LAUSR

Key Points Question Do older adults who use wheelchairs have a different fracture risk than ambulatory adults? Findings This cohort study of 55 442 adults in Sweden found that wheelchair use was associated with a reduced risk of any fracture, major osteoporotic fracture, and hip fracture compared with 55 442 ambulatory controls. A similarly lower risk was observed for injurious falls without fracture, suggesting that the observed lower fracture risk is at least partly due to fewer falls among adults using wheelchairs. Meaning These findings suggest that immobility associated with wheelchair use should not be considered a risk factor for fracture.