How respect is shown to elders varies from culture to culture. It is customary in Japan to bow when greeting anyone however when greeting the elderly the bow is lower, more pronounced and reverent as a sign of respect. In Italy, it is customary to show respect for the elderly and to value their personal dignity as they age. Traditionally, family elders are to be the first to enter a room and children are taught to stand when adults first enter as a sign of respect. Filipinos show respect to their elders through mannerisms, gestures and language. This includes parents, grandparents, aunts, uncles, friends, acquaintances and even strangers. It also includes a sibling or cousin who is 5+ years older than themselves.