This is a pretty long proof, and note that we always have a "pulling-out" property
If $X\in\mathcal{F}$, $\mathbb{E}|Y|<\infty$, and $\mathbb{E}|XY|<\infty$, then $\mathbb{E}(XY|\mathcal{F})=X\mathbb{E}(Y|\mathcal{F})$.
Also a terminology that
when I say a random variable $X\in\mathcal{F}$ where $\mathcal{F}$ is a $\sigma-$algebra, I mean $X$ is $\mathcal{F}-$measurable.
Proof:
Firstly, note that since by hypothesis that $|X|^{p}$ and $|Y|^{q}$ are both integrable, the conditional expectation $\mathbb{E}\Big(|X|^{p}\Big|\mathcal{F}\Big)$ and $\mathbb{E}\Big(|Y|^{q}\Big|\mathcal{F}\Big)$ make sense. Also, this hypothesis immediately gives us the regular H\"older, and thus $|XY|$ is integrable, so $\mathbb{E}\Big(|XY|\Big|\mathcal{F}\Big)$ makes sense.
Set $U:=\mathbb{E}\Big(|X|^{p}\Big|\mathcal{F}\Big)^{1/p}$ and $V:=\mathbb{E}\Big(|Y|^{q}\Big|\mathcal{F}\Big)^{1/q}$. Note that by definition of conditional expectation, $U, V\in\mathcal{F}$.
As usually, we firstly consider the case where $U=0$ or $V=0$. Define the set $$A:=\{\omega\in\Omega:U(\omega)=0\},$$ which is clearly in $\mathcal{F}$, and thus $\mathbb{1}_{A}\in\mathcal{F}$. Also by hypothesis $|X|^{p}\in\mathcal{F}$, and thus $|X|^{p}\mathbb{1}_{A}\in\mathcal{F}$, and thus $|X|^{p}\mathbb{1}_{A}=\mathbb{E}(|X|^{p}\mathbb{1}_{A}|\mathcal{F}),$ but $\mathbb{1}_{A}\in\mathcal{F}$, so by the pulling-out property, we have $\mathbb{E}(|X|^{p}\mathbb{1}_{A}|\mathcal{F})=\mathbb{1}_{A}\mathbb{E}(|X|^{p}|\mathcal{F})$, but $\mathbb{E}(|X|^{p}|\mathcal{F})=U^{p}$, so combining these results and taking expectations yield us $$\mathbb{E}(|X|^{p}\mathbb{1}_{A})=\mathbb{E}\Big(\mathbb{E}(|X|^{p}\mathbb{1}_{A}|\mathcal{F})\Big)=\mathbb{E}\Big(\mathbb{1}_{A}\mathbb{E}(|X|^{p}|\mathcal{F})\Big)=\mathbb{E}(\mathbb{1}_{A}U^{p})=0,$$ which implies $|X|\mathbb{1}_{A}=0$ a.s, which implies, if using the pulling-out property again, that $$\mathbb{E}(|XY|\Big|\mathcal{F})\mathbb{1}_{A}=\mathbb{E}(|XY|\mathbb{1}_{A}\Big|\mathcal{F})=0.$$
The same argument can be applied to $B:=\{\omega\in\Omega:V(\omega)=0\}$ and to conclude that $$\mathbb{E}(|XY|\Big|\mathcal{F})\mathbb{1}_{B}=0.$$
It therefore suffices to show that $$\mathbb{E}(|XY|\Big|\mathcal{F})\mathbb{1}_{H}\leq UV,$$ where $H:=\{\omega\in\Omega:U(\omega)>0,\ V(\omega)>0\}$.
To proceed, we need to prove a lemma
(Lemma) if $U$ and $V$ are $\mathcal{F}-$measurable random variable, such that $\mathbb{E}(U\mathbb{1}_{A})\leq \mathbb{E}(V\mathbb{1}_{A})$ for all $A\in\mathcal{F}$, then $U\leq V$ a.s. If $\mathbb{E}(U\mathbb{1}_{A})=\mathbb{E}(V\mathbb{1}_{A})$ for all $A\in\mathcal{F}$, then $U=V$ a.s.
Proof of Lemma:
Indeed, by reversing the role of $U$ and $V$, we see that the second claim follows from the first one. To prove the first part, define $A:=\{\omega\in\Omega:U(\omega)> V(\omega)\}$ which is clearly in $\mathcal{F}$. Then, $$0\leq \mathbb{E}\Big[(U-V)\mathbb{1}_{A}]=\mathbb{E}(U\mathbb{1}_{A})-\mathbb{E}(V\mathbb{1}_{A})\leq 0,$$ which implies that $\mathbb{E}\Big[(U-V)\mathbb{1}_{A}\Big]=0$, but $(U-V)\mathbb{1}_{A}> 0$ which together implies that $$(U-V)\mathbb{1}_{A}=0\ \text{a.s.}$$ and thus $\mathbb{P}(A)=0$.
We now want to use the above lemma to show that $$\dfrac{\mathbb{E}(|XY|\Big|\mathcal{F})\mathbb{1}_{H}}{UV}\leq 1\ \text{a.s.} $$
To show this, we need to show for all $A\in\mathcal{F}$, we have $$\mathbb{E}\Big[\dfrac{\mathbb{E}(|XY|\Big|\mathcal{F})\mathbb{1}_{H}}{UV}\mathbb{1}_{A}\Big]\leq\mathbb{E}(\mathbb{1}_{A}).$$
To evaluate the LHS, let $A\in\mathcal{F}$ and define $G:=A\cap H$, then using the pulling out property, we have $$LHS=\mathbb{E}\Big[\mathbb{E}\Big(\dfrac{|XY|}{UV}\mathbb{1}_{G}|\mathcal{F}\Big)\Big],$$ and then by the second criterion of conditional property, we have $$\mathbb{E}\Big[\mathbb{E}\Big(\dfrac{|XY|}{UV}\mathbb{1}_{G\cap A}|\mathcal{F}\Big)\Big]=\mathbb{E}\Big(\dfrac{|XY|}{UV}\mathbb{1}_{G}\Big)=\mathbb{E}\Big(\dfrac{|X|}{U}\mathbb{1}_{G}\cdot\dfrac{|Y|}{V}\mathbb{1}_{G}\Big),$$ now treat $U$ and $V$ as simply constant numbers and apply regular H\"older, we have $$\Big(\dfrac{|X|}{U}\mathbb{1}_{G}\cdot\dfrac{|Y|}{V}\mathbb{1}_{G}\Big)\leq\Big(\mathbb{E}\Big(\dfrac{|X|^{p}}{U^{p}}\mathbb{1}_{G}\Big)^{1/p}\Big(\mathbb{E}\Big(\dfrac{|Y|^{q}}{V^{q}}\mathbb{1}_{G}\Big)^{1/q},$$ use the second criterion of conditional property, we have $|X|^{p}=\mathbb{E}(|X|^{p}|\mathcal{F})$ and $|Y|^{p}=\mathbb{E}(|Y|^{p}|\mathcal{F}),$ so that $$\Big(\mathbb{E}\Big(\dfrac{|X|^{p}}{U^{p}}\mathbb{1}_{G}\Big)^{1/p}\Big(\mathbb{E}\Big(\dfrac{|Y|^{q}}{V^{q}}\mathbb{1}_{G}\Big)^{1/q}=\Big(\mathbb{E}\Big(\dfrac{\mathbb{E}(|X|^{p}|\mathcal{F})}{U^{p}}\mathbb{1}_{G}\Big)^{1/p}\Big(\mathbb{E}\Big(\dfrac{\mathbb{E}(|Y|^{p}|\mathcal{F})}{V^{q}}\mathbb{1}_{G}\Big)^{1/q},$$ but notice that the numerator is exactly the denominator, and thus we have $$LHS\leq \mathbb{E}(\mathbb{1}_{G})^{1/p}\mathbb{E}(\mathbb{1}_{G})^{1/q}=\mathbb{E}(\mathbb{1}_{G})\leq\mathbb{E}(\mathbb{1}_{A})\ \text{as desired.}$$