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Title: Sleeping mattress determinants and evaluation : a biomechanical review and critique
Authors: Wong, DWC 
Wang, Y 
Lin, J
Tan, Q 
Chen, TLW 
Zhang, M 
Keywords: Body pressure
Sleep support
Spine alignment
Issue Date: 2019
Publisher: PeerJ, Ltd.
Source: PeerJ, 2019, v. 2019, no. 1, e6364 How to cite?
Journal: PeerJ 
Abstract: Background: Sleeping mattress parameters significantly influence sleeping comfort and health, as reflected by the extensive investigations of sleeping support biomechanics to prevent sleep-related musculoskeletal problems.
Methodology: Herein, we review the current trends, research methodologies, and determinants of mattress biomechanics research, summarizing evidence published since 2008. In particular, we scrutinize 18 articles dealing with the development of new designs, recommendation criteria, instruments/methods of spine alignment evaluation, and comparative evaluation of different designs.
Results: The review demonstrated that mattress designs have strived for customization, regional features, and real-time active control to adapt to the biomechanical features of different body builds and postures. However, the suggested threshold or target values for desirable spine alignment and body pressure distribution during sleep cannot yet be justified in view of the lack of sufficient evidence.
Conclusions: It is necessary to formulate standard objectives and protocols for carrying out mattress evaluation.
EISSN: 2167-8359
DOI: 10.7717/peerj.6364
Rights: © 2019 Wong et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, reproduction and adaptation in any medium and for any purpose provided that it is properly attributed. For attribution, the original author(s), title, publication source (PeerJ) and either DOI or URL of the article must be cited.
The following publication Wong DW, Wang Y, Lin J, Tan Q, Chen TL, Zhang M. 2019. Sleeping mattress determinants and evaluation: a biomechanical review and critique. PeerJ 7:e6364 is available at
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