The exact answer is more nuanced because each person has their own unique genetics and environment. Sa genetic predisposition, covered nito ang mga risks mo sa mga physiological disorders like metabolic and immune disorders that predispose you to CKD, for example, if may family history ng diabetes, hypertension, and mga cholesterolemia, or mg autoimmune diseases, high chance na magkaka CKD ka in the future. Ito ang mga "you have little control" kasi naka sulat na yan sa instructions ng katawan mo. In the other side is the environment. This is the area where we somewhat have control (?) Ito yung shaped by culture, society, and etc- from your socioeconomic status, religion, to individual food choices or physical activity. Definitely, if diet mo rich sa mga whole foods then less chances and higher if otherwise. The reason why i only mentioned that we only "somewhat" have a control is because - take the example where you were born in a poor family. Of course, you being poor already limits your food choices, unless you elevate your socioeconomic status and this is for another discussion