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In This Article
I chose the best beds for osteoporosis based on how likely they are to help prevent a fall and subsequent bone fracture. Here, you’ll find tall, supportive beds with reliably strong edges.
Osteoporosis is a disease characterized by a weakening of the bones and an increased risk of bone fractures. People with osteoporosis are far more likely to break a bone in a fall (or during a movement that puts stress on the body).
According to a 2014 study, approximately 10 million Americans have this condition.1 However, because osteoporosis doesn’t have obvious symptoms, many people aren’t aware that they have the disease until after they’ve unexpectedly broken a bone.
The best mattress for osteoporosis, therefore, is a bed that will reduce your risk of experiencing a fall and a subsequent fracture. With this guideline in mind, I’ve gathered a list of beds that could be a good match for people with osteoporosis—or people who suspect they might have or develop it.
Back Pain, Hip Pain, Stomach Sleepers, Side Sleepers, Back Sleepers, Seniors
Back Sleepers, Side Sleepers, Couples, Hip Pain
Back Sleepers, Stomach Sleepers, Side Sleepers, Hip Pain, Seniors
Side Sleepers, Back Sleepers, Hip Pain, Back Pain, Stomach Sleepers
Back Sleepers, Stomach Sleepers, Back Pain, Hot Sleepers, Side Sleepers, Hip Pain, Seniors
Back Sleepers, Stomach Sleepers, Back Pain, Hot Sleepers, Seniors
Side Sleepers, Back Sleepers, Hip Pain, Seniors
Back Sleepers, Stomach Sleepers, Hot Sleepers, Hip Pain, Seniors
Side Sleepers, Back Sleepers, Stomach Sleepers, Hip Pain
Couples, Back Sleepers, Hip Pain
How Did We Choose the Best Beds for Osteoporosis?
At the Sleep Advisor studio, we run tests on mattresses in person to get a literal feel for each bed. Our testing team consists of people with different body types and preferred sleeping positions so that our notes cover a variety of experiences.
For this roundup, we focused on beds that we already recommend for their balance of comfort and support, but that also address the needs of someone with osteoporosis.
For professional advice, we had this entire piece reviewed by Dr. Heidi Moawad. We also consulted our Chief Medical Advisor, Dr. Raj Dasgupta.
What We Want to See in a Mattress for Osteoporosis
A Height of At Least 12 Inches
When you can get in and out of bed without much effort, your risk of falling is reduced. A mattress that’s easy to lie down on and get up from, especially for those with limited mobility, is a great candidate for this list—and a taller profile can help with this aspect. All the beds in this roundup are at least 12 inches tall.
Sturdy Edge Support
Edge support can keep you from rolling off of the side of the bed during the night and falling to the floor. If you’re prone to spreading out or scooching all the way to the edge of the bed as you sleep, a strong mattress perimeter is a must. The majority of the beds on this list received a 4 out of 5 or higher in this category from myself and our other testers.
The Right Feel for Undisturbed Sleep
A mattress for someone with osteoporosis should be comfortable enough—by their individual standards—to ensure high-quality sleep. Getting enough rest contributes to your cognitive and physical faculties the next day, and should therefore help you avoid falls and stumbles.2 Additionally, if you do break a bone, your mattress should provide even and steady support as well as soothing pressure relief as you heal.
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.
4.4
Saatva
Saatva Rx Mattress
Pressure Relief
Built to Last
Luxury
Hybrid
365 nights
Free white glove delivery
Limited Time Offer
Take $300 off your order of $1,000 or more See Details
Medium. We rated this bed at a 6 out of 10 on our firmness scale.
Size
Twin, twin XL, full, queen, California king, split king
Back Pain
The Saatva Rx was specifically designed for sleepers with chronic back pain concerns.
Luxury Shoppers
This is a lofty, luxurious bed that should appeal to high-end shoppers.
Most Positions
We found the Saatva Rx’s medium feel accommodated most sleeping positions, and we were able to switch between them easily.
Pros of the Saatva Rx
This bed has multiple coil units (one miniature layer and a standard individually wrapped layer) for double the bounce
The Rx’s zoned foam and foam-topped coils provides a support system that should coax your spine into its proper alignment
This bed is built to last with a sturdy, supportive construction
Cons of the Saatva Rx
As a luxury mattress, this bed starts out at nearly $2,000 for a twin; not exactly the best budget option
We thought the motion absorption on this bed was just okay, which may be a drawback for couples
Shipping
Free white glove delivery
Trial
365 nights
Warranty
Lifetime warranty
Returns
Flat return fee ($99)
The Advisor Says: The Saatva Rx was built for folks with chronic pain concerns. We think its support and pressure relief should provide soothing comfort. It should work for just about anyone who’s been let down by their mattress and wants to upgrade to a luxurious, sturdy bed with a well-balanced feel.
Why the Saatva Rx Earned Best Mattress Osteoporosis Overall
Just by looking at its name, you can tell that the Saatva Rx is designed to address joint pain and soreness. It earned a perfect score for its pressure relief—all of us testers loved how cradling it felt—with soothingly blue and green pressure maps for all three body types. Spencer, our heavyweight tester, only had the slightest touch of yellow around his hips while lying on his side.
Its secret? Even though it has two spring units, its construction emphasizes plush foams. In fact, every one of the springs in its base unit is topped with an individual piece of foam called an Rx Foam Module. Sleepers with osteoporosis should appreciate the welcoming, soft sink and springiness of this bed, as well as its stately 15-inch height.
Testing Studio Soundbite
“The pressure relief, spine alignment, and responsiveness are outstanding with the Rx. Saatva went above and beyond to make sure it would accommodate folks with back and joint pain.”
Loren Bullock, Former Lead Product Tester
What’s the Saatva Rx Made Of?
The Saatva Rx is an impressive 15 inches tall.
Cover. It’s topped with a breathable, antimicrobial cover for comfortably safe sleep; this cover is also quilted in the center to give you extra lift in your back.
Lumbar Crown. At the top of the mattress is a lumbar crown, a crest of foam designed to enhance lower back support even more, while also relieving pressure buildup.
High Density Foam Layers. Next, two dense foam layers encase a micro-coil layer for comfortable cushioning.
Micro-coil Unit. This miniature innerspring layer provides pinpoint responsiveness, support, and pressure relief.
Therapeutic Support Core. The bed’s therapeutic support core consists of pocketed coils topped with 2-inch foam modules to reduce motion transfer.
Base. Everything sits on top of an eco-friendly stable base layer.
Customer Reviews of the Saatva Rx
Customers on Saatva’s website have awarded the Saatva Rx 4.8 out of 5 stars on average.The bed has around 50 reviews, praising the bed for helping with chronic back and neck pain, with only a few mentioning drawbacks such as lackluster edges.
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.
4.0
DreamCloud
DreamCloud Premier Rest
Soft for a Hybrid
Euro Top
Responsive
Hybrid
365 nights
Free shipping minus HI and AK
Cyber Weekend Extended
Up to 50% off mattresses + spend $1,000 and save $100 See Details
A softer medium-firm with lots of cushion on top. We labeled it a 5.5 out of 10 on our firmness scale.
Size
Twin, twin XL, full, queen, king, California king, split king
Side Sleepers
This is a pretty plush mattress, and our testers thought it seemed designed for this sleeping position.
Lightweight Sleepers
Its soft feel and coil-powered support create an ideal sleep environment for petite people.
Bounce Fans
The foams on top are very responsive, and the springs beneath give the whole mattress a lot of buoyancy.
DreamCloud Premier Rest Pros
Usually, a coil unit drives up the firmness of a mattress, but the DreamCloud Premier Rest is truly one of the brand’s softest models
Our testers gave it a perfect score for pressure relief—their joints felt extremely cushioned
It absorbed small movements rather well, and it’s got quite a bit of bounce, so it may be especially appealing to sexually active couples
DreamCloud Premier Rest Cons
It doesn’t have very strong edges; we noticed the perimeter sagging a lot when we sat on the sides
Folks who need a firm bed, such as heavyweight and stomach sleepers, should look elsewhere; maybe even at the original DreamCloud
Shipping
Free shipping in the contiguous United States
Trial Period
365 nights
Warranty
Lifetime warranty
Returns
Free returns within the trial period
The Advisor Says: It’s DreamCloud’s softest hybrid offering, and its Euro top feels like a gigantic pillow cushioning your body. That said, it’s not built for people who need tons of support—lightweight side sleepers are probably going to have the best time on this mattress.
Why the DreamCloud Premier Rest Earned Best Luxury Mattress for Osteoporosis
At 14 inches in height, the DreamCloud Premier Rest Hybrid is DreamCloud’s tallest and most luxurious bed, with no fewer than four foam layers above its spring unit. This thickness should help sleepers with osteoporosis get into bed easily, as you shouldn’t have to stoop too low.
What’s more, its Euro top is exceptionally cushiony and does a lovely job at relieving pressure around sensitive areas. It’s an especially good fit if you’d like a bit of a hug-like feel from a hybrid bed, which can be hard to find. For these reasons and more, we gave it our top billing.
Testing Studio Soundbite
“Side sleepers, I think you’ll thrive on this mattress. The pillow top evenly distributes weight while relieving pressure, and the supportive coils balance out the very plush foams in the upper portion.”
Julia Forbes, Mattress Tester
What’s the DreamCloud Premier Rest Made Of?
The DreamCloud Premier Rest is 14 inches tall and has eight layers if you count its upper and lower covers. All of its foams are CertiPUR-US® certified.
Layer 1 – Cashmere Blend Cover. Made of a breathable cashmere blend, the cover feels velvety soft.
Layer 2 – Contouring Quilted Foam. The first layer in the bed’s plush Euro top, this memory foam molds to your silhouette.
Layer 3 – Supportive Quilted Foam. A corresponding layer of slightly more supportive plush foam is also quilted into the Euro top.
Layer 4 – Gel-Infused Memory Foam. Below the pillow top, this layer of comfort foam eases you into the transitional layer of foam below.
Layer 5 – Dynamic Transition Layer. This foam both supports your spine and protects you from feeling springs inside the coil unit.
Layer 6 – Innerspring Unit. The coils in this bed are individually wrapped and thicker around the edges.
Layer 7 – Base Foam. A thick foam base bolsters the springs and keeps the rest of the mattress stabilized.
Layer 8 – Lower Cover. The tufted lower cover has handles for easy transport and keeps the internal layers nicely stacked.
Customer Reviews of the DreamCloud Premier Rest
With 4.4 out of 5 stars on DreamCloud’s site, the DreamCloud Premier Rest has many positive reviews. Customers left a little over 1,000 reviews, finding the DreamCloud Premier Rest mattress comfortable and supportive. However, some have reported that it’s relatively heavy, making it challenging to move or reposition.
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.
4.0
Helix
Helix Midnight Luxe Mattress
Sleeps Cool
Pillow Top
Zoned Support
Hybrid
100 nights
Free shipping minus HI and AK
Cyber Monday Sale – Extended
Save 20% sitewide + 2 FREE pillows with any mattress ($150+ value) See Details
Medium-firm with a cushiony top. On our firmness scale, it registered as a 6 out of 10.
Size
Twin, twin XL, full, queen, short queen, king, California king, RV king
Back Sleepers
Our testers enjoyed this bed the most on their backs, and appreciated the built-in lumbar support.
Hot Sleepers
This bed received a perfect cooling score due to its gel-infused foam, Tencel™ cover, and hybrid design.
Couples
It’s a solid bed for couples, with strong edges, cooling capability, and decent (but not awesome) motion isolation.
Helix Midnight Luxe Pros
A combination of strong, zoned coils and cushiony top layers make the Helix Midnight Luxe great at providing comfortable lift
This same balanced feeling mentioned above makes the mattress great for most sleeping positions and body types
It has a bit more sink than the Helix Midnight, so may feel like a cozy upgrade if you were considering that bed
Helix Midnight Luxe
Plus-size stomach sleepers may still find it too soft for their liking; they need a mattress with even more support beneath the hip region
There was some pressure detected under our lightweight tester’s shoulders when she tried this bed on her side; check out the best beds for shoulder pain if you need an alternative
Shipping
Free shipping within the contiguous United States
Trial Period
100 nights
Warranty
15-year warranty
Returns
Free returns
The Advisor Says: An upgraded version of the Helix Midnight, this bed added zoned support for more lift beneath the lower back as well as a plush pillow top. It should appeal to people (and back sleepers in particular) who want just a bit of comfy sink from the top layer of their hybrid mattress.
Why the Helix Midnight Luxe Earned Best Mattress for Back Sleepers with Osteoporosis
The Helix Midnight Luxe is a well-rounded hybrid bed that offsets cozy pressure relief with responsiveness and support. If you’re a back sleeper, your spine should be pleasantly lifted even as your more sensitive joints are cushioned. “Back sleepers should feel neutral alignment here, and the lumbar support layer really helps the spine maintain its natural curve,” said my fellow Lead Product Tester Loren Bullock.
A 13.5-inch thickness gives the mattress the right profile for easily slipping into bed, and its springier layers also make repositioning a cinch. But what about its edges?
“When it comes to edge support, I give the Midnight Luxe an A,” said Loren. “Seniors and couples will benefit from this because it’s easy to get in and out of bed, and you can comfortably sleep there.”
Testing Studio Soundbite
“It has a very balanced feel. You should stay elevated on the mattress. Basically, this bed isn’t going to swallow you whole, but the pillowtop offers enough cushion for comfort.”
Loren Bullock, Former Lead Product Tester
What’s Inside the Helix Midnight Luxe?
The Helix Midnight Luxe is 13.5 inches tall and has six layers.
Layer 1 – Pillow Top. Quilted foam gives this pillow top its welcoming softness beneath a breathable Tencel™ cover. For an additional fee, you can swap the Tencel™ fabric for a GlacioTex™ Cooling Cover instead.
Layer 2 – Helix Responsive Foam. A bouncy, medium-firm foam.
Layer 3 – Copper Gel Memory Foam. This foam contours to the shape of your body and prevents heat buildup with infusions of copper and gel.
Layer 4 – Memory Plus Foam. Another foam with a medium-firm feel, it forms the transitional layer between foams and coils.
Layer 5 – Innerspring Unit. The pocketed coils feature a lumbar support zone across the middle of the bed, which gives your lower back and hips more lift.
Layer 6 – DuraDense Foam. A strong foam base.
Customer Reviews of the Helix Midnight Luxe
On Helix’s website, the mattress has over 6,000 reviews, scoring 4.5 out of 5 stars. Customers appreciate the Helix Midnight Luxe mattress for its customized support but have reported that it may not be the best option for those who prefer an exceptionally soft sleep surface.
Nectar Premier – Best Memory Foam Mattress for Osteoporosis
Cozy Sink, Underlying Support
Sleep Advisor 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.
Medium-firm. On our firmness scale, it’s a 6.5 out of 10.
Size
Twin, twin XL, full, queen, king, California king, split king
Back Sleepers
Our tester, Sosha, loved how this bed filled in the gap underneath her lower back with cradling foam.
Side Sleepers
Side sleepers should appreciate the pressure-relieving layer of memory foam at the top of this bed.
Couples
This bed received a perfect score from our testers for its motion isolation, and a near-perfect one for its edge support.
Nectar Premier Pros
The Nectar Premier has a good ratio of support to pressure relief, with perfect testing scores in both categories
Its motion isolation is absolutely stellar; Sosha couldn’t feel any of her fellow tester’s movements
It’s probably not as cooling as a hybrid, but it still performed admirably for a foam bed during our temperature test
Nectar Premier Cons
There’s little to no bounce on this bed, so it’s not our first choice for sexually active couples; the best mattresses for sex tend to be springy hybrids
It’s squarely medium-firm, so it may not feel as plush as you’d expect a memory foam mattress to be
Shipping
Free shipping within the contiguous United States
Trial Period
365 nights
Warranty
Lifetime warranty
Returns
Free returns
The Advisor Says: The Premier has a bit more memory foam at the top than the Nectar Classic for a more side-sleeper-friendly feel. Average-weight sleepers will likely enjoy this bed across all three sleeping positions, and the motion isolation is spectacular.
Why the Nectar Premier Earned Best Memory Foam Mattress for Osteoporosis
The Nectar Premier is an upgraded version of the Nectar Classic, with an additional inch of memory foam and a softer feel for cushioning joints. Our tester, Sosha, doesn’t typically enjoy memory foam beds, but this Nectar model turned out to be her favorite after she tested all six of the brand’s mattresses—yes, including the hybrids!
At 13 inches high, and with a 5 out of 5 score for its pressure relief, it’s a good bet for folks with osteoporosis. Sosha liked it in every sleeping position and reported that her spine alignment didn’t falter. It also canceled out motion like a champ, so couples should consider it, too.
Testing Studio Soundbite
“This is a great bed for memory foam fans who are combination sleepers. It’s one of the easiest memory foam beds to change positions on.”
Sosha Lewis, Senior Staff Writer
What’s the Nectar Premier Made Of?
The Nectar Premier is 13 inches tall with 4 primary layers.
Layer 1 – Cooling Cover. Specialized fibers help to regulate the temperature at the surface of the bed.
Layer 2 – Memory Foam (2 inches). This pressure-relieving layer contours to your body’s curves.
Layer 3 – Support Foam (3 inches). This foam helps to support your body and keep your spine aligned.
Layer 4 – ActiveSupport Base Foam (8 inches). A thick foam foundation.
Customer Reviews of the Nectar Premier
Over 5,600 reviewers on Nectar’s site have given the Nectar Premier an overall 4.6 out of 5 stars. It’s important to note that Nectar just recently updated their Premier model, so these reviews may not account for changes to the bed’s construction.
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.
Multiple firmness options (Softer, Luxury Firm, Firmer, and Plus). We tested the Luxury Firm and placed it at a 6 out of 10 on our scale, which is comfortably medium-firm.
Size
Twin, twin XL, full, queen, king, California king
Combination Sleepers
Its springiness makes it easy to change your sleeping position, and it adapts well to each one.
Hot Sleepers
Gel-infused foams, airflow around the coils, and a breathable cover earned the WinkBed a high cooling score.
Spine Alignment
Its zoned coils and “LumbarLayer™” of foam help to keep the lower back supported and aligned with the rest of the spine.
WinkBed Pros
There are four firmness options available for this bed, including one designed specifically for plus-size sleepers
It’s so springy that it feels like it’s helping you to move around on top of it
The zoned support was really noticeable during testing, and helped to keep our lumbar regions lifted
WinkBed Cons
Its motion isolation isn’t the greatest, so if you’re a restless sleeper who shares a bed, look elsewhere
It has a classic hybrid feel that keeps you on top of the mattress, rather than sinking in; if you want more of a hug from your bed, browse the best soft mattresses
Shipping
Free within the contiguous United States
Trial Period
120 nights
Warranty
Lifetime warranty
Returns
Free returns
The Advisor Says: Our testers often compare the WinkBed to a luxury hotel mattress, which is no surprise given its handcrafted touches and elegant hybrid design. It’s also one of the most customizable beds out there, with a firmness level for every body type.
Why the WinkBed Earned Best Hybrid Mattress for Osteoporosis
Hybrids are big in the mattress world right now, so it takes an extra-special one to catch our eye. If you have osteoporosis, the WinkBed is one of the best hybrids you can pick. We gave it a near-perfect 4.5 out of 5 in edge support, and it reaches an impressive 13.5 inches in height.
It’s also extremely versatile. “There are multiple firmness options—in fact, four—to choose from, so it should work for just about anyone,” said Loren. Regardless of which firmness you choose, you’re getting a handcrafted mattress with a cozy surface and an advanced innerspring unit at the base.
Testing Studio Soundbite
“The mattress is very bouncy and buoyant, and the pillow top layer adds [lots of] comfort while the coils keep your body mostly elevated on the mattress. It feels like a luxury hotel bed.”
Euro Pillow Top – A quilted pillow top that resists overheating and cushions pressure points with “Hypersoft Foam.”
Additional Foam Layers – Other foam layers—such as the LumbarLayer™, which supports the lower spine—offer support and make for a comfortable transition to the bed’s coils.
Innerspring Unit – The coil unit consists of pocketed springs split into zones with varying amounts of pushback that correspond to different parts of the body. The coils are also reinforced along the bed’s edges.
Customer Reviews of the WinkBed mattress
On the WinkBeds site, the WinkBed earns a 4.8 out of 5 stars. One drawback of the WinkBed mattress is that it might be too expensive for budget-conscious shoppers, but overall it offers excellent durability and customizable firmness options.
Saatva Classic – Best Mattress for Osteoporosis and Back Pain
Dedicated Lumbar Support
Sleep Advisor 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.
4.2
Saatva
Saatva Classic
Two Coil Units
Lumbar Support
Multiple Firmnesses
Hybrid
365 nights
Free shipping and white glove delivery
Limited Time Offer
Take $300 off your order of $1,000 or more See Details
Multiple firmness options available (Plush Soft, Luxury Firm, and Firm). We tested the Luxury Firm and placed it at a 7 out of 10, which is firm but not extremely firm.
Size
Twin, twin XL, full, queen, king, California king, split king, split California king; two height options (11.5″ and 14.5″)
Combination Sleepers
This bed supported us in every single sleeping position, so you’re all set if you switch your posture during the night.
Back Pain
There are multiple features inside this bed that support the lower back specifically.
Fans of Convenience
White glove delivery is a big plus if you don’t want to deal with the hassle of mattress unboxing and setup.
Saatva Classic Pros
All the built-in lumbar features really kept our lower backs lifted and supported
The edge support on this bed is something else—those foam rails make you feel very secure
You can customize the bed’s firmness level and height
Saatva Classic Cons
There’s very little motion isolation to be had on this bed, so you may feel a partner’s movements; check out the best memory foam beds if a calm surface is important to you
Unlike many other mattress companies we feature, Saatva will charge you a return fee if you send this bed back
Shipping
Free shipping and white glove delivery in the contiguous United States
Trial Period
365 nights
Warranty
Lifetime warranty
Returns
Saatva charges a $99 processing fee for returns
The Advisor Says: The Saatva Classic is the gold standard for lower-back support, strong edges, and customizable luxury. It’s not the softest or most motion-isolating bed out there, but it’s a dependable, bouncy hybrid that consistently impresses our testers with its two coil units.
Why the Saatva Classic Earned Best Mattress for Osteoporosis and Back Pain
Moreso than most other mattresses I’ve encountered, the Saatva Classic was engineered for back support. It has multiple elements that target the sensitive lumbar region of the spine, including dual coil units, zoned quilting, and even a lumbar-specific strip of memory foam. These signature add-ons encourage optimal alignment in multiple sleeping positions, and may ease back pain.
It’s also a great bed for people with osteoporosis. You can order it in one of two heights: 11.5 or 14.5 inches, depending on which will make it easiest to get in and out of bed. Its edge support is extremely strong, which is all the more impressive when you consider that it doesn’t use reinforced coils, but extra-dense foam rails around the perimeter of the bed.
Testing Studio Soundbite
“I [have] to shout out the tons of lumbar support. If you need a mattress that’s got your back, you need the Saatva Classic.”
Stuart Petty, Sleep Advisor Mattress Tester
What’s the Saatva Classic Made Of?
The Saatva Classic stands either 11.5 or 14.5 inches high, depending on which thickness you order. Its layers are as follows:
Euro Top. The first layer is a 3-inch Euro pillow top protected by a breathable, organic cotton cover. The pillow top’s foremost goal is comfort, but it still has specialized quilting around its middle that gives a firmer cushion beneath your lumbar spine.
Memory Foam Crown. This strip of memory foam laid across the central third of the mattress also targets the lumbar region.
First Innerspring Unit – These coils are encased in individual fabric wrappers and slightly stronger in that same lumbar zone.
Lumbar Zone® Active Spinal Wire – A wire within the coil layers further braces the middle region of the bed.
Second Innerspring Unit – A base unit of interconnected springs rounds out the bed, giving the Classic a notable total of two coil layers instead of one.
High-Density Foam Rails – For edge support, the Classic relies on thick foam rails that frame the entire perimeter.
Customer Reviews of the Saatva Classic
The Saatva Classic rates 4.8 stars out of 5 on Saatva’s website. One negative aspect customers found with the Saatva Classic mattress is that it may feel too firm for some users, while a notable advantage is its high-quality materials, providing durability and support.
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.
4.8
Nolah
Nolah Evolution Hybrid Mattress
Euro Top
Cooling Border Gusset
Luxurious Height
Hybrid
120 nights
Free shipping minus HI and AK
Cyber Monday Sale
35% off sitewide + 2 free pillows + $150 off BedJet with mattress purchase See Details
Multiple firmness options (Plush, Luxury Firm, and Firm). We tested the Luxury Firm and placed it at 6.5 out of 10 on our scale, which is squarely medium-firm.
Size
Twin, twin XL, full, queen, king, California king, split king
Combination Sleepers
This is a versatile hybrid that felt great in pretty much every sleeping position during testing.
Hot Sleepers
The Evolution earned a perfect 5 out of 5 in the cooling category from our testers.
Couples
One our staff members bought this bed to avoid a “sleep divorce,” and its motion isolation, cooling, and edge support really did the trick.
Nolah Evolution Pros
It worked across all sleep positions for our testers, even supporting our hips enough for cozy stomach sleeping
The cooling border gusset really makes a difference, as this bed did not hold onto heat
It’s both bouncy and motion-isolating, a rare combination
Nolah Evolution Cons
It’s a relatively pricey bed, so if you’re on a tight budget, consider some of the best affordable mattresses instead
At 15 inches high, this is a very tall and stately mattress, which makes it difficult to move once it’s unboxed
Shipping
Free shipping within the contiguous United States
Trial Period
120 nights
Warranty
Lifetime warranty
Returns
$99 fee for mattress retrieval
The Advisor Says: The Nolah Evolution is a team favorite with a highly competitive score spread—our testers gave it at least a 4 out of 5 in every single performance category. It’s definitely a luxury mattress, with the height (and price) to match.
Why the Nolah Evolution Earned Best Cooling Mattress for Osteoporosis
The Nolah Evolution takes cooling to new heights. Its proprietary AirFoamICE™ regulates temperature with graphite infusions, and a 4-inch gusset wrapped around the top of the bed encourages unwanted heat to vent away. Even the cover has cooling fibers built in.
Those with osteoporosis should also appreciate the bed’s accessible height—15 inches, the tallest on this list—and amazing edge support. “I really love the care Nolah has taken to reinforce the edges,” said Liz, one of our testers who experiences chronic joint pain. “As someone with disabilities, getting in and out of bed can be a little difficult. But having the reinforced edges makes all the difference.”
Testing Studio Soundbite
“When I crawled into this bed, I could really feel it gently cradle my body … I could even feel the zoned support in the springs working to support my body weight appropriately.”
Stuart Petty, Mattress Tester
What’s Inside the Nolah Evolution?
The Nolah Evolution is 15 inches thick and has seven layers, including its top cover. It’s available in three firmness levels: Plush, Luxury Firm, or Firm.
Layer 1 – Top Cover. Organic cotton and ArcticTex™ fibers both work to keep the surface cool.
Layer 2 – Euro Topper (2 inches). “High thermal conductivity” quilting and soft foam make this initial comfort layer both chill and plush.
Layer 3 – AirFoamICE™ (2 inches). The brand states that AirFoamICE™ runs cooler, lasts longer, and relieves far more pressure than traditional memory foams.
Layer 4 – High-Resilience Foam (2 inches). A more supportive foam that should help with spine alignment.
Layer 5 – High-Density Transition Foam (1 inch). This foam has some bounce to it and segues nicely into the bed’s innerspring layer.
Layer 6 – Coils (8 inches). Pocketed springs that are separated into zones for specialized support beneath different areas, including the lumbar region. They’re reinforced along the perimeter for notable edge support.
Layer 7 – Recycled Plant Fiber Foundation. An underlying base layer.
Customer Reviews of the Nolah Evolution
Earning a 4.9 out of 5 stars on Nolah’s website, the Nolah Evolution seems to be a hit. Customers appreciate the Nolah Evolution mattress for its superior pressure relief, but some have mentioned that the edge support could be improved for a more consistent sleep surface.
Bear Elite Hybrid– Best Mattress for Active People with Osteoporosis
Made for Muscle Recovery
Sleep Advisor 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
Bear
Bear Elite Hybrid Mattress
Phase Change Material
Zoned Support
Multiple Firmnesses
Hybrid
120 nights
Free shipping minus HI and AK
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Multiple firmness options (Soft, Medium, or Firm). We tested the Medium version and placed it at a 6 out of 10 on our scale, which means it’s medium-firm with some cushion.
Size
Twin, twin XL, full, queen, king, California king, split king
Back Sleepers
The lumbar support on this bed felt fantastic under our lower backs.
Bounce Fans
This is an extraordinarily responsive bed with a 5 out of 5 testing score in the bounce category.
Couples
Strong edge support, above-average cooling, and decent motion isolation make it a good pick for couples.
Bear Elite Hybrid Pros
You’ll have three firmness options to choose from
We got some real air while jumping on this bed, and never felt restricted by or stuck in its upper foam layers when moving around
The zoned coils gave our lower backs noticeable support and kept our spines aligned
Bear Elite Hybrid Cons
There was some pressure buildup around the shoulders while resting on our sides; the best mattresses for pressure relief list will have better recommendations for people with shoulder pain.
The motion isolation is pretty good for a hybrid, but it’s still not amazing
Shipping
Free inside the contiguous United States
Trial Period
120 nights
Warranty
Lifetime warranty
Returns
Free returns
The Advisor Says: This is a memorably bouncy and supportive hybrid with state-of-the-art cooling elements. It had a delightful balance of cushion and lift for back and stomach sleeping in particular.
Why the Bear Elite Hybrid Earned Best Mattress for Active People with Osteoporosis
The Bear Elite Hybrid has a not-so-secret ingredient that makes it appealing to active folks and athletes: a performance textile called Celliant®. These fibers can allegedly convert body heat into infrared energy, which can then reduce inflammation and encourage post-workout recovery.
People with osteoporosis should also appreciate this bed’s lofty 14-inch height and strong edges. “The edges are extra-reinforced by the zoned coil system,” said Stuart. “You can really take advantage of the entire surface of the bed.”
Testing Studio Soundbite
“It’s got the best of both worlds. It’s got a familiar mattress feeling with plushness in the cover and foam layers, but quick response and support from the springs … I felt comfortable in all sleeping positions on this bed.”
Stuart Petty, Mattress Tester
What’s Inside the Bear Elite Hybrid?
The Bear Elite Hybrid is 14 inches tall and features five layers, counting its top cover. It’s available in Firm, Medium, or Soft variants.
Layer 1 – Cover. Phase change material (PCM) in the cover helps to absorb and release heat, while Celliant® fibers convey infrared energy to the body.
Layer 2 – Copper-Infused Memory Foam. A contouring foam infused with cooling, antimicrobial copper.
Layer 3 – Dynamic Transition Foam. This foam supports the memory foam above and separates the comfort layers from the supportive innersprings beneath.
Layer 4 – Coils. Pocketed springs with distinct support zones, including one that targets the lower back. Reinforced springs along the edges shore up the bed’s sides.
Layer 5 – High-Density Support Foam. A dense, bolstering foundation of foam.
Customer Reviews of the Bear Elite Hybrid
According to Bear’s website, where the Bear Elite has over 3,700 reviews, the mattress scores about 4.6 out of 5 stars. Some customers find the Bear Elite Hybrid mattress too firm for their liking, but it receives praise in its reviews for its advanced cooling technology and pressure relief.
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
Leesa
Leesa Sapira Chill Hybrid
Euro Top
Isolates Motion
Multiple Firmnesses
Hybrid
100 nights
Free shipping to all 50 states
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30% off select mattresses + 2 free sleep bundle with mattress purchase See Details
Multiple firmness levels available (Plush, Medium-Firm, and Firm). We tested the Medium-Firm model and placed it at a 6 out of 10 on our scale, which is indeed a pleasant medium-firm.
Size
Twin, twin XL, full, queen, king, California king
Couples
With high marks in both motion isolation and bounce, this hybrid strikes a rare sweet spot for couples.
Side Sleepers
Side sleepers should enjoy the softness of the Euro top around their hips and shoulders.
Back Sleepers
Our tester actually thought this bed firmed up a little when she switched to her back, giving her the support that this position needs.
Leesa Sapira Chill Hybrid Pros
With its Euro top and seven total layers, this bed emulates a fancy hotel mattress quite well
It balances its responsiveness and motion isolation so that you get impressive amounts of both
Multiple firmness options make it simple to choose the right feel for your body type and sleeping position
Leesa Sapira Chill Hybrid Cons
We weren’t blown away by the bed’s cooling capabilities, even though it has “Chill” in its name; peruse the best cooling mattresses for some better options
Given how much our tester’s hips dipped into the bed, it’s not a superior mattress for stomach sleepers (though the Firm model may be better suited to this position)
Shipping
Free shipping to all 50 states
Trial Period
100 nights
Warranty
10-year warranty
Returns
Free returns within the contiguous United States; $100 fee for returns from AK and HI
The Advisor Says: The Leesa Sapira Chill is a sophisticated hybrid bed that looks and feels classy. We were especially taken with how well it adapted to back and side sleeping. On her back, our tester felt like the Medium model was stable and supportive; on her side, it seemed to soften up to better cushion her shoulders and hips. One caveat, though, is that it’s not as much of a cooling superstar as its name would suggest.
Why the Leesa Sapira Chill Hybrid Earned Best Mattress for Couples with Osteoporosis
When I tested the Leesa Sapira Chill Hybrid, I found it to be a really versatile bed. Couples will appreciate its better-than-average motion isolation, strong edges, and middle-of-the-road firmness level. It has a very satisfying balance of pressure relief to support, especially when you’re on your back or side.
For those with osteoporosis, this mattress’s 14-inch height makes it nice and tall for a smooth segue into lying down.
Testing Studio Soundbite
“I was initially expecting more sink from this mattress, but I found the feeling of medium-firm support quite pleasant. The Euro pillow top balances out the strong base with some seamless pressure relief.”
Julia Forbes, Mattress Tester
What’s Inside the Leesa Sapira Chill Hybrid?
The Leesa Sapira Chill Hybrid has seven total layers that stack up to 14 inches of height.
Layer 1 – Cover. Cooling fibers in this uppermost layer help with temperature regulation.
Layer 2 – Quilt Foam Layer (2 inches). A soft foam infused with gel for additional cooling.
Layer 3 – Comfort Layer (1.5 inches). Another layer of foam with a breathable structure.
Layer 4 – Responsive Layer (1 inch). A pressure-relieving foam that also has some bounce to it.
Layer 5 – Transitional Layer (1 inch). The final comfort layer, it divides the foams above it from the springs below.
Layer 6 – Coils (8 inches). Pocketed coils that provide added pushback beneath the hips and lumbar spine. They’re also stronger along the bed’s edges.
Layer 7 – High-Density Foam Base (0.75 inches). A thick foam foundation.
Customer Reviews of the Leesa Sapira Chill Hybrid
The Leesa Sapira Chill Hybrid rates 4.8 stars out of 5 based on around 30 reviews on Leesa’s website. Customers value the Leesa Sapira Chill Hybrid for its excellent temperature regulation and comfort, but some mention it’s less effective for side sleepers due to its firmness.
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.
Multiple firmness options (Soft, Medium, and Firm). We tested the Medium and found it skewed soft, around a 5 out of 10 on our firmness scale.
Size
Twin, twin XL, full, short full, queen, short queen, Olympic queen, king, short king, California king, split California king, RV king
Back Sleepers
This bed felt wonderful to our testers when they rested on their backs, with a nice mix of support and pressure relief.
Side Sleepers
The foams on top are plush enough to cradle hips and shoulders.
Hot Sleepers
This bed handily passed our cooling tests with a score of 4.5 out of 5.
Brooklyn Bedding Signature Hybrid Pros
We felt very lifted and yet cushioned by this hybrid, awarding it perfect scores in both support and pressure relief
It’s a very bouncy bed that should encourage rather than hinder movement
For a hybrid of its caliber, this bed is priced extremely affordably
Brooklyn Bedding Signature Hybrid Cons
It’s too soft for stomach sleepers, who will need more support beneath their hips; read up on the best mattresses for stomach sleepers to see other options
The Medium model felt very plush; if you’re looking for a firmer hybrid that’s also pretty customizable, check out the Saatva Classic
Shipping
Free shipping inside the contiguous United States
Trial Period
120 nights
Warranty
10-year warranty
Returns
Free returns
The Advisor Says: For shoppers on a budget, the Brooklyn Bedding Signature Hybrid is one of the top hybrids we recommend. It’s simultaneously soft and bouncy, with three firmness options and decent cooling power.
Why the Brooklyn Bedding Signature Hybrid Earned Best Mattress for Side Sleepers with Osteoporosis
An affordably priced hybrid with tons of cushion, the Brooklyn Bedding Signature Hybrid may be a pleasant surprise for side sleepers with osteoporosis. It earned full marks for both its pressure relief and its support.
It’s 12.25 inches high and available in three firmness levels (Soft, Medium, and Firm), so you can choose just how plush you’d like your bed to feel. I tested the Medium model, and it was actually quite soft and pillowy. On my side, it really hugged my hips and shoulders while preserving my spinal alignment with the gentle lift of its springs. It felt wonderful when I was on my back, too!
Testing Studio Soundbite
“I feel no pressure buildup in the hips and shoulders. It’s really cushy and comfortable.”
Julia Forbes, Mattress Tester
What’s the Brooklyn Bedding Signature Hybrid Made Of?
The Brooklyn Bedding Signature Hybrid is 12.25 inches thick and has five layers total. It’s available in Soft, Medium, and Firm models, and the thickness of each layer varies depending on the firmness you select.
Layer 1 – Quilted Top. A soft surface designed for breathability and comfort. For an extra fee, you can also add a pillow top layer with cooling fibers.
Layer 2 – Supreme Response Comfort Foam. A responsive foam that adds bounce and adapts to cushion your body as you reposition.
Layer 3 – VariFlex™ Foam. This foam provides deeper support and a buffer between the comfort layers and springs.
Layer 4 – Ascension® Coils. Eight inches of individually wrapped Ascension® coils make up the coil layer, giving the bed its lift and springiness. They’re reinforced along the perimeter for stronger edge support.
Customer Reviews of the Brooklyn Bedding Signature Hybrid
On Brooklyn Bedding’s website, the Brooklyn Signature has over 10,000 reviews and a score of 4.7 out of 5 stars. The Brooklyn Bedding Signature Hybrid mattress receives praise from customers for its versatility with different firmness options, but some have mentioned that it may produce slight noise when bearing weight.
If you have osteoporosis, the most pivotal role your mattress can play in managing your condition is helping with fall prevention. Osteoporosis weakens bones to the point that something like falling might lead to a broken bone if the disease has progressed far enough.3
So, although your choice of bed won’t affect the progression of your osteoporosis, it may be able to help you avoid fractures. You’ll want a mattress that keeps you from falling off the sides during the night, is easy to get in and out of without risking a stumble, and that promotes enough high-quality rest to leave you alert and coordinated the next day.
Advice from Medical Experts
Dr. Raj Dasgupta, a quadruple-board-certified physician, told us that people with osteoporosis should look for a medium-firm to firm mattress that encourages spinal alignment. The bed should also “distribute your weight evenly across the surface.” These points address a mattress’s general versatility, comfort, and durability.
According to neurologist Dr. Heidi Moawad, “If you sleep well, you are less likely to fall during the day.” A mattress that meets your personal standards for comfort is therefore essential if you have osteoporosis. Dr. Moawad also gave us a second factor to consider: “Ease getting in and out of bed to reduce the risk of falls.”
How to Choose the Best Mattress for Osteoporosis: Key Considerations
Ease of Getting In and Out of Bed
Look for beds that will allow you to get in and out of them without much effort. Sometimes, if a bed is too low to the ground, the process of kneeling and rolling into it can put stress on the body and bones (especially if you have limited mobility).
If you’re someone with osteoporosis, we therefore recommend looking at beds that have thicker, higher profiles—it’s far easier to get into a bed that’s closer to hip-height than knee-height.
You can also investigate tall bed frames that further elevate your mattress off the floor. Just don’t set your bed up so high that it’s tough to climb into it.
Strong edges on a mattress will keep the sides from buckling too much when you lie or sit on them. This quality can make a bed easier to get in and out of, as you won’t slide off of saggy edges in the process. If you move to the edges of your bed while you sleep, good edge support can also keep the sides from dipping so low that you slip out of bed and fall.
Because fall prevention is so important for people with osteoporosis, we recommend choosing a bed with a very robust perimeter. Typically, you’ll find the strongest edge support in hybrid beds with reinforced coils around all four sides.
Luckily, your mattress may be able to help. Hybrid and latex beds can be a good choice for people with osteoporosis who are sexually active. These beds are responsive and springy to facilitate ease of movement during intercourse.
By contrast, the slow-moving nature of memory foam can prove unconducive to sex.
Comfort that Fosters Good Sleep at Night and Alertness the Next Day
If you’re trying to avoid falls while managing your osteoporosis, good sleep is crucial. A 2016 study established an association between poor sleep quality and bone stiffness levels that are indicative of osteoporosis.5
So, a mattress that feels comfortable to you will up your sleep quality, which should in turn reduce your likelihood of falling due to tiredness or lack of balance control the next day.
What makes a mattress comfortable? The answer to this question varies from person to person, but you can weigh the following factors as you decide on your ideal bed.
Firmness
The firmness of a mattress refers to how soft or hard it feels to you when you lie on it. Some people prefer a very plush bed, whereas others like the level, flat feeling of a firmer one.
It’s important to note that your body weight will affect your experience of a mattress’s firmness: heavy people perceive a given bed as softer than lightweight people do.
Heavier people are less likely to develop osteoporosis. However, it does still happen—and if it does, a firmer, more supportive mattress can keep these sleepers from pushing through the comfort layers too quickly and compromising their body alignment. (See some examples in our list of the best mattresses for heavy people.)
As for average-weight people with osteoporosis, they will likely get their best sleep on a medium-firm mattress.
Spine Alignment & Support
When you lie in bed, your spinal column should retain the same shape and natural curvature it has when you’re standing up straight. You don’t want parts of your body to be sinking into the mattress too unevenly, as this can throw your spine out of alignment and even lead to back pain.
The base of your bed should offer support in the form of dense foam or sturdy innersprings. When you lie down on a mattress, you want to feel lifted and/or cushioned appropriately. If something feels off—if your hips are dipping too low, or if there’s too much pressure building up around your shoulders, for example—then that mattress isn’t the best choice.
Side sleepers will want a mattress that gently cradles the curves of their shoulders and hips while keeping their spine aligned. They gravitate towards soft mattresses that will cushion their joints.
Back sleepers tend to feel most comfortable on a medium-firm or firm bed that balances some pressure relief in the upper layers with support from the lower ones.
Stomach sleeping isn’t generally recommended, as this position can cause your hips to sink too far down in the mattress, putting stress on the lower back. But, if you can’t switch to sleeping on your back or side, you’ll want to find a firm mattress that keeps your hips elevated and preserves spinal alignment.
Combination sleepers tend to fare well on responsive, medium-firm beds that accommodate multiple positions and foster easier repositioning.
Other Comfort Factors
Of course, you’ll also want to prioritize beds that suit your taste more generally. Any aspect of a mattress that helps you get a good night’s rest is important! If you’re a hot sleeper, a mattress with lots of cooling features might be the best match. Or, if you share a bed with someone who moves around a lot, you may look at beds with high marks in motion isolation.
Dr. Raj on What You Need to Know About Osteoporosis
Best Mattress for Osteoporosis FAQs
What causes osteoporosis?
Osteoporosis is caused by a loss of bone mass, which makes the bones less dense and more brittle.9 Multiple risk factors can contribute to your risk of developing osteoporosis, and it’s more common in certain demographics, such as white and Asian women over the age of 65.
Generally, women are more likely to have osteoporosis than men, and its onset often occurs close to menopause. Some other risk factors include:
Old age
Slim body type
Low hormone levels (estrogen in women, testosterone in men)
Not enough calcium or vitamin D in the diet
Long-term use of specific medications, such as certain kinds of steroids and cancer medications that include hormones
However, some people can be diagnosed with osteoporosis without any present risk factors.
Regularly participate in physical activity, especially weight-bearing exercises.
Eat a well-balanced and nutritious diet with enough protein, calcium, and vitamin D.
Limit your alcohol consumption and refrain from smoking cigarettes.
What’s the best type of mattress for osteoporosis?
The best type of mattress for osteoporosis is one that reduces your risk of falling while getting into or out of bed, as well as while sleeping. The bed should therefore have strong edge support and a suitably high profile that doesn’t require you to stoop too low or climb up too high. In our opinion, hybrid mattresses fit these criteria best.
What’s the best mattress firmness for people with osteoporosis?
The best mattress firmness for a sleeper with osteoporosis is simply the firmness that’s conducive to a good night’s sleep for that person. Whether you prefer a soft or firm bed, you should ensure that your spine is properly supported and aligned in your primary sleeping position.
What’s the best sleeping position for osteoporosis?
There’s no one recommended sleeping position for people with osteoporosis. In general, we recommend back sleeping if you find it comfortable, as it’s the position that best encourages neutral spinal alignment and reduced pressure on the joints.
Julia is a product tester at Sleep Advisor, specializing in testing out mattresses and sleep accessories – she’s in the right line of work, because she loves to sleep.
Stomach Sleeper
References:
Wright, Nicole C, et al. “The recent prevalence of osteoporosis and low bone mass in the United States based on bone mineral density at the femoral neck or lumbar spine”. Journal of Bone and Mineral Research. November 2014.
Lee, Sujin, et al. “Association Between Sleep Quality and Falls: A Nationwide Population-Based Study from South Korea”. International Journal of General Medicine. October 2021.
“Osteoporosis”. Mayo Clinic. Last modified February 24, 2024.
Hachem, Mirjam & Offenberg, Agnes. “Osteoporosis and Sexuality”. Webpage accessed April 5, 2024.
Sasaki, Nobuo, et al. “Impact of sleep on osteoporosis: sleep quality is associated with bone stiffness index”. National Library of Medicine. 2016.
Umemura, Guilherme Silva, et al. “Is Balance Control Affected by Sleep Deprivation? A Systematic Review of the Impact of Sleep on the Control of Balance”. Frontiers in Neuroscience. May 2022.
“Sharpen thinking skills with a better night’s sleep”. Harvard Health Publishing. March 1, 2014.
Lee, Ji Hyun, et al. “Optimal body mass index for minimizing the risk for osteoporosis and type 2 diabetes”. National Library of Medicine. 2020.
“Osteoporosis.” National Institute of Arthritis and Musculoskeletal and Skin Diseases. Last modified December 2022.
“What You Can Do Now to Prevent Osteoporosis”. Johns Hopkins Medicine. Webpage accessed April 5, 2024.
