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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 
Issue Date: 25-Jan-2019
Source: PeerJ, 25 Jan. 2019, e6364, p. 1-27
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.
Keywords: Body pressure
Sleep support
Spine alignment
Publisher: PeerJ, Ltd.
Journal: PeerJ 
EISSN: 2167-8359
DOI: 10.7717/peerj.6364
Rights: Creative Commons Copyright 2019 Wong et al. Distributed under Creative Commons CC-BY 4.0 (
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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