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establishing early healthy eating physical activity behaviours critical supporting childrens longterm health wellbeing objective current paper examine association health behaviours academic performance elementary school students school board nova scotia canada populationbased study included students grades 46 across 18 schools rural school board diet physical activity assessed validated instruments academic performance measures obtained school board mathematics english language arts ela associations health behaviours academic performance assessed using multilevel logistic regression students unhealthy lifestyle behaviours likely poor academic performance ela mathematics compared students healthy lifestyle behaviours associations statistically significant diet quality physical activity sugarsweetened beverage consumption ela breakfast skipping physically active morning recess physically active school mathematics effects diet physical activity independent interaction two exposures findings suggest support healthy behaviours may help improve academic outcomes students