Dog walking is often suggested as an effective modality for improving physical health in elderly Americans. 1 Nonetheless, injury risks associated with dog walking remain obscure. Considering that older patients are more vulnerable to fractures owing to falls or axial muscle compression forces inherent to walking motions, a risk-benefit analysis with respect to dog walking as an exercise alternative is essential to minimizing injury risk. 2 This study represents a comprehensive, up-todate investigation into fracture risk in older adults who use leashes when walking dogs.
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