Seiza ( or 正坐; せいざ ; ) is the formal, traditional way of sitting in Japan. It involves a specific positioning and posture in a kneeled position so as to convey respect, particularly toward elders. It developed among samurai during the Edo period and was later widely adopted by the public. Seiza is associated with straw tatami flooring or zabuton pillows that allow for comfortable sitting, and it is commonly used in several Japanese practices, including Japanese martial arts and the Japanese tea ceremony. Sitting seiza-style is often difficult for people who are not accustomed to it or for the physically infirm, such as injured people and the elderly. Sitting seiza-style for long periods of time is associated with health problems, particularly those of the knees. Seiza may be compared to similar seated positions in other cultures, such as Indian Vajrasana. To sit seiza-style, one must first be kneeling on the floor, folding one's legs underneath one's thighs, while resting the buttocks on the heels. The ankles are turned outward as the tops of the feet are lowered so that, in a slight "V" shape, the tops of the feet are flat on the floor and big toes overlapped, the right always on top of the left, and the buttocks are finally lowered all the way down. Depending on the circumstances, the hands are folded modestly in the lap, or are placed palm down on the upper thighs with the fingers close together, or are placed on the floor next to the hips, with the knuckles rounded and touching the floor. The back is kept straight, though not unnaturally stiff. Traditionally, women sit with the knees together while men separate them slightly. Some martial arts, notably kendō, aikidō, and iaidō, may prescribe up to two fist widths of distance between the knees for men. Stepping into and out of seiza is performed mindfully. There are codified traditional methods of entering and exiting the sitting position depending on occasion and type of clothing worn. Prior to the Edo period, there were no standard postures for sitting on the floor.