by 
The Curious Bag
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<h4 class="dechead">On One Hand: Comfortable Enough
Some sofa bed mattresses may have adequate support for the average individual. Folks with mild or no back pain might find a sofa bed comfortable enough on a temporary basis.
On the Other: Very Uncomfortable
Elderly and infirm individuals would likely find a sofa bed very uncomfortable, because of a thin mattress. At only five to six inches thick, sofa bed mattresses may lack adequate support for them.
Bottom Line
Individuals without chronic or acute pain may be able to sleep on a sofa bed for a few nights. According to a 2003 article by McCoy, a medium-firm mattress, instead of a firm one, may be best for back pain. Some manufacturers do make medium-firm mattresses for sofa beds. Therefore, sofa beds with a medium-firm mattress might be just fine as a short-term sleeping solution for the average individual.
Source:
Beth Israel Deaconess Medical Center: Medium-Firm Mattresses Work Best
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