of DALYs, followed by air pollution (8·0% [7·1–9·0] of DALYs), unsafe water, sanitation, and handwashing (7·8% [6·6–9·4] of DALYs), and unsafe sex (4·7% [4·3–5·2] of DALYs). While malnutrition remains the leading risk factor at the low-middle level of SDI, diet (7·8% [6·8–9·0] of DALYs), high systolic blood pressure (7·2% [6·8–8·1] of DALYs), and tobacco use (5·9% [5·3–6·6] of DALYs) get included among the leading five causes as well. At the middle SDI level, diet is among the leading five risks with 12·5% (10·6–14·6) of DALYs while high systolic blood pressure and tobacco follow in importance. At the top three levels of SDI, high BMI increases in importance and makes it to the leading five risks, with 7·2% (4·7–10·0) of DALYs in middle SDI locations, with 9·8% (6·5–13·2) of DALYs in high-middle SDI locations, and 8·7% (5·9–11·7) of DALYs in high SDI locations. The panels in figure 3 clearly show the risk transition across levels of development.
