UMIN-ICDS Clinical Trial

Unique ID issued by UMIN UMIN000063099
Receipt number R000072233
Scientific Title Effects of different mattress toppers on body pressure distribution and RMSSD during supine rest: a randomized crossover study
Date of disclosure of the study information 2026/09/29
Last modified on 2026/09/29 16:33:57

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Basic information

Public title

Effects of different mattress toppers on body pressure distribution and heart rate variability during supine rest

Acronym

Mattress Topper Study

Scientific Title

Effects of different mattress toppers on body pressure distribution and RMSSD during supine rest: a randomized crossover study

Scientific Title:Acronym

Mattress Topper Crossover Study

Region

Japan


Condition

Condition

Healthy adults

Classification by specialty

Adult

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

To compare body pressure distribution and the heart rate variability index RMSSD during supine rest under three different mattress topper conditions, and to examine within-participant associations between body pressure distribution and RMSSD.

Basic objectives2

Others

Basic objectives -Others

Evaluation of short-term physiological responses to different bedding conditions

Trial characteristics_1

Exploratory

Trial characteristics_2

Explanatory

Developmental phase

Not applicable


Assessment

Primary outcomes

RMSSD (root mean square of successive differences) calculated from R-R intervals recorded during the final 5 minutes of the 10-minute supine-rest period under each mattress topper condition.

Key secondary outcomes

Peak pressure (mmHg) and support area for the total body, head, chest, and buttocks regions measured during the final minute of the 10-minute supine-rest period under each mattress topper condition. Within-participant associations between these body pressure variables and RMSSD were also explored.


Base

Study type

Interventional


Study design

Basic design

Cross-over

Randomization

Randomized

Randomization unit

Individual

Blinding

Open -no one is blinded

Control

Active

Stratification

NO

Dynamic allocation

NO

Institution consideration

Institution is not considered as adjustment factor.

Blocking

NO

Concealment

No need to know


Intervention

No. of arms

3

Purpose of intervention

Treatment

Type of intervention

Device,equipment

Interventions/Control_1

Standard condition: Participants rested supine with their eyes closed for 10 minutes in a darkened room on a mattress topper (nobirakuPro, Yumeron Kurokawa, Fukui, Japan) containing approximately 27 cylindrical urethane cushions. A 10-minute seated washout period in a bright room was provided between intervention conditions.

Interventions/Control_2

Firm condition: Participants rested supine with their eyes closed for 10 minutes in a darkened room on a mattress topper with the same cylindrical structure as the Standard condition but with material hardness increased by 40%. A 10-minute seated washout period in a bright room was provided between intervention conditions.

Interventions/Control_3

Conventional condition: Participants rested supine with their eyes closed for 10 minutes in a darkened room on a commercially available conventional mattress topper. A 10-minute seated washout period in a bright room was provided between intervention conditions.

Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

18 years-old <

Age-upper limit

20 years-old >=

Gender

Male and Female

Key inclusion criteria

Healthy university students aged 18-20 years who provided written informed consent to participate in the study.

Key exclusion criteria

Participants with persistent pain, a history of sleep or psychiatric disorders, use of medications affecting autonomic function, or skin disorders preventing sensor attachment were excluded.

Target sample size

15


Research contact person

Name of lead principal investigator

1st name Yoshitomo
Middle name
Last name Saiki

Organization

Fukui Health Science University

Division name

Department of Rehabilitation, Faculty of Health Science

Zip code

9103190

Address

55-13-1 Egami, Fukui City, Fukui 910-3190, Japan

TEL

0776-59-2200

Email

yoshitomosaiki@gmail.com


Public contact

Name of contact person

1st name Yoshitomo
Middle name
Last name Saiki

Organization

Fukui Health Science University

Division name

Department of Rehabilitation, Faculty of Health Science

Zip code

9103190

Address

55-13-1 Egami, Fukui City, Fukui 910-3190, Japan

TEL

0776-59-2200

Homepage URL


Email

yoshitomosaiki@gmail.com


Sponsor or person

Institute

Fukui Health Science University

Institute

Department

Personal name

Yoshitomo saiki


Funding Source

Organization

Yumeron Kurokawa

Organization

Division

Category of Funding Organization

Profit organization

Nationality of Funding Organization

Japan


Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Ethics Review Committee of Nittazuka Medical and Welfare Center

Address

58-16-1 Egami, Fukui City, Fukui, Japan

Tel

0776-59-1300

Email

yoshitomosaiki@gmail.com


Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions

福井医療大学(福井県)


Other administrative information

Date of disclosure of the study information

2026 Year 09 Month 29 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled

16

Results

Sixteen healthy university students were analyzed. The Standard condition showed lower peak pressure and greater support area in the total body, chest, and buttocks regions than the Firm and Conventional conditions. RMSSD was higher under the Standard and Firm conditions than under the Conventional condition. In linear mixed-effects models, chest support area was positively associated with RMSSD, whereas head peak pressure was negatively associated with RMSSD.

Results date posted

2026 Year 09 Month 29 Day

Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics

Sixteen participants were included (6 men and 10 women). Mean age was 19.6 +/- 0.6 years.

Participant flow

Sixteen participants were enrolled and randomized to an intervention sequence. All 16 participants completed all three mattress topper conditions. There were no dropouts or participants excluded from the analysis, and all 16 participants were included in the final analysis.

Adverse events

No adverse events were observed.

Outcome measures

The primary outcome was RMSSD calculated from R-R intervals recorded during the final 5 minutes of the 10-minute supine-rest period under each mattress topper condition. Secondary outcomes were peak pressure and support area for the total body, head, chest, and buttocks regions measured during the final minute of each condition. Within-participant associations between body pressure variables and RMSSD were also explored.

Plan to share IPD

There is no current plan to publicly share individual participant data.

IPD sharing Plan description

Individual participant data will not be made publicly available because of privacy and ethical considerations. De-identified data may be considered for sharing upon reasonable request, subject to ethical and institutional approval.


Progress

Recruitment status

Completed

Date of protocol fixation

2025 Year 11 Month 03 Day

Date of IRB

2025 Year 11 Month 12 Day

Anticipated trial start date

2025 Year 12 Month 18 Day

Last follow-up date

2025 Year 12 Month 27 Day

Date of closure to data entry

2025 Year 12 Month 27 Day

Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2026 Year 09 Month 29 Day

Last modified on

2026 Year 09 Month 29 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000072233