Disk usage measures how much of the time the drive is busy, not how much data is moving. A mechanical drive can be fully saturated by a trickle of small scattered requests.
When the drive is saturated, everything that needs it waits. Menus open slowly, typing lags, and programs take seconds to respond, even though the processor is nearly idle.
The usual sources are indexing, update services, antivirus scans, cloud sync and paging — the system moving memory to disk because it has run out.
Paging deserves special attention because it creates a loop: low memory forces disk use, disk saturation slows everything, and the slowness makes the backlog worse.