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. Author manuscript; available in PMC: 2016 Jun 5.
Published in final edited form as: Lancet. 2015 Sep 11;386(10010):2287–2323. doi: 10.1016/S0140-6736(15)00128-2

Table 3. Global, all-age, all-cause deaths, and DALYs for both sexes combined attributable to each risk factor in 1990 and 2013 with 95% uncertainty intervals.

1990 deaths (in thousands) 2013 deaths (in thousands) Median percent change deaths Median percent change of age-standardised deaths PAF 1990 DALYs (in thousands) 2013 DALYs (in thousands) Median percent change DALYs Median percent change of age-standardised DALYs PAF
All risk factors 25 085 (24 385 to 25 821) 30 839 (29 719 to 31 949) 23·0% (19·0 to 27·3) 0·6% (−1·0 to 2·0) 1 035 987 (980 813 to 1 092 478) 996 554 (927 157 to 1 072 340) −3·8% (−7·7 to −0·1) −3·8% (−6·0 to −1·8)
Environmental risks 8492 (8036 to 8953) 8181 (7651 to 8726) −3·7% (−9·6 to 2·4) −15·5% (−19·8 to 11·1) 400 345 (374 489 to 424 432) 289 517 (265 778 to 312 094) −27·7% (−32·1 to −23·2) −22·6% (−26·1 to −19·1)
Unsafe water,
sanitation, and
handwashing
2727 (2530 to 2952) 1399 (1237 to 1576) −48·8% (−53·6 to −43·7) −44·9% (−49·6 to −40·0) 190 423 (174 685 to 208 033) 83 867 (72 879 to 95 568) −56·0% (−60·6 to −50·9) −45·6% (−50·8 to −40·1)
  Unsafe water source 2434 (1971 to 2763) 1246 (989 to 1464) −48·8% (−53·7 to −43·9) −45·0% (−49·7 to −40·1) 170 053 (137 216 to 193 963) 75 125 (59 952 to 89 756) −55·9% (−60·4 to −50·8) −45·5% (−50·7 to −40·0)
  Unsafe sanitation 1785 (1613 to 1959) 816 (707 to 921) −54·4% (−58·8 to −49·8) −51·1% (−55·5 to −46·9) 124 049 (111 394 to 137 303) 49 039 (41 770 to 56 227) −60·5% (−64·8 to −56·0) −51·3% (−56·3 to −46·4)
  No handwashing
  with soap
1010 (798 to 1204) 517 (408 to 621) −48·9% (−53·7 to −43·8) −45·0% (−49·8 to −40·2) 70 389 (55 414 to 84 417) 30 721 (24 281 to 37 626) −56·4% (−60·9 to −51·6) −46·1% (−51·3 to −40·5)
Air pollution 4808 (4459 to 5157) 5527 (5109 to 5944) 14·8% (5·8 to 25·3) −8·0% (−15·0 to −0·2) 157 831 (145 269 to 171 007) 141 456 (130 071 to 153 652) −10·5% (−17·4 to −2·8) −12·7% (−19·2 to −5·7)
  Ambient particulate
  matter pollution
2238 (2154 to 2317) 2926 (2777 to 3066) 30·7% (25·2 to 36·5) 2·9% (0·7 to 5·1) 68 120 (64 972 to 71 405) 69 673 (65 585 to 73 552) 2·3% (−3·4 to 8·2) −3·0% (−6·6 to 0·8)
  Household air
  pollution from solid
  fuels
2857 (2482 to 3216) 2893 (2463 to 3303) 1·3% (−13·4 to 18·8) −17·2% (−30·0 to −2·8) 101 643 (88 877 to 115 053) 81 087 (70 025 to 92 802) −20·2% (−29·5 to −9·4) −20·4% (−30·5 to −9·1)
  Ambient ozone
  pollution
133 (105 to 162) 217 (161 to 272) 63·8% (14·5 to 125·1) 19·8% (−16·3 to 60·6) 3038 (2296 to 3814) 5073 (3576 to 6620) 66·9% (12·2 to 137·1) 32·5% (−11·0 to 84·6)
Other environmental
risks
731 (523 to 965) 945 (663 to 1279) 29·2% (17·1 to 40·5) −1·9% (−9·2 to 4·7) 17 015 (12 567 to 22 173) 18 822 (13 300 to 25 407) 10·5% (0·4 to 20·1) −9·4% (−16·6 to −2·3)
  Residential radon 63 (41 to 86) 92 (61 to 128) 46·3% (13·1 to 87·9) 13·8% (−11·7 to 44·3) 1503 (984 to 2086) 1979 (1331 to 2768) 31·7% (2·4 to 67·6) 7·1% (−17· to − 36·9)
  Lead exposure 668 (465 to 899) 853 (572 to 1181) 27·6% (15·1 to 39·1) −3·3% (−10·8 to 3·7) 15 512 (10 967 to 20 727) 16 843 (11 494 to 23 505) 8·5% (−2·4 to 18·3) −10·9% (−18·9 to −3·8)
Occupational risks 562 (509 to 629) 717 (641 to 803) 27·7% (13·4 to 42·5) 4·0% (−5·7 to 14·0) 43 879 (35 819 to 52 859) 55 352 (44 589 to 67 890) 26·2% (16·3 to 36·1) 10·2% (2·9 to 18·0)
  Occupational
  carcinogens
152 (135 to 174) 304 (263 to 341) 100·7% (78·5 to 116·2) 52·4% (36·1 to 63·6) 3149 (2789 to 3543) 5803 (5076 to 6526) 84·7% (66·2 to 101·4) 48·5% (34·2 to 60·8)
   Occupational
   exposure to
   asbestos
94 (76 to 116) 194 (155 to 233) 109·6% (72·4 to 132·2) 56·2% (28·9 to 74·2) 1773 (1425 to 2211) 3402 (2725 to 4113) 93·4% (63·5 to 117·3) 53·4% (29·9 to 72·4)
   Occupational
   exposure to
   polycyclic
   aromatic
   hydrocarbons
3 (2 to 3) 6 (5 to 7) 120·2% (101·8 to 139·3) 71·4% (58·4 to 85·1) 60 (51 to 71) 125 (102 to 146) 105·9% (88·3 to 126·2) 67·4% (52·8 to 82·7)
   Occupational
   exposure to silica
11 (10 to 12) 21 (19 to 24) 95·8% (78·9 to 112·6) 52·8% (41·3 to 64·1) 248 (223 to 274) 454 (404 to 509) 83·0% (67·3 to 100·1) 49·0% (35·8 to 61·9)
   Occupational
   exposure to
   sulphuric acid
3 (2 to 4) 4 (3 to 5) 29·6% (16·8 to 48·3) 0·8% (−8·8 to 13·1) 68 (49 to 91) 83 (60 to 113) 21·3% (9·6 to 40·5) −1·5% (−11·6 to 12·1%)
   Occupational
   exposure to
   trichloroethylene
0 (0 to 0) 0 (0 to 0) 100·2% (88·5 to 112·2) 54·3% (46·1 to 62·7) 1 (0 to 2) 2 (0 to 3) 88·5% (77·3 to 100·2) 51·7% (42·9 to 61·1)
   Occupational
   exposure to
   arsenic
2 (2 to 3) 4 (3 to 4) 72·7% (56·4 to 90·8) 34·7% (23·4 to 46·8) 47 (38 to 58) 76 (60 to 94) 61·3% (46·0 to 79·3) 31·3% (18·6 to 44·9)
   Occupational
   exposure to
   benzene
2 (1 to 2) 3 (2 to 3) 66·2% (57·2 to 75·5) 32·3% (25·8 to 37·8) 59 (51 to 68) 95 (81 to 108) 59·4% (50·3 to 69·1) 36·8% (29·1 to 44·4)
   Occupational
   exposure to
   beryllium
0 (0 to 0) 0 (0 to 0) 44·3% (30·6 to 62·7) 12·6% (3·0 to 25·3) 2 (2 to 3) 3 (3 to 4) 34·7% (21·6 to 53·2) 9·1% (−2·0 to 22·3%)
   Occupational
   exposure to
   cadmium
0 (0 to 0) 1 (1 to 1) 116·6% (97·0 to 137·4%) 68·6% (54·9 to 82·2) 8 (7 to 9) 16 (13 to 19) 102·8% (84·4 to 123·2) 64·9% (49·7 to 80·1)
   Occupational
   exposure to
   chromium
1 (1 to 1) 3 (2 to 3) 116·2% (96·7 to 136·7) 68·3% (54·8 to 81·4) 28 (25 to 32) 57 (50 to 65) 102·3% (83·8 to 123·6) 64·6% (48·9 to 80·4)
   Occupational
   exposure to diesel
   engine exhaust
17 (15 to 20) 37 (32 to 43) 116·6% (99·4 to 134·9) 69·1% (57·2 to 81·3) 394 (343 to 449) 797 (690 to 913) 102·0% (84·6 to 120·8) 64·4% (50·5 to 78·5)
   Occupational
   exposure to
   second-hand
   smoke
19 (17 to 20) 34 (31 to 37) 80·5% (66·8 to 94·8) 40·6% (31·5 to 50·0) 431 (393 to 465) 725 (660 to 794) 68·1% (54·7 to 83·8) 36·7% (26·0 to 48·3)
   Occupational
   exposure to
   formaldehyde
1 (0 to 1) 1 (1 to 1) 51·1% (34·2 to 67·8) 20·9% (9·3 to 32·2) 20 (16 to 25) 29 (23 to 35) 43·3% (26·9 to 59·7) 21·3% (8·6 to 34·3)
   Occupational
   exposure to
   nickel
6 (4 to 8) 12 (9 to 16) 103·0% (82·2 to 123·6) 58·0% (42·7 to 73·1) 135 (103 to 173) 257 (193 to 326) 90·5% (70·8 to 110·7) 54·6% (38·4 to 71·0)
  Occupational
  asthmagens
63 (48 to 93) 52 (42 to 70) −18·4% (−32·9 to 5·2) −34·2% (−46·8 to −17·1) 2903 (2310 to 3909) 2771 (2227 to 3521) −4·7% (−18·1 to 12·0) −18·1% (−30·5 to −4·4)
  Occupational
  particulate matter,
  gases, and fumes
197 (161 to 236) 205 (164 to 251) 3·7% (−7·6 to 17·6) −18·8% (−26·7 to −9·9) 7212 (5877 to 8545) 8802 (7012 to 10 740) 22·0% (10·9 to 34·0) −0·6% (−8·4 to 8·0)
  Occupational noise .. .. .. .. 5039 (3268 to 7193) 7119 (4549 to 10 329) 41·4% (33·9 to 48·0) 21·4% (15·1 to 27·8)
  Occupational
  injuries
151 (122 to 197) 159 (127 to 206) 4·4% (−24·6 to 49·2) −4·7% (−32·6 to 34·2) 9776 (7809 to 12 884) 9947 (7886 to 12 927) 1·3% (−26·0 to 42·5) −2·9% (−29·9 to 34·2)
  Occupational
  ergonomic factors
.. .. .. .. 15 944 (10 747 to 22 276) 21 109 (14 206 to 29 304) 32·2% (28·0 to 37·7) 16·2% (11·2 to 21·8)
Behavioural risks 18 453 (17 419 to 19 480) 21 909 (20 446 to 23 383) 18·7% (14·5 to 23·1) −0·7% (−2·4 to 1·0) 799 073 (753 589 to 844 178) 717 608 (667 831 to 771 924) −10·2% (−14·1 to −6·1) −7·4% (−9·8 to −5·1)
Child and maternal
malnutrition
4254 (3937 to 4555) 1665 (1487 to 1840) −60·8% (−65·0 to −57·1) −50·5% (−55·9 to −45·5) 403 951 (371 608 to 432 910) 176 859 (156 431 to 199 831) −56·1% (−60·6 to −52·2) −43·2% (−47·9 to −38·9)
  Childhood
  undernutrition
3635 (3341 to 3888) 1327 (1169 to 1481) −63·4% (−67·6 to −59·6) −53·2% (−58·6 to −48·1) 317 851 (292 419 to 339 549) 119 802 (106 565 to 133 359) −62·2% (−66·3 to −58·5) −49·9% (−55·1 to −45·0)
   Childhood
   underweight
1080 (886 to 1288) 386 (309 to 463) −64·2% (−70·5 to −57·9) −54·0% (−62·1 to −45·8) 95 709 (79 446 to 113 315) 35 806 (29 108 to 42 575) −62·5% (−68·9 to −56·3) −50·2% (−58·3 to −42·4)
   Childhood
   wasting
3295 (2802 to 3696) 1247 (1034 to 1413) −62·0% (−66·5 to −57·4) −51·4% (−57·1 to −45·2) 288 145 (246 038 to 322 526) 112 350 (94 437 to 127 169) −60·9% (−65·4 to −56·3) −48·2% (−53·8 to −42·2)
   Childhood
   stunting
848 (474 to 1339) 218 (107 to 389) −74·6% (−79·5 to −68·9) −67·3% (−73·9 to −60·0) 73 355 (40 848 to 115 668) 19 291 (9581 to 34 208) −73·9% (−79·0 to −68·6) −65·4% (−72·2 to −58·1)
  Suboptimal
  breastfeeding
1344 (904 to 1834) 501 (318 to 697) −62·8% (−67·5 to −58·0) −52·1% (−58·3 to −45·5) 116 801 (78 740 to 158 958) 44 203 (28 205 to 61 650) −62·3% (−66·8 to −57·6) −49·6% (−55·7 to −43·4)
   Non-exclusive
   breastfeeding
1155 (743 to 1606) 442 (264 to 641) −61·9% (−66·8 to −56·9) −50·7% (−57·3 to −43·9) 99 927 (64 457 to 138 645) 38 502 (23 037 to 55 565) −61·7% (−66·5 to −56·7) −48·7% (−55·1 to −42·1)
   Discontinued
   breastfeeding
191 (65 to 349) 59 (20 to 110) −69·3% (−74·6 to −63·0) −60·5% (−67·3 to −52·5) 17 046 (5804 to 31 059) 5722 (1898 to 10 599) −66·6% (−71·7 to −60·5) −55·4% (−62·1 to −47·6)
  Iron deficiency 241 (169 to 344) 199 (137 to 275) −17·1% (−33·7 to −0·5) −21·8% (−35·6 to −7·7) 53 019 (38 674 to 71 446) 44 651 (31 844 to 62 304) −15·6% (−21·5 to −11·5) −6·5% (−11·3 to −2·0)
  Vitamin A
  deficiency
377 (247 to 522) 85 (51 to 125) −77·4% (−82·9 to −71·5) −71·0% (−78·2 to −63·7) 32 920 (21 694 to 45 629) 7875 (4758 to 11 541) −76·1% (−81·6 to −70·3) −68·3% (−75·6 to −60·9)
  Zinc deficiency 221 (15 to 491) 66 (4 to 153) −70·1% (−76·3 to −62·7) −61·2% (−69·8 to −52·4) 19 188 (1816 to 41 961) 5996 (745 to 13 267) −68·4% (−74·4 to −56·7) −57·3% (−66·1 to −42·6)
Tobacco smoke 5229 (4816 to 5681) 6149 (5587 to 6762) 17·8% (10·9 to 23·9) −9·6% (−13·2 to −6·3) 142 341 (131 399 to 153 920) 143 512 (129 979 to 159 147) 0·7% (−5·5 to 7·5) −14·5% (−18·9 to −10·2)
  Smoking 4634 (4222 to 5079) 5818 (5258 to 6435) 25·7% (17·9 to 32·6) −5·1% (−9·3 to −1·3) 115 910 (105 383 to 127 110) 134 196 (120 872 to 149 759) 15·8% (8·6 to 23·6) −7·4% (−12·4 to −2·2)
  Second hand smoke 595 (540 to 654) 331 (308 to 355) −44·4% (−48·2 to −40·0) −50·9% (−53·6 to −48·2) 26 431 (22 494 to 30 676) 9316 (8417 to 10,277) −64·7% (−68·3 to −60·8) −60·2% (−63·3 to −56·9)
Alcohol and drug use 2092 (1671 to 2438) 3163 (2537 to 3656) 51·3% (44·3 to 58·4) 19·4% (15·3 to 23·7) 89 844 (76 788 to 101 767) 126 053 (107 154 to 142 356) 40·2% (34·8 to 46·3) 23·5% (18·9 to 28·3)
  Alcohol use 1977 (1555 to 2329) 2786 (2146 to 3287) 40·9% (33·2 to 47·9) 11·1% (6·9 to 14·8) 76 029 (63 443 to 87 186) 99 278 (81 295 to 113 616) 30·5% (23·9 to 37·0) 13·6% (8·6 to 18·1)
  Drug use 132 (109 to 155) 429 (381 to 480) 224·8% (188·0 to 273·4) 179·5% (147·0 to 222·3) 14 481 (11 607 to 17 286) 28 578 (24 505 to 33 104) 97·4% (83·2 to 114·8) 89·3% (74·3 to 107·1)
Dietary risks 8068 (6991 to 9159) 11 274 (9656 to 12 957) 39·6% (34·1 to 46·2) 2·9% (0·3 to 5·8) 177 408 (154 661 to 200 097) 241 351 (209 634 to 273 339) 35·9% (29·8 to 43·0) 7·7% (4·1 to 12·0)
  Diet low in fruits 2540 (1686 to 3367) 3413 (2207 to 4546) 33·9% (25·6 to 43·3) 0·1% (−5·2 to 5·9) 58 710 (39 575 to 76 928) 74 797 (49 434 to 98 791) 27·0% (19·0 to 36·0) 1·7% (−3·8 to 7·9)
  Diet low in
  vegetables
1381 (1094 to 1684) 1782 (1405 to 2173) 28·9% (22·3 to 36·6) −4·8% (−9·4 to −0·1) 31 283 (24 692 to 38 039) 39 176 (31 050 to 47 658) 25·2% (17·9 to 33·2) −0·4% (−5·4 to 5·1)
  Diet low in whole
  grains
1396 (1066 to 1728) 2049 (1575 to 2525) 46·8% (40·8 to 54·2) 9·2% (5·9 to 13·1) 34 807 (26 736 to 43 078) 51 411 (39 500 to 63 286) 47·6% (40·9 to 56·0) 18·0% (13·9 to 22·9)
  Diet low in nuts and
  seeds
1012 (725 to 1304) 1195 (816 to 1578) 17·7% (10·5 to 25·0) −13·3% (−18·7 to −8·5) 23 434 (16 643 to 30 134) 27 109 (18 408 to 36 030) 15·3% (8·0 to 22·8) −8·5% (−13·7 to −3·3)
  Diet low in milk 66 (19 to 111) 105 (30 to 177) 58·1% (51·9 to 63·8) 18·4% (14·6 to 22·2) 1515 (434 to 2538) 2218 (633 to 3713) 46·3% (39·8 to 52·5) 17·2% (12·6 to 21·6)
  Diet high in red
  meat
62 (55 to 70) 102 (89 to 116) 64·1% (52·8 to 75·8) 23·0% (14·4 to 32·0) 2201 (1854 to 2585) 4147 (3349 to 5026) 88·2% (75·9 to 101·6) 50·7% (41·9 to 60·4)
  Diet high in
  processed meat
457 (332 to 622) 644 (467 to 881) 41·4% (24·1 to 57·9) 4·4% (−8·6 to 17·1) 11 745 (8676 to 15 897) 17 380 (12 677 to 23 925) 47·9% (30·9 to 64·0) 17·3% (3·4 to 29·4)
  Diet high in
  sugar-sweetened
  beverages
60 (44 to 82) 126 (96 to 166) 110·1% (88·7 to 141·4) 64·4% (45·7 to 87·2) 2712 (2006 to 3635) 6190 (4665 to 8142) 128·4% (105·4 to 159·0) 89·6% (70·2 to 115·3)
  Diet low in fibre 716 (587 to 853) 1009 (817 to 1207) 40·6% (25·3 to 60·0) 4·2% (−7·4 to 18·0) 16 395 (13 496 to 19 433) 22 098 (17 996 to 26 349) 35·0% (18·6 to 52·4) 7·4% (−5·1 to 20·6)
  Diet suboptimal in
  calcium
85 (74 to 97) 141 (122 to 160) 64·6% (53·6 to 80·4) 22·9% (15·2 to 33·1) 1870 (1605 to 2143) 2876 (2507 to 3258) 53·5% (42·8 to 66·9) 22·9% (15·5 to 33·0)
  Diet low in seafood
  omega-3 fatty acids
712 (530 to 909) 1031 (769 to 1304) 44·6% (35·3 to 57·3) 7·5% (1·9 to 14·3) 16 285 (12 321 to 20 657) 22 448 (16 887 to 28 205) 37·6% (27·7 to 52·7) 10·1% (2·8 to 19·8)
  Diet low in
  polyunsaturated
  fatty acids
447 (404 to 493) 581 (512 to 651) 29·6% (16·9 to 44·7) −4·5% (−13·7 to 5·2) 10 033 (9051 to 11 040) 12 670 (11 103 to 14 342) 25·9% (13·0 to 41·8) 0·0% (−9·8 to 11·6)
  Diet high in trans
  fatty acids
464 (311 to 650) 405 (218 to 645) −15·0% (−34·0 to 3·7) −38·3% (−52·2 to −24·5) 10 644 (7 131 to 14 859) 9875 (5503 to 15 228) −8·5% (−29·0 to 9·6) −28·7% (−43·6 to −14·7)
  Diet high in sodium 2562 (1377 to 4041) 3689 (2028 to 5810) 44·1% (33·8 to 57·1) 7·4% (1·3 to 15·5) 54 620 (29 271 to 86 008) 74 327 (40 615 to 116 717) 36·2% (26·5 to 48·7) 8·4% (1·5 to 17·5)
Sexual abuse and
violence
163 (141 to 188) 257 (203 to 312) 57·5% (30·6 to 83·7) 36·7% (14·9 to 58·9) 15 133 (12 297 to 18 621) 21 290 (16 743 to 26 065) 40·6% (26·4 to 55·7) 31·8% (19·1 to 46·0)
  Childhood sexual
  abuse
64 (53 to 78) 68 (55 to 82) 5·9% (−9·3 to 19·9) −7·4% (−21·4 to 3·9) 6896 (5364 to 8667) 7682 (5910 to 9736) 11·4% (4·0 to 18·8) 5·8% (−1·6 to 12·6)
  Intimate partner
  violence
106 (86 to 130) 197 (146 to 251) 85·9% (49·6 to 124·8) 60·9% (30·5 to 93·6) 9009 (7076 to 11 440) 14 454 (11 027 to 18 164) 60·6% (39·6 to 85·1) 48·8% (29·3 to 71·7)
Unsafe sex 679 (561 to 827) 1481 (1383 to 1621) 118·8% (86·2 to 158·1) 100·5% (76·6 to 129·3) 39 761 (30 789 to 52 320) 73 282 (67 015 to 82 478) 86·1% (51·7 to 127·0) 97·6% (68·3 to 131·3)
Low physical activity 1489 (1257 to 1741) 2182 (1858 to 2555) 46·5% (40·9 to 52·9) 6·4% (4·0 to 9·2) 31 247 (26 556 to 36 521) 45 143 (38 328 to 52 671) 44·3% (37·2 to 52·8) 13·6% (9·4 to 18·3)
Metabolic risks 10 398 (9811 to 11 003) 15 723 (14 719 to 16 767) 51·2% (46·2 to 57·0) 10·6% (8·8 to 12·6) 250 957 (233 711 to 267 582) 373 817 (343 978 to 403 889) 48·9% (43·1 to 54·9) 18·4% (15·3 to 21·7)
High fasting plasma
glucose
2444 (2101 to 2853) 4014 (3499 to 4641) 64·4% (56·3 to 73·4) 21·8% (17·4 to 26·8) 68 903 (60 506 to 78 071) 116 893 (101 592 to 133 368) 69·6% (60·9 to 78·7) 37·0% (31·6 to 42·6)
 High total cholesterol 2204 (1574 to 3126) 2830 (1966 to 4053) 28·0% (19·9 to 37·4) −7·4% (−11·3 to −2·5) 49 289 (38 075 to 63 764) 62 715 (49 244 to 80 986) 26·9% (19·8 to 36·3) −0·6% (−5·7 to 5·7)
 High systolic blood
 pressure
6949 (6182 to 7665) 10 364 (9178 to 11 544) 49·1% (43·2 to 55·2) 8·8% (6·4 to 11·2) 143 434 (130 053 to 156 023) 208 129 (188 307 to 227 509) 45·1% (38·7 to 52·1) 14·1% (10·0 to 18·4)
 High body-mass
 index
2724 (2263 to 3187) 4444 (3716 to 5169) 63·2% (57·8 to 69·5) 22·2% (19·0 to 25·4) 78 310 (65 436 to 92 006) 134 048 (112 420 to 156 787) 71·3% (64·4 to 78·0) 36·3% (32·3 to 40·1)
 Low bone mineral
 density
176 (164 to 198) 334 (285 to 361) 92·1% (62·8 to 104·0) 35·4% (15·4 to 44·6) 10 903 (8958 to 13 231) 14 249 (11 658 to 17 500) 30·6% (20·9 to 40·7) −1·8% (−9·4 to 6·9)
 Low glomerular
 filtration rate
1310 (1176 to 1480) 2164 (1960 to 2387) 65·6% (54·5 to 74·5) 18·9% (11·1 to 24·8) 34 159 (30 499 to 38 394) 51 906 (46 246 to 57 573) 52·0% (43·5 to 59·3) 25·5% (18·4 to 31·3)

DALYs=disability-adjusted life-years. PAF=population attributable fraction.