The first answer to your question can be answered. Basically, the cause of sagging or warpage in SH tube elements can be from either higher than normal tube metal temperatures that allows the elements to permanently deform or creep at elevated temperature, or failed assembly supports or fouled assemblies that increase bending forces on the assemblies resulting in creep of the material.
The second question has many possible answers related to combustion, steam flow, feedwater flow, fouling, etc.