Take the typical female (XX) and typical male (XY) one rep max on say a squat, bench press and deadlift (could/should also compare cardio, etc) vs someone with this condition. Who are these individuals closer to when untrained? That's who they should compete against.
It isn't, they can't lift that much because they are untrained so it's difficult for them to hurt themselves. Many other exercises would also work, 50 yard dash? Rucking with a backpack for a few miles? Anything where a gender difference exists today that is large enough to be statistically significant.
They do this sort of thing all the time: https://pubmed.ncbi.nlm.nih.gov/34873221/