Among the leading risk factors in terms of DALYs, high BMI and high FPG have the fastest increases in SEVs with annualised rates of change of 1·7% (1·5–1·9) and 0·9% (0·6–1·3), respectively, since 1990 (figure 4). On the other hand, other leading risk factors in 2016 such as smoking and household air pollution exhibited significant and fast declines in SEVs, with a −1·3% (–1·6 to −1·1) annualised rate of change for smoking and −2·3% (–2·5 to −2·2) for household air pollution between 1990 and 2016 (figure 4).