The objectives of this research were to evaluate the effect of land-use change on streamflow, sediment and water quality data along the Lower Yom River, Thailand, covering an intensively agricultural area of 14 613.6 km², and to assess the relative impact of point and non-point sources of pollution from multiple-land-use watersheds. Long-term calibration and validation of the SWAT (Soil and Water Assessment Tool) model was performed on data for 2000–2013. Land-use change led to a 13–49% increase in runoff in the basin and resulted in 37–427% increased sediment yield. The amount of NO₃-N load doubled in the upper and middle parts of the study area, while the increase in PO₄^3– ranged from 37 to 377%, reflecting the increase in agricultural lands and urban areas. It is concluded that the changed land use is closely associated with the quantity of runoff, sediment yield and the NO₃-N and PO₄^3– concentrations.