layers of steel spring coils. These coils give it a bouncy, responsive surface, which helps support mobility and movement on the mattress. You shouldn’t feel “stuck” or like you’re fighting to switch positions on the Saatva Classic.

Our tester on the Saatva Classic mattress:

“It’s very easy to roll over and change positions on this bed. You don’t feel stuck in the foam.”

Our mattress expert’s take

Who may love it

• Sleepers who need a responsive, strongly supportive mattress to manage lower back pain or help change positions
• People with back pain who benefit from extra support in the lower back area
• Shoppers who need white-glove delivery to haul the mattress into the bedroom

Who may want to avoid it

• Sleepers easily disturbed by their partner’s movements
• Sleepers looking for a softer mattress

Customer reviews

The Saatva Classic has a 4.8 star rating out of five with more than 3,400 reviews on its product page. Many reviewers feel supported when sleeping on their side. They’re also pleased with delivery and removal services. 

“Ordering online was easy. Received our new mattress in 11 days. Delivery guys were great. We have slept on it two nights and we love it. Great support on my side or back. Last night was the first time I have slept thru the night in a long time. Highly recommended!”

– Mark G., verified reviewer, on 9/7/23

“Luxury Firm has great lower back support and it has just enough plush when I sleep on my side. Nice sleep from day one! If you’re on the fence about buying online just do it! I regret not buying this mattress sooner!”

 – Rosie H., verified reviewer, on 3/10/23

“Worth every penny! Husband sleeps in all positions, I am mostly back and occasionally side sleeper. I’ve always preferred firm mattresses, and this has been perfect for us both. Incredible support, I no longer wake up in pain and sleep soundly!”

 – Sirin T., verified buyer, on 6/11/22

Read our full Saatva review. 

Best Memory Foam Mattress for Sleep Apnea: Nectar Premier 

Our expert take on the Nectar Premier mattress

How the mattress may help with sleep apnea: The Nectar Premier is an all-foam mattress with four foam layers. The foam mattress has more sinkage than the hybrid mattresses we tested, and our testers described the surface as a “moderate hug.” Sleepers weighing less than 250 pounds shouldn’t sink too deeply into the mattress, but it may not be supportive enough for higher-weight sleepers. Lighter-weight (less than 130 pounds) and average-weight (130–250 pounds) sleepers should feel their shoulders and hips sink comfortably into the mattress when sleeping on their side. 

See our Nectar adjustable base review to learn more about pairing it with your Nectar mattress. Not only is the adjustable base compatible with all Nectar mattresses, but it’s also compatible with any brand’s mattress that works with an adjustable base. 

While some sleepers may favor the sinking, plush feel of a memory foam mattress, sleepers with mobility issues may find the Nectar Premier more difficult to move around on. Our testers said the Nectar Premier surface moved slower than a hybrid mattress, causing them to fight the material when switching positions slightly. The mattress doesn’t have a responsive bounce to assist movement, but it does absorb motion well, meaning you shouldn’t be disturbed by your partner’s or pet’s movements in bed.  

Our tester on the Nectar Premier mattress:

“The material responds to movement, but a little bit slower than hybrid mattresses.” 

Our mattress expert’s take

Who may love it

• People sticking to a budget—look for promotions to avoid paying full price
• Couples who don’t want to wake their partner when switching sides at night
• Sleepers looking for a plush mattress 

Who may want to avoid it

• Sleepers looking for a firmer mattress 
• Higher-weight sleepers may not be supported 

Customer reviews

The Nectar Premier has a 4.5 star rating out of five with more than 5,800 reviews on its website. Many reviewers are side sleepers and notice improved sleep quality since switching mattresses.

“My Nectar Premier mattress was recommended for side sleepers for comfort and price…The mattress is incredibly comfortable and my body doesn’t feel achy in the morning when waking up. Truly has made a difference in the quality of my sleep and health. This product I highly recommend for anyone.”

 – Richard N., verified buyer on 4/5/24  

“We love our new Nectar mattress and adjustable frame. With just a slight incline my husband has stopped snoring! With the head and knees raised setting he gets relief from his back pain. We both also like the massage setting, the ‘night light’ and the USB ports built in. Well worth the investment!”

– John K., verified buyer on 4/23/24

“With so many options and competitors out there for choosing a mattress, I’m relieved I went with Nectar and chose the Premier. I am a side sleeper and I love how perfect this mattress is for me. Love the cooling memory gel and how I sink in it. Definitely a 10/10 on the comfort side!”

– Jesse A., verified buyer on 3/15/24 

View our complete Nectar Premier review. 

Best Hybrid Mattress for Sleep Apnea: The WinkBed

Our expert take on The WinkBed mattress

How the mattress may help sleep apnea: The WinkBed is a hybrid mattress with four firmness options—softer, luxury firm, firmer, and plus. Similar to the Saatva Classic, we like that you can choose a mattress firmness that best supports sleeping on your side. We tested the luxury firm and rated it 6.5 on the firmness scale, making it a medium-firm mattress. The luxury firm should comfortably support average-weight (130–250 pounds) and higher-weight (more than 250 pounds) side sleepers, but sleepers weighing less than 130 pounds may find The WinkBed softer option more comfortable for side sleeping. 

WinkBeds also offers the Adjustable WinkBase 2.0, which is compatible with all WinkBeds mattresses. 

When lying on the mattress, our testers gently sank into the pillow top, but they didn’t sink too deeply before meeting the coil layer. We like the combination of the soft pillow top and firmer support underneath.

Most sleepers, especially those with mobility issues, should feel supported by The WinkBed when switching positions or getting in and out of bed. Our testers didn’t fight the material or sink into the surface like they may with a plusher mattress.

Our tester on The WinkBed mattress:

“There’s some bounce when dropping your full weight on the mattress, but it’s dampened by the soft surface.” 

Our mattress expert’s take

Who may love it

• Any type of sleeper—choose plush softer, luxury firm, firm, or plus comfort levels to accommodate your preferences
• People who need a responsive bed with good edge support for easy mobility
• Partners with different sleep preferences looking for a middle-ground with decent motion isolation

Who may want to avoid it

• Shoppers who need white-glove delivery to haul the mattress into the bedroom

Customer reviews

The WinkBed has a 4.8 star rating out of five with more than 8,600 reviews on its website. Many reviewers who purchased the Luxury Firm were impressed with the mattress’s firmness and support, as well as the brand’s responsive, helpful customer service. 

“Was so unsure purchasing this because I had never heard of the brand. We have had our bed six months and absolutely love it. Firm but not rock hard. I’m probably buying a second one soon.”

Julie M., verified buyer, on 5/27/24

“Quick delivery and arrived well packaged / opened up and inflated quickly. We slept on it the first night and it was great. Definitely firm yet slightly plush (top layer). We have only had it about 1 month and hope to have it for years.”

– Linda C., verified buyer, on 2/22/24

“The WinkBed Luxury Firm is a wonderful thing to sleep on. It’s plush yet firm. Conforms to spine beautifully and has eliminated my shoulder pain as a side sleeper. 100% recommended.”

 – Michael H., verified buyer, on 11/17/23

Read our complete WinkBeds review. 

Best Mattress for Side Sleepers with Sleep Apnea: Bear Elite Hybrid

Our expert take on the Bear Elite Hybrid mattress

How the mattress may help sleep apnea: The Bear Elite Hybrid consists of two layers of memory foam followed by a layer of innerspring coils. You can choose a soft, medium, or firm mattress option. We tested the brand’s medium mattress model and agreed with their rating, finding it a true medium-firm. The mattress has zoned support to help accommodate side sleepers, meaning the shoulder and hip areas are softer than other mattress sections. Our testers felt their shoulders and hips sink slightly more into the surface than their lower back when lying on their side. This slight sinkage helps prevent pressure from building up in the shoulders and hips. If you don’t think the medium option will have the right support and comfort for side sleeping, you can choose the soft or firm option to accommodate your body weight and personal preferences better.

The Bear adjustable base is also available and compatible with all Bear mattresses.

Our testers felt nice contouring support from the Bear Elite Hybrid without sinking deeply into the surface. When lying on their back, the mattress molded to their lower back. Since they felt more “on” than “in” the surface, our testers easily switched positions and moved around on the surface. “The mattress cover pushed against my body to help support my movements,” one tester said. We think sleepers who switch positions throughout the night and those with mobility issues will like how the mattress guides their movements. 

Our tester on the Bear Elite Hybrid mattress:

“My hips and shoulders slightly sink into the top layer, but not below the quilting. My spine feels neutral.”

Our mattress expert’s take

Who may love it

• People with lower back pain who benefit from extra support in the lower back
• Sleepers who need a responsive bed with good edge support to move around on
• Couples who need decent motion isolation from their hybrid mattress

Who may want to avoid it

• Those shopping on a budget
• Higher-weight people who need a firmer and more supportive mattress for comfort

Customer reviews

The Bear Elite Hybrid has a 4.6 star rating out of five with more than 8,600 reviews on its product page. Many reviewers say the mattress is a great middle-ground for them and their partners, especially those with different body types and sleeping positions. 

“This has been the most comfortable mattress I have had in a long time. Normally sleep on my side, but when I try different positions I am comfortable in any position.”

 Bruce O., verified buyer, on 3/29/24

“Really happy with this mattress. We had a traditional spring/pillow top that was just too soft. The level of firmness of this mattress is great. It took only a couple of days to adjust to it. It has helped my back and hip immensely.”

– Ann S., verified buyer, on 1/3/24

“We love our new Bear Elite Hybrid mattress. A great combination of support and plushness. The quality of my sleep is wonderful and my back doesn’t hurt when I get out of bed in the mornings.”

 – Paula C., verified buyer, on 8/23/23

On Google, the Bear Elite Hybrid has a 4.5 star rating out of five based on only four reviews. Reviewers highlight the lower back support and how it’s helped improve their sleep quality. One reviewer had shipping issues. 

Read our complete Bear mattress review. 

Best Mattress for Couples with Sleep Apnea: Nolah Signature 12″

Our expert take on the Nolah Signature 12″ mattress

How this mattress may help sleep apnea: The Nolah Signature 12″ is an all-foam mattress designed to support side sleepers with zoned support in the shoulder and hip areas. When lying on their side, our testers felt hugged yet supported by the mattress. The all-foam mattress has a more cushioned feel than most hybrid mattresses, but we think it’s firm enough to help keep sleepers’ airways open when side sleeping. Nolah gives the mattress a medium firmness rating, but our testers scored the Nolah Signature as firm. Unfortunately, the mattress may be too firm for side sleepers weighing less than 130 pounds. 

You can also elevate the head of the mattress to help ease sleep apnea symptoms with the Nolah smart adjustable base.

Standard memory foam is known for trapping heat because it’s dense and doesn’t promote airflow. Unlike memory foam, Nolah uses AirFoam, which has an open-cell structure that allows greater airflow and is designed to help keep sleepers cooler.

The all-foam mattress absorbs and isolates motion well, which is a plus for couples. Mattresses with good motion isolation don’t typically have good bounce, but we found the surface responsive to help support mobility. 

We also like that you can try a Nolah mattress in person if you live near one of the brand’s showroom locations. 

Our tester on the Nolah Signature 12″ mattress:

“It has pretty good motion isolation. You can’t really tell the other person is moving.”

Our mattress expert’s take

Who may love it

• Side sleepers who enjoy the supportive, cradled feel that helps relieve pressure
• Sleepers who are easily disturbed by their partner’s movements
• Shoppers who want to try a mattress in person before purchasing 

Who may want to avoid it

• Lighter-weight sleepers may need a softer mattress for side sleeping

Customer reviews

The Nolah Signature 12″ has a 4.8 star rating out of five with more than 450 reviews on its product page. Many reviewers say the mattress is excellent for side sleepers and helps relieve aches and pains.  

“I love my Nolah. I’ve tried several different mattresses to reduce pressure point pain for side-sleepers and the Nolah was the only one to achieve this. Very grateful. I got the softest one and I love it!”

– Julian A., verified buyer, on 10/5/2023 

“I would give it more stars than five if able. This is our second Nolah Signature 12″ King – purchased one for the spare bedroom as well. We have tried all the other name brands and some of the new brands out there but there will never be another brand option for us. Fit and form excellent.”

– Suzan S., verified buyer, on 1/22/2023

“I appreciated the excellent and personal service. All the terms were explained to me so there were no surprises. It was a two person job getting the bed out of the box and onto the bed platform, but the instructions that were printed on the box were clear and helpful. I wish the print was big enough so that I didn’t need to use a magnifier to read. That is my only criticism!”

 Amy L., verified buyer, on 10/26/22

On Google, the Nolah Signature 12″ has a 4.8 star rating out of five based on more than 370 reviews. Many reviewers highlight how supportive the mattress is for side sleeping and were pleased with the responsive, helpful customer service.  

Read our complete Nolah mattress review. 

Best Mattress for Heavy Sleepers with Sleep Apnea: Titan Plus

Our expert take on the Titan Plus mattress

How the mattress may help sleep apnea: The Titan Plus is a hybrid mattress designed for sleepers weighing more than 250 pounds. The likelihood of developing obstructive sleep apnea increases with higher body mass index (BMI), so we like that the Titan Plus is a firm yet supportive mattress option to help higher-weight sleepers ease their sleep apnea symptoms by sleeping on their side. Higher-weight sleepers’ shoulders and hips should comfortably sink into the quilted cover and top foam layer, offering nice pressure relief. 

Titan adjustable bases are compatible with all Titan and Brooklyn Bedding mattresses (Titan is owned by Brooklyn Bedding). 

The firm Titan Plus has a bouncy, supportive surface that’s excellent for sleepers with mobility issues. We think the Titan Plus is too firm for side sleepers weighing less than 250 pounds. If you and your partner are both side sleepers but one weighs less than 250 pounds, consider the Titan Plus Luxe. The Luxe model has an extra memory foam layer for greater pressure relief with the same durable support as the Titan Plus.

Our tester on the Titan Plus mattress:

“I feel more on top of the mattress than in it, but because of the quilted top, there is a bit of cradling.”

Our mattress expert’s take

Who may love it

• Higher-weight sleepers who are looking for a durable and supportive mattress
• Sleepers looking for a responsive bed to support mobility 
• Stomach sleepers of any weight 

Who may want to avoid it

• Shoppers who need white-glove delivery to haul the mattress into the bedroom
• Sleepers weighing less than 250 pounds may want a softer mattress 

Customer reviews

The Titan Plus has a 4.7 star rating out of five with more than 2,500 reviews on its product page. Many reviewers are happy with the firmness level, while others say the mattress is too firm. 

“The top of the mattress is soft and comfortable, but has the firm support I prefer. I sleep much better in this bed than my old mattress & box springs. The foundation is well made and sturdy.”

– Merri M., verified buyer, on 6/18/24 

“I ordered the Titan Plus Luxe first and it was too soft. I couldn’t get used to it. Customer service worked with me to make the exchange simple and straightforward, and the firmer Titan Plus is fantastic. I wake up much less stiff in the mornings.”

 – Kristin K., verified buyer, on 5/12/24

“Great mattress so far! Nice and firm without being hard as a rock. No sagging after sleeping on it for a few months and I don’t feel my partner tossing and turning at night. Shipped quickly and was easy to put onto the bed.”

– Vanessa K., verified buyer, on 3/26/24

Read our full Titan Plus review. 

Best Mattress for Pressure Relief and Sleep Apnea: Brooklyn Bedding Aurora Luxe

Our expert take on the Brooklyn Bedding Aurora Luxe mattress

How the mattress may help sleep apnea: The Brooklyn Bedding Aurora Luxe is a hybrid mattress available in three firmness options: soft, medium, and firm. We tested the medium mattress, but our testers thought it was more firm than medium. Although the Aurora Luxe medium was firmer than we expected, our testers felt great pressure relief when lying on their sides. Their shoulders and hips were nicely cushioned and supported by the mattress, and our pressure mapⓘ A mat with sensors that detects pressure buildup when someone lies across it. showed no pressure buildup in these areas. We think the Aurora Luxe mattress should support side sleepers of any weight, making it an excellent choice for those with sleep apnea looking for pressure relief. 

Brooklyn Bedding adjustable bases are compatible with all Brooklyn Bedding mattresses. 

Although we recommend primarily sleeping on your side for sleep apnea, the Aurora Luxe mattress should support back and stomach sleepers of any weight. If you or your partner switch positions throughout the night, the mattress offers firm yet comfortable support. 

In addition to offering good pressure relief, the mattress may also help sleepers stay cool. The Aurora Luxe includes a GlacioTex ⓘ Hypoallergenic fabric made from fibers with high thermal conductivity that allow heat to be quickly and effectively pulled away from your body mattress cover designed to pull heat away from the body. We like that the mattress automatically includes the GlacioTex cover since some brands offer it as an upgrade. Even with the best cooling mattresses, the temperature can depend on various factors, including bed sheets.

Our tester on the Brooklyn Bedding Aurora Luxe mattress:

“Excellent, well-rounded mattress. It’s on the firmer side but offers excellent pressure relief in back- and side-sleeping.” 

Our mattress expert’s take

Who may love it

• People of all body types should like this mattress in any sleep position—it’s available in soft, medium, or firm
• Sleepers with painful joints may benefit from good pressure relief
• Sleepers who need a responsive bed with good edge support for easy mobility

Who may want to avoid it

• Couples who don’t want to wake their partner when switching sides at night 
• Shoppers who need white-glove delivery to haul the mattress into the bedroom

Customer reviews

The Brooklyn Bedding Aurora Luxe has a 4.7 star rating out of five with more than 3,300 reviews on its website. Many reviewers are happy with how cool and comfortable the mattress feels. A handful of reviewers purchased the mattress for their RVs and are pleased with the quality.   

“I just love this bed. It has to be the most comfortable mattress I’ve ever slept on. It took quite a bit of research before making a decision, but I chose well. Firm, but not too firm, it’s just perfect. I highly recommend this mattress.”

 – William M., verified buyer, on 5/23/24

“Buying a mattress is not easy. Buying online is even more difficult. We knew we wanted a hybrid that would sleep cool and not transfer much motion. We are both slender and side sleepers […] Many months later and it’s still a little bit like climbing into a hotel bed. Soft on top yet incredibly supportive underneath. We got the medium for reference. Very happy with our choice.”

– Amy S., verified buyer, on 5/23/24

“We ordered this mattress for our RV and it is the most comfortable bed ever. It took a couple of nights to get used to it, but now we look forward to bedtime. The setup was extremely easy. The mattress was heavy so we needed help getting into the RV but the rest of it was a breeze. This was the best decision we ever made.”

– Michelle L., verified buyer, on 5/18/24

Read our complete Brooklyn Bedding review. 

How we test the best mattresses for sleep apnea

Our Reviews Team has dedicated more than 1,000 hours to researching the mattress industry, consulting at least 10 health care professionals, and testing roughly 40 brands and 130 unique mattress models for quality and comfort. We’ve also interviewed eight older adults who recently purchased a mattress and surveyed more than 3,200 recent mattress customers to understand their experiences shopping for a new bed.

Each mattress undergoes a rigorous 36-page testing procedure to score its different characteristics, including firmness, support, and other aspects most shoppers consider. We chose the best mattresses for sleep apnea based on the scores of the relevant criteria. See how we tested the most important considerations for this review below.

Firmness

Like most mattress brands in the industry, we use a one-to-10 scoring method when testing firmness, with 6.5 being the true medium firm. Our testers rate this by lying on the surface and comparing the feel to other mattresses we’ve tested. Material density and coil strength influence firmness the most. 

Sleepers with sleep apnea need a mattress firm enough to keep them upright and supported. A sleeper’s airway may collapse if the mattress is too soft or plush, which exacerbates sleep apnea and snoring. When rating the best mattresses for sleep apnea, we considered those that scored six or above in our firmness tests. 

Support

We score support on a scale of one to five, with five being the most supportive. Mattresses with strong support contour and push into the curves of your body, particularly the lower back or midsection. Not only do we feel support during testing, but we can also visualize it through pressure map results. Maps with mostly white space at the lower back show how the mattress isn’t making contact with the area, which means the mattress isn’t supportive. 

While not required, we look for mattresses with zoned support that cushions the shoulder and hip areas while reinforcing the midsection. This targeted support better supports side sleepers and may help with sleep apnea. 

Pressure relief

We rate pressure relief on a scale of one to five, with five being the most pressure-relieving. We consider how it feels and use a pressure map with sensors to visualize pressure points around the body accurately. Blue and green pressure map results show great pressure relief, while yellows, oranges, and reds indicate pressure build-up.

Since many sleep specialists recommend side sleeping to help relieve sleep apnea, we prioritized mattresses with high side pressure relief scores. 

To learn more about our testing and scoring methods, review our sleep methodology.  

We continuously test new mattresses to bring you the most up-to-date reviews possible.

Mattresses currently undergoing testing

• DreamCloud Premier
• Bear Star Hybrid
• Nolah Natural
• WinkBed Gravity Lux
• Saatva Classic (Soft)
• Saatva Latex Hybrid
• Puffy Cloud
• Brooklyn Bedding Aurora Luxe Cooling (Firm)
• Nolah Evolution Comfort +

How to choose a mattress when you have sleep apnea

While a mattress won’t directly treat or cure your sleep apnea, it can support sleeping positions that may help keep your airway open. 

Remember that mattress firmness and feel vary for every sleeper and depend on your weight, sleeping position, and personal preferences. Our recommendations may not apply to every sleeper, so using your mattress’s full trial period is crucial. 

Surface support

A more supportive surface helps prevent you from sinking too deeply into the mattress, which may cause your airway to collapse and become obstructed while sleeping. 

The right mattress for sleep apnea must be firm enough to keep your body supported and aligned. The mattress should also properly cushion your shoulders and hips since side sleeping is recommended for sleep apnea. 

Mattress firmness

Each sleeper perceives mattress firmness differently according to weight, height, primary sleeping position, and personal preference. 

Medium mattresses with a cushioning pillow top or memory foam surface may be better for sleepers weighing less than 130 pounds. Lighter-weight side sleepers should avoid firm mattresses, which will likely be too firm to allow sleepers’ shoulders and hips to comfortably sink into the surface, causing discomfort and pain over time. 

We recommend a medium or firm mattress for average-weight (130–250 pounds) side sleepers. Sleepers weighing more than 250 pounds should consider a firm mattress to stay supported yet comfortable when sleeping on their side. 

Side pressure relief 

Your sleeping position may help exacerbate or ease your sleep apnea symptoms. Sleeping on your back is not recommended for sleep apnea since gravity works against you. When lying on your back, your throat tissue and muscles relax, obstructing your airway.  

Most sleep specialists recommend sleeping on your side to help keep your airway open and reduce snoring. The best mattress for side sleepers offers enough cushion in your shoulders and hips for pressure relief while supporting your midsection. 

Compatible with an adjustable base 

Some studies show that elevating your upper body may help reduce the severity of mild to moderate obstructive sleep apnea. Consider a mattress that’s compatible with an adjustable base. 

What is sleep apnea?

Sleep apnea is a sleep disorder that causes your breathing to stop and restart several times throughout the night. Sleep apnea has two types: obstructive sleep apnea (OSA) and central sleep apnea (CSA). 

OSA, which is the most common type of sleep apnea, causes your throat muscles to relax and block your airway, while CSA results in a blocked airway because your brain isn’t properly communicating with your throat muscles. 

Common obstructive sleep apnea symptoms include snoring, gasping for air, dry mouth, headaches, and daytime sleepiness.  

How sleep apnea affects sleep

Sleep apnea prevents high-quality, restorative sleep that’s essential for healthy aging. Depending on the severity of your sleep apnea, you may experience an average of five to more than 30 episodes per hour of reduced or paused breathing. 

“Sleep apnea leads to excessive daytime sleepiness and poor functioning,” said Chelsie Rohrscheib, a neuroscientist and head sleep expert with the sleep testing platform Wesper. 

“In the short term, sleep apnea results in cognitive issues, low mood, and low energy,” she said. “Over time, sleep apnea increases the risk for major health issues such as cardiovascular disease, diabetes, Alzheimer’s Disease, cancer, poor immune function, and mental health disorders.”

When to see a doctor

We spoke with Chelsea Perry, DMD, a member of the American Academy of Dental Sleep Medicine and founder of Sleep Solutions, to learn more about sleep apnea symptoms and when to speak with your primary care provider. 

“It’s imperative to see a doctor right away for a sleep apnea diagnosis if you experience some of these symptoms,” she said. According to Perry, common sleep apnea symptoms include: 

• Loud, disruptive snoring
• Someone witnessing your pauses in breathing 
• Excessive daytime sleepiness
• Morning headaches
• Difficulty concentrating 
• Mood changes, such as irritability, depression, and mood swings
• Frequent urination at night
• Dry mouth or sore throat
• Decreased libido 

Less common symptoms may include insomnia, waking up choking or gasping for air, sweating excessively during sleep, and acid reflux. 

Your primary care provider will refer you to a sleep specialist, who will probably order a sleep study to diagnose sleep apnea or other sleep disorders. At-home sleep apnea tests are available, but your results should always be analyzed by an expert. 

Bottom line 

If you have sleep apnea, you know getting a refreshing night’s sleep can be difficult. While a mattress can’t directly treat your sleep apnea, the right mattress can improve your sleep environment. 

The best mattress for sleep apnea supports side sleeping. The right mattress should be firm enough to keep your body supported and aligned without sinking too deeply. We included a variety of mattresses in our roundup to accommodate multiple body types, sleeping preferences, and budgets. 

All featured brands also offer adjustable bases that raise the head and foot of the mattress. Elevating your head may help ease mild to moderate sleep apnea, but always speak with your doctor about treatment options. 

Additional resources for healthy sleeping

• Best mattress for back pain
• Best mattress for sciatica
• Best mattress for arthritis
• Best mattress for hip pain
• Best mattress for shoulder pain
• Best mattress for fibromyalgia
• Best pillows for neck pain
• Best mattress for allergies

Have questions about this review? Email us at reviewsteam@ncoa.org. 

Frequently asked questions

What sleeping position is best for sleep apnea?

Sleeping on your side is the best position for sleep apnea since your airway is more likely to remain open. Stomach sleeping may also help ease symptoms, but make sure your mattress is firm enough to support your hips so they’re not sinking into the surface. If you use a CPAP machine, sleeping on your stomach may be more difficult. Sleeping on your back isn’t recommended for those with sleep apnea. When lying on your back, gravity pulls down your soft palate, jaw, and tongue, obstructing your airway.

What is the best type of mattress for sleep apnea?

The best mattress for sleep apnea depends on your body weight, primary sleeping position, and personal preferences. Generally, the best mattresses for sleep apnea support side sleeping while keeping you firmly supported. We also recommend mattresses that are compatible with adjustable bases. Adjustable bases allow you to elevate your head while sleeping, which may help sleep apnea symptoms.

Is a soft or hard mattress better for sleep apnea?

Generally, a firmer mattress is better for sleep apnea. The supportive surface prevents you from sinking too deeply into the mattress, which may help prevent your airway from collapsing. Still, the best mattress for sleep apnea will vary for most sleepers. Consider your body weight, primary sleeping position, and personal preferences when shopping for a mattress for sleep apnea.

Sources

1. American Medical Association (AMA). What Doctors Wish Patients Knew About Sleep Apnea. April 1, 2022. Found on the internet at https://www.ama-assn.org/delivering-care/public-health/what-doctors-wish-patients-knew-about-sleep-apnea
2. American Academy of Sleep Medicine. Study Finds High Rate of Undiagnosed Sleep Apnea in Older Adults. May 11, 2018. Found on the internet at https://foundation.aasm.org/aasm-foundation-study-published-jags 
3. Srijithesh, PR, et al. Positional Therapy for Obstructive Sleep Apnoea. The Cochrane Database of Systematic Reviews. May 1, 2019. Found on the internet at https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD010990.pub2/full
4. Johns Hopkins Medicine. Choosing the Best Sleep Position. Found on the internet at https://www.hopkinsmedicine.org/health/wellness-and-prevention/choosing-the-best-sleep-position
5. Souza FJF, et al. The Influence of Head-of-Bed Elevation in Patients with Obstructive Sleep Apnea. Sleep Breathing Physiology and Disorders. June 24, 2017. Found on the internet at https://link.springer.com/article/10.1007/s11325-017-1524-3
6. Shazia Jehan, et al. Obstructive Sleep Apnea and Obesity: Implications for Public Health. Dec. 12, 2017. Found on the internet at https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5836788/  
7. Penn Medicine. Obstructive Sleep Apnea. Found on the internet at https://www.pennmedicine.org/for-patients-and-visitors/patient-information/conditions-treated-a-to-z/obstructive-sleep-apnea
8. ​​Cleveland Clinic. Sleep Apnea. Found on the internet at https://my.clevelandclinic.org/health/diseases/8718-sleep-apnea
9. Johns Hopkins Medicine. Obstructive Sleep Apnea. Dec. 14, 2023. Found on the internet at https://www.hopkinsmedicine.org/health/conditions-and-diseases/obstructive-sleep-apnea
10. National Heart, Lung, and Blood Institute. Sleep Studies. March 24, 2022. Found on the internet at https://www.nhlbi.nih.gov/health/sleep-studies