{
  "abstract": "Purpose\n\nHealth literacy, physical activity, and complementary and alternative medicine (CAM) are increasingly recognized as important factors influencing coping strategies, quality of life, and well-being in cancer patients. However, empirical evidence on their interrelationships remains limited.Methods\n\nWe conducted a multicenter cross-sectional study between April and November 2024 at one Comprehensive Cancer Center and eleven oncological sites across Germany. A total of 316 cancer patients completed a standardized questionnaire assessing health literacy, self-reported sport participation, expectations toward physical activity, affective attitudes toward physical activity, CAM use, spirituality, nutrition, and life satisfaction. Descriptive statistics, reliability analyses, t-tests, and Spearman's correlations were performed.Results\n\nAmong the 316 participants, health literacy (M = 3.10, SD = 0.44) and life satisfaction (M = 7.03, SD = 2.02) were high. Health literacy did not differ significantly by self-reported pre-diagnosis sport participation. Life satisfaction likewise did not differ by self-reported pre-diagnosis sport participation. In contrast, more positive affective attitudes toward physical activity were significantly correlated with health-related expectations toward physical activity (r = 0.580, p < 0.001), body-related motives (r = 0.471, p < 0.001), and life satisfaction (r = 0.212, p < 0.001). CAM use was frequent, with 44.9% reporting vitamin D supplementation and 37.5% other vitamins or dietary supplements.Conclusion\n\nWhile self-reported sport participation did not show significant associations with life satisfaction, motivational and cognitive factors-such as positive attitudes and expectations-were linked to health literacy and well-being. These findings highlight the importance of strengthening patient-centered communication, motivational counseling, and health literacy as key elements of integrative oncology.",
  "abstract_shown": true,
  "affiliations": [
    "Department of Internal Medicine II, Hematology and Medical Oncology, Comprehensive Cancer Center Central Germany, University Hospital Jena, Jena, Germany. franziska.ostendorf@gmx.de.",
    "Department of Internal Medicine II, Hematology and Medical Oncology, Comprehensive Cancer Center Central Germany, University Hospital Jena, Jena, Germany.",
    "Department of Radiation Oncology, University Hospital Erlangen, Erlangen, Germany.",
    "Department of Hematology and Medical Oncology, St. Marien Hospital Amberg, Amberg, Germany.",
    "Department of Internal Medicine and Hematology, Herzoghöhe Hospital, Bayreuth, Germany.",
    "Medical Clinic I, University Hospital, Goethe University Frankfurt, Frankfurt am Main, Germany.",
    "Department of Otorhinolaryngology, South Harz Hospital Nordhausen, Nordhausen, Germany."
  ],
  "article_type": "research article",
  "arxiv": null,
  "author_total": 10,
  "authors": [
    {
      "affs": [
        0
      ],
      "name": "Franziska Ostendorf"
    },
    {
      "affs": [
        1
      ],
      "name": "Emilia Hintze"
    },
    {
      "affs": [
        1
      ],
      "name": "Luise Schütze"
    },
    {
      "affs": [
        1
      ],
      "name": "Christian Keinki"
    },
    {
      "affs": [
        2
      ],
      "name": "Dorota Lubgan"
    },
    {
      "affs": [
        3
      ],
      "name": "Ludwig Fischer von Weikersthal"
    },
    {
      "affs": [
        4
      ],
      "name": "Christoph Stoll"
    },
    {
      "affs": [
        5
      ],
      "name": "Gianluca Ciarlo"
    },
    {
      "affs": [
        6
      ],
      "name": "Jens Büntzel"
    },
    {
      "affs": [
        1
      ],
      "name": "Jutta Hübner"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/8p308d7g4k94t.bib",
  "cited_by": 0,
  "doi": "10.1007/s00432-026-06653-z",
  "fulltext_url": "https://europepmc.org/articles/PMC13719928",
  "id": "8p308d7g4k94t",
  "issns": [
    "0171-5216",
    "1432-1335"
  ],
  "landing_url": "https://europepmc.org/article/MED/42955119",
  "language": "eng",
  "licence": "CC-BY",
  "licence_label": "CC BY",
  "licence_source": "article",
  "licence_url": "https://creativecommons.org/licenses/by/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "heading",
      "Research"
    ],
    [
      "openalex",
      "2730|Cancer survivorship and care"
    ]
  ],
  "openalex": "W7224027730",
  "pdf_url": "https://europepmc.org/articles/PMC13719928?pdf=render",
  "pmcid": "PMC13719928",
  "pmid": "42955119",
  "published": "2026-10-27",
  "publisher": "Springer",
  "ris": "https://research.draconitic.com/paper/8p308d7g4k94t.ris",
  "sources": [
    {
      "first_seen": "2026-10-31T12:21:21Z",
      "native_id": "MED:42955119",
      "source": "europepmc",
      "url": "https://europepmc.org/article/MED/42955119"
    },
    {
      "first_seen": "2026-11-02T12:23:48Z",
      "native_id": "PMC13719928",
      "source": "pmc",
      "url": "https://doi.org/10.1007/s00432-026-06653-z"
    }
  ],
  "subjects": [
    {
      "field": "medicine",
      "origin": "openalex:2730|Cancer survivorship and care",
      "subfield": "oncology"
    }
  ],
  "title": "Associations between physical activity expectations, health literacy, and life satisfaction in cancer patients: results of a quantitative cross-sectional study.",
  "title_text": "Associations between physical activity expectations, health literacy, and life satisfaction in cancer patients: results of a quantitative cross-sectional study.",
  "type": "peer-reviewed",
  "updated_at": "2026-11-03T12:20:54Z",
  "url": "https://research.draconitic.com/paper/8p308d7g4k94t",
  "venue": "Journal of cancer research and clinical oncology",
  "versions": []
}