No they don’t. There is only a very minor amount of exertion bowling.
Whole lotta 12 oz curlin’ goin’ on. At least traditionally. Along w all the Winstons & Camels. 
IIRC, no one has ever died in a bowling accident. (A few people die of heart attacks at bowling alleys every year, but they just happened to be bowling at the time.)
But I think the point that @hajario was making is that many bowlers, some of whom were not in the greatest physical shape anyway, physically exerted themselves enough to generate a significant, um, olfactory impact on the atmosphere of the locale.
Combine that with the ubiquity of indoor smoking back in the day, and you can see why bowling alleys would rate their own section in municipal regulations for ventilation and air quality.
Exactly
Maybe not recreational bowlers, but bowling alley workers/employees have been killed by pinsetting machines.
Also see Stephen King’s macabre story “The Pinsetter”.*
*OK, so it was a mangler…
Or just outside. Rest in peace, Donny.