From 1990 to 2016, trends in SEVs varied across the set of risk factors included in GBD 2016. Of note, SEVs decreased by more than 40% for three risks: diet high in transfatty acids (51·3% [95% UI 34·1–70·1]), household air pollution from solid fuels (43·1% [40·7–45·6]), and unsafe sanitation (40·3% [35·5–44·7]; table 3, appendix 2 p 1399). During the same period, SEVs increased by more than 40% for high body-mass index (BMI; 60·2% [45·1–79·1]), diet high in sugar-sweetened beverages (44·7% [36·1–52·7]), occupational exposure to diesel engine exhaust (41·8% [41·3–42·2]), and occupational exposure to trichloroethylene (40·6% [40·2–41·1]).Table 3Global age-standardised SEVs for all risk factors, 1990, 2006, and 2016, with mean percent change for three time periods, between 1990 and 2006, 2006 and 2016, and 1990 and 2016, by risk levelRiskMaleFemaleCombined percent change 1990–2016199020062016Percent change 1990–2006Percent change 2006–16Percent change 1990–2016199020062016Percent change 1990–2006Percent change 2006–16Percent change 1990–20161Environmental and occupational risks2Unsafe water, sanitation, and handwashing3Unsafe water source23·27 (15·57 to 26·55)21·27 (14·30 to 24·21)20·08 (13·47 to 22·83)–8·61 (−10·54 to −6·62)*–5·61 (−7·29 to −3·75)*–13·74 (−15·78 to −11·37)*22·94 (15·32 to 26·19)21·12 (14·19 to 24·03)20·04 (13·45 to 22·79)–7·96
