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Evidence

References

The publications behind the statements on this site about sleep position, complaints and snoring. The numbers in the text refer to this list.

  1. Ravesloot MJL, van Maanen JP, Dun L, de Vries N. The undervalued potential of positional therapy in position-dependent snoring and obstructive sleep apnea: a review of the literature. Sleep and Breathing, 2013;17(1):39-49.
    https://doi.org/10.1007/s11325-012-0683-5

    Review of sixteen studies. In an average of 56% of people with obstructive sleep apnoea the severity clearly depends on sleep position, with the supine position as the least favourable one.

  2. Srijithesh PR, Aghoram R, Goel A, Toi PC. Positional therapy for obstructive sleep apnoea. Cochrane Database of Systematic Reviews, 2019;5:CD010990.
    https://doi.org/10.1002/14651858.CD010990.pub2

    Cochrane review of avoiding the supine position during sleep as a treatment for snoring and sleep apnoea.

  3. Choi JH, Park YH, Hong JH, et al. Treatment of snoring with positional therapy in patients with positional obstructive sleep apnea syndrome. Scientific Reports, 2015;5:18188.
    https://doi.org/10.1038/srep18188

    Study in which limiting supine sleep reduced snoring sound, both measured and as experienced by participants.

  4. Cary D, Jacques A, Briffa K. Examining relationships between sleep posture, waking spinal symptoms and quality of sleep: a cross sectional study. PLOS ONE, 2021;16(11):e0260582.
    https://doi.org/10.1371/journal.pone.0260582

    Participants with morning neck symptoms spent more time, and lay still longer, in postures that load the spine than participants without symptoms.

  5. Gordon SJ, Grimmer KA, Trott P. Sleep position, age, gender, sleep quality and waking cervico-thoracic symptoms. Internet Journal of Allied Health Sciences and Practice, 2007;5(1).
    https://nsuworks.nova.edu/ijahsp/vol5/iss1/6/

    Epidemiological study of sleep position and symptoms on waking. People who mostly sleep prone reported the highest rates of waking neck symptoms.

  6. Skarpsno ES, Mork PJ, Nilsen TIL, Holtermann A. Sleep positions and nocturnal body movements based on free-living accelerometer recordings: association with demographics, lifestyle, and insomnia symptoms. Nature and Science of Sleep, 2017;9:267-275.
    https://doi.org/10.2147/NSS.S145777

    Motion-sensor measurements in 664 working adults. Participants spent on average 54.1% of their time in bed on their side, 37.5% on their back and 7.3% on their stomach.

  7. Kovacs FM, Abraira V, Peña A, et al. Effect of firmness of mattress on chronic non-specific low-back pain: randomised, double-blind, controlled, multicentre trial. The Lancet, 2003;362(9396):1599-1604.
    https://doi.org/10.1016/S0140-6736(03)14792-7

    Randomised trial in 313 people with chronic low back pain. A medium-firm mattress did better than a firm one for pain in bed and on getting up.

  8. Radwan A, Fess P, James D, et al. Effect of different mattress designs on promoting sleep quality, pain reduction, and spinal alignment in adults with or without back pain; systematic review of controlled trials. Sleep Health, 2015;1(4):257-267.
    https://doi.org/10.1016/j.sleh.2015.08.001

    Systematic review of controlled trials. Medium-firm mattresses were most often associated with better sleep comfort, sleep quality and spinal alignment.

  9. Cary D, Briffa K, McKenna L. Identifying relationships between sleep posture and non-specific spinal symptoms in adults: a scoping review. BMJ Open, 2019;9(6):e027633.
    https://doi.org/10.1136/bmjopen-2018-027633

    Review of research on sleep posture and spinal symptoms. The evidence is limited and mostly observational; positions with prolonged twisting or bending of the spine appear more often alongside symptoms.

  10. Kempf B, Kongsted A. Association between the side of unilateral shoulder pain and preferred sleeping position: a cross-sectional study of 83 Danish patients. Journal of Manipulative and Physiological Therapeutics, 2012;35(5):407-412.
    https://doi.org/10.1016/j.jmpt.2012.04.015

    About two thirds of participants with pain in one shoulder preferred to sleep on the painful side.

  11. Cartwright RD. Effect of sleep position on sleep apnea severity. Sleep, 1984;7(2):110-114.
    https://doi.org/10.1093/sleep/7.2.110

    Early research in which, in some patients with sleep apnoea, breathing pauses occurred mainly on the back.

  12. Issa FG, Sullivan CE. Alcohol, snoring and sleep apnea. Journal of Neurology, Neurosurgery and Psychiatry, 1982;45(4):353-359.
    https://doi.org/10.1136/jnnp.45.4.353

    Sleep research in which alcohol worsened snoring and triggered breathing pauses in some participants.

  13. Benjafield AV, Ayas NT, Eastwood PR, et al. Estimation of the global prevalence and burden of obstructive sleep apnoea: a literature-based analysis. The Lancet Respiratory Medicine, 2019;7(8):687-698.
    https://doi.org/10.1016/S2213-2600(19)30198-5

    Global estimate: about 936 million adults aged 30 to 69 have some form of obstructive sleep apnoea.

SleepLab One is not a medical device and does not replace diagnosis or treatment of conditions such as sleep apnoea. The publications listed here concern sleep position in general, not this mattress. If you have complaints, consult your doctor, physiotherapist or a sleep specialist.

Missing a source, or want to read the evidence yourself? Mail info@sleeplabholland.com.