There are two main types of relational database management systems (RDBMS): row-based and columnar. Row-based systems store all of a row's data contiguously on disk, while columnar systems store each column's data together across all rows. Columnar databases are generally better for read-heavy workloads like data warehousing that involve aggregating or retrieving subsets of columns, whereas row-based databases are better for transactional systems that require updating or retrieving full rows frequently. The optimal choice depends on the specific access patterns and usage of the data.