In 2016, for Level 3 risks factors, more DALYs were attributable to increased SBP than any other risk factor. Increased SBP was the second leading risk factor for men and leading risk factor for women globally, accounting for 89·9 million (80·9 million to 98·2 million) DALYs among women and 124·1 million (111·2 million to 138·0 million) DALYs among men. IHD was the largest source of DALYs attributable to increased SBP, followed by haemorrhagic stroke and ischaemic stroke. Since 1990, the SEV for increased SBP rose for men (22·9 [21·5–24·6] in 1990 to 24·6 [23·0–26·6] in 2016, a 7·5% increase [7·0–8·0]), and increased for women (24·2 [22·7–25·8] in 1990 to 24·2 [22·7–25·8] in 2016, a 0·7% increase [0·2–1·2]).