the main objective was to determine the association between sleep hygiene and adherence to the Mediterranean diet in Chilean schoolchildren from rural public schools in southern Chile. Non-experimental, analytical, cross-sectional study. A total of 265 students (56.6% women, mean age 13.5±1.8) from a rural community in southern Chile were recruited. Sleep habits were evaluated with the Life Habits and Adolescence Questionnaire, section 6: Sleep and Rest; and adherence to the Mediterranean diet was assessed with the KIDMED Mediterranean Diet Adherence Questionnaire. Main results indicated that 52.8% of schoolchildren need to improve adherence to the Mediterranean diet and 16.6% have a low-quality Mediterranean diet. A high percentage of schoolchildren have behaviors related to poor sleep hygiene (going to bed late (46%), waking up tired and wanting to continue sleeping (63.8% and having problems falling asleep (42.6%). schoolchildren who got up after 8:30 a.m., those who fell asleep after 12:00 a.m., those who woke up tired and those who had trouble falling asleep had a lower level of adherence to the Mediterranean diet compared to schoolchildren who got up earlier 8:30 a.m., fell asleep before 12:00 a.m., did not wake up tired, and those who did not find it difficult to fall asleep, respectively. In conclusion, having poor sleep hygiene is associated with less adherence to the Mediterranean diet in schoolchildren from rural public schools in southern Chile. It is important to monitor these variables in schoolchildren, as well as to promote healthy lifestyle habits within the educational community.